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 |
|---|---|---|---|---|
| Ghs protoporphyrins fract CPT 84202 | $314.92 | $314.92 | $14.06 – $28.44 | 6 |
| Ghs pr without cont pulse ox CPT 94625 | not published | not published | $58.72 – $118.76 | 6 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $12.00 – $24.28 | 6 |
| Ghs quinidine CPT 80194 | not published | not published | $14.31 – $28.94 | 6 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $328.79 – $664.95 | 6 |
| Ghs removal intranasal foreign body CPT 30300 | $808.56 | $808.56 | $132.44 – $267.85 | 6 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $444.67 – $899.32 | 6 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $1,266.00 – $3,237.12 | 8 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $1,402.00 – $6,587.01 | 8 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $15.57 – $31.49 | 6 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $4.22 – $8.54 | 6 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $196.82 | $196.82 | $13.63 – $27.57 | 6 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $4.18 – $8.46 | 6 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $12.06 – $24.40 | 6 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.64 – $19.50 | 6 |
| Ghs sensitivity (per antimicro) CPT 87184 | $123.55 | $123.55 | $7.33 – $14.83 | 6 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $2,316.53 | $2,316.53 | $404.64 – $2,234.00 | 8 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $404.64 – $2,234.00 | 8 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $404.64 – $2,234.00 | 8 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $404.64 – $2,234.00 | 8 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $1,390.11 | $1,390.11 | $199.71 – $403.91 | 6 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $1,164.26 | $1,164.26 | $199.71 – $403.91 | 6 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $1,539.54 | $1,539.54 | $199.71 – $403.91 | 6 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $199.71 – $2,234.00 | 8 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $199.71 – $2,234.00 | 8 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $214.93 – $434.68 | 6 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $214.93 – $434.68 | 6 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $854.79 – $1,728.77 | 6 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $47.26 – $95.57 | 6 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $305.54 – $617.94 | 6 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $132.44 – $267.85 | 6 |
| Ghs sp train/fitting sp device - kx CPT 92609 | not published | not published | $101.52 – $205.32 | 6 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $37.18 – $75.19 | 6 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $132.44 – $267.85 | 6 |
| Ghs st - re-eval for alt comm CPT 92597 | not published | not published | $66.74 – $134.97 | 6 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $621.22 | $621.22 | $211.72 – $428.20 | 6 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $3,991.03 | $3,991.03 | $735.67 – $1,717.00 | 8 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $404.64 – $1,717.00 | 8 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $791.00 – $3,123.56 | 8 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $7.15 – $14.47 | 6 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $1,472.70 | $1,472.70 | $245.53 – $496.58 | 6 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $245.53 – $496.58 | 6 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $23.81 – $48.16 | 6 |
| Ghs urine, porphyrins quant CPT 84120 | $136.18 | $136.18 | $14.42 – $29.16 | 6 |
| Ghs vaginal delivery only CPT 59409 | $12,010.12 | $12,010.12 | $964.00 – $6,516.80 | 6 |
| Ghs windowing of cast CPT 29730 | not published | not published | $161.75 – $327.14 | 6 |
| Giardia ag if CPT 87269 | not published | not published | $13.34 – $26.98 | 6 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $14.43 – $29.18 | 6 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $98.93 – $480.34 | 6 |
| Gi inhouse confirmation CPT 87045 | $277.25 | $277.25 | $9.25 – $18.71 | 6 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $964.00 – $6,674.50 | 6 |
| Gi protein loss CPT 78282 | not published | not published | $37.53 – $804.80 | 6 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $902.81 – $1,825.89 | 6 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $925.68 – $1,872.14 | 6 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $902.81 – $1,825.89 | 6 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $902.81 – $1,825.89 | 6 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $99.10 – $200.42 | 6 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $60.29 – $121.93 | 6 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $34.30 – $69.37 | 6 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $37.18 – $75.19 | 6 |
| Glaucoma surgery CPT 66150 | not published | not published | $1,402.00 – $8,321.17 | 8 |
| Glaucoma surgery CPT 66155 | not published | not published | $1,402.00 – $8,321.17 | 8 |
| Glaucoma surgery CPT 66160 | not published | not published | $964.00 – $4,645.98 | 8 |
| Glaucoma surgery CPT 66170 | not published | not published | $1,402.00 – $4,645.98 | 8 |
| Glucagon plasma - sendout CPT 82943 | $50.50 | $50.50 | $14.00 – $28.32 | 6 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $45.15 – $91.31 | 6 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $49.49 – $100.09 | 6 |
| Glucagon tolerance test CPT 82946 | not published | not published | $17.41 – $35.22 | 6 |
| Glucose 1 hr post dose CPT 82950 | $81.94 | $81.94 | $4.66 – $9.41 | 6 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $5.93 – $11.99 | 6 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | not published | not published | $3.21 – $6.50 | 6 |
| Glucose blood quantitative CPT 82947 | $108.94 | $108.94 | $3.85 – $7.79 | 6 |
| Glucose body fluid CPT 82945 | $118.57 | $118.57 | $3.85 – $7.79 | 6 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $58.72 – $118.76 | 6 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $221.97 | $221.97 | $12.61 – $25.51 | 6 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $154.29 | $154.29 | $3.84 – $7.77 | 6 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $169.66 | $169.66 | not published | 0 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $6,953.70 | $6,953.70 | not published | 0 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $61.47 | $61.47 | $18.21 – $36.83 | 6 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $145.44 – $294.15 | 6 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $89.65 | $89.65 | $18.15 – $36.71 | 6 |
| Gonioscopy CPT 92020 | not published | not published | $132.44 – $267.85 | 6 |
| Goniotomy CPT 65820 | not published | not published | $791.00 – $8,321.17 | 8 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $334.46 | $334.46 | not published | 0 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $1,266.00 – $6,587.01 | 8 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $1,297.48 | $1,297.48 | not published | 0 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,266.00 – $5,063.00 | 2 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $13,133.38 | $13,133.38 | not published | 0 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $1,401.29 | $1,401.29 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $2,820.96 | $2,820.96 | not published | 0 |
| Great toe-hand transfer CPT 26551 | not published | not published | $1,402.00 – $14,607.80 | 6 |
| Great toe with reduction 28495 CPT 28495 | $1,371.94 | $1,371.94 | $245.53 – $496.58 | 6 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $964.00 – $4,153.68 | 6 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $1,266.00 – $7,134.03 | 6 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $1,266.00 – $7,134.03 | 6 |
| Ground mileage HCPCS A0425 | $16.29 | $16.29 | not published | 0 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $12.26 – $24.79 | 6 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.43 – $31.20 | 6 |
| Growth hormone panel CPT 80428 | not published | not published | $65.37 – $132.20 | 6 |
| Growth hormone panel CPT 80430 | not published | not published | $126.74 – $256.33 | 6 |
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.