AdventHealth Polk
101 Hospital Drive, Columbus, NC · AdventHealth · · NPI 1891523718
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 |
|---|---|---|---|---|
| 3d ech img cgen car anomal CPT 93319 | $3,333.65 | $3,333.65 | not published | 0 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $45.99 – $45.99 | 1 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $71.40 | $71.40 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $3,419.43 | $3,419.43 | not published | 0 |
| Abdominal CT scan (with contrast) CPT 74160 | $3,179.40 | $3,179.40 | not published | 0 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,618.28 | $2,618.28 | not published | 0 |
| Abdominal MRI (with and without contrast) CPT 74183 | $5,606.90 | $5,606.90 | not published | 0 |
| Abdominal MRI (without contrast) CPT 74181 | $4,563.30 | $4,563.30 | not published | 0 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,864.38 | $1,864.38 | not published | 0 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,128.96 | $1,128.96 | not published | 0 |
| Abdominal Ultrasound (limited) CPT 76705 | $899.75 | $899.75 | not published | 0 |
| Ablation of upper extremity nerves rf CPT 64999 | $912.24 | $912.24 | not published | 0 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $9.16 – $9.16 | 1 |
| Abscess drain retroperitoneal surg code CPT 49406 | $5,709.06 | $5,709.06 | not published | 0 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $66.29 | $66.29 | not published | 0 |
| Acetaminophen level CPT 80143 | $311.96 | $311.96 | not published | 0 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $227.51 | $227.51 | not published | 0 |
| Acetone qualitative CPT 82009 | $85.16 | $85.16 | not published | 0 |
| Acetylcholine receptor modulating antibody CPT 86043 | $307.13 | $307.13 | not published | 0 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $102.13 | $102.13 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $101.64 | $101.64 | not published | 0 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $33.54 | $33.54 | not published | 0 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $702.50 | $702.50 | not published | 0 |
| Adenovirus ag ia CPT 87301 | $108.15 | $108.15 | not published | 0 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $29.41 | $29.41 | not published | 0 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $360.89 | $360.89 | not published | 0 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $467.67 | $467.67 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $939.02 | $939.02 | not published | 0 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $586.11 | $586.11 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $319.31 | $319.31 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $416.64 | $416.64 | not published | 0 |
| Administration immunization 1 vaccine CPT 90471 | $169.26 | $169.26 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $164.12 | $164.12 | not published | 0 |
| Administration vaccine influenza virus HCPCS G0008 | $521.68 | $521.68 | not published | 0 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $46.98 – $46.98 | 1 |
| Adrenalin epinephrine inject HCPCS J0171 | $102.31 | $102.31 | not published | 0 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $3,402.62 – $3,402.62 | 1 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $857,860.00 – $857,860.00 | 1 |
| Aflibercept injection HCPCS J0178 | not published | not published | $752.60 – $752.60 | 1 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $227.58 – $227.58 | 1 |
| Albumin body fluid quantitative each specimen CPT 82042 | $89.36 | $89.36 | not published | 0 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $732.70 | $732.70 | not published | 0 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | $488.08 | $488.08 | not published | 0 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $781.06 | $781.06 | not published | 0 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $58.17 | $58.17 | not published | 0 |
| Albumin serum plasma or whole blood CPT 82040 | $76.02 | $76.02 | not published | 0 |
| Albuterol ipratrop non-comp HCPCS J7620 | $32.29 | $32.29 | not published | 0 |
| Albuterol non-comp unit HCPCS J7613 | $8.65 | $8.65 | not published | 0 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $108.00 | $108.00 | not published | 0 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $2,230.10 – $2,230.10 | 1 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,578.55 – $2,578.55 | 1 |
| Alkaline phosphatase CPT 84075 | $125.90 | $125.90 | not published | 0 |
| Allergen alpha lactalbumin ige CPT 86008 | $391.00 | $391.00 | not published | 0 |
| Allergen egg white ige CPT 86003 | $391.00 | $391.00 | not published | 0 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $5.34 – $5.34 | 1 |
| Alpha-fetoprotein tumor marker CPT 82105 | $178.61 | $178.61 | not published | 0 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $705.99 | $705.99 | not published | 0 |
| Alt/sgpt CPT 84460 | $82.85 | $82.85 | not published | 0 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $5.00 – $5.00 | 1 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $841.68 | $841.68 | not published | 0 |
| Amifostine HCPCS J0207 | not published | not published | $1,328.55 – $1,328.55 | 1 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $27.77 | $27.77 | not published | 0 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $219.32 | $219.32 | not published | 0 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $76.13 | $76.13 | not published | 0 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $31,828.36 | $31,828.36 | $25.19 – $25.19 | 1 |
| Ammonia CPT 82140 | $136.40 | $136.40 | not published | 0 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $47.83 | $47.83 | not published | 0 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $77.98 | $77.98 | not published | 0 |
| Amylase CPT 82150 | $152.57 | $152.57 | not published | 0 |
| Analysis gene f2 20210g>a variant CPT 81240 | $323.61 | $323.61 | not published | 0 |
| Analysis gene f5 leiden variant CPT 81241 | $289.91 | $289.91 | not published | 0 |
| An fluoro guide for cvp CPT 77001 | $806.30 | $806.30 | not published | 0 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $14,390.64 | $14,390.64 | not published | 0 |
| Ankle X-ray CPT 73610 | $345.98 | $345.98 | not published | 0 |
| Antibody htlv/hiv confirm test CPT 86689 | $313.01 | $313.01 | not published | 0 |
| Antibody screen rbc CPT 86850 | $105.00 | $105.00 | not published | 0 |
| Antidepressant not specified CPT 80338 | $61.01 | $61.01 | not published | 0 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | not published | not published | $1.41 – $1.41 | 1 |
| Antihemophilic viii/vwf comp HCPCS J7186 | not published | not published | $1.18 – $1.18 | 1 |
| Anti-inhibitor HCPCS J7198 | not published | not published | $2.28 – $2.28 | 1 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $236.25 | $236.25 | not published | 0 |
| Antinuclear antibodies CPT 86038 | $123.38 | $123.38 | not published | 0 |
| Antinuclear antibodies titer CPT 86039 | $137.81 | $137.81 | not published | 0 |
| Antistreptolysin o titer CPT 86060 | $77.28 | $77.28 | not published | 0 |
| Antithrombin iii activity CPT 85300 | $64.37 | $64.37 | not published | 0 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | not published | not published | $5,592.00 – $5,592.00 | 1 |
| Antithymocyte globuln rabbit HCPCS J7511 | not published | not published | $1,081.04 – $1,081.04 | 1 |
| Aortic dysfunction/dilation CPT 81410 | $2,415.00 | $2,415.00 | not published | 0 |
| Apl(pml-rara) quant - sendout CPT 81315 | $2,136.59 | $2,136.59 | not published | 0 |
| Application finger splntstatic 29130 CPT 29130 | $143.96 | $143.96 | not published | 0 |
| Application long leg splint 29505 CPT 29505 | $671.06 | $671.06 | not published | 0 |
| Application lower leg splint 29515 CPT 29515 | $544.53 | $544.53 | not published | 0 |
| Application of forearm cast 29075 CPT 29075 | $488.88 | $488.88 | not published | 0 |
| Application of long leg cast 29345 CPT 29345 | $734.37 | $734.37 | not published | 0 |
| Application of paste boot 29580 CPT 29580 | $318.78 | $318.78 | not published | 0 |
| Application short leg cast 29405 CPT 29405 | $414.65 | $414.65 | not published | 0 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $42.84 | $42.84 | not published | 0 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $98.07 | $98.07 | not published | 0 |
| Apply finger cast 29086 CPT 29086 | $143.96 | $143.96 | not published | 0 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $1,080.99 | $1,080.99 | not published | 0 |
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.