AdventHealth Polk
AdventHealth Polk in Columbus, NC publishes cash prices for 43 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Click a procedure to compare it with other hospitals nearby.
101 Hospital Drive, Columbus, NC 28722 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT SCAN,ABDOMEN AND PELVIS,W CONTRAST | $5,186.90 | $5,186.90 | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT SCAN,ABDOMEN AND PELVIS,W CONTRAST | $5,186.90 | $5,186.90 | — |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL | $2,003.51 | $2,003.51 | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL | $2,003.51 | $2,003.51 | — |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT SCAN OF PELVIS CONTRAST | $2,855.69 | $2,855.69 | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT SCAN OF PELVIS CONTRAST | $2,855.69 | $2,855.69 | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $550.10 | $550.10 | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $550.10 | $550.10 | — |
| Diagnostic mammogram, one breast CPT 77065 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $342.20 | $342.20 | — |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $342.20 | $342.20 | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT, W/O CONTRAST | $3,019.80 | $3,019.80 | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JOINT, W/O CONTRAST | $3,019.80 | $3,019.80 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR LOWER EXTREMITY W AND WO IV CONTRAST | $4,046.39 | $4,046.39 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR LOWER EXTREMITY W AND WO IV CONTRAST | $4,046.39 | $4,046.39 | — |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN | $3,225.29 | $3,225.29 | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN | $3,225.29 | $3,225.29 | — |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN COMBO | $4,625.78 | $4,625.78 | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN COMBO | $4,625.78 | $4,625.78 | — |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI, LUMBAR SPINE | $3,434.34 | $3,434.34 | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI, LUMBAR SPINE | $3,434.34 | $3,434.34 | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US, OB >/= 14 WKS, SNGL FETUS | $897.12 | $897.12 | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US, OB >/= 14 WKS, SNGL FETUS | $897.12 | $897.12 | — |
| Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $482.90 | $482.90 | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $482.90 | $482.90 | — |
| Transvaginal pelvic ultrasound CPT 76830 HC ECHOGRAPHY,TRANSVAGINAL | $1,277.01 | $1,277.01 | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC ECHOGRAPHY,TRANSVAGINAL | $1,277.01 | $1,277.01 | — |
| Ultrasound of the abdomen, complete CPT 76700 HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE | $1,128.96 | $1,128.96 | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE | $1,128.96 | $1,128.96 | — |
| X-ray of the lower back, 4 or more views CPT 72110 HC X-RAY LUMBAR SPINE 4 VW | $739.73 | $739.73 | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC X-RAY LUMBAR SPINE 4 VW | $739.73 | $739.73 | — |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL | $128.42 | $128.42 | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL | $128.42 | $128.42 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL - BUNDLED CHARGE | $128.42 | $128.42 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE BY NMR - NMR LIPOMED PROFILE - ARUP | $128.42 | $128.42 | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL - BUNDLED CHARGE | $128.42 | $128.42 | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE BY NMR - NMR LIPOMED PROFILE - ARUP | $128.42 | $128.42 | — |
| Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC & AUTO WBC DIFF | $131.04 | $131.04 | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE CBC & AUTO WBC DIFF | $131.04 | $131.04 | — |
| Complete blood count (CBC), no differential CPT 85027 HC CBC | $150.36 | $150.36 | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC | $150.36 | $150.36 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL - CMP | $166.95 | $166.95 | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL - CMP | $166.95 | $166.95 | — |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL - BUNDLED CHARGE | $399.42 | $399.42 | — |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL - BUNDLED CHARGE | $399.42 | $399.42 | — |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE | $249.90 | $249.90 | — |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE | $249.90 | $249.90 | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC ANTIGEN, FREE - PSA TOTAL AND FREE | $193.10 | $193.10 | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE | $202.76 | $202.76 | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATE SPECIFIC ANTIGEN, FREE - PSA TOTAL AND FREE | $193.10 | $193.10 | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE | $202.76 | $202.76 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA SCREEN | $169.79 | $169.79 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA TOTAL AND FREE | $183.12 | $183.12 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL | $183.12 | $183.12 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA TOTAL DIAGNOSTIC | $183.12 | $183.12 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA TOTAL SCREENING | $183.12 | $183.12 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA SCREEN | $169.79 | $169.79 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA TOTAL SCREENING | $183.12 | $183.12 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL | $183.12 | $183.12 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA TOTAL AND FREE | $183.12 | $183.12 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA TOTAL DIAGNOSTIC | $183.12 | $183.12 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC SPECIAL COAG APTT | $82.85 | $82.85 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT | $82.85 | $82.85 | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC SPECIAL COAG APTT | $82.85 | $82.85 | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC APTT | $82.85 | $82.85 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME INR | $58.17 | $58.17 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME INR - SPECIAL COAG | $58.17 | $58.17 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME INR - SPECIAL COAG | $58.17 | $58.17 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME INR | $58.17 | $58.17 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH LEVEL | $165.00 | $165.00 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH LEVEL - TSH CASCADE | $165.00 | $165.00 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH LEVEL - ARUP | $165.00 | $165.00 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE | $178.61 | $178.61 | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH LEVEL - ARUP | $165.00 | $165.00 | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH LEVEL - TSH CASCADE | $165.00 | $165.00 | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH LEVEL | $165.00 | $165.00 | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE | $178.61 | $178.61 | — |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTO WITH MICROSCOPIC | $71.19 | $71.19 | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTO WITH MICROSCOPIC | $71.19 | $71.19 | — |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS DIPSTICK | $39.48 | $39.48 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS DIPSTICK | $39.48 | $39.48 | — |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS, NON-AUTO W/O MICROSCPY | $39.48 | $39.48 | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS, NON-AUTO W/O MICROSCPY | $39.48 | $39.48 | — |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $4,372.94 | $4,372.94 | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $4,372.94 | $4,372.94 | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $2,084.25 | $2,084.25 | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $2,084.25 | $2,084.25 | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL | $2,447.87 | $2,447.87 | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL | $2,447.87 | $2,447.87 | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHERAPY W/ PT 50 MIN | $602.39 | $602.39 | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYCHOTHERAPY W/ PT 50 MIN | $602.39 | $602.39 | — |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYCHOTHERAPY W/O PT 50 MIN | $586.11 | $586.11 | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYCHOTHERAPY W/O PT 50 MIN | $586.11 | $586.11 | — |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY, IOP/PHP | $318.41 | $318.41 | — |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY, IOP/PHP | $318.41 | $318.41 | — |
| New patient office visit, about 30 minutes CPT 99203 HC OFFICE OUTPATIENT NEW PT LOW LVL MDM | $362.51 | $362.51 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE OUTPATIENT NEW PT LOW LVL MDM | $362.51 | $362.51 | — |
| New patient office visit, about 45 minutes CPT 99204 HC OFFICE OUTPATIENT NEW PT MOD LVL MDM | $486.94 | $486.94 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE OUTPATIENT NEW PT MOD LVL MDM | $486.94 | $486.94 | — |
| New patient office visit, about 60 minutes CPT 99205 HC OFFICE OUTPATIENT NEW PT HIGH LVL MDM | $590.00 | $590.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE OUTPATIENT NEW PT HIGH LVL MDM | $590.00 | $590.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISES | $169.47 | $169.47 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EXERCISES | $169.47 | $169.47 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EXERCISES | $169.47 | $169.47 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EXERCISES | $169.47 | $169.47 | — |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES | $533.40 | $533.40 | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES | $533.40 | $533.40 | — |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES | $572.46 | $572.46 | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES | $572.46 | $572.46 | — |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W/ PT 60 MINUTES | $602.39 | $602.39 | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W/ PT 60 MINUTES | $602.39 | $602.39 | — |
Source file: https://HospitalPriceDisclosure.com/download.aspx?pi=Z8jTqHwZ1ep3y2PIIVscAg*-*