Adventhealth Manchester
210 Marie Langdon Drive, Manchester, KY · AdventHealth · · NPI 1811922347
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 |
|---|---|---|---|---|
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $1,142.40 | $1,142.40 | $188.25 – $188.25 | 1 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $188.25 – $188.25 | 1 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $1,142.40 | $1,142.40 | $188.25 – $188.25 | 1 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $188.25 – $188.25 | 1 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $202.60 – $202.60 | 1 |
| Ghs somatosensory testing lower extremit CPT 95926 | $3,196.83 | $3,196.83 | $202.60 – $202.60 | 1 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $45.06 – $45.06 | 1 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $288.01 – $288.01 | 1 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $124.84 – $124.84 | 1 |
| Ghs sp train/fitting sp device - kx CPT 92609 | not published | not published | $96.73 – $96.73 | 1 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $35.05 – $35.05 | 1 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $124.84 – $124.84 | 1 |
| Ghs st - re-eval for alt comm CPT 92597 | not published | not published | $67.82 – $67.82 | 1 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $43.94 – $43.94 | 1 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $199.58 – $199.58 | 1 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $693.47 – $693.47 | 1 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $381.43 – $381.43 | 1 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $1,455.84 – $1,455.84 | 1 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $7.30 – $7.30 | 2 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $231.45 – $231.45 | 1 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $231.45 – $231.45 | 1 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $24.30 – $24.30 | 2 |
| Ghs urine, porphyrins quant CPT 84120 | not published | not published | $14.71 – $14.71 | 2 |
| Ghs vaginal delivery only CPT 59409 | $5,785.13 | $5,785.13 | $3,037.37 – $3,037.37 | 1 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $350.13 – $350.13 | 1 |
| Ghs windowing of cast CPT 29730 | not published | not published | $152.47 – $152.47 | 1 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $14.72 – $14.72 | 2 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $223.88 – $223.88 | 1 |
| Gi inhouse confirmation CPT 87045 | $287.34 | $287.34 | $9.44 – $9.44 | 2 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $3,110.87 – $3,110.87 | 1 |
| Gi protein loss CPT 78282 | not published | not published | $375.10 – $375.10 | 1 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $851.02 – $851.02 | 1 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $872.57 – $872.57 | 1 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $851.02 – $851.02 | 1 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $851.02 – $851.02 | 1 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $101.12 – $101.12 | 2 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $61.52 – $61.52 | 2 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $35.00 – $35.00 | 2 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $27.14 – $27.14 | 1 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $35.05 – $35.05 | 1 |
| Glucagon plasma - sendout CPT 82943 | not published | not published | $14.29 – $14.29 | 2 |
| Glucose 1 hr post dose CPT 82950 | $80.40 | $80.40 | $4.75 – $4.75 | 2 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $6.05 – $6.05 | 2 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | not published | not published | $3.28 – $3.28 | 2 |
| Glucose blood quantitative CPT 82947 | $114.05 | $114.05 | $3.93 – $3.93 | 2 |
| Glucose body fluid CPT 82945 | $116.35 | $116.35 | $3.93 – $3.93 | 2 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $55.35 – $55.35 | 1 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $217.81 | $217.81 | $12.87 – $12.87 | 2 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $73.10 | $73.10 | $3.92 – $3.92 | 2 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $71.67 | $71.67 | not published | 0 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $3,152.06 | $3,152.06 | not published | 0 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $415.15 | $415.15 | $18.58 – $18.58 | 2 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $391.79 | $391.79 | $18.52 – $18.52 | 2 |
| Gonioscopy CPT 92020 | not published | not published | $124.84 – $124.84 | 1 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $3,070.09 – $3,070.09 | 1 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $231.45 – $231.45 | 1 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $1,935.96 – $1,935.96 | 1 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $11.92 – $11.92 | 1 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.74 – $15.74 | 2 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $75.60 – $75.60 | 2 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,800.50 – $1,800.50 | 1 |
| G-tube reposition CPT 43761 | not published | not published | $234.43 – $234.43 | 1 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $1,961.39 – $1,961.39 | 1 |
| Guided cath fluid drainage 10030 CPT 10030 | not published | not published | $664.43 – $664.43 | 1 |
| Gum graft CPT 41870 | not published | not published | $1,455.84 – $1,455.84 | 1 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $3,673.82 – $3,673.82 | 1 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $693.47 – $693.47 | 1 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $381.43 – $381.43 | 1 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $381.43 – $381.43 | 1 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $112.36 | $112.36 | not published | 0 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $24.17 | $24.17 | not published | 0 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $3,070.09 – $3,070.09 | 1 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $6,808.45 – $6,808.45 | 1 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $3,070.09 – $3,070.09 | 1 |
| Hand X-ray CPT 73130 | $618.29 | $618.29 | $81.65 – $81.65 | 1 |
| Haptoglobin quantitative CPT 83010 | $154.31 | $154.31 | $12.58 – $12.58 | 2 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $1,935.96 – $1,935.96 | 1 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $413.95 – $413.95 | 1 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $124.84 – $124.84 | 1 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $124.84 – $124.84 | 1 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $600.00 – $600.00 | 2 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $2,275.58 | $2,275.58 | $202.40 – $202.40 | 2 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $375.25 – $375.25 | 2 |
| Hbb full gene sequence CPT 81364 | $2,442.32 | $2,442.32 | $324.58 – $324.58 | 2 |
| Hbb gene com variants CPT 81361 | not published | not published | $174.81 – $174.81 | 2 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $202.40 – $202.40 | 2 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $375.25 – $375.25 | 2 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $164.58 – $164.58 | 1 |
| Hcg free betachain test CPT 84704 | not published | not published | $15.29 – $15.29 | 2 |
| Hcg qualitative CPT 84703 | $231.01 | $231.01 | $7.52 – $7.52 | 2 |
| Hcg quantitative CPT 84702 | $508.73 | $508.73 | $15.05 – $15.05 | 2 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $1,508.77 – $1,508.77 | 1 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $693.47 – $693.47 | 1 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $693.47 – $693.47 | 1 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $509.46 – $509.46 | 1 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $375.10 – $375.10 | 1 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $375.10 – $375.10 | 1 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $509.46 – $509.46 | 1 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $1,214.76 – $1,214.76 | 1 |
| Head CT scan (with and without contrast) CPT 70470 | $6,236.19 | $6,236.19 | $164.58 – $164.58 | 1 |
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.