Adventhealth Palm Coast
60 Memorial Medical Pkwy, Palm Coast, FL · AdventHealth · · NPI 1679678486
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $645.48 | $645.48 | $85.22 – $194.11 | 9 |
| X-ray foot 2 views (both sides) CPT 73620 | $827.94 | $827.94 | $85.22 – $194.11 | 9 |
| X-ray forearm 2 views (both sides) CPT 73090 | $827.94 | $827.94 | $85.22 – $194.11 | 9 |
| X-ray hand 2 views (both sides) CPT 73120 | $681.59 | $681.59 | $85.22 – $233.19 | 9 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $85.22 – $194.11 | 9 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $725.69 | $725.69 | $85.22 – $194.11 | 9 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $2,254.19 | $2,254.19 | $103.72 – $233.19 | 8 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $1,162.73 | $1,162.73 | $103.72 – $233.19 | 8 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $270.00 | $270.00 | $103.72 – $233.19 | 8 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $1,179.85 | $1,179.85 | $103.72 – $233.19 | 8 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $781.81 | $781.81 | $86.33 – $194.11 | 8 |
| X-ray humerus >= 2 views left CPT 73060 | $827.94 | $827.94 | $85.22 – $194.11 | 9 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $85.22 – $233.19 | 9 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $827.94 | $827.94 | $85.22 – $194.11 | 9 |
| X-ray knee 3 views (both sides) CPT 73562 | $801.47 | $801.47 | $85.22 – $194.11 | 9 |
| X-ray knee ap standing bilateral CPT 73565 | $364.68 | $364.68 | $85.22 – $194.11 | 9 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $835.95 | $835.95 | $85.22 – $194.11 | 9 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $922.17 | $922.17 | $103.72 – $233.19 | 9 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $1,519.51 | $1,519.51 | $103.72 – $233.19 | 9 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $2,702.27 | $2,702.27 | $103.72 – $233.19 | 9 |
| X-ray male genital tract CPT 74440 | not published | not published | $236.71 – $532.20 | 9 |
| X-ray mandible complete > 4 views CPT 70110 | $1,355.14 | $1,355.14 | $103.72 – $233.19 | 9 |
| X-ray mandible ltd <4 views CPT 70100 | $827.94 | $827.94 | $85.22 – $194.11 | 9 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $135.06 – $157.30 | 2 |
| X-ray nasal bones complete > 3 views CPT 70160 | $682.97 | $682.97 | $85.22 – $194.11 | 9 |
| X-ray neck soft tissue CPT 70360 | $614.65 | $614.65 | $85.22 – $194.11 | 9 |
| X-ray nose to rectum for foreign body child CPT 76010 | $220.00 | $220.00 | $85.22 – $194.11 | 9 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $236.71 – $550.23 | 9 |
| X-ray optic foramina CPT 70190 | not published | not published | $85.22 – $194.11 | 9 |
| X-ray pelvis 1-2 views CPT 72170 | $809.90 | $809.90 | $85.22 – $233.19 | 9 |
| X-ray pelvis complete > 3 views CPT 72190 | $1,012.35 | $1,012.35 | $85.22 – $233.19 | 9 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,214.36 | $1,214.36 | $346.11 – $778.15 | 9 |
| X-ray ribs 2 views left CPT 71100 | $966.25 | $966.25 | $85.22 – $194.11 | 9 |
| X-ray ribs 3 views bilateral CPT 71110 | $1,214.83 | $1,214.83 | $103.72 – $233.19 | 9 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $1,196.79 | $1,196.79 | $103.72 – $233.19 | 9 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $1,403.25 | $1,403.25 | $103.72 – $233.19 | 9 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $934.16 | $934.16 | $85.22 – $233.19 | 9 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $934.16 | $934.16 | $85.22 – $194.11 | 9 |
| X-ray scapula complete (both sides) CPT 73010 | $934.16 | $934.16 | $85.22 – $233.19 | 9 |
| X-ray sella turcica CPT 70240 | not published | not published | $85.22 – $194.11 | 9 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $348.46 | $348.46 | $85.22 – $194.11 | 9 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $1,064.48 | $1,064.48 | $85.22 – $194.11 | 9 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,025.42 | $1,025.42 | $472.40 – $1,218.77 | 9 |
| X-ray skull < 4 views CPT 70250 | $705.64 | $705.64 | $85.22 – $233.19 | 9 |
| X-ray skull > 4 views complete CPT 70260 | $1,134.64 | $1,134.64 | $103.72 – $233.19 | 9 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $103.72 – $233.19 | 9 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $1,028.12 | $1,028.12 | $151.33 – $391.23 | 9 |
| X-ray small intestine follow-through study CPT 74248 | $650.09 | $650.09 | not published | 0 |
| X-ray spine single view CPT 72020 | $618.22 | $618.22 | $85.22 – $194.11 | 9 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | not published | not published | $85.22 – $194.11 | 9 |
| X-ray sternum > 2 views CPT 71120 | $934.16 | $934.16 | $85.22 – $194.11 | 9 |
| X-ray surgical specimen CPT 76098 | $1,428.17 | $1,428.17 | $472.40 – $1,218.77 | 9 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $1,182.30 | $1,182.30 | $151.33 – $391.23 | 9 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $1,162.73 | $1,162.73 | $85.22 – $194.11 | 9 |
| X-ray thoracic spine 2 views CPT 72070 | $270.00 | $270.00 | $85.22 – $233.19 | 9 |
| X-ray thoracic spine 3 views CPT 72072 | $1,054.43 | $1,054.43 | $103.72 – $233.19 | 9 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $1,054.43 | $1,054.43 | $85.22 – $194.11 | 9 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $2,376.00 | $2,376.00 | $86.33 – $194.11 | 8 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | not published | not published | $103.72 – $233.19 | 8 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $629.46 | $629.46 | $85.22 – $194.11 | 9 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $641.52 | $641.52 | $85.22 – $194.11 | 9 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $1,625.22 | $1,625.22 | $174.01 – $391.23 | 9 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $1,019.60 | $1,019.60 | $174.01 – $391.23 | 9 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $224.72 – $261.74 | 2 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $224.72 – $261.74 | 2 |
| X-ray wrist 2 views (both sides) CPT 73100 | $713.71 | $713.71 | $85.22 – $194.11 | 9 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $151.33 – $391.23 | 9 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.26 – $27.57 | 8 |
| Yersinia antibody CPT 86793 | not published | not published | $12.53 – $28.17 | 8 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $48.74 – $109.59 | 8 |
| Zika virus igm antibody CPT 86794 | not published | not published | $16.01 – $35.99 | 8 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $363.57 | $363.57 | not published | 0 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $183.59 – $412.76 | 8 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.