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 |
|---|---|---|---|---|
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $26.04 – $26.04 | 1 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $3,938.87 | $3,938.87 | not published | 0 |
| Rsv assay w/optic CPT 87807 | $204.23 | $204.23 | not published | 0 |
| Rubella antibody igg CPT 86762 | $121.91 | $121.91 | not published | 0 |
| Rubeola antibody igg CPT 86765 | $121.91 | $121.91 | not published | 0 |
| Russell viper venom diluted CPT 85613 | $49.35 | $49.35 | not published | 0 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $40.96 – $40.96 | 1 |
| Sargramostim injection HCPCS J2820 | not published | not published | $67.14 – $67.14 | 1 |
| Sarscov coronavirus ag ia CPT 87426 | $94.82 | $94.82 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $1,333.08 | $1,333.08 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $874.00 | $874.00 | not published | 0 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $695.63 | $695.63 | not published | 0 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $1,333.08 | $1,333.08 | not published | 0 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,431.68 | $1,431.68 | not published | 0 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $1,188.29 | $1,188.29 | not published | 0 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $456.02 | $456.02 | not published | 0 |
| Screening Mammogram CPT 77067 | $482.90 | $482.90 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $62.50 | $62.50 | not published | 0 |
| Semen analysis presence/motility CPT 89321 | $126.84 | $126.84 | not published | 0 |
| Shoulder MRI (with and without contrast) CPT 73223 | $5,019.11 | $5,019.11 | not published | 0 |
| Shoulder MRI (with contrast) CPT 73222 | $4,674.92 | $4,674.92 | not published | 0 |
| Shoulder MRI (without contrast) CPT 73221 | $3,309.39 | $3,309.39 | not published | 0 |
| Shoulder X-ray CPT 73030 | $412.34 | $412.34 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $865.73 | $865.73 | not published | 0 |
| Sickling rbc CPT 85660 | $97.13 | $97.13 | not published | 0 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,355.78 | $2,355.78 | not published | 0 |
| Sinus CT scan (with contrast) CPT 70487 | $2,411.75 | $2,411.75 | not published | 0 |
| Sinus CT scan (without contrast) CPT 70486 | $2,221.70 | $2,221.70 | not published | 0 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $62,639.29 – $62,639.29 | 1 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $96.97 – $96.97 | 1 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $1,182.42 – $1,182.42 | 1 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $66.15 | $66.15 | not published | 0 |
| Smear gram stain CPT 87205 | $77.70 | $77.70 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $82.85 | $82.85 | not published | 0 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $21.31 | $21.31 | not published | 0 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $63.58 | $63.58 | not published | 0 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $194.55 | $194.55 | $4.27 – $4.27 | 1 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $910.48 | $910.48 | $76.54 – $76.54 | 1 |
| Sodium serum/plasma/whole blood CPT 84295 | $79.80 | $79.80 | not published | 0 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $0.86 – $0.86 | 1 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $2,414.69 | $2,414.69 | not published | 0 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $719.99 | $719.99 | not published | 0 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $524.37 | $524.37 | not published | 0 |
| St evaluate speech sound production CPT 92522 | $541.07 | $541.07 | not published | 0 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $524.37 | $524.37 | not published | 0 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $202.76 | $202.76 | not published | 0 |
| St evaluation swallow function CPT 92610 | $187.32 | $187.32 | not published | 0 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $302.61 | $302.61 | not published | 0 |
| Strapping of elbow or wrist 29260 CPT 29260 | $219.14 | $219.14 | not published | 0 |
| Strapping of knee CPT 29530 | $417.38 | $417.38 | not published | 0 |
| Strapping of toes 29550 CPT 29550 | $412.76 | $412.76 | not published | 0 |
| Streptozocin injection HCPCS J9320 | not published | not published | $380.66 – $380.66 | 1 |
| Stress tte complete CPT 93351 | $3,545.85 | $3,545.85 | not published | 0 |
| St treatment speech individual CPT 92507 | $345.66 | $345.66 | not published | 0 |
| St treatment swallow dysfunction/oral CPT 92526 | $370.65 | $370.65 | not published | 0 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $118.85 | $118.85 | not published | 0 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $8,480.19 | $8,480.19 | not published | 0 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $46.41 | $46.41 | not published | 0 |
| Supprelin la implant HCPCS J9226 | not published | not published | $43,892.43 – $43,892.43 | 1 |
| Surgical pathology level 1 gross examination only CPT 88300 | $68.67 | $68.67 | not published | 0 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $125.90 | $125.90 | not published | 0 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $134.72 | $134.72 | not published | 0 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $186.27 | $186.27 | not published | 0 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $545.00 | $545.00 | not published | 0 |
| Susceptibility agar dilution per agent CPT 87181 | $80.75 | $80.75 | not published | 0 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $114.45 | $114.45 | not published | 0 |
| Susceptibility mic per plate CPT 87186 | $84.11 | $84.11 | not published | 0 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $3.47 – $3.47 | 1 |
| Synvisc or synvisc-one HCPCS J7325 | $1,092.15 | $1,092.15 | $7.49 – $7.49 | 1 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $86.73 | $86.73 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $147.74 | $147.74 | not published | 0 |
| T3 (triiodothyronine) total CPT 84480 | $116.03 | $116.03 | not published | 0 |
| T4 (thyroxine) free CPT 84439 | $72.45 | $72.45 | not published | 0 |
| T4 (thyroxine) total CPT 84436 | $111.72 | $111.72 | not published | 0 |
| Tacrolimus therapeutic drug level CPT 80197 | $45.57 | $45.57 | not published | 0 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $15.76 – $15.76 | 1 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $82.32 – $82.32 | 1 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $83.36 – $83.36 | 1 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $3,882.17 | $3,882.17 | not published | 0 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,745.20 – $1,745.20 | 1 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $2,016.75 | $2,016.75 | $0.25 – $0.25 | 1 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $139.86 | $139.86 | not published | 0 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $319.10 | $319.10 | not published | 0 |
| T cells absolute cd 4 count CPT 86361 | $411.00 | $411.00 | not published | 0 |
| T cells total count CPT 86359 | $228.90 | $228.90 | not published | 0 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $247.68 – $247.68 | 1 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $11.67 – $11.67 | 1 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $30.93 – $30.93 | 1 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $19.91 | $19.91 | not published | 0 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $452.17 | $452.17 | not published | 0 |
| Test stress cardiovascular tracing only CPT 93017 | $1,634.33 | $1,634.33 | not published | 0 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $22,694.26 | $22,694.26 | $19.58 – $19.58 | 1 |
| Theophylline therapeutic drug level CPT 80198 | $186.27 | $186.27 | not published | 0 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $90.93 | $90.93 | not published | 0 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $93.09 | $93.09 | not published | 0 |
| Thiotepa 15 mg solution for injection HCPCS J9341 | not published | not published | $42.92 – $42.92 | 1 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $2,035.11 | $2,035.11 | not published | 0 |
| Thrombin time CPT 85670 | $151.36 | $151.36 | not published | 0 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $101.43 | $101.43 | not published | 0 |
| Thyroglobulin antibody CPT 86800 | $98.28 | $98.28 | 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.