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 |
|---|---|---|---|---|
| X-ray foot 2 views (both sides) CPT 73620 | $333.85 | $333.85 | $41.06 – $175.19 | 6 |
| X-ray forearm 2 views (both sides) CPT 73090 | $311.18 | $311.18 | $43.45 – $175.19 | 6 |
| X-ray hand 2 views (both sides) CPT 73120 | $706.33 | $706.33 | $41.06 – $210.47 | 6 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $18.03 – $175.19 | 6 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $294.87 | $294.87 | $39.44 – $175.19 | 6 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $526.58 | $526.58 | $103.85 – $210.47 | 6 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $364.28 | $364.28 | $68.78 – $210.47 | 6 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $319.05 | $319.05 | $88.93 – $210.47 | 6 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $1,439.09 | $1,439.09 | $104.06 – $210.47 | 6 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $972.59 | $972.59 | $53.85 – $175.19 | 6 |
| X-ray humerus >= 2 views left CPT 73060 | $290.95 | $290.95 | $48.32 – $175.19 | 6 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $68.78 – $210.47 | 6 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $271.13 | $271.13 | $43.45 – $175.19 | 6 |
| X-ray knee 3 views (both sides) CPT 73562 | $505.77 | $505.77 | $48.32 – $175.19 | 6 |
| X-ray knee ap standing bilateral CPT 73565 | $456.56 | $456.56 | $41.06 – $175.19 | 6 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $636.34 | $636.34 | $41.06 – $175.19 | 6 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $847.46 | $847.46 | $67.28 – $210.47 | 6 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $698.99 | $698.99 | $77.30 – $210.47 | 6 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $774.43 | $774.43 | $98.99 – $210.47 | 6 |
| X-ray male genital tract CPT 74440 | not published | not published | $94.18 – $480.34 | 6 |
| X-ray mandible complete > 4 views CPT 70110 | $392.45 | $392.45 | $52.33 – $210.47 | 6 |
| X-ray mandible ltd <4 views CPT 70100 | $1,004.50 | $1,004.50 | $43.45 – $175.19 | 6 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $53.85 – $87.73 | 2 |
| X-ray nasal bones complete > 3 views CPT 70160 | $361.40 | $361.40 | $43.45 – $175.19 | 6 |
| X-ray neck soft tissue CPT 70360 | $309.60 | $309.60 | $35.43 – $175.19 | 6 |
| X-ray nose to rectum for foreign body child CPT 76010 | not published | not published | $43.45 – $175.19 | 6 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $107.60 – $480.34 | 6 |
| X-ray optic foramina CPT 70190 | not published | not published | $52.33 – $175.19 | 6 |
| X-ray pelvis 1-2 views CPT 72170 | $306.95 | $306.95 | $43.45 – $210.47 | 6 |
| X-ray pelvis complete > 3 views CPT 72190 | $284.27 | $284.27 | $56.36 – $210.47 | 6 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $406.15 – $406.15 | 1 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $463.83 – $463.83 | 1 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | not published | not published | $118.78 – $702.33 | 6 |
| X-ray ribs 2 views left CPT 71100 | $478.87 | $478.87 | $48.32 – $175.19 | 6 |
| X-ray ribs 3 views bilateral CPT 71110 | $641.35 | $641.35 | $66.03 – $210.47 | 6 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $1,027.91 | $1,027.91 | $56.36 – $210.47 | 6 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $513.89 | $513.89 | $75.70 – $210.47 | 6 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $891.22 | $891.22 | $52.33 – $210.47 | 6 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $301.14 | $301.14 | $48.32 – $175.19 | 6 |
| X-ray scapula complete (both sides) CPT 73010 | $453.93 | $453.93 | $33.70 – $210.47 | 6 |
| X-ray sella turcica CPT 70240 | not published | not published | $35.43 – $175.19 | 6 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $620.81 | $620.81 | $32.20 – $175.19 | 6 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $442.98 | $442.98 | $61.33 – $175.19 | 6 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,603.14 | $1,603.14 | $79.23 – $1,100.01 | 6 |
| X-ray skull < 4 views CPT 70250 | $293.38 | $293.38 | $52.33 – $210.47 | 6 |
| X-ray skull > 4 views complete CPT 70260 | not published | not published | $70.28 – $210.47 | 6 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $104.06 – $210.47 | 6 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $1,844.53 | $1,844.53 | $109.48 – $353.11 | 6 |
| X-ray small intestine follow-through study CPT 74248 | $482.72 | $482.72 | $113.55 – $113.55 | 1 |
| X-ray spine single view CPT 72020 | $1,198.64 | $1,198.64 | $35.43 – $175.19 | 6 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | not published | not published | $59.55 – $175.19 | 6 |
| X-ray sternum > 2 views CPT 71120 | $299.84 | $299.84 | $54.60 – $175.19 | 6 |
| X-ray surgical specimen CPT 76098 | $745.91 | $745.91 | $35.43 – $1,100.01 | 6 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $562.40 | $562.40 | $109.48 – $353.11 | 6 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $717.06 | $717.06 | $70.84 – $175.19 | 6 |
| X-ray thoracic spine 2 views CPT 72070 | $1,239.27 | $1,239.27 | $52.35 – $210.47 | 6 |
| X-ray thoracic spine 3 views CPT 72072 | $1,724.90 | $1,724.90 | $62.82 – $210.47 | 6 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $295.17 | $295.17 | $55.35 – $175.19 | 6 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $317.97 | $317.97 | $68.03 – $175.19 | 6 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | not published | not published | $104.06 – $210.47 | 6 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $455.65 | $455.65 | $43.45 – $175.19 | 6 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $239.91 | $239.91 | $35.43 – $175.19 | 6 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $622.36 | $622.36 | $137.67 – $353.11 | 6 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $676.93 | $676.93 | $122.37 – $353.11 | 6 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $124.78 – $124.78 | 1 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $199.63 – $199.63 | 1 |
| X-ray wrist 2 views (both sides) CPT 73100 | $333.85 | $333.85 | $41.06 – $175.19 | 6 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $98.99 – $353.11 | 6 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.65 – $25.59 | 6 |
| Yersinia antibody CPT 86793 | not published | not published | $12.93 – $26.14 | 6 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $50.28 – $101.70 | 6 |
| Zika virus igm antibody CPT 86794 | not published | not published | $16.51 – $33.40 | 6 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $1,143.49 | $1,143.49 | not published | 0 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $189.38 – $383.02 | 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.