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 |
|---|---|---|---|---|
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $8.67 – $8.67 | 1 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $161.48 | $161.48 | not published | 0 |
| Fragmenting of kidney stone CPT 50590 | $15,407.37 | $15,407.37 | not published | 0 |
| Fresh frozen plasma thawing ea un CPT 86927 | $54.50 | $54.50 | not published | 0 |
| Fructosamine glycated protein CPT 82985 | $132.20 | $132.20 | not published | 0 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $76.33 | $76.33 | not published | 0 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $229.03 | $229.03 | not published | 0 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $379.25 | $379.25 | not published | 0 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $540.83 | $540.83 | not published | 0 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $691.95 | $691.95 | not published | 0 |
| Galsulfase injection HCPCS J1458 | not published | not published | $528.13 – $528.13 | 1 |
| Gammaglobulin iga CPT 82784 | $129.89 | $129.89 | not published | 0 |
| Gammaglobulin ige CPT 82785 | $99.12 | $99.12 | not published | 0 |
| Gamma glutamyltransferase CPT 82977 | $82.85 | $82.85 | not published | 0 |
| Gammaplex injection HCPCS J1557 | not published | not published | $68.92 – $68.92 | 1 |
| Gamunex-c/gammaked HCPCS J1561 | $9,186.62 | $9,186.62 | $53.01 – $53.01 | 1 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $35.01 – $35.01 | 1 |
| Gel-one HCPCS J7326 | not published | not published | $576.49 – $576.49 | 1 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.76 – $0.76 | 1 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $172.10 | $172.10 | $3.78 – $3.78 | 1 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $267.35 – $267.35 | 1 |
| General health panel CPT 80050 | $522.00 | $522.00 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | $10,772.48 | $10,772.48 | not published | 0 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $74.62 | $74.62 | not published | 0 |
| Gentamicin peak therapeutic drug level CPT 80170 | $197.40 | $197.40 | not published | 0 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $4.09 – $4.09 | 1 |
| Ghs abscess perianal iandd CPT 46050 | $1,206.66 | $1,206.66 | not published | 0 |
| Ghs antibodies (torch) igm CPT 86694 | $49.00 | $49.00 | not published | 0 |
| Ghs bladder cath - complex-foley CPT 51703 | $325.08 | $325.08 | not published | 0 |
| Ghs central line insert < age 5, failed CPT 36555 | $3,973.10 | $3,973.10 | not published | 0 |
| Ghs change cysto/gastrost CPT 43762 | $1,025.75 | $1,025.75 | not published | 0 |
| Ghs chemo >8 hrs CPT 96416 | $1,003.80 | $1,003.80 | not published | 0 |
| Ghs chemo IV push, ea addtl CPT 96411 | $435.75 | $435.75 | not published | 0 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $1,146.50 | $1,146.50 | not published | 0 |
| Ghs closed reduction ankle dislocation CPT 27840 | $1,203.20 | $1,203.20 | not published | 0 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $478.70 | $478.70 | not published | 0 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $945.21 | $945.21 | not published | 0 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $816.69 | $816.69 | not published | 0 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $646.38 | $646.38 | not published | 0 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $713.58 | $713.58 | not published | 0 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $910.88 | $910.88 | not published | 0 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $717.05 | $717.05 | not published | 0 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $717.05 | $717.05 | not published | 0 |
| Ghs cricothyroidotomy CPT 31605 | $2,547.62 | $2,547.62 | not published | 0 |
| Ghs dislocation elbow closed treatment CPT 24600 | $730.91 | $730.91 | not published | 0 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $2,414.69 | $2,414.69 | not published | 0 |
| Ghs excision ingrown nail CPT 11765 | $487.94 | $487.94 | not published | 0 |
| Ghs fb removal - non-incisional CPT 20520 | $5,633.04 | $5,633.04 | not published | 0 |
| Ghs hcv amplificaiton CPT 87521 | $463.47 | $463.47 | not published | 0 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $4,178.27 | $4,178.27 | not published | 0 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $3,190.27 | $3,190.27 | not published | 0 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $615.72 | $615.72 | not published | 0 |
| Ghs immun0electrophoresis CPT 86320 | $157.08 | $157.08 | not published | 0 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $1,068.80 | $1,068.80 | not published | 0 |
| Ghs init tx 1st degree burn CPT 16000 | $753.06 | $753.06 | not published | 0 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $2,420.67 | $2,420.67 | not published | 0 |
| Ghs inj tendon origin/insertion CPT 20551 | $559.97 | $559.97 | not published | 0 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $1,575.11 | $1,575.11 | not published | 0 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $2,684.96 | $2,684.96 | not published | 0 |
| Ghs insertion of needle - bone CPT 36680 | $829.40 | $829.40 | not published | 0 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $1,054.83 | $1,054.83 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $1,078.14 | $1,078.14 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $1,339.70 | $1,339.70 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $779.00 | $779.00 | not published | 0 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $1,242.47 | $1,242.47 | not published | 0 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $999.60 | $999.60 | not published | 0 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $980.28 | $980.28 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $1,339.70 | $1,339.70 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $456.00 | $456.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $456.00 | $456.00 | not published | 0 |
| Ghs myocardial strain img spckl track CPT 93356 | $808.29 | $808.29 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $664.76 | $664.76 | not published | 0 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $2,173.82 | $2,173.82 | not published | 0 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,342.11 | $1,342.11 | not published | 0 |
| Ghs nerve block brachial plexus CPT 64415 | $864.89 | $864.89 | not published | 0 |
| Ghs nerve block celiac plexus CPT 64530 | $3,224.13 | $3,224.13 | not published | 0 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $2,390.96 | $2,390.96 | not published | 0 |
| Ghs ot group caregiver training CPT 97552 | $215.88 | $215.88 | not published | 0 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $1,167.18 | $1,167.18 | not published | 0 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,122.35 | $1,122.35 | not published | 0 |
| Ghs peritonsillar abscess i andd CPT 42700 | $706.76 | $706.76 | not published | 0 |
| Ghs ppd (tb intradermal) CPT 86580 | $100.70 | $100.70 | not published | 0 |
| Ghs removal intranasal foreign body CPT 30300 | $268.17 | $268.17 | not published | 0 |
| Ghs removal pharyngeal foreign body CPT 42809 | $941.33 | $941.33 | not published | 0 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $8,178.56 | $8,178.56 | not published | 0 |
| Ghs sedimentation rate CPT 85651 | $69.83 | $69.83 | not published | 0 |
| Ghs sensitivity (per antimicro) CPT 87184 | $83.58 | $83.58 | not published | 0 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $830.13 | $830.13 | not published | 0 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $798.74 | $798.74 | not published | 0 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $717.26 | $717.26 | not published | 0 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $822.78 | $822.78 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $1,203.93 | $1,203.93 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $910.77 | $910.77 | not published | 0 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $806.30 | $806.30 | not published | 0 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $251.16 | $251.16 | not published | 0 |
| Ghs strapping shoulder - 29240 CPT 29240 | $256.62 | $256.62 | not published | 0 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,148.91 | $1,148.91 | not published | 0 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $705.39 | $705.39 | not published | 0 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $4,606.88 | $4,606.88 | not published | 0 |
| Ghs urine, porphyrins quant CPT 84120 | $82.40 | $82.40 | 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.