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 |
|---|---|---|---|---|
| Thyroid imaging CPT 78013 | $1,330.04 | $1,330.04 | not published | 0 |
| Thyroid (TSH) Test CPT 84443 | $178.61 | $178.61 | not published | 0 |
| Thyroid Ultrasound CPT 76536 | $960.44 | $960.44 | not published | 0 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | not published | not published | $2,185.48 – $2,185.48 | 1 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | not published | not published | $683,710.71 – $683,710.71 | 1 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | not published | not published | $218.32 – $218.32 | 1 |
| Tissue culture skin/biopsy CPT 88233 | $176.00 | $176.00 | not published | 0 |
| Tissue transglutaminase iga CPT 86364 | $132.83 | $132.83 | not published | 0 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $45.11 | $45.11 | not published | 0 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $8.21 – $8.21 | 1 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $4,087.91 | $4,087.91 | $5.69 – $5.69 | 1 |
| Tomosynthesis breast screen bilateral CPT 77063 | $105.00 | $105.00 | not published | 0 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $76.53 | $76.53 | $2.47 – $2.47 | 1 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $44.52 – $44.52 | 1 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | not published | not published | $435.34 – $435.34 | 1 |
| Transferrin CPT 84466 | $85.16 | $85.16 | not published | 0 |
| Transfusion blood/blood component(s) CPT 36430 | $2,047.40 | $2,047.40 | not published | 0 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | not published | not published | $74.81 – $74.81 | 1 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | not published | not published | $59.99 – $59.99 | 1 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | not published | not published | $5.76 – $5.76 | 1 |
| Treat fracture of radius CPT 25505 | $593.36 | $593.36 | not published | 0 |
| Treat fracture of ulna CPT 25535 | $753.90 | $753.90 | not published | 0 |
| Treat humerus fracture CPT 24535 | $2,724.44 | $2,724.44 | not published | 0 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $261.35 | $261.35 | not published | 0 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $261.35 | $261.35 | not published | 0 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $300.09 | $300.09 | not published | 0 |
| Treatment of ankle fracture 27786 CPT 27786 | $801.89 | $801.89 | not published | 0 |
| Treatment of thigh fracture CPT 27510 | $478.70 | $478.70 | not published | 0 |
| Treatment of toe fracture 28510 CPT 28510 | $607.74 | $607.74 | not published | 0 |
| Treat wrist dislocation CPT 25675 | $813.86 | $813.86 | not published | 0 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | $120,541.18 | $120,541.18 | $159.44 – $159.44 | 1 |
| Treponema pallidum antibody CPT 86780 | $241.19 | $241.19 | not published | 0 |
| Treprostinil injection HCPCS J3285 | not published | not published | $57.27 – $57.27 | 1 |
| Treprostinil, non-comp unit HCPCS J7686 | not published | not published | $818.96 – $818.96 | 1 |
| Trg gene rearrangement anal CPT 81342 | $923.27 | $923.27 | not published | 0 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $147.84 | $147.84 | not published | 0 |
| Triglycerides CPT 84478 | $111.72 | $111.72 | not published | 0 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | not published | not published | $6.11 – $6.11 | 1 |
| Trimethobenzamide hcl inj HCPCS J3250 | $384.35 | $384.35 | not published | 0 |
| Trim nondyst nails CPT 11719 | $223.02 | $223.02 | not published | 0 |
| Triptorelin pamoate HCPCS J3315 | not published | not published | $549.08 – $549.08 | 1 |
| Troponin quantitative CPT 84484 | $267.86 | $267.86 | not published | 0 |
| Tx closed hip disl traumatic without anes CPT 27250 | $1,249.82 | $1,249.82 | not published | 0 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $76.53 – $76.53 | 1 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $517.23 | $517.23 | not published | 0 |
| Ultrasound breast complete CPT 76641 | $767.03 | $767.03 | not published | 0 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $511.04 | $511.04 | not published | 0 |
| Ultrasound chest CPT 76604 | $1,053.05 | $1,053.05 | not published | 0 |
| Ultrasound guidance for vascular access CPT 76937 | $845.57 | $845.57 | not published | 0 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $1,162.98 | $1,162.98 | not published | 0 |
| Ultrasound joint complete left CPT 76881 | $899.75 | $899.75 | not published | 0 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $675.47 | $675.47 | not published | 0 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $957.81 | $957.81 | not published | 0 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $957.81 | $957.81 | not published | 0 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $738.89 | $738.89 | not published | 0 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $1,005.90 | $1,005.90 | not published | 0 |
| Ultrasound prostate/transrectal CPT 76872 | $918.44 | $918.44 | not published | 0 |
| Ultrasound retroperitoneal limited CPT 76775 | $899.75 | $899.75 | not published | 0 |
| Ultrasound scrotum and contents CPT 76870 | $899.75 | $899.75 | not published | 0 |
| Ultrasound transvaginal non obstetric CPT 76830 | $1,277.01 | $1,277.01 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $5,443.20 | $5,443.20 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $4,810.16 | $4,810.16 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $3,727.50 | $3,727.50 | not published | 0 |
| Urea nitrogen CPT 84520 | $78.33 | $78.33 | not published | 0 |
| Urea nitrogen 24 hour urine CPT 84540 | $92.61 | $92.61 | not published | 0 |
| Uric acid blood CPT 84550 | $76.02 | $76.02 | not published | 0 |
| Urinalysis microscopic only CPT 81015 | $50.40 | $50.40 | not published | 0 |
| Urinalysis (with microscopy) CPT 81001 | $71.19 | $71.19 | not published | 0 |
| Urinalysis (without microscopy) CPT 81003 | $39.48 | $39.48 | not published | 0 |
| Urine Culture Test CPT 87086 | $82.32 | $82.32 | not published | 0 |
| Urine pregnancy test CPT 81025 | $151.52 | $151.52 | not published | 0 |
| Urography, antegrade CPT 74425 | $1,264.41 | $1,264.41 | not published | 0 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $40,509.34 | $40,509.34 | $12.94 – $12.94 | 1 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $158.82 – $158.82 | 1 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $265.05 | $265.05 | not published | 0 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $748.26 | $748.26 | not published | 0 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $387.18 | $387.18 | not published | 0 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $1,385.27 | $1,385.27 | not published | 0 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $522.43 | $522.43 | not published | 0 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $235.79 | $235.79 | not published | 0 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $157.89 | $157.89 | not published | 0 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $134.49 | $134.49 | not published | 0 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $259.10 | $259.10 | not published | 0 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $790.26 | $790.26 | not published | 0 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $763.01 | $763.01 | not published | 0 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $539.40 | $539.40 | not published | 0 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $1,113.09 | $1,113.09 | not published | 0 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $642.66 – $642.66 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $642.66 – $642.66 | 1 |
| Vaccine tdap >=7 years im CPT 90715 | $364.60 | $364.60 | not published | 0 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $301.46 | $301.46 | not published | 0 |
| Valproic acid total therapeutic drug level CPT 80164 | $67.31 | $67.31 | not published | 0 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,306.48 – $1,306.48 | 1 |
| Vancomycin hcl injection HCPCS J3370 | $315.17 | $315.17 | not published | 0 |
| Vancomycin peak therapeutic drug level CPT 80202 | $201.29 | $201.29 | not published | 0 |
| Varicella zoster antibody igg CPT 86787 | $227.22 | $227.22 | not published | 0 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $362.93 | $362.93 | not published | 0 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | not published | not published | $22.16 – $22.16 | 1 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $388.16 – $388.16 | 1 |
| Ventilator each subsequent day CPT 94003 | $696.78 | $696.78 | 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.