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 |
|---|---|---|---|---|
| Ghs vaginal delivery only CPT 59409 | $10,395.42 | $10,395.42 | not published | 0 |
| Gi inhouse confirmation CPT 87045 | $139.86 | $139.86 | not published | 0 |
| Glassia injection HCPCS J0257 | not published | not published | $6.51 – $6.51 | 1 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $49.35 | $49.35 | not published | 0 |
| Glucose blood quantitative CPT 82947 | $79.80 | $79.80 | not published | 0 |
| Glucose body fluid CPT 82945 | $79.80 | $79.80 | not published | 0 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $39.42 | $39.42 | not published | 0 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $2,372.22 | $2,372.22 | $11.40 – $11.40 | 1 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $171.99 | $171.99 | not published | 0 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $129.89 | $129.89 | not published | 0 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $828.84 – $828.84 | 1 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $90.97 | $90.97 | not published | 0 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $18.62 | $18.62 | not published | 0 |
| Hand X-ray CPT 73130 | $345.98 | $345.98 | not published | 0 |
| Haptoglobin quantitative CPT 83010 | $111.72 | $111.72 | not published | 0 |
| Hcg qualitative CPT 84703 | $151.52 | $151.52 | not published | 0 |
| Hcg quantitative CPT 84702 | $151.52 | $151.52 | not published | 0 |
| Head CT scan (with and without contrast) CPT 70470 | $3,000.06 | $3,000.06 | not published | 0 |
| Head CT scan (with contrast) CPT 70460 | $2,485.88 | $2,485.88 | not published | 0 |
| Head CT scan (without contrast) CPT 70450 | $2,003.51 | $2,003.51 | not published | 0 |
| Helicobacter pylori antibody igm CPT 86677 | $152.57 | $152.57 | not published | 0 |
| Hematocrit CPT 85014 | $36.54 | $36.54 | not published | 0 |
| Hemoglobin CPT 85018 | $36.54 | $36.54 | not published | 0 |
| Heparin bolus from bag HCPCS J1644 | $106.96 | $106.96 | not published | 0 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $22.01 | $22.01 | not published | 0 |
| Hepatitis a antibody igm CPT 86709 | $72.45 | $72.45 | not published | 0 |
| Hepatitis b core antibody igm CPT 86705 | $60.80 | $60.80 | not published | 0 |
| Hepatitis b core antibody total CPT 86704 | $53.24 | $53.24 | not published | 0 |
| Hepatitis b surface antibody CPT 86706 | $77.28 | $77.28 | not published | 0 |
| Hepatitis c antibody CPT 86803 | $432.92 | $432.92 | not published | 0 |
| Hepatitis d quantification CPT 87523 | $1,837.50 | $1,837.50 | not published | 0 |
| Hepatobiliary system imaging CPT 78226 | $1,592.43 | $1,592.43 | not published | 0 |
| Herpes simplex type 1 antibody igg CPT 86695 | $99.00 | $99.00 | not published | 0 |
| Herpes simplex type 2 antibody igg CPT 86696 | $128.00 | $128.00 | not published | 0 |
| Heterophile antibodies screening CPT 86308 | $448.04 | $448.04 | not published | 0 |
| Hip X-ray CPT 73502 | $505.79 | $505.79 | not published | 0 |
| Histamine CPT 83088 | $246.12 | $246.12 | not published | 0 |
| HIV prep, inj, cabotegravir HCPCS J0739 | not published | not published | $7.95 – $7.95 | 1 |
| Hizentra injection HCPCS J1559 | not published | not published | $15.47 – $15.47 | 1 |
| Hla i low res one antigen equiv ea CPT 81374 | $457.17 | $457.17 | not published | 0 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $1,377.00 | $1,377.00 | not published | 0 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $67.55 | $67.55 | not published | 0 |
| Homocysteine CPT 83090 | $570.99 | $570.99 | not published | 0 |
| Homogenization tissue CPT 87176 | $78.00 | $78.00 | not published | 0 |
| H pylori (c-13) breath CPT 83013 | $278.15 | $278.15 | not published | 0 |
| Human ig sc CPT 90284 | not published | not published | $16.54 – $16.54 | 1 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | not published | not published | $3.40 – $3.40 | 1 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $134.13 | $134.13 | not published | 0 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $29.63 | $29.63 | $0.38 – $0.38 | 1 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $89.68 | $89.68 | not published | 0 |
| Hydration IV infusion each additional hour CPT 96361 | $773.96 | $773.96 | not published | 0 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $773.96 | $773.96 | not published | 0 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $357.55 | $357.55 | not published | 0 |
| Hydromorphone injection HCPCS J1170 | $44.36 | $44.36 | not published | 0 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $169.19 | $169.19 | not published | 0 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $20.19 – $20.19 | 1 |
| Hyoscyamine sulfate inj HCPCS J1980 | $608.12 | $608.12 | not published | 0 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $19.87 – $19.87 | 1 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $694.40 | $694.40 | not published | 0 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $666.08 | $666.08 | not published | 0 |
| Icatibant injection HCPCS J1744 | not published | not published | $139.50 – $139.50 | 1 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $56.64 – $56.64 | 1 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $623,152.52 – $623,152.52 | 1 |
| Idursulfase injection HCPCS J1743 | not published | not published | $574.02 – $574.02 | 1 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | not published | not published | $25.38 – $25.38 | 1 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $329.18 | $329.18 | not published | 0 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $718.00 | $718.00 | not published | 0 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $161.70 | $161.70 | not published | 0 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $169.41 – $169.41 | 1 |
| Immune complex assay CPT 86332 | $127.94 | $127.94 | not published | 0 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $3,824.85 | $3,824.85 | $52.32 – $52.32 | 1 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $85.70 – $85.70 | 1 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $9,775.55 | $9,775.55 | $50.14 – $50.14 | 1 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $128.42 | $128.42 | not published | 0 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $354.69 | $354.69 | not published | 0 |
| Immunofixation electrophoresis serum CPT 86334 | $139.86 | $139.86 | not published | 0 |
| Implant neuroelectrodes CPT 64555 | $6,184.40 | $6,184.40 | not published | 0 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $42.82 – $42.82 | 1 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $236.46 | $236.46 | not published | 0 |
| Incobotulinumtoxin a HCPCS J0588 | not published | not published | $5.44 – $5.44 | 1 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $63.50 | $63.50 | not published | 0 |
| Infect ag ia optc obs influenza CPT 87804 | $72.45 | $72.45 | not published | 0 |
| Infect ag if legionella pneumophila CPT 87278 | $356.53 | $356.53 | not published | 0 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $84.74 | $84.74 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $119.60 | $119.60 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $279.30 | $279.30 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $279.30 | $279.30 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $63.32 | $63.32 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $154.04 | $154.04 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $25.00 | $25.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $242.55 | $242.55 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $703.82 | $703.82 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $79.80 | $79.80 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $62.48 | $62.48 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $85.47 | $85.47 | not published | 0 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $777.00 | $777.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $91.46 | $91.46 | not published | 0 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $278.88 | $278.88 | not published | 0 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $907.52 | $907.52 | not published | 0 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $279.30 | $279.30 | 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.