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 |
|---|---|---|---|---|
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $80.57 – $80.57 | 1 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $197.61 | $197.61 | not published | 0 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $188.48 | $188.48 | not published | 0 |
| Collection of venous blood by venipuncture CPT 36415 | $20.00 | $20.00 | not published | 0 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $78.33 | $78.33 | not published | 0 |
| Compatibility test each unit electronic CPT 86923 | $199.71 | $199.71 | not published | 0 |
| Compatibility test each unit immediate spin technique CPT 86920 | $78.33 | $78.33 | not published | 0 |
| Complement antigen each component c3 CPT 86160 | $138.71 | $138.71 | not published | 0 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $469.25 | $469.25 | not published | 0 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $2,971.08 | $2,971.08 | not published | 0 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $859.95 | $859.95 | not published | 0 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,749.72 | $1,749.72 | not published | 0 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $2,579.85 | $2,579.85 | not published | 0 |
| Concentration infection agents any type CPT 87015 | $98.40 | $98.40 | not published | 0 |
| Contrast x-ray of elbow CPT 73085 | $1,117.83 | $1,117.83 | not published | 0 |
| Contrast x-ray of knee joint CPT 73580 | $1,110.27 | $1,110.27 | not published | 0 |
| Control nosebleed pack+caut 30905 CPT 30905 | $770.60 | $770.60 | not published | 0 |
| Control of nosebleed ant comp 30903 CPT 30903 | $554.72 | $554.72 | not published | 0 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $687.23 | $687.23 | not published | 0 |
| Coombs direct CPT 86880 | $63.32 | $63.32 | not published | 0 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $33.92 | $33.92 | not published | 0 |
| Copper intrauterine device HCPCS J7300 | not published | not published | $1,210.40 – $1,210.40 | 1 |
| Core ndl bx lng/med perq CPT 32408 | $5,808.92 | $5,808.92 | not published | 0 |
| Cortisol total am CPT 82533 | $104.58 | $104.58 | not published | 0 |
| C-peptide CPT 84681 | $121.91 | $121.91 | not published | 0 |
| C-reactive protein CPT 86140 | $96.30 | $96.30 | not published | 0 |
| C-reactive protein high sensitivity CPT 86141 | $132.20 | $132.20 | not published | 0 |
| Creatine kinase CPT 82550 | $93.98 | $93.98 | not published | 0 |
| Creatine kinase mb CPT 82553 | $195.30 | $195.30 | not published | 0 |
| Creatine - sendout CPT 82540 | $78.00 | $78.00 | not published | 0 |
| Creatinine CPT 82565 | $79.80 | $79.80 | not published | 0 |
| Creatinine 24 hour urine CPT 82570 | $79.80 | $79.80 | not published | 0 |
| Critical care 30-74 minutes CPT 99291 | $4,643.73 | $4,643.73 | not published | 0 |
| Critical care each additional 30 minutes CPT 99292 | $696.26 | $696.26 | not published | 0 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | not published | not published | $144.66 – $144.66 | 1 |
| Crystal identification light microscopy CPT 89060 | $207.80 | $207.80 | not published | 0 |
| Cta abdomen without & /or w/contrast CPT 74175 | $3,236.00 | $3,236.00 | not published | 0 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $4,190.45 | $4,190.45 | not published | 0 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $3,846.68 | $3,846.68 | not published | 0 |
| Cta neck without &/or w/contrast CPT 70498 | $3,659.88 | $3,659.88 | not published | 0 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $4,768.58 | $4,768.58 | not published | 0 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,927.40 | $2,927.40 | not published | 0 |
| CT Angiogram of the Head CPT 70496 | $3,659.88 | $3,659.88 | not published | 0 |
| CT angio hrt w/3d image CPT 75574 | $3,568.85 | $3,568.85 | not published | 0 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $3,846.68 | $3,846.68 | not published | 0 |
| CT guidance for needle placement CPT 77012 | $3,641.72 | $3,641.72 | not published | 0 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $201.29 | $201.29 | not published | 0 |
| CT hrt w/3d image CPT 75572 | $2,728.74 | $2,728.74 | not published | 0 |
| CT limited or localized follow-up study CPT 76380 | $1,136.31 | $1,136.31 | not published | 0 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $2,168.15 | $2,168.15 | not published | 0 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,976.31 | $1,976.31 | not published | 0 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,626.05 | $2,626.05 | not published | 0 |
| CT neck soft tissue w/contrast CPT 70491 | $2,689.05 | $2,689.05 | not published | 0 |
| CT neck soft tissue without contrast CPT 70490 | $2,338.67 | $2,338.67 | not published | 0 |
| CT neck soft tissue without & w/contrast CPT 70492 | $3,222.24 | $3,222.24 | not published | 0 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $3,007.31 | $3,007.31 | not published | 0 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $2,610.20 | $2,610.20 | not published | 0 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $2,338.67 | $2,338.67 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $5,321.72 | $5,321.72 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $5,186.90 | $5,186.90 | not published | 0 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $4,487.07 | $4,487.07 | not published | 0 |
| CT thoracic spine w/contrast CPT 72129 | $2,592.56 | $2,592.56 | not published | 0 |
| CT thoracic spine without contrast CPT 72128 | $1,848.11 | $1,848.11 | not published | 0 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $1,146.18 | $1,146.18 | not published | 0 |
| CT t-spine w /wo contrast CPT 72130 | $3,757.22 | $3,757.22 | not published | 0 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $2,427.81 | $2,427.81 | not published | 0 |
| CT upper extremity without contrast (both sides) CPT 73200 | $2,097.48 | $2,097.48 | not published | 0 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,698.40 | $2,698.40 | not published | 0 |
| Culture aerobic additional method definitive id each CPT 87077 | $91.46 | $91.46 | not published | 0 |
| Culture afb any source CPT 87116 | $145.74 | $145.74 | not published | 0 |
| Culture anaerobic additional method definitive id each CPT 87076 | $152.57 | $152.57 | not published | 0 |
| Culture anaerobic except blood CPT 87075 | $119.60 | $119.60 | not published | 0 |
| Culture bact stool aero addl path ea CPT 87046 | $85.47 | $85.47 | not published | 0 |
| Culture body fluid CPT 87070 | $119.60 | $119.60 | not published | 0 |
| Culture fungi definitive id mold CPT 87107 | $106.47 | $106.47 | not published | 0 |
| Culture fungi definitive id yeast CPT 87106 | $189.16 | $189.16 | not published | 0 |
| Culture fungi other (except blood) CPT 87102 | $154.04 | $154.04 | not published | 0 |
| Culture quantitative aerobic other source CPT 87071 | $119.60 | $119.60 | not published | 0 |
| Culture screening strep group a CPT 87081 | $124.74 | $124.74 | not published | 0 |
| Culture typing immunologic CPT 87147 | $76.65 | $76.65 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $777.95 | $777.95 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $65.05 | $65.05 | not published | 0 |
| Culture urine each isolate CPT 87088 | $91.46 | $91.46 | not published | 0 |
| Cv stress test i&r only 93018 CPT 93018 | $91.35 | $91.35 | not published | 0 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $37.83 | $37.83 | not published | 0 |
| Cyclic citrullinated peptide antibody CPT 86200 | $211.58 | $211.58 | not published | 0 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $76.30 – $76.30 | 1 |
| Cyclosporine 2 hour CPT 80158 | $131.04 | $131.04 | not published | 0 |
| Cyclosporine oral 100 mg HCPCS J7502 | $19.26 | $19.26 | not published | 0 |
| Cystatin c CPT 82610 | $160.65 | $160.65 | not published | 0 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $1,393.35 | $1,393.35 | not published | 0 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $48.81 | $48.81 | $0.96 – $0.96 | 1 |
| Cytogenomic neo microra alys CPT 81277 | $4,872.00 | $4,872.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $178.61 | $178.61 | not published | 0 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $24.89 | $24.89 | not published | 0 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $2,183.97 – $2,183.97 | 1 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $275.94 | $275.94 | not published | 0 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $283.82 | $283.82 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $217.00 | $217.00 | not published | 0 |
| Cytopath smear oth prep screen & interp CPT 88161 | $254.99 | $254.99 | 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.