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 |
|---|---|---|---|---|
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $96.29 | $96.29 | not published | 0 |
| Mayo tgrp testosterone free CPT 84402 | $171.99 | $171.99 | not published | 0 |
| Mayo tgrp testosterone total CPT 84403 | $101.64 | $101.64 | not published | 0 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $122.01 | $122.01 | not published | 0 |
| Mayo thyroglobulin CPT 84432 | $133.04 | $133.04 | not published | 0 |
| Mayo vitamin k CPT 84597 | $216.20 | $216.20 | not published | 0 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $182.60 | $182.60 | not published | 0 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $509.99 | $509.99 | not published | 0 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $41.58 | $41.58 | not published | 0 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $17,909.56 | $17,909.56 | $35.42 – $35.42 | 1 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $86.44 | $86.44 | not published | 0 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $43.23 | $43.23 | $1.45 – $1.45 | 1 |
| Metabolic Blood Panel (Basic) CPT 80048 | $128.42 | $128.42 | not published | 0 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $166.95 | $166.95 | not published | 0 |
| Methadone injection HCPCS J1230 | $1,009.90 | $1,009.90 | not published | 0 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $63.64 | $63.64 | not published | 0 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $32.73 | $32.73 | not published | 0 |
| Methotrexate therapeutic drug level CPT 80204 | $201.39 | $201.39 | not published | 0 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $854.86 | $854.86 | not published | 0 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $776.12 | $776.12 | not published | 0 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $75.92 | $75.92 | not published | 0 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $35.15 | $35.15 | not published | 0 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $46.76 | $46.76 | not published | 0 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $199.76 | $199.76 | not published | 0 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $362.33 | $362.33 | not published | 0 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $92.54 | $92.54 | not published | 0 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $1,938.86 | $1,938.86 | $79.18 – $79.18 | 1 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $637.72 | $637.72 | $30.61 – $30.61 | 1 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $359.76 – $359.76 | 1 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $39.71 – $39.71 | 1 |
| Monovisc inj per dose HCPCS J7327 | $2,852.98 | $2,852.98 | $692.43 – $692.43 | 1 |
| Mopath procedure level 3 CPT 81402 | $811.76 | $811.76 | not published | 0 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $289.07 | $289.07 | not published | 0 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $37.01 | $37.01 | not published | 0 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $928.00 | $928.00 | not published | 0 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $1,002.70 | $1,002.70 | not published | 0 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $164.50 | $164.50 | not published | 0 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $728.64 – $728.64 | 1 |
| MRA abdomen post contrast CPT 74185 | $4,416.72 | $4,416.72 | not published | 0 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $5,330.12 | $5,330.12 | not published | 0 |
| MRI chest without contrast CPT 71550 | $4,343.12 | $4,343.12 | not published | 0 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $3,665.34 | $3,665.34 | not published | 0 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $5,606.90 | $5,606.90 | not published | 0 |
| MRI orbit/face/neck without contrast CPT 70540 | $4,124.82 | $4,124.82 | not published | 0 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $5,541.27 | $5,541.27 | not published | 0 |
| MRI tmj CPT 70336 | $435.44 | $435.44 | not published | 0 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $4,343.12 | $4,343.12 | not published | 0 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $4,922.09 | $4,922.09 | not published | 0 |
| MRI upper extremity w/dye CPT 73219 | $3,356.01 | $3,356.01 | not published | 0 |
| Mr safety determination physician/other qhp CPT 76016 | $226.75 | $226.75 | not published | 0 |
| Mr safety implant elec prepj CPT 76018 | $237.69 | $237.69 | not published | 0 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $126.63 | $126.63 | not published | 0 |
| Mr safety implt pos&/immoblj CPT 76019 | $151.01 | $151.01 | not published | 0 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $63.32 | $63.32 | not published | 0 |
| Mr sfty med physics xm cstmz CPT 76017 | $624.82 | $624.82 | not published | 0 |
| Mthfr gene analy common variants CPT 81291 | $250.85 | $250.85 | not published | 0 |
| Mumps antibody igg CPT 86735 | $90.30 | $90.30 | not published | 0 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $97.10 | $97.10 | not published | 0 |
| Mycoplasma antibody igm CPT 86738 | $90.30 | $90.30 | not published | 0 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $736.68 | $736.68 | not published | 0 |
| Myelography via inj w/s&i cervical CPT 62302 | $1,548.02 | $1,548.02 | not published | 0 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $1,593.90 | $1,593.90 | not published | 0 |
| Myelography via inj w/s&i thoracic CPT 62303 | $2,807.60 | $2,807.60 | not published | 0 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $160.34 | $160.34 | not published | 0 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $37.73 | $37.73 | not published | 0 |
| Naltrexone, depot form HCPCS J2315 | not published | not published | $4.73 – $4.73 | 1 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $38,508.64 | $38,508.64 | $25.69 – $25.69 | 1 |
| Natriuretic peptide CPT 83880 | $330.75 | $330.75 | not published | 0 |
| Natural killer cells total count CPT 86357 | $234.83 | $234.83 | not published | 0 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $3,331.76 | $3,331.76 | not published | 0 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,988.30 | $2,988.30 | not published | 0 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,902.29 | $1,902.29 | not published | 0 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $5,298.83 | $5,298.83 | not published | 0 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $4,184.57 | $4,184.57 | not published | 0 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $3,404.10 | $3,404.10 | not published | 0 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $4,583.57 | $4,583.57 | not published | 0 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $3,163.86 | $3,163.86 | not published | 0 |
| Nelarabine injection HCPCS J9261 | not published | not published | $61.65 – $61.65 | 1 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $98.31 | $98.31 | not published | 0 |
| Neurolysis celiac plexus CPT 64680 | $3,404.52 | $3,404.52 | not published | 0 |
| Neurolysis trigeminal nerve CPT 64600 | $4,997.16 | $4,997.16 | not published | 0 |
| New Patient Office Visit (level 2) CPT 99202 | $266.18 | $266.18 | not published | 0 |
| New Patient Office Visit (level 3) CPT 99203 | $362.51 | $362.51 | not published | 0 |
| New Patient Office Visit (level 4) CPT 99204 | $486.94 | $486.94 | not published | 0 |
| New Patient Office Visit (level 5) CPT 99205 | $590.00 | $590.00 | not published | 0 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $319.64 | $319.64 | not published | 0 |
| N-invas est c ffr sw aly cta CPT 75580 | $4,767.95 | $4,767.95 | not published | 0 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $17.45 | $17.45 | not published | 0 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $18,736.45 | $18,736.45 | $35.53 – $35.53 | 1 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | $89,842.03 | $89,842.03 | $224.59 – $224.59 | 1 |
| Njx interlaminar crv/thrc CPT 62324 | $3,499.97 | $3,499.97 | not published | 0 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,931.58 | $1,931.58 | not published | 0 |
| Nm imaging bone/joint whole body CPT 78306 | $2,026.50 | $2,026.50 | not published | 0 |
| Nm imaging gastric emptying study CPT 78264 | $1,773.24 | $1,773.24 | not published | 0 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $2,216.55 | $2,216.55 | not published | 0 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $2,216.55 | $2,216.55 | not published | 0 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $2,596.13 | $2,596.13 | not published | 0 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,702.68 | $1,702.68 | not published | 0 |
| Obecbtge autol up to 400 mil HCPCS Q2058 | not published | not published | $309,015.00 – $309,015.00 | 1 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $2,966.11 | $2,966.11 | $86.44 – $86.44 | 1 |
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.