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 |
|---|---|---|---|---|
| X-ray hand 2 views (both sides) CPT 73120 | $274.26 | $274.26 | not published | 0 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $281.82 | $281.82 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $707.18 | $707.18 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $807.98 | $807.98 | not published | 0 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $377.37 | $377.37 | not published | 0 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $279.20 | $279.20 | not published | 0 |
| X-ray humerus >= 2 views left CPT 73060 | $334.64 | $334.64 | not published | 0 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $307.34 | $307.34 | not published | 0 |
| X-ray knee 3 views (both sides) CPT 73562 | $358.58 | $358.58 | not published | 0 |
| X-ray knee ap standing bilateral CPT 73565 | $334.64 | $334.64 | not published | 0 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $288.02 | $288.02 | not published | 0 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $739.73 | $739.73 | not published | 0 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $739.73 | $739.73 | not published | 0 |
| X-ray mandible complete > 4 views CPT 70110 | $427.46 | $427.46 | not published | 0 |
| X-ray mandible ltd <4 views CPT 70100 | $311.96 | $311.96 | not published | 0 |
| X-ray nasal bones complete > 3 views CPT 70160 | $436.38 | $436.38 | not published | 0 |
| X-ray neck soft tissue CPT 70360 | $463.38 | $463.38 | not published | 0 |
| X-ray nose to rectum for foreign body child CPT 76010 | $435.44 | $435.44 | not published | 0 |
| X-ray pelvis 1-2 views CPT 72170 | $440.48 | $440.48 | not published | 0 |
| X-ray pelvis complete > 3 views CPT 72190 | $576.14 | $576.14 | not published | 0 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,435.25 | $1,435.25 | not published | 0 |
| X-ray ribs 2 views left CPT 71100 | $378.00 | $378.00 | not published | 0 |
| X-ray ribs 3 views bilateral CPT 71110 | $551.57 | $551.57 | not published | 0 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $606.59 | $606.59 | not published | 0 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $793.28 | $793.28 | not published | 0 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $427.77 | $427.77 | not published | 0 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $440.48 | $440.48 | not published | 0 |
| X-ray scapula complete (both sides) CPT 73010 | $440.48 | $440.48 | not published | 0 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $497.81 | $497.81 | not published | 0 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $2,030.28 | $2,030.28 | not published | 0 |
| X-ray skull < 4 views CPT 70250 | $426.41 | $426.41 | not published | 0 |
| X-ray skull > 4 views complete CPT 70260 | $696.89 | $696.89 | not published | 0 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $907.31 | $907.31 | not published | 0 |
| X-ray spine single view CPT 72020 | $275.31 | $275.31 | not published | 0 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $427.46 | $427.46 | not published | 0 |
| X-ray sternum > 2 views CPT 71120 | $334.64 | $334.64 | not published | 0 |
| X-ray surgical specimen CPT 76098 | $429.87 | $429.87 | not published | 0 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $1,080.03 | $1,080.03 | not published | 0 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $620.97 | $620.97 | not published | 0 |
| X-ray thoracic spine 2 views CPT 72070 | $468.51 | $468.51 | not published | 0 |
| X-ray thoracic spine 3 views CPT 72072 | $550.31 | $550.31 | not published | 0 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $593.67 | $593.67 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $246.50 | $246.50 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $366.87 | $366.87 | not published | 0 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $440.48 | $440.48 | not published | 0 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $330.12 | $330.12 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $1,080.03 | $1,080.03 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $880.43 | $880.43 | not published | 0 |
| X-ray wrist 2 views (both sides) CPT 73100 | $330.12 | $330.12 | not published | 0 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.41 – $1.41 | 1 |
| Ziconotide injection HCPCS J2278 | not published | not published | $10.76 – $10.76 | 1 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $8.85 – $8.85 | 1 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $37.45 – $37.45 | 1 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $220.37 | $220.37 | $32.92 – $32.92 | 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.