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 |
|---|---|---|---|---|
| Partial removal tear gland CPT 68505 | not published | not published | $1,266.00 – $7,914.47 | 8 |
| Partial thyroid excision CPT 60210 | not published | not published | $964.00 – $12,170.52 | 6 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $1,665.00 – $12,170.52 | 6 |
| Part removal hip bone deep CPT 27071 | not published | not published | $1,266.00 – $6,587.01 | 6 |
| Part removal of metatarsal CPT 28110 | not published | not published | $1,266.00 – $6,587.01 | 8 |
| Part removal of metatarsal CPT 28113 | not published | not published | $1,266.00 – $6,587.01 | 8 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $1,266.00 – $6,587.01 | 8 |
| Part remove hip bone super CPT 27070 | not published | not published | $1,266.00 – $6,587.01 | 6 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $169.59 – $342.98 | 6 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $114.13 – $342.98 | 6 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $58.83 – $103.30 | 2 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $51.87 – $104.91 | 6 |
| Patient recorded spirometry CPT 94015 | not published | not published | $214.93 – $434.68 | 6 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $249.95 – $505.51 | 6 |
| Pdgfra gene CPT 81314 | not published | not published | $322.92 – $653.09 | 6 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $199.71 – $403.91 | 6 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,266.00 – $4,153.68 | 8 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $128.08 – $259.04 | 6 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $128.08 – $259.04 | 6 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $1,266.00 – $4,153.68 | 8 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $67,690.95 | $67,690.95 | not published | 0 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $23,728.93 | $23,728.93 | not published | 0 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $47,707.00 | $47,707.00 | not published | 0 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $25,271.93 | $25,271.93 | not published | 0 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $3,563.50 | $3,563.50 | $174.59 – $353.11 | 6 |
| Pelvic CT scan (with contrast) CPT 72193 | $3,043.89 | $3,043.89 | $174.59 – $353.11 | 6 |
| Pelvic CT scan (without contrast) CPT 72192 | $2,249.49 | $2,249.49 | $104.06 – $210.47 | 6 |
| Pelvic exenteration CPT 45126 | not published | not published | $1,266.00 – $5,063.00 | 2 |
| Pelvic MRI (with and without contrast) CPT 72197 | $7,110.19 | $7,110.19 | $347.27 – $702.33 | 6 |
| Pelvic MRI (with contrast) CPT 72196 | not published | not published | $347.27 – $702.33 | 6 |
| Pelvic MRI (without contrast) CPT 72195 | $6,180.18 | $6,180.18 | $237.50 – $480.34 | 6 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $1,266.00 – $14,607.80 | 6 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $1,266.00 – $14,607.80 | 6 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,836.55 | $1,836.55 | $104.06 – $210.47 | 6 |
| Pelvic Ultrasound (limited) CPT 76857 | $2,290.20 | $2,290.20 | $56.83 – $210.47 | 6 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $37,167.95 | $37,167.95 | not published | 0 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $8,858.22 | $8,858.22 | not published | 0 |
| Penile injection CPT 54235 | not published | not published | $248.70 – $502.98 | 6 |
| Penile vascular study CPT 93980 | not published | not published | $104.06 – $210.47 | 6 |
| Penile vascular study CPT 93981 | $1,411.96 | $1,411.96 | $104.06 – $210.47 | 6 |
| Penile venous occlusion CPT 37790 | not published | not published | $1,266.00 – $7,096.29 | 8 |
| Penis plastic surgery CPT 54360 | not published | not published | $1,266.00 – $7,096.29 | 8 |
| Penis study CPT 54240 | not published | not published | $214.93 – $434.68 | 6 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $2,452.00 – $21,399.39 | 6 |
| Perc d-e cor revasc chro sin HCPCS C9607 | not published | not published | $3,327.00 – $36,904.22 | 6 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $34,366.10 | $34,366.10 | $2,452.00 – $23,240.11 | 6 |
| Perc d-e cor stent ather s HCPCS C9602 | not published | not published | $3,327.00 – $36,904.22 | 6 |
| Perc drug-el cor stent bran HCPCS C9601 | $28,500.05 | $28,500.05 | not published | 0 |
| Perc drug-el cor stent sing HCPCS C9600 | $38,000.05 | $38,000.05 | $2,452.00 – $23,240.11 | 6 |
| Perc rf ablate renal tumor CPT 50592 | $18,450.85 | $18,450.85 | $1,665.00 – $12,170.52 | 6 |
| Percut ablate liver rf CPT 47382 | not published | not published | $1,665.00 – $12,170.52 | 6 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $1,665.00 – $5,063.00 | 2 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $527.36 | $527.36 | not published | 0 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $964.00 – $5,063.00 | 2 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $2,211.00 – $5,063.00 | 2 |
| Pericardiocentesis wwo imaging CPT 33016 | not published | not published | $964.00 – $3,169.00 | 6 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $2,211.00 – $5,063.00 | 2 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $1,402.00 – $7,882.33 | 8 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $1,665.00 – $6,516.80 | 6 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $58.72 – $118.76 | 6 |
| Peritoneal cath sub q resv per CPT 49419 | $30,576.42 | $30,576.42 | $791.00 – $11,202.11 | 8 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $54.55 – $1,100.01 | 6 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $255.94 – $804.80 | 6 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $2,211.00 – $5,063.00 | 2 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $2,452.00 – $2,452.00 | 1 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $704.87 – $1,425.57 | 6 |
| Perq dev breast 1st strtctc CPT 19283 | $7,667.93 | $7,667.93 | $704.87 – $1,425.57 | 6 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $2,452.00 – $19,057.35 | 6 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $1,402.00 – $19,057.35 | 6 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $2,452.00 – $23,240.11 | 6 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $3,327.00 – $36,904.22 | 6 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $2,452.00 – $23,240.11 | 6 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $2,452.00 – $23,240.11 | 6 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $1,665.00 – $12,170.52 | 6 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $1,665.00 – $12,170.52 | 6 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $1,665.00 – $12,170.52 | 6 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $248.70 – $502.98 | 6 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $791.00 – $6,587.01 | 8 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $1,266.00 – $6,587.01 | 6 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $791.00 – $2,246.00 | 4 |
| Perq transcath closure pda CPT 93582 | not published | not published | $3,327.00 – $36,904.22 | 6 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $3,327.00 – $36,904.22 | 6 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $3,327.00 – $36,904.22 | 6 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $3,327.00 – $3,327.00 | 1 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $2,211.00 – $5,063.00 | 2 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $964.00 – $6,587.01 | 8 |
| Perq tx malar fracture CPT 21355 | not published | not published | $1,266.00 – $6,674.50 | 8 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $964.00 – $11,917.47 | 8 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $1,402.00 – $6,674.50 | 8 |
| Pertussis ag if CPT 87265 | not published | not published | $11.74 – $23.74 | 6 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $21,505.75 | $21,505.75 | not published | 0 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $174,339.62 | $174,339.62 | not published | 0 |
| Pet CT skull-mid thgh initial CPT 78815 | $10,842.79 | $10,842.79 | $276.63 – $2,878.69 | 6 |
| Pet CT whole body initial CPT 78816 | $10,842.79 | $10,842.79 | $278.60 – $2,878.69 | 6 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $168.05 – $2,878.69 | 6 |
| Pet image full body CPT 78813 | not published | not published | $221.85 – $2,878.69 | 6 |
| Pet image ltd area CPT 78811 | not published | not published | $171.45 – $2,606.31 | 6 |
| Pet image skull-thigh CPT 78812 | not published | not published | $219.88 – $2,878.69 | 6 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $249.48 – $2,878.69 | 6 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $397.93 – $804.80 | 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.