Adventhealth Wesley Chapel
2600 Bruce B Downs Blvd, Wesley Chapel, FL · AdventHealth · · NPI 1073893020
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 |
|---|---|---|---|---|
| Lipoprotein blood quant CPT 83704 | $156.61 | $156.61 | $34.19 – $75.90 | 9 |
| Lipoprotein direct measurement hdl CPT 83718 | not published | not published | $8.19 – $18.18 | 9 |
| Lipoprotein direct measurement ldl CPT 83721 | $124.40 | $124.40 | $10.50 – $23.31 | 9 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $34.19 – $75.90 | 9 |
| Listeria monocytogenes CPT 86723 | not published | not published | $13.19 – $29.28 | 9 |
| Lithium therapeutic drug level CPT 80178 | $192.19 | $192.19 | $6.61 – $14.67 | 9 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $23,278.68 | $23,278.68 | not published | 0 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $176.19 – $391.14 | 9 |
| Liver elastography 91200 CPT 91200 | not published | not published | $134.37 – $298.30 | 10 |
| Liver Function Test CPT 80076 | $714.68 | $714.68 | $8.17 – $18.14 | 9 |
| Liver image (3d) with flow CPT 78206 | not published | not published | $497.56 – $915.57 | 3 |
| Liver imaging CPT 78201 | not published | not published | $497.56 – $2,044.56 | 11 |
| Liver imaging (3d) CPT 78205 | not published | not published | $497.56 – $915.57 | 3 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $497.56 – $2,044.56 | 11 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $417.47 – $926.79 | 11 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $417.47 – $926.79 | 11 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $2,482.76 – $5,511.72 | 9 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $3,416.88 – $7,585.48 | 9 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $44.10 | $44.10 | not published | 0 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $89.05 | $89.05 | not published | 0 |
| Loudness balance test CPT 92562 | not published | not published | $225.48 – $500.57 | 9 |
| Low back disk surgery CPT 63030 | not published | not published | $7,577.51 – $16,822.08 | 9 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $10,728.83 | $10,728.83 | $183.17 – $429.66 | 11 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $8,472.61 | $8,472.61 | $332.53 – $808.79 | 11 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $7,813.32 | $7,813.32 | $109.17 – $242.37 | 11 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $8,443.80 | $8,443.80 | $364.32 – $808.79 | 11 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $6,783.32 | $6,783.32 | $364.32 – $808.79 | 11 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $4,761.65 | $4,761.65 | $249.17 – $553.15 | 11 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $1,857.44 | $1,857.44 | $76.59 – $242.37 | 11 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $209.52 – $465.13 | 9 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $11,100.51 – $24,643.14 | 9 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $11,100.51 – $24,643.14 | 9 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $11,100.51 – $24,643.14 | 9 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $11,100.51 – $24,643.14 | 9 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $21.99 – $48.82 | 9 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $2,039.19 – $4,527.00 | 11 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $18,310.20 – $40,648.64 | 9 |
| Lung function test (mbc/mvv) CPT 94200 | $670.29 | $670.29 | $61.60 – $136.76 | 9 |
| Lung Function Test (Spirometry) CPT 94010 | $903.11 | $903.11 | $225.48 – $500.57 | 9 |
| Lung perfusion imaging CPT 78580 | $3,083.23 | $3,083.23 | $408.67 – $926.79 | 11 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $30.20 – $67.05 | 9 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $20.05 – $44.51 | 9 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $8,535.30 – $18,948.36 | 9 |
| Lymphatics/lymph node imaging CPT 78195 | $6,360.96 | $6,360.96 | $462.53 – $1,258.77 | 11 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $81.16 | 9 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $49.03 – $108.85 | 9 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $189.51 – $420.71 | 9 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $47.59 – $105.65 | 9 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $424.56 – $1,454.28 | 11 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $986.51 – $3,649.36 | 11 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $986.51 – $7,319.99 | 11 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $986.51 – $7,319.99 | 11 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $3,380.46 – $7,504.63 | 9 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $2,182.94 – $4,846.13 | 9 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $4.27 – $9.48 | 9 |
| Macroscopic exam parasite CPT 87169 | $66.53 | $66.53 | $4.31 – $9.57 | 9 |
| Magnesium CPT 83735 | $230.83 | $230.83 | $6.70 – $14.87 | 9 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $244.97 | $244.97 | not published | 0 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $249.17 – $553.15 | 11 |
| Malaria antibody CPT 86750 | not published | not published | $13.19 – $29.28 | 9 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $1,679.19 – $3,727.81 | 9 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,679.19 – $3,727.81 | 9 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $364.82 | $364.82 | $138.94 – $308.45 | 9 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $364.82 | $364.82 | $138.94 – $308.45 | 9 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,679.19 – $3,727.81 | 9 |
| Manipulation of spine CPT 22505 | not published | not published | $1,679.19 – $3,727.81 | 9 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $242.80 | $242.80 | not published | 0 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $5.07 – $11.26 | 9 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $50,030.27 | $50,030.27 | not published | 0 |
| Mastectomy partial CPT 19301 | not published | not published | $4,088.81 – $9,077.15 | 9 |
| Mast mod rad CPT 19307 | not published | not published | $6,934.19 – $15,393.90 | 9 |
| Mastoids complete CPT 70130 | not published | not published | $76.59 – $242.37 | 11 |
| Mastopexy CPT 19316 | not published | not published | $6,934.19 – $15,393.90 | 9 |
| Mast simple complete CPT 19303 | not published | not published | $6,934.19 – $15,393.90 | 9 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $135.12 | $135.12 | not published | 0 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $35.09 – $77.90 | 9 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $27.29 – $60.58 | 9 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $42.84 – $95.10 | 9 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $71.78 | $71.78 | $14.46 – $32.10 | 9 |
| Mayo aathr protein s free CPT 85306 | $239.65 | $239.65 | $15.32 – $34.01 | 9 |
| Mayo activated protein c resistance assay CPT 85307 | $75.92 | $75.92 | $15.32 – $34.01 | 9 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $595.33 | $595.33 | $38.57 – $85.63 | 9 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $161.53 | $161.53 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $138.94 | $138.94 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $228.13 | $228.13 | $14.78 – $32.81 | 9 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $292.10 | $292.10 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $207.45 | $207.45 | $13.44 – $29.84 | 9 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $74.82 | $74.82 | $15.08 – $33.48 | 9 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $223.55 | $223.55 | not published | 0 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $49.73 | $49.73 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $1,877.36 | $1,877.36 | $121.63 – $270.02 | 9 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $454.97 | $454.97 | $91.66 – $203.49 | 9 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $137.00 – $304.14 | 9 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $17,904.60 | $17,904.60 | $1,160.00 – $2,575.20 | 9 |
| Mayo androstenedione CPT 82157 | $165.84 | $165.84 | $29.28 – $65.00 | 9 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $72.46 | $72.46 | $14.60 – $32.41 | 9 |
| Mayo antithrombin iii antigen CPT 85301 | $159.89 | $159.89 | $10.81 – $24.00 | 9 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $232.30 | $232.30 | $15.05 – $33.41 | 9 |
| Mayo avwpr vw factor activity CPT 85397 | $476.32 | $476.32 | $30.86 – $68.51 | 9 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $128.96 | $128.96 | $35.09 – $77.90 | 9 |
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.