Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
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The hospitals that file a First Health rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
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27 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | AdventHealth Deland Deland, FL fee schedule · outpatient | 1 | $760.00 | $760.00 – $760.00 |
| 2 | Adventhealth Carrollwood Tampa, FL fee schedule · outpatient | 1 | $760.00 | $760.00 – $760.00 |
| 3 | Adventhealth Daytona Beach Port Orange, FL fee schedule · outpatient | 1 | $760.00 | $760.00 – $760.00 |
| 4 | Adventhealth Fish Memorial Deltona, FL fee schedule · outpatient | 1 | $760.00 | $760.00 – $760.00 |
| 5 | Adventhealth Heart of Florida Winter Haven, FL fee schedule · outpatient | 1 | $760.00 | $760.00 – $760.00 |
| 6 | Adventhealth Lake Wales Lake Wales, FL fee schedule · outpatient | 1 | $760.00 | $760.00 – $760.00 |
| 7 | Adventhealth Ocala Ocala, FL fee schedule · outpatient | 1 | $760.00 | $760.00 – $760.00 |
| 8 | Adventhealth Palm Coast Palm Coast, FL fee schedule · outpatient | 1 | $760.00 | $760.00 – $760.00 |
| 9 | Adventhealth Palm Coast Parkway Palm Coast, FL fee schedule · outpatient | 1 | $760.00 | $760.00 – $760.00 |
| 10 | Adventhealth Tampa Brandon, FL fee schedule · outpatient | 1 | $760.00 | $760.00 – $760.00 |
| 11 | Adventhealth Waterman Tavares, FL fee schedule · outpatient | 1 | $760.00 | $760.00 – $760.00 |
| 12 | Adventhealth Wesley Chapel Lutz, FL fee schedule · outpatient | 1 | $760.00 | $760.00 – $760.00 |
| 13 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $760.00 | $760.00 – $760.00 |
| 14 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $685.52 | $685.52 – $685.52 |
| 15 | ChristianaCare Wilmington, DE facility · fee schedule · outpatient | 1 | $836.00 | $836.00 – $836.00 |
| 16 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $685.52 | $685.52 – $685.52 |
| 17 | H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. Tampa, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $988.50 | $988.50 – $988.50 |
| 18 | H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. Tampa, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $988.50 | $988.50 – $988.50 |
| 19 | Orlando Health Melbourne Hospital Melbourne, FL fee schedule · outpatient | 1 | $1,482 | $1,482 – $1,482 |
| 20 | Orlando Health Sebastian River Hospital Sebastian, FL fee schedule · outpatient | 1 | $1,482 | $1,482 – $1,482 |
| 21 | Providence Health System - Southern California Burbank, CA fee schedule · outpatient | 1 | $1,520 | $1,520 – $1,520 |
| 22 | Providence Health System - Southern California Mission Hills, CA fee schedule · outpatient | 1 | $1,520 | $1,520 – $1,520 |
| 23 | Providence Health System - Southern California Torrance, CA fee schedule · outpatient | 1 | $1,520 | $1,520 – $1,520 |
| 24 | Providence Health System - Southern California San Pedro, CA fee schedule · outpatient | 1 | $1,520 | $1,520 – $1,520 |
| 25 | Tarzana Medical Center LLC Tarzana, CA fee schedule · outpatient | 1 | $1,520 | $1,520 – $1,520 |
← Payers reporting CPT 0005U · Snapshot 20261108T203506Z-bb90dbab