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 |
|---|---|---|---|---|
| Observation per hour HCPCS G0378 | $107.10 | $107.10 | not published | 0 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $200,273.69 | $200,273.69 | $66.34 – $66.34 | 1 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $103.49 | $103.49 | $0.67 – $0.67 | 1 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | not published | not published | $193.68 – $193.68 | 1 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $39,151.01 | $39,151.01 | $69.39 – $69.39 | 1 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $13,754.21 | $13,754.21 | $43.41 – $43.41 | 1 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $29.35 | $29.35 | not published | 0 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $82.52 | $82.52 | not published | 0 |
| Orthovisc inj per dose HCPCS J7324 | $566.25 | $566.25 | $117.33 – $117.33 | 1 |
| Oscillation chest wall mechanical per session CPT 94669 | $642.60 | $642.60 | not published | 0 |
| Osmolality blood CPT 83930 | $117.08 | $117.08 | not published | 0 |
| Osmolality urine CPT 83935 | $73.50 | $73.50 | not published | 0 |
| Ot evaluation high complexity patient/family CPT 97167 | $471.35 | $471.35 | not published | 0 |
| Ot evaluation low complexity patient/family CPT 97165 | $471.35 | $471.35 | not published | 0 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $471.35 | $471.35 | not published | 0 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $171.99 | $171.99 | not published | 0 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $171.99 | $171.99 | not published | 0 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $165.69 | $165.69 | not published | 0 |
| Ot re-evaluation patient/family CPT 97168 | $286.97 | $286.97 | not published | 0 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $173.36 | $173.36 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $167.16 | $167.16 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $167.16 | $167.16 | not published | 0 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $169.47 | $169.47 | not published | 0 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $177.14 | $177.14 | not published | 0 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $215.88 | $215.88 | not published | 0 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $144.24 | $144.24 | $0.08 – $0.08 | 1 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $582.27 | $582.27 | $0.18 – $0.18 | 1 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | not published | not published | $6.19 – $6.19 | 1 |
| Palifermin injection HCPCS J2425 | not published | not published | $48.84 – $48.84 | 1 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | not published | not published | $16.78 – $16.78 | 1 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $1,813.38 – $1,813.38 | 1 |
| Palonosetron hcl HCPCS J2469 | $1,379.50 | $1,379.50 | not published | 0 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $235.18 | $235.18 | $12.77 – $12.77 | 1 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $19,968.13 | $19,968.13 | $179.33 – $179.33 | 1 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $84.46 | $84.46 | not published | 0 |
| Papaverin hcl injection HCPCS J2440 | $126.94 | $126.94 | not published | 0 |
| Parathormone (pth) intact CPT 83970 | $26.36 | $26.36 | not published | 0 |
| Parathyroid planar imaging CPT 78070 | $2,019.26 | $2,019.26 | not published | 0 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $39,150.12 – $39,150.12 | 1 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $23,011.09 | $23,011.09 | $141.80 – $141.80 | 1 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $8,072.54 | $8,072.54 | $148.41 – $148.41 | 1 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $16,220.43 | $16,220.43 | $151.28 – $151.28 | 1 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $176.17 – $176.17 | 1 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $8,596.86 | $8,596.86 | $82.46 – $82.46 | 1 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $120.97 – $120.97 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,932.76 – $3,932.76 | 1 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $248.69 – $248.69 | 1 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,855.69 | $2,855.69 | not published | 0 |
| Pelvic CT scan (without contrast) CPT 72192 | $2,304.23 | $2,304.23 | not published | 0 |
| Pelvic MRI (with and without contrast) CPT 72197 | $5,496.54 | $5,496.54 | not published | 0 |
| Pelvic MRI (with contrast) CPT 72196 | $4,696.13 | $4,696.13 | not published | 0 |
| Pelvic MRI (without contrast) CPT 72195 | $4,565.61 | $4,565.61 | not published | 0 |
| Pelvic Ultrasound (complete) CPT 76856 | $998.87 | $998.87 | not published | 0 |
| Pelvic Ultrasound (limited) CPT 76857 | $912.24 | $912.24 | not published | 0 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $35,064.14 | $35,064.14 | $64.71 – $64.71 | 1 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $4.15 – $4.15 | 1 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $3,019.39 | $3,019.39 | not published | 0 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,700.66 – $2,700.66 | 1 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $508.07 | $508.07 | not published | 0 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $20,288.48 | $20,288.48 | $17.17 – $17.17 | 1 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $59,250.93 | $59,250.93 | $67.05 – $67.05 | 1 |
| Ph body fluid CPT 83986 | $29.09 | $29.09 | not published | 0 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $354.77 | $354.77 | not published | 0 |
| Phenobarbital therapeutic drug level CPT 80184 | $164.64 | $164.64 | not published | 0 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $71.43 | $71.43 | not published | 0 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $40.72 | $40.72 | not published | 0 |
| Phenytoin total therapeutic drug level CPT 80185 | $169.47 | $169.47 | not published | 0 |
| Phlebotomy therapeutic CPT 99195 | $804.72 | $804.72 | not published | 0 |
| Phone e/m phys/qhp 11-20 min CPT 99442 | $111.72 | $111.72 | not published | 0 |
| Phone e/m phys/qhp 5-10 min CPT 99441 | $55.97 | $55.97 | not published | 0 |
| Phosphorus CPT 84100 | $76.02 | $76.02 | not published | 0 |
| Phys blood bank serv reactj CPT 86078 | $984.27 | $984.27 | not published | 0 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $102.33 | $102.33 | not published | 0 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $83.57 | $83.57 | not published | 0 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $5,132.61 | $5,132.61 | not published | 0 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $2,515.70 | $2,515.70 | not published | 0 |
| Platelet automated CPT 85049 | $76.02 | $76.02 | not published | 0 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,011.35 | $1,011.35 | not published | 0 |
| Plerixafor injection HCPCS J2562 | not published | not published | $35.21 – $35.21 | 1 |
| #pnh-flow cytometry interp CPT 88187 | $685.23 | $685.23 | not published | 0 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $265.34 | $265.34 | not published | 0 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $152.76 – $152.76 | 1 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $3,174.82 – $3,174.82 | 1 |
| Potassium 24 hour urine CPT 84133 | $86.10 | $86.10 | not published | 0 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $198.73 | $198.73 | not published | 0 |
| Potassium serum/plasma/whole blood CPT 84132 | $82.85 | $82.85 | not published | 0 |
| Pq dr cath chg w cont s&i CPT 75984 | $1,405.74 | $1,405.74 | not published | 0 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $24,015.29 | $24,015.29 | not published | 0 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $403.83 – $403.83 | 1 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $8,220.66 | $8,220.66 | not published | 0 |
| Pr application of long arm splint CPT 29105 | $414.65 | $414.65 | not published | 0 |
| Pr application splint static short arm CPT 29125 | $341.46 | $341.46 | not published | 0 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $76.34 | $76.34 | not published | 0 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $258.72 | $258.72 | not published | 0 |
| Prealbumin CPT 84134 | $93.98 | $93.98 | not published | 0 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $26.56 | $26.56 | not published | 0 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $897.12 | $897.12 | not published | 0 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $977.03 | $977.03 | not published | 0 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,728.30 | $1,728.30 | not published | 0 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $787.50 | $787.50 | 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.