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 |
|---|---|---|---|---|
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $747.60 | $747.60 | not published | 0 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $80.25 | $80.25 | not published | 0 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $147.50 | $147.50 | not published | 0 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $438.00 | $438.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $167.00 | $167.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $202.44 | $202.44 | not published | 0 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $1,162.67 | $1,162.67 | not published | 0 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $829.00 | $829.00 | not published | 0 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $228.38 | $228.38 | not published | 0 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $306.60 | $306.60 | not published | 0 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | not published | not published | $33.09 – $33.09 | 1 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $30.33 – $30.33 | 1 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | not published | not published | $27.95 – $27.95 | 1 |
| Initiation & management bipap/cpap initial day CPT 94660 | $819.63 | $819.63 | not published | 0 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $8.09 – $8.09 | 1 |
| Inj, acetaminophen (b braun) HCPCS J0136 | $43.15 | $43.15 | not published | 0 |
| Inj acetaminophen -fresenius HCPCS J0134 | $33.75 | $33.75 | not published | 0 |
| Inj, acetaminophen (hikma) HCPCS J0137 | $52.13 | $52.13 | not published | 0 |
| Inj. acthar gel to 40 units HCPCS J0801 | not published | not published | $4,557.76 – $4,557.76 | 1 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $14.01 – $14.01 | 1 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $71,559.54 – $71,559.54 | 1 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $39.60 – $39.60 | 1 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | not published | not published | $914.38 – $914.38 | 1 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $335.27 – $335.27 | 1 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.75 – $1.75 | 1 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $137.07 – $137.07 | 1 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $54.26 – $54.26 | 1 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $20.38 – $20.38 | 1 |
| Inj. (ani), up to 40 units HCPCS J0802 | not published | not published | $3,975.66 – $3,975.66 | 1 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $3.62 – $3.62 | 1 |
| Inj. asceniv HCPCS J1554 | not published | not published | $557.63 – $557.63 | 1 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $62.66 – $62.66 | 1 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | not published | not published | $35.57 – $35.57 | 1 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $115.11 – $115.11 | 1 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $90.40 – $90.40 | 1 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $23,676.27 | $23,676.27 | $181.85 – $181.85 | 1 |
| Inj, betibeglogene autotemce HCPCS J3393 | not published | not published | $3,024,000.00 – $3,024,000.00 | 1 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $5,314.72 | $5,314.72 | not published | 0 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $238.25 – $238.25 | 1 |
| Inj bortezomib boruzu 0.1 mg HCPCS J9054 | not published | not published | $28.28 – $28.28 | 1 |
| Inj., brexanolone, 1 mg HCPCS J1632 | not published | not published | $80.46 – $80.46 | 1 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $464.44 – $464.44 | 1 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $1,857.77 – $1,857.77 | 1 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $393.03 – $393.03 | 1 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $78.93 – $78.93 | 1 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | not published | not published | $1.03 – $1.03 | 1 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $0.06 – $0.06 | 1 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $45.15 | $45.15 | not published | 0 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $129.15 – $129.15 | 1 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $92.93 – $92.93 | 1 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $102.86 – $102.86 | 1 |
| Inj, clindamycin (baxter) HCPCS J0737 | $59.34 | $59.34 | not published | 0 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $886.41 | $886.41 | not published | 0 |
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | not published | $94.56 – $94.56 | 1 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $613.94 – $613.94 | 1 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $15.51 – $15.51 | 1 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $19.56 – $19.56 | 1 |
| Inj, cyclophos (baxter) 5mg HCPCS J9076 | not published | not published | $4.14 – $4.14 | 1 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $10.14 – $10.14 | 1 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $3.45 – $3.45 | 1 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $3,456,000.00 – $3,456,000.00 | 1 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | not published | not published | $30.31 – $30.31 | 1 |
| Inj, docetaxel (beizray) 1mg HCPCS J9174 | not published | not published | $48.33 – $48.33 | 1 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.61 – $4.61 | 1 |
| Inj, durolane 1 mg HCPCS J7318 | $2,512.11 | $2,512.11 | $7.49 – $7.49 | 1 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $2,193.50 | $2,193.50 | not published | 0 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $723.24 | $723.24 | not published | 0 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $56.11 – $56.11 | 1 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $555.18 – $555.18 | 1 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $738.89 | $738.89 | not published | 0 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $172.80 – $172.80 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | $9,199.93 | $9,199.93 | $78.79 – $78.79 | 1 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $16.90 – $16.90 | 1 |
| Injection for bladder x-ray CPT 51600 | $1,144.50 | $1,144.50 | not published | 0 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $723.24 | $723.24 | not published | 0 |
| Injection, fulvestrant HCPCS J9395 | $5,146.11 | $5,146.11 | $5.45 – $5.45 | 1 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $16,749.72 | $16,749.72 | $14.04 – $14.04 | 1 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $1.44 – $1.44 | 1 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $6.38 – $6.38 | 1 |
| Injection,onabotulinumtoxina HCPCS J0585 | not published | not published | $6.69 – $6.69 | 1 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $515.55 | $515.55 | not published | 0 |
| Injection, renflexis HCPCS Q5104 | not published | not published | $28.86 – $28.86 | 1 |
| Injection, ruconest HCPCS J0596 | not published | not published | $40.83 – $40.83 | 1 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $864.89 | $864.89 | not published | 0 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,022.49 | $1,022.49 | not published | 0 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $2,447.87 | $2,447.87 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $1,188.39 | $1,188.39 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $2,355.89 | $2,355.89 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,172.43 | $1,172.43 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $2,266.64 | $2,266.64 | not published | 0 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $4,568.45 | $4,568.45 | not published | 0 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $4,372.94 | $4,372.94 | not published | 0 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $193.78 – $193.78 | 1 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $4,798.08 | $4,798.08 | not published | 0 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $489.72 | $489.72 | not published | 0 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $610.68 | $610.68 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $309.96 | $309.96 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $757.58 | $757.58 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $661.19 | $661.19 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $232.05 | $232.05 | 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.