Adventhealth Gordon
1035 Red Bud Road, Calhoun, GA · AdventHealth · · NPI 1760402424
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 |
|---|---|---|---|---|
| Dialysis one evaluation CPT 90945 | not published | not published | $415.34 – $840.01 | 6 |
| Diathermy eg microwave CPT 97024 | not published | not published | $6.73 – $13.62 | 6 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $520.29 | $520.29 | not published | 0 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $209.13 | $209.13 | not published | 0 |
| Dicyclomine injection HCPCS J0500 | $858.23 | $858.23 | not published | 0 |
| Diffusing capacity CPT 94729 | $847.72 | $847.72 | not published | 0 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $90.68 | $90.68 | not published | 0 |
| Digoxin total therapeutic drug level CPT 80162 | $206.14 | $206.14 | $13.01 – $26.32 | 6 |
| Dilate esophagus CPT 43453 | not published | not published | $791.00 – $3,863.04 | 8 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $791.00 – $1,825.89 | 8 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $2,424.00 – $5,063.00 | 2 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $2,424.00 – $5,063.00 | 2 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $2,424.00 – $5,063.00 | 2 |
| Dilate tear duct opening CPT 68801 | not published | not published | $444.67 – $899.32 | 6 |
| Dilate urethra stricture CPT 53600 | not published | not published | $248.70 – $502.98 | 6 |
| Dilate urethra stricture CPT 53601 | not published | not published | $132.44 – $267.85 | 6 |
| Dilate urethra stricture CPT 53605 | not published | not published | $964.00 – $7,096.29 | 8 |
| Dilate urethra stricture CPT 53621 | not published | not published | $248.70 – $502.98 | 6 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $128.08 – $259.04 | 6 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $791.00 – $2,409.01 | 8 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $791.00 – $6,516.80 | 6 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $791.00 – $2,409.01 | 8 |
| Dilation of salivary duct CPT 42660 | not published | not published | $536.85 – $1,085.75 | 6 |
| Dilation of urethra CPT 53661 | not published | not published | $132.44 – $267.85 | 6 |
| Dilation of urethra CPT 53665 | not published | not published | $791.00 – $4,208.24 | 8 |
| Dilation of vagina CPT 57400 | not published | not published | $964.00 – $6,516.80 | 8 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $964.00 – $3,123.56 | 6 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $694.09 – $1,403.76 | 6 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $964.00 – $7,096.29 | 6 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $1,266.00 – $7,096.29 | 6 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $66.97 | $66.97 | not published | 0 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $37.18 – $75.19 | 6 |
| Disability dlco CPT 94727 | not published | not published | $214.93 – $434.68 | 6 |
| Disaccharidases CPT 82657 | $325.91 | $325.91 | $21.73 – $43.94 | 6 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $1,266.00 – $4,153.68 | 8 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $2,424.00 – $5,063.00 | 2 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $964.00 – $5,063.00 | 2 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $165.05 – $3,931.12 | 6 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $964.00 – $3,583.19 | 6 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $791.00 – $791.00 | 1 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $1,402.00 – $11,202.11 | 6 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $1,402.00 – $11,917.47 | 6 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $1,402.00 – $2,246.00 | 2 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $2,211.00 – $5,063.00 | 2 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $273.42 – $552.98 | 6 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $134.26 – $271.53 | 6 |
| Dna antibody native/double stranded CPT 86225 | $163.67 | $163.67 | $13.47 – $27.23 | 6 |
| Dna gardnerella CPT 87510 | not published | not published | $19.65 – $39.74 | 6 |
| Dna probe chlamydia CPT 87490 | not published | not published | $22.30 – $45.09 | 6 |
| Dna probe gc CPT 87590 | not published | not published | $26.34 – $53.28 | 6 |
| Dna trichomonas CPT 87660 | not published | not published | $19.65 – $39.74 | 6 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $1,955.55 | $1,955.55 | not published | 0 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $640.12 | $640.12 | not published | 0 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $565.88 | $565.88 | not published | 0 |
| Doppler echo complete CPT 93320 | $2,529.51 | $2,529.51 | $144.98 – $144.98 | 1 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $3,379.65 | $3,379.65 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $1,803.88 | $1,803.88 | $214.93 – $434.68 | 6 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $1,151.55 | $1,151.55 | $132.44 – $267.85 | 6 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $36,249.72 | $36,249.72 | not published | 0 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $184.09 | $184.09 | not published | 0 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $6,554.72 | $6,554.72 | not published | 0 |
| Dpyd gene common variants CPT 81232 | $2,185.15 | $2,185.15 | $171.31 – $346.47 | 6 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $3,913.04 | $3,913.04 | $704.87 – $1,425.57 | 6 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $704.87 – $1,425.57 | 6 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $964.00 – $3,324.90 | 6 |
| Drainage external ear simple 69000 CPT 69000 | $1,193.03 | $1,193.03 | $704.87 – $1,425.57 | 6 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $791.00 – $5,847.61 | 8 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $964.00 – $5,847.61 | 8 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $235.76 – $2,234.00 | 8 |
| Drainage of arm bursa 23931 CPT 23931 | $9,026.39 | $9,026.39 | $964.00 – $3,324.90 | 8 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $791.00 – $5,847.61 | 8 |
| Drainage of eye CPT 65800 | not published | not published | $791.00 – $4,645.98 | 8 |
| Drainage of eye CPT 65810 | not published | not published | $1,266.00 – $4,645.98 | 8 |
| Drainage of eye CPT 65815 | not published | not published | $964.00 – $4,645.98 | 8 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $964.00 – $3,237.12 | 8 |
| Drainage of kidney lesion CPT 50390 | $3,862.92 | $3,862.92 | $704.87 – $1,717.00 | 8 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $235.76 – $1,717.00 | 8 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $791.00 – $3,123.56 | 8 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $791.00 – $3,123.56 | 8 |
| Drainage of mouth lesion CPT 41008 | $17,073.21 | $17,073.21 | $791.00 – $6,674.50 | 8 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $536.85 – $1,717.00 | 8 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $536.85 – $1,717.00 | 8 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $791.00 – $11,917.47 | 8 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $791.00 – $6,674.50 | 8 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $791.00 – $3,123.56 | 8 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $235.76 – $476.81 | 6 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $536.85 – $1,085.75 | 6 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $791.00 – $3,237.12 | 8 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $791.00 – $6,587.01 | 8 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $964.00 – $7,096.29 | 8 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $791.00 – $7,096.29 | 8 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $964.00 – $7,096.29 | 8 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $964.00 – $2,409.01 | 8 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $964.00 – $5,587.80 | 8 |
| Drainage of salivary gland CPT 42305 | not published | not published | $964.00 – $6,674.50 | 8 |
| Drainage of salivary gland CPT 42320 | not published | not published | $536.85 – $1,717.00 | 8 |
| Drainage of throat abscess CPT 42725 | not published | not published | $964.00 – $11,917.47 | 8 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $964.00 – $7,096.29 | 8 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $964.00 – $4,208.24 | 6 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $694.09 – $2,522.00 | 8 |
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.