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 |
|---|---|---|---|---|
| Lipoprotein direct measurement hdl CPT 83718 | $156.66 | $156.66 | not published | 0 |
| Lipoprotein direct measurement ldl CPT 83721 | $70.98 | $70.98 | not published | 0 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $625,913.01 – $625,913.01 | 1 |
| Lithium therapeutic drug level CPT 80178 | $42.84 | $42.84 | not published | 0 |
| Liver Function Test CPT 80076 | $249.90 | $249.90 | not published | 0 |
| Liver/spleen imag static only CPT 78215 | $2,045.30 | $2,045.30 | not published | 0 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $43.26 | $43.26 | not published | 0 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $246.57 – $246.57 | 1 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $25.20 | $25.20 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $3,490.83 | $3,490.83 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,632.35 | $2,632.35 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,469.08 | $2,469.08 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,669.46 | $4,669.46 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,906.21 | $3,906.21 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $3,434.34 | $3,434.34 | not published | 0 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $551.57 | $551.57 | not published | 0 |
| Lumizyme injection HCPCS J0221 | not published | not published | $213.39 – $213.39 | 1 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $236.11 – $236.11 | 1 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $47.59 – $47.59 | 1 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $362.04 – $362.04 | 1 |
| Macroscopic exam arthropod CPT 87168 | $23.52 | $23.52 | not published | 0 |
| Magnesium CPT 83735 | $111.72 | $111.72 | not published | 0 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $76.23 | $76.23 | not published | 0 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $287.49 | $287.49 | not published | 0 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $287.49 | $287.49 | not published | 0 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $72.00 | $72.00 | not published | 0 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $36,087.65 | $36,087.65 | $59.31 – $59.31 | 1 |
| Mayo aathr protein s free CPT 85306 | $972.20 | $972.20 | not published | 0 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $219.56 | $219.56 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $142.38 | $142.38 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $98.07 | $98.07 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $84.00 | $84.00 | not published | 0 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $135.75 | $135.75 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $998.76 | $998.76 | not published | 0 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $700.98 | $700.98 | not published | 0 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $85.16 | $85.16 | not published | 0 |
| Mayo antithrombin iii antigen CPT 85301 | $122.12 | $122.12 | not published | 0 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $105.42 | $105.42 | not published | 0 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $1,229.94 | $1,229.94 | not published | 0 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $1,229.94 | $1,229.94 | not published | 0 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $106.31 | $106.31 | not published | 0 |
| Mayo brcmg brucella antibody igm CPT 86622 | $74.13 | $74.13 | not published | 0 |
| Mayo c1 esterase inhibitor CPT 83883 | $191.10 | $191.10 | not published | 0 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $213.47 | $213.47 | not published | 0 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $202.81 | $202.81 | not published | 0 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $289.00 | $289.00 | not published | 0 |
| Mayo chromium CPT 82495 | $319.10 | $319.10 | not published | 0 |
| Mayo cocou cortisone urine CPT 82542 | $42.00 | $42.00 | not published | 0 |
| Mayo cortisol free CPT 82530 | $76.97 | $76.97 | not published | 0 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $98.60 | $98.60 | not published | 0 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $133.72 | $133.72 | not published | 0 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $248.85 | $248.85 | not published | 0 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $160.34 | $160.34 | not published | 0 |
| Mayo dihydrotestosterone CPT 82642 | $364.77 | $364.77 | not published | 0 |
| Mayo estriol CPT 82677 | $57.00 | $57.00 | not published | 0 |
| Mayo estrone CPT 82679 | $113.90 | $113.90 | not published | 0 |
| Mayo factor v CPT 85220 | $295.79 | $295.79 | not published | 0 |
| Mayo factor viii vw factor antigen CPT 85246 | $448.04 | $448.04 | not published | 0 |
| Mayo factor x CPT 85260 | $595.56 | $595.56 | not published | 0 |
| Mayo factor xi CPT 85270 | $467.36 | $467.36 | not published | 0 |
| Mayo ffspg allergen clam igg CPT 86001 | $391.00 | $391.00 | not published | 0 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $164.01 | $164.01 | not published | 0 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $3,990.00 | $3,990.00 | not published | 0 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $169.16 | $169.16 | not published | 0 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $231.42 | $231.42 | not published | 0 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $157.50 | $157.50 | not published | 0 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $161.70 | $161.70 | not published | 0 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $161.70 | $161.70 | not published | 0 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $367.82 | $367.82 | not published | 0 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $147.74 | $147.74 | not published | 0 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $188.27 | $188.27 | not published | 0 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $27.00 | $27.00 | not published | 0 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $167.79 | $167.79 | not published | 0 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $471.00 | $471.00 | not published | 0 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $239.72 | $239.72 | not published | 0 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $444.99 | $444.99 | not published | 0 |
| Mayo insft insulin free CPT 83527 | $127.68 | $127.68 | not published | 0 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $21.21 | $21.21 | not published | 0 |
| Mayo metanephrines plasma CPT 83835 | $160.86 | $160.86 | not published | 0 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $259.35 | $259.35 | not published | 0 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $255.15 | $255.15 | not published | 0 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $141.12 | $141.12 | not published | 0 |
| Mayo muramidase CPT 85549 | $100.00 | $100.00 | not published | 0 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $2,362.50 | $2,362.50 | not published | 0 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $197.93 | $197.93 | not published | 0 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $73.50 | $73.50 | not published | 0 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $136.00 | $136.00 | not published | 0 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $391.76 | $391.76 | not published | 0 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $919.54 | $919.54 | not published | 0 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $202.97 | $202.97 | not published | 0 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $97.44 | $97.44 | not published | 0 |
| Mayo pregnenolone CPT 84140 | $183.65 | $183.65 | not published | 0 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $113.72 | $113.72 | not published | 0 |
| Mayo proinsulin CPT 84206 | $206.01 | $206.01 | not published | 0 |
| Mayo psaft prostate specific antigen free CPT 84154 | $202.76 | $202.76 | not published | 0 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $290.64 | $290.64 | not published | 0 |
| Mayo renin CPT 84244 | $207.38 | $207.38 | not published | 0 |
| Mayo repu protein electrophoresis urine CPT 84166 | $230.90 | $230.90 | not published | 0 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $124.74 | $124.74 | not published | 0 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $416.12 | $416.12 | 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.