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 |
|---|---|---|---|---|
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $347.23 – $347.23 | 1 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $31,430.11 | $31,430.11 | $61.27 – $61.27 | 1 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $10,305.29 | $10,305.29 | $2.96 – $2.96 | 1 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $2.96 – $2.96 | 1 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $290.76 – $290.76 | 1 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $25.45 – $25.45 | 1 |
| Dch validity tests CPT 81002 | $39.48 | $39.48 | not published | 0 |
| Deamidated gliadin antibody iga CPT 86258 | $65.73 | $65.73 | not published | 0 |
| Decalcification CPT 88311 | $22.05 | $22.05 | not published | 0 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $792.54 | $792.54 | not published | 0 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $648.02 | $648.02 | $8.82 – $8.82 | 1 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $4.59 – $4.59 | 1 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $200.87 | $200.87 | not published | 0 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $16,291.72 | $16,291.72 | $30.62 – $30.62 | 1 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $784.56 | $784.56 | not published | 0 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $1,154.69 | $1,154.69 | not published | 0 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $3,599.51 | $3,599.51 | not published | 0 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $1,782.17 | $1,782.17 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $2,211.93 | $2,211.93 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $3,878.81 | $3,878.81 | not published | 0 |
| Device intraute mirena HCPCS J7298 | not published | not published | $1,297.89 – $1,297.89 | 1 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $473.87 | $473.87 | not published | 0 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $26.80 | $26.80 | not published | 0 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $53.49 – $53.49 | 1 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $96.76 | $96.76 | not published | 0 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $96.76 | $96.76 | not published | 0 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $30.99 | $30.99 | not published | 0 |
| Dextrose 5 % IV bolus HCPCS J7070 | $96.76 | $96.76 | not published | 0 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $165.69 | $165.69 | not published | 0 |
| Diabetes (HbA1c) Test CPT 83036 | $73.50 | $73.50 | not published | 0 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $169.16 | $169.16 | not published | 0 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $68.00 | $68.00 | not published | 0 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $34.00 | $34.00 | not published | 0 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $367.19 | $367.19 | not published | 0 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $550.10 | $550.10 | not published | 0 |
| Diagnostic Mammogram (one breast) CPT 77065 | $342.20 | $342.20 | not published | 0 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $501.26 | $501.26 | not published | 0 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $45.73 | $45.73 | not published | 0 |
| Dicyclomine injection HCPCS J0500 | $265.64 | $265.64 | not published | 0 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.25 – $0.25 | 1 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $26.36 | $26.36 | not published | 0 |
| Digoxin total therapeutic drug level CPT 80162 | $174.62 | $174.62 | not published | 0 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $22.71 | $22.71 | not published | 0 |
| Disaccharidases CPT 82657 | $371.39 | $371.39 | not published | 0 |
| Dna antibody native/double stranded CPT 86225 | $218.50 | $218.50 | not published | 0 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $354.96 | $354.96 | not published | 0 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $368.36 | $368.36 | $0.57 – $0.57 | 1 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $56.33 – $56.33 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $121.37 | $121.37 | not published | 0 |
| Doppler echo complete CPT 93320 | $1,174.53 | $1,174.53 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $686.60 | $686.60 | not published | 0 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $510.93 | $510.93 | not published | 0 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $34,197.88 | $34,197.88 | $275.06 – $275.06 | 1 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $92.73 | $92.73 | $3.34 – $3.34 | 1 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $5,477.33 | $5,477.33 | $72.54 – $72.54 | 1 |
| Dpyd gene common variants CPT 81232 | $769.13 | $769.13 | not published | 0 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $700.67 | $700.67 | not published | 0 |
| Drainage mouth roof lesion CPT 42000 | $852.08 | $852.08 | not published | 0 |
| Drainage of arm bursa 23931 CPT 23931 | $4,890.90 | $4,890.90 | not published | 0 |
| Drain blood from under nail 11740 CPT 11740 | $204.75 | $204.75 | not published | 0 |
| Drain finger abscess;simple 26010 CPT 26010 | $935.87 | $935.87 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $805.98 | $805.98 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $558.60 | $558.60 | not published | 0 |
| Drng of eyelid abscess 67700 CPT 67700 | $1,005.59 | $1,005.59 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $4,294.19 | $4,294.19 | not published | 0 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $29.21 | $29.21 | not published | 0 |
| Drug of abuse screen urine CPT 80305 | $176.82 | $176.82 | not published | 0 |
| Drug test prsmv instrmnt CPT 80306 | $284.34 | $284.34 | not published | 0 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $274.47 | $274.47 | not published | 0 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $37,546.78 | $37,546.78 | $95.90 – $95.90 | 1 |
| Ear irrigation 69209 CPT 69209 | $170.63 | $170.63 | not published | 0 |
| Ecallantide injection HCPCS J1290 | not published | not published | $611.51 – $611.51 | 1 |
| Ecg 12 lead tracing only CPT 93005 | $418.11 | $418.11 | not published | 0 |
| Ecg external < 48 hours recording CPT 93225 | $2,070.39 | $2,070.39 | not published | 0 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $1,463.07 | $1,463.07 | not published | 0 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $383.99 | $383.99 | not published | 0 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $414.86 | $414.86 | not published | 0 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $3,668.28 | $3,668.28 | not published | 0 |
| Echocardiography doppler color flow mapping CPT 93325 | $926.63 | $926.63 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $487.10 | $487.10 | not published | 0 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $463.90 | $463.90 | not published | 0 |
| Echograp trans r pros study CPT 76873 | $1,189.13 | $1,189.13 | not published | 0 |
| Echo stress CPT 93350 | $1,137.54 | $1,137.54 | not published | 0 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $4,535.37 | $4,535.37 | not published | 0 |
| Echo transthoracic CPT 93303 | $3,333.65 | $3,333.65 | not published | 0 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $856.90 | $856.90 | not published | 0 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | not published | not published | $49.76 – $49.76 | 1 |
| Eculizumab injection HCPCS J1300 | $94,944.22 | $94,944.22 | not published | 0 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $36.30 – $36.30 | 1 |
| Electrical stimulation/unattended 97014 CPT 97014 | $87.47 | $87.47 | not published | 0 |
| Electrolyte panel CPT 80051 | $230.90 | $230.90 | not published | 0 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $347.26 – $347.26 | 1 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | not published | not published | $8.96 – $8.96 | 1 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | not published | not published | $207.94 – $207.94 | 1 |
| Encephalitis, california igg/igm CPT 86651 | $20.20 | $20.20 | not published | 0 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | not published | not published | $40.86 – $40.86 | 1 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $238.67 | $238.67 | not published | 0 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $63.35 – $63.35 | 1 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $1,462.02 | $1,462.02 | not published | 0 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $1.82 – $1.82 | 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.