Supplies, drugs & other prices at AdventHealth Orlando

Orlando, FL · every code in this section with a posted price and a Medicare benchmark.

108 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,co (C8923) $3,134 $3,134 3.8×
Adm tocilizu covid-19 1st (M0249) $1,754 $1,754 3.8×
Adm tocilizu covid-19 2nd (M0250) $1,754 $1,754 3.8×
Admin hepatitis b vaccine (G0010) $282 $282 5.8×
Admin influenza virus vac (G0008) $1,274.22 $1,274.22 26.1×
Bia whole body composition assessment w/i&r (0358T) $231 $231 7.6×
Ca screen;pelvic/breast exam (G0101) $698 $698 6.6×
Catheterize for urine spec (P9612) $255 $255 27.3×
Chemo extend iv infus w/pump (G0498) $2,361 $2,361 6.8×
Colon ca scrn not hi rsk ind (G0121) $5,407 $5,407 5.6×
Diab manage trn per indiv (G0108) $247 $247 4.4×
Diab manage trn ind/group (G0109) $103 $103 6.4×
Direct refer hospital observ (G0379) $315 $315 0.5×
Drug test def 1-7 classes (G0480) $353 $353 3.1×
Eia hiv-1/hiv-2 screen (G0432) $473 $473 24.2×
Ekg tracing for initial prev (G0404) $231 $231 7.6×
Electrophysiologic eval icds w/ss electrode (0577T) $6,520 $6,520 5.1×
Hep c screen high risk/other (G0472) $565 $565 12.2×
Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant hepatocellular tissue, including image… (0686T) $71,999 $71,999 4.0×
Home sleep test/type 2 porta (G0398) $1,303 $1,303 5.8×
Home sleep test/type 3 porta (G0399) $888 $888 3.9×
Home sleep test/type 4 porta (G0400) $819 $819 3.6×
Infectious disease (bacterial and fungal), organism identification, blood culture, using rRNA FISH, 6 or more organism… (0086U) $867 $867 4.3×
Init/sub psych care m 1st 30 (G2214) $284 $284 2.7×
Inj for sacroiliac jt anesth (G0260) $3,710 $3,710 5.0×
Insj/rplc car modulj sys ventr electrode only (0411T) $8,096 $8,096 0.9×
Insj/rplc cardiac modulj sys (0408T) $27,737 $27,737 0.8×
Insj/rplc cardiac modulj sys atr electrode only (0410T) $8,096 $8,096 0.9×
Insj/rplc cardiac modulj sys pls generator only (0409T) $21,063 $21,063 0.9×
Insj/rplcmt compl iims (0525T) $27,737 $27,737 1.4×
Insj/rplcmt icds w/substernal electrode (0571T) $57,586 $57,586 1.8×
Insj/rplcmt iims eltrd only (0526T) $27,737 $27,737 3.2×
Insj/rplcmt iims implt mntr (0527T) $27,737 $27,737 3.2×
Instill pharm renal pelvis (C9789) $9,269 $9,269 7.3×
Instlj fecal microbiota ssp rct nma lwr gi trc (0780T) $385 $385 2.8×
Intens cardiac rehab no exer (G0423) $710 $710 5.3×
Intens cardiac rehab w/exerc (G0422) $710 $710 5.3×
Interro device evaluation cardiac modulj system (0418T) $132 $132 3.4×
Interrog dev eval iims ip (0529T) $27,737 $27,737 711.8×
Mnt subs tx for change dx (G0270) $2 $2 0.1×
Mra w/o fol w/cont, abd (C8902) $6,162 $6,162 16.9×
Mra w/o fol w/cont, chest (C8911) $5,681 $5,681 15.6×
Mra w/o fol w/cont, lwr ext (C8914) $6,309 $6,309 17.3×
Mra w/o fol w/cont, pelvis (C8920) $5,836 $5,836 16.0×
Mra, w/o&w/dye, spinal canal (C8933) $1,027 $1,027 2.8×
Mra, w/o&w/dye, upper extr (C8936) $3,435 $3,435 9.4×
Mri w/cont, breast, bi (C8906) $6,083 $6,083 16.7×
Mri w/cont, breast, uni (C8903) $3,800 $3,800 20.7×
Neuro csf prion prtn qual (0035U) $1,733 $1,733 3.2×
Njx paravert w/us cer/thor (0213T) $7,680 $7,680 8.3×
Njx paravert w/us lumb/sac (0216T) $7,680 $7,680 8.3×
Njx pltlt plasma w/img harvest/preparation (0232T) $4,759 $4,759 10.2×
Obtaining screen pap smear (Q0091) $80 $80 2.6×
Oncology (Merkel cell-carcinoma), detection of antibodies to the Merkel cell polyoma virus capsid protein (VP1), serum,… (0059U) $1,318 $1,318 4.1×
Oncology (Merkel cell-carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T… (0058U) $2,589 $2,589 8.0×
Oth resp proc, group (G0239) $282 $282 7.2×
Oth resp proc, indiv (G0238) $282 $282 9.3×
Pathogen test for platelets (P9100) $450 $450 7.3×
Perc d-e cor revasc chro sin (C9607) $39,451 $39,451 2.1×
Perc d-e cor revasc t cabg s (C9604) $39,451 $39,451 3.3×
Perc d-e cor stent ather s (C9602) $39,451 $39,451 2.1×
Perc drug-el cor stent sing (C9600) $39,451 $39,451 3.3×
Perq sac agmntj bi w/wo balo/mchnl dev 2/> ndls (0201T) $20,972 $20,972 2.8×
Perq sac agmntj uni w/wo balo/mchnl dev 1/> ndl (0200T) $15,329 $15,329 2.0×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $30,443 $30,443 2.5×
Pin service 60m per month (G0023) $741 $741 7.0×
Prgrmg dev eval iims ip (0528T) $27,737 $27,737 711.8×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $351 $351 9.0×
Prgrmg device evaluation cardiac modulj system (0417T) $132 $132 3.4×
Prostate biopsy, any mthd (G0416) $14,550 $14,550 38.9×
Quan MRI alys brn w/dx MRI (0866T) $7,765 $7,765 31.2×
Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and… (0598T) $1,119 $1,119 5.0×
Reloc skin pocket pls gen (0416T) $3,067 $3,067 1.4×
Removal cardiac modulj sys pls generator only (0412T) $8,439 $8,439 2.2×
Removal cardiac modulj sys transvenous electrode (0413T) $8,439 $8,439 2.2×
Removal complete iims (0530T) $27,737 $27,737 7.1×
Removal iims electrode only (0531T) $27,737 $27,737 7.1×
Removal iims implt mntr only (0532T) $27,737 $27,737 7.1×
Repos Cardiac Modulj Transvenous Electrode (0415T) $1,812 $1,812 2.8×
Revasc intra lithotrip-ather (C9766) $61,923 $61,923 3.2×
Revasc intra lithotrip-stent (C9765) $61,923 $61,923 3.2×
Revasc intravasc lithotripsy (C9764) $30,475 $30,475 2.5×
Revasc lith-sten-ath tib/per (C9775) $99,049 $99,049 5.2×
Revasc lithotr-ather tib/per (C9774) $99,049 $99,049 5.2×
Revasc lithotr-stent tib/per (C9773) $99,049 $99,049 5.2×
Revasc lithotrip tibi/perone (C9772) $61,923 $61,923 5.1×
Revasc lithotrip-stent-ather (C9767) $59,070 $59,070 3.1×
Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) $21,063 $21,063 0.9×
Rmvl substernal implantable defibrillator eltrd (0573T) $8,495 $8,495 2.2×
Rmvl substernal impltbl dfb pulse generator only (0580T) $8,495 $8,495 2.2×
Screen pap by tech w md supv (P3000) $84 $84 4.5×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $97,103 $97,103 4.8×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $31,557 $31,557 1.6×
Tcat insj perm dual chamber ldls pm compl sys (0795T) $31,557 $31,557 1.6×
Tcat rmvl/debulk icar mass suction device perq (0644T) $31,285 $31,285 5.3×
Therapeutic procd strg endur (G0237) $282 $282 9.3×
Tomosynthesis, mammo (G0279) $213 $213 16.8×
Transcatheter renal sympath denervation bilat (0339T) $53,176 $53,176 8.9×
Transcatheter renal sympath denervation unilat (0338T) $53,176 $53,176 8.9×
Trgt gen seq DNA 324 genes (0037U) $5,912 $5,912 1.7×
Trluml perip athrc iliac art (0238T) $24,172 $24,172 1.3×
Trluml perip athrc renal art (0234T) $93,709 $93,709 7.8×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $93,709 $93,709 7.8×
Tte w or w/o fol w/con,stres (C8928) $5,406 $5,406 6.6×
Unsched dialysis esrd pt hos (G0257) $5,223 $5,223 7.3×
Urine specimen collect mult (P9615) $19 $19 2.0×
Visit esketamine 56m or less (G2082) $4,300 $4,300 4.0×
Visit esketamine, > 56m (G2083) $3,496 $3,496 2.1×