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 |
|---|---|---|---|---|
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | not published | $0.82 – $0.82 | 1 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $717.84 | $717.84 | $8.78 – $8.78 | 1 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $1,579.72 | $1,579.72 | $8.20 – $8.20 | 1 |
| Epoetin beta esrd use HCPCS J0887 | not published | not published | $1.14 – $1.14 | 1 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $1.14 – $1.14 | 1 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | not published | not published | $15.29 – $15.29 | 1 |
| Epstein barr early antigen antibody CPT 86663 | $131.04 | $131.04 | not published | 0 |
| Epstein barr nuclear antigen antibody CPT 86664 | $131.04 | $131.04 | not published | 0 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $131.04 | $131.04 | not published | 0 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $393.98 | $393.98 | not published | 0 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $9,174.42 | $9,174.42 | $22.87 – $22.87 | 1 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $4,813.42 | $4,813.42 | $78.93 – $78.93 | 1 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $247.95 | $247.95 | not published | 0 |
| ER Visit (level 1, minor) CPT 99281 | $255.26 | $255.26 | not published | 0 |
| ER Visit (level 2) CPT 99282 | $446.57 | $446.57 | not published | 0 |
| ER Visit (level 3) CPT 99283 | $1,168.13 | $1,168.13 | not published | 0 |
| ER Visit (level 4) CPT 99284 | $1,712.55 | $1,712.55 | not published | 0 |
| ER Visit (level 5, high severity) CPT 99285 | $2,174.55 | $2,174.55 | not published | 0 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $161.68 | $161.68 | not published | 0 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $456.39 | $456.39 | not published | 0 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $334.95 | $334.95 | not published | 0 |
| Established Patient Office Visit (level 1) CPT 99211 | $196.88 | $196.88 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $252.26 | $252.26 | not published | 0 |
| Established Patient Office Visit (level 3) CPT 99213 | $340.20 | $340.20 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $450.92 | $450.92 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $560.12 | $560.12 | not published | 0 |
| Estradiol total CPT 82670 | $177.14 | $177.14 | not published | 0 |
| Estrogens total-sendout CPT 82672 | $119.60 | $119.60 | not published | 0 |
| Etonogestrel implant system HCPCS J7307 | not published | not published | $1,178.43 – $1,178.43 | 1 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $131.59 | $131.59 | $0.93 – $0.93 | 1 |
| Euflexxa inj per dose HCPCS J7323 | $831.82 | $831.82 | $108.56 – $108.56 | 1 |
| Evaluation of speech fluency 92521 CPT 92521 | $524.37 | $524.37 | not published | 0 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $1,602.93 | $1,602.93 | not published | 0 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | $384.00 | $384.00 | not published | 0 |
| Ext ecg>7d<15d scan a/r CPT 93247 | $834.00 | $834.00 | not published | 0 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $194.46 | $194.46 | not published | 0 |
| Facial bones <3 CPT 70140 | $307.02 | $307.02 | not published | 0 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.38 – $3.38 | 1 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.61 – $1.61 | 1 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $5.92 – $5.92 | 1 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.29 – $1.29 | 1 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.64 – $1.64 | 1 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $1.73 – $1.73 | 1 |
| Factor viii CPT 85240 | $84.11 | $84.11 | not published | 0 |
| Factor viii HCPCS J7190 | not published | not published | $1.31 – $1.31 | 1 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.60 – $2.60 | 1 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.32 – $1.32 | 1 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.38 – $2.38 | 1 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $1.48 – $1.48 | 1 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.33 – $1.33 | 1 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.60 – $3.60 | 1 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $12.00 – $12.00 | 1 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $20.40 – $20.40 | 1 |
| Family therapy without pt 50min 90846 CPT 90846 | $586.11 | $586.11 | not published | 0 |
| Family therapy with patient 50 min 90847 CPT 90847 | $602.39 | $602.39 | not published | 0 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $23.13 | $23.13 | not published | 0 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $34.80 – $34.80 | 1 |
| Fat/lipids feces qualitative CPT 82705 | $45.57 | $45.57 | not published | 0 |
| Fatty acids nonesterified CPT 82725 | $103.32 | $103.32 | not published | 0 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $71.60 – $71.60 | 1 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $160.02 | $160.02 | not published | 0 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $132.41 | $132.41 | not published | 0 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $295.92 | $295.92 | $1.23 – $1.23 | 1 |
| Ferritin CPT 82728 | $85.16 | $85.16 | not published | 0 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $844.25 | $844.25 | $0.26 – $0.26 | 1 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.26 – $0.26 | 1 |
| Fibrin degradation d dimer quantitative CPT 85379 | $234.68 | $234.68 | not published | 0 |
| Fibrin degrade semiquant CPT 85378 | $234.68 | $234.68 | not published | 0 |
| Fibrinogen activity CPT 85384 | $63.32 | $63.32 | not published | 0 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | not published | not published | $0.25 – $0.25 | 1 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $2,520.17 | $2,520.17 | $1.05 – $1.05 | 1 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $1,061.49 | $1,061.49 | $0.31 – $0.31 | 1 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $1,834.88 | $1,834.88 | not published | 0 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $1,834.88 | $1,834.88 | not published | 0 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $1,796.55 | $1,796.55 | not published | 0 |
| Fine needle asp without image guide 10021 CPT 10021 | $1,141.04 | $1,141.04 | not published | 0 |
| Flebogamma injection HCPCS J1572 | not published | not published | $59.82 – $59.82 | 1 |
| Fl exam g/colon tube w contrast CPT 49465 | $2,219.81 | $2,219.81 | not published | 0 |
| Flow cytometry interp 16 or more CPT 88189 | $182.00 | $182.00 | not published | 0 |
| Flow cytometry marker each additional CPT 88185 | $563.00 | $563.00 | not published | 0 |
| Flow cytometry one marker technical component CPT 88184 | $697.00 | $697.00 | not published | 0 |
| Floxuridine injection HCPCS J9200 | not published | not published | $4,491.59 – $4,491.59 | 1 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $59.73 | $59.73 | not published | 0 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | not published | not published | $240.32 – $240.32 | 1 |
| Fluidotherapy charges pt CPT 97022 | $86.94 | $86.94 | not published | 0 |
| Fluid pressure muscle 20950 CPT 20950 | $67.62 | $67.62 | not published | 0 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $357.97 – $357.97 | 1 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $719.15 | $719.15 | not published | 0 |
| Fluoroguide needle placement CPT 77002 | $719.15 | $719.15 | not published | 0 |
| Fluoroscopy up to 1 hour CPT 76000 | $838.85 | $838.85 | not published | 0 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $527.58 | $527.58 | $2.11 – $2.11 | 1 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $44.20 | $44.20 | not published | 0 |
| Fna bx w/ct gdn 1st les CPT 10009 | $3,541.76 | $3,541.76 | not published | 0 |
| Fna bx w/ct gdn ea addl CPT 10010 | $3,541.76 | $3,541.76 | not published | 0 |
| Folic acid CPT 82746 | $104.58 | $104.58 | not published | 0 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $21.71 | $21.71 | not published | 0 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $1,802.17 | $1,802.17 | not published | 0 |
| Fondaparinux sodium HCPCS J1652 | $88.06 | $88.06 | not published | 0 |
| Foot X-ray CPT 73630 | $345.98 | $345.98 | not published | 0 |
| Formoterol fumarate, inh HCPCS J7606 | $92.05 | $92.05 | 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.