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 |
|---|---|---|---|---|
| Ligation of neck artery CPT 37606 | not published | not published | $2,962.64 – $2,962.64 | 1 |
| Ligation of salivary duct CPT 42665 | not published | not published | $3,110.87 – $3,110.87 | 1 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $2,962.64 – $2,962.64 | 1 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $2,962.64 – $2,962.64 | 1 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $2,962.64 – $2,962.64 | 1 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $2,962.64 – $2,962.64 | 1 |
| Limb exercise test CPT 95875 | not published | not published | $120.73 – $120.73 | 1 |
| Limited visual field xm CPT 92081 | not published | not published | $55.35 – $55.35 | 1 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $108.12 | $108.12 | not published | 0 |
| Lipase CPT 83690 | $131.57 | $131.57 | $6.89 – $6.89 | 2 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $3,110.87 – $3,110.87 | 1 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $33.86 – $33.86 | 2 |
| Lipoprotein blood quant CPT 83704 | $409.33 | $409.33 | $34.19 – $34.19 | 2 |
| Lipoprotein direct measurement hdl CPT 83718 | $204.67 | $204.67 | $8.19 – $8.19 | 2 |
| Lipoprotein direct measurement ldl CPT 83721 | $99.39 | $99.39 | $10.50 – $10.50 | 2 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $34.19 – $34.19 | 2 |
| Lip surgery procedure CPT 40799 | not published | not published | $222.23 – $222.23 | 1 |
| Listeria monocytogenes CPT 86723 | not published | not published | $13.19 – $13.19 | 2 |
| Lithium therapeutic drug level CPT 80178 | $76.90 | $76.90 | $6.61 – $6.61 | 2 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $176.19 – $176.19 | 2 |
| Liver elastography 91200 CPT 91200 | not published | not published | $120.73 – $120.73 | 1 |
| Liver Function Test CPT 80076 | $384.46 | $384.46 | $8.17 – $8.17 | 2 |
| Liver imaging CPT 78201 | not published | not published | $509.46 – $509.46 | 1 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $509.46 – $509.46 | 1 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $375.10 – $375.10 | 1 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $375.10 – $375.10 | 1 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $3,070.09 – $3,070.09 | 1 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $44.10 | $44.10 | not published | 0 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $39.88 | $39.88 | not published | 0 |
| Loudness balance test CPT 92562 | not published | not published | $202.60 – $202.60 | 1 |
| Low back disk surgery CPT 63030 | not published | not published | $6,808.45 – $6,808.45 | 1 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $5,900.98 | $5,900.98 | $164.58 – $164.58 | 1 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $4,843.52 | $4,843.52 | $327.35 – $327.35 | 1 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $4,361.58 | $4,361.58 | $98.09 – $98.09 | 1 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $6,008.53 | $6,008.53 | $327.35 – $327.35 | 1 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | not published | not published | $327.35 – $327.35 | 1 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $4,902.71 | $4,902.71 | $223.88 – $223.88 | 1 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $685.29 | $685.29 | $98.09 – $98.09 | 1 |
| Lower jaw bone graft CPT 21215 | not published | not published | $5,554.53 – $5,554.53 | 1 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $188.25 – $188.25 | 1 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $9,973.89 – $9,973.89 | 1 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $9,973.89 – $9,973.89 | 1 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $9,973.89 – $9,973.89 | 1 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $9,973.89 – $9,973.89 | 1 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $21.99 – $21.99 | 2 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $1,832.23 – $1,832.23 | 1 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $16,451.84 – $16,451.84 | 1 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $55.35 – $55.35 | 1 |
| Lung Function Test (Spirometry) CPT 94010 | $406.97 | $406.97 | $202.60 – $202.60 | 1 |
| Lung perfusion imaging CPT 78580 | $1,972.46 | $1,972.46 | $375.10 – $375.10 | 1 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $27.14 – $27.14 | 1 |
| Lymphatics/lymph node imaging CPT 78195 | not published | not published | $509.46 – $509.46 | 1 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $36.56 | 2 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $49.03 – $49.03 | 2 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $189.51 – $189.51 | 2 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $588.59 – $588.59 | 1 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $1,477.02 – $1,477.02 | 1 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $2,962.64 – $2,962.64 | 1 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $2,962.64 – $2,962.64 | 1 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $506.05 – $506.05 | 1 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $3,037.37 – $3,037.37 | 1 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $1,961.39 – $1,961.39 | 1 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $29.69 – $29.69 | 1 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $4.27 – $4.27 | 2 |
| Macroscopic exam parasite CPT 87169 | $46.42 | $46.42 | $4.31 – $4.31 | 2 |
| Magnesium CPT 83735 | $192.86 | $192.86 | $6.70 – $6.70 | 2 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $75.16 | $75.16 | not published | 0 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $223.88 – $223.88 | 1 |
| Malaria antibody CPT 86750 | not published | not published | $13.19 – $13.19 | 2 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $1,508.77 – $1,508.77 | 1 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,508.77 – $1,508.77 | 1 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $214.10 | $214.10 | $124.84 – $124.84 | 1 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $221.73 | $221.73 | $124.84 – $124.84 | 1 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,508.77 – $1,508.77 | 1 |
| Manipulation of spine CPT 22505 | not published | not published | $1,508.77 – $1,508.77 | 1 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $231.45 – $231.45 | 1 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $88.18 | $88.18 | not published | 0 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $5.07 – $5.07 | 2 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $89,329.77 | $89,329.77 | not published | 0 |
| Mastectomy partial CPT 19301 | not published | not published | $3,673.82 – $3,673.82 | 1 |
| Mastoidectomy CPT 69501 | not published | not published | $5,554.53 – $5,554.53 | 1 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $5,554.53 – $5,554.53 | 1 |
| Mastoids complete CPT 70130 | not published | not published | $98.09 – $98.09 | 1 |
| Mastoid surgery revision CPT 69603 | not published | not published | $5,554.53 – $5,554.53 | 1 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $35.09 – $35.09 | 2 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $27.29 – $27.29 | 2 |
| Maxillofacial fixation CPT 21100 | not published | not published | $5,554.53 – $5,554.53 | 1 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $435.65 | $435.65 | $14.46 – $14.46 | 2 |
| Mayo aathr protein s free CPT 85306 | $234.97 | $234.97 | $15.32 – $15.32 | 2 |
| Mayo activated protein c resistance assay CPT 85307 | $216.52 | $216.52 | $15.32 – $15.32 | 2 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $787.97 | $787.97 | $38.57 – $38.57 | 2 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $174.72 | $174.72 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $128.03 | $128.03 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $251.43 | $251.43 | $14.78 – $14.78 | 2 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $375.30 | $375.30 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $194.48 | $194.48 | $13.44 – $13.44 | 2 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | not published | not published | $15.08 – $15.08 | 2 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $186.82 | $186.82 | not published | 0 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $301.82 | $301.82 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $738.62 | $738.62 | $121.63 – $121.63 | 2 |
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.