Procedures & surgery prices at AdventHealth Polk

Columbus, NC · every code in this section with a posted price and a Medicare benchmark.

240 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,864.38 $1,864.38 2.2×
Amputation Finger/Thumb (26951) $8,220.66 $8,220.66 2.6×
Anoscopy diagnostic (46600) $169.16 $169.16 1.3×
Application cast elbow finger short arm (29075) $488.88 $488.88 1.8×
Application Cast Finger (29086) $143.96 $143.96 0.9×
Application finger splint static (29130) $143.96 $143.96 1.1×
Application long arm splint shoulder hand (29105) $414.65 $414.65 2.7×
Application long leg splint thigh ankle/toes (29505) $671.06 $671.06 4.3×
Application of long leg cast (29345) $569.36 $569.36 2.1×
Application short arm splint forearm-hand static (29125) $341.46 $341.46 2.7×
Application short leg splint calf foot (29515) $544.53 $544.53 3.5×
Apply short leg cast (29405) $414.65 $414.65 1.6×
Arterial puncture (36600) $280.77 $280.77 2.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $594.41 $594.41 2.0×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,328.67 $1,328.67 2.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $395.28 $395.28 1.3×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,464.54 $1,464.54 5.0×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $421.89 $421.89 1.4×
Avulsion nail plate partial/complete simple 1 (11730) $414.23 $414.23 2.2×
Biopsy muscle percutaneous needle (20206) $3,061.70 $3,061.70 1.9×
Bladder Instillation Anticarcinogenic Agent (51720) $971.57 $971.57 1.5×
Blood transfusion service (36430) $2,047.40 $2,047.40 4.9×
Bone Marrow Biopsy (38221) $1,641.05 $1,641.05 1.0×
Brain Shunt Tube/Reserv Injectn (61070) $2,392.22 $2,392.22 3.5×
Bx abdl/retroperitoneal mass prq needle (49180) $3,027.99 $3,027.99 1.9×
Bx breast 1st lesion strtctc (19081) $2,843.25 $2,843.25 1.8×
Bx breast 1st lesion us imag (19083) $3,349.92 $3,349.92 2.1×
Bx/exc lymph node needle superficial (38505) $1,846.64 $1,846.64 1.2×
Catheter Aspiration Nasotracheal Spx (31720) $1,345.05 $1,345.05 6.4×
Change Cystostomy Tube Simple (51705) $1,425.38 $1,425.38 6.0×
Chemical Cautery Tissue (17250) $591.15 $591.15 3.1×
Chemodenerv 1 extrem 5/> mus (64644) $1,191.96 $1,191.96 1.8×
Chemodenerv 1 extremity 1-4 (64642) $1,045.59 $1,045.59 1.5×
Chemodenerv Musc Migraine (64615) $728.49 $728.49 2.5×
Chemodenerv trunk musc 1-5 (64646) $1,242.36 $1,242.36 1.8×
Chemodenerv trunk musc 6/> (64647) $1,253.49 $1,253.49 1.9×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $759.78 $759.78 2.6×
Chest tube placement (32551) $1,567.02 $1,567.02 1.0×
Chg Collect Blood From Catheter Venous Nos (36592) $188.48 $188.48 1.5×
Closed Rx Med Malleolus Fx (27760) $816.69 $816.69 3.5×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $593.36 $593.36 0.4×
Closed Rx Shldr Disloc,Gr Tub Fx (23665) $2,707.74 $2,707.74 1.8×
Closed treat wrist dislocation (25660) $945.21 $945.21 4.0×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $813.86 $813.86 3.5×
Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone (26607) $5,602.59 $5,602.59 1.8×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $753.90 $753.90 3.2×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $1,636.11 $1,636.11 6.9×
Closed tx ankle dislocation w/o anesthesia (27840) $1,203.20 $1,203.20 5.1×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $478.70 $478.70 0.3×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $502.64 $502.64 2.1×
Closed tx metatarsal fracture w/o manipulation (28470) $689.33 $689.33 2.9×
Closed tx patellar dislocation w/o anesthesia (27560) $1,059.56 $1,059.56 4.5×
Closed tx radial shaft fracture w/manipulation (25505) $593.36 $593.36 0.4×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $306.71 $306.71 1.3×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $891.35 $891.35 3.9×
Clsd tx pelvic ring fx w/o manipulation (27197) $726.29 $726.29 3.1×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $686.18 $686.18 2.9×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $724.61 $724.61 3.1×
Cltx dstl fibular fx lat malls w/o manj (27786) $801.89 $801.89 3.4×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $669.69 $669.69 2.8×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $857.96 $857.96 3.6×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $789.71 $789.71 0.5×
Cltx fem fx dstl end medial/lat condyle w/manj (27510) $478.70 $478.70 0.3×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $683.55 $683.55 2.9×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $607.74 $607.74 2.6×
Cltx hip dislocation traumatic w/o anesthesia (27250) $1,249.82 $1,249.82 5.3×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $817.22 $817.22 3.5×
Cltx iphal jt dislc w/manj w/o anes (26770) $959.50 $959.50 4.1×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $646.38 $646.38 2.7×
Cltx metatarsophlngl jt dislc w/o anes (28630) $591.99 $591.99 2.5×
Cltx post hip arthrp dislc w/o anes (27265) $1,274.91 $1,274.91 5.4×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $825.20 $825.20 3.5×
Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) $2,711.42 $2,711.42 1.8×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $2,724.44 $2,724.44 1.8×
Cltx trimalleolar ankle fx w/manipulation (27818) $416.96 $416.96 0.3×
Complete replacement picc rs&i (36584) $3,938.87 $3,938.87 2.6×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $172.31 $172.31 0.8×
Control Nasal Hemorrhage Anterior Complex (30903) $554.72 $554.72 4.4×
Control Nasal Hemorrhage Anterior Simple (30901) $544.06 $544.06 4.3×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $5,808.92 $5,808.92 3.7×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $770.60 $770.60 6.1×
Declot vascular device (36593) $792.54 $792.54 2.5×
Destroy cerv/thor facet jnt (64633) $3,599.51 $3,599.51 1.9×
Destroy lumb/sac facet jnt (64635) $3,878.81 $3,878.81 2.1×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $2,420.67 $2,420.67 2.9×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $2,414.69 $2,414.69 3.6×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $700.67 $700.67 1.0×
Drain/inj small joint/bursa w/us (20604) $1,049.37 $1,049.37 3.6×
Drainage Finger Abscess Complicated (26011) $4,294.19 $4,294.19 2.7×
Drainage Finger Abscess Simple (26010) $935.87 $935.87 4.9×
Drainage mouth roof lesion (42000) $852.08 $852.08 3.8×
Drainage of eyelid abscess (67700) $1,005.59 $1,005.59 3.3×
Drainage of gum lesion (41800) $784.56 $784.56 6.2×
Drainage of hematoma/fluid (10140) $236.46 $236.46 0.1×
Draw blood off venous device (36591) $197.61 $197.61 1.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $805.98 $805.98 4.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $558.60 $558.60 2.9×
Dx bone marrow bx & aspir (38222) $2,449.55 $2,449.55 0.9×
Evacuation of subungual hematoma (11740) $204.75 $204.75 1.6×
Excision of nail fold toe (11765) $487.94 $487.94 1.3×
Exploration penetrating wound spx extremity (20103) $1,602.93 $1,602.93 1.0×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $3,541.76 $3,541.76 5.2×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $1,796.55 $1,796.55 2.7×
Fine needle aspiration without imaging guidance (10021) $1,141.04 $1,141.04 2.9×
Fluid pressure muscle (20950) $67.62 $67.62 0.1×
Fluoro exam of g/colon tube (49465) $2,219.81 $2,219.81 9.7×
Fna bx w/fluor gdn 1st les (10007) $1,834.88 $1,834.88 2.7×
I&D Abscess Peritonsillar (42700) $706.76 $706.76 3.1×
I&d abscess simple (10060) $1,237.58 $1,237.58 6.5×
I&d perianal abscess superficial (46050) $1,206.66 $1,206.66 1.4×
I&d pilonidal cyst simple (10080) $615.72 $615.72 0.9×
I&D Upper Arm/Elbow Bursa (23931) $4,890.90 $4,890.90 3.1×
Image Cath Fluid Peri/Retro (49406) $5,709.06 $5,709.06 3.6×
Incision & drainage abscess complicated/multiple (10061) $787.50 $787.50 2.0×
Incision & drainage pilonidal cyst complicated (10081) $3,190.27 $3,190.27 4.7×
Incision & removal foreign body subq tiss simple (10120) $643.92 $643.92 1.7×
Incision of rectal abscess (46040) $4,178.27 $4,178.27 3.7×
Incision thrombosed hemorrhoid external (46083) $1,068.80 $1,068.80 4.5×
Initial tx 1st degree burn local tx (16000) $753.06 $753.06 3.9×
Inj paravert f jnt c/t 1 lev (64490) $2,355.89 $2,355.89 2.8×
Inj tendon sheath/ligament (20550) $4,798.08 $4,798.08 16.4×
Inj,Anes Agent,Brachial Plexus,Single (64415) $864.89 $864.89 1.0×
Inj,Anes Agent,Femoral Nerve,Single (64447) $864.89 $864.89 1.3×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $2,684.96 $2,684.96 3.2×
Inject Nerv Blck,Celiac Plexus (64530) $3,224.13 $3,224.13 3.8×
Inject Nerv Blck,Intercost,Multpl (64421) $2,173.82 $2,173.82 2.6×
Inject Nerv Blck,Intercostal,One (64420) $1,342.11 $1,342.11 2.0×
Inject Nerv Blck,Paravert Sympath (64520) $2,390.96 $2,390.96 2.8×
Inject Rx Celiac Plexus Nerve (64680) $3,404.52 $3,404.52 4.0×
Inject Tendon Origin/Insert (20551) $559.97 $559.97 1.9×
Injection aa&/strd genicular nrv branches w/img (64454) $2,193.50 $2,193.50 3.3×
Injection aa&/strd trigeminal nerve each branch (64400) $1,015.98 $1,015.98 3.5×
Injection anes other peripheral nerve/branch (64450) $1,022.49 $1,022.49 1.5×
Injection for identification of sentinel node (38792) $515.55 $515.55 1.3×
Injection single/mlt trigger point 1/2 muscles (20552) $343.09 $343.09 1.2×
Injection single/mlt trigger point 3/> muscles (20553) $610.68 $610.68 2.1×
Injection therapeutic carpal tunnel (20526) $738.89 $738.89 2.5×
Injection treatment of nerve (64600) $4,997.16 $4,997.16 5.9×
Injection, anesthetic agent; greater occipital nerve (64405) $1,023.02 $1,023.02 3.5×
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) $23,000 $23,000 2.3×
Insert Bladder Cath Complex (51703) $325.08 $325.08 2.6×
Insert non-tunnel cv cath (36556) $1,361.85 $1,361.85 0.5×
Insert Non-Tunnel Cv Cath < 5 Y/O (36555) $3,973.10 $3,973.10 1.3×
Insert picc cath (36569) $3,583.23 $3,583.23 2.4×
Insert Temp Bladder Cath (51702) $357.42 $357.42 2.8×
Insert,Non-Indwelling Bladder Catheter (51701) $457.49 $457.49 3.6×
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) $11,167.59 $11,167.59 0.6×
Insertion Picc W/Rs&I 5 Yr/> (36573) $4,091.33 $4,091.33 2.7×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $6,178.73 $6,178.73 0.8×
Intubation endotracheal emergency procedure (31500) $1,084.60 $1,084.60 4.8×
Irrigate corpora cavernosa for priapism (54220) $1,054.83 $1,054.83 4.4×
Laryngoscopy Flexible Diagnostic (31575) $367.19 $367.19 1.9×
Lithotripsy (50590) $15,407.37 $15,407.37 4.6×
Liver Biopsy (47000) $4,643.63 $4,643.63 2.9×
Myelography Lumbar Injection (62304) $1,593.90 $1,593.90 2.1×
Myelography Via Lumbar Injection Rs&I Cervical (62302) $1,548.02 $1,548.02 2.1×
Myelography via lumbar injection rs&i thoracic (62303) $2,807.60 $2,807.60 3.7×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,030 $1,030 2.5×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,266.64 $2,266.64 2.7×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $4,568.45 $4,568.45 6.8×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) $2,277.24 $2,277.24 3.4×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) $3,499.97 $3,499.97 4.1×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $4,372.94 $4,372.94 6.5×
Perq dev breast 1st us imag (19285) $2,515.70 $2,515.70 3.7×
Perq device breast 1st imag (19281) $5,132.61 $5,132.61 3.3×
Perq Drainage Pleura Insert Cath W/O Imaging (32556) $3,754.59 $3,754.59 2.0×
Perq replacement gtube not req revj gstrst trc (43762) $844.57 $844.57 3.5×
Perq vert agmntj cavity crtj uni/bi cannulation (22513) $17,001.92 $17,001.92 2.5×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $24,015.29 $24,015.29 3.5×
Placement of needle for intraosseous infusion (36680) $829.40 $829.40 1.9×
Prq impltj neurostimulator eltrd peripheral nrv (64555) $6,184.40 $6,184.40 1.0×
Puncture Aspiration (10160) $1,746.78 $1,746.78 4.5×
Puncture Aspiration Cyst Breast (19000) $827.51 $827.51 1.2×
Pvb thoracic single inj site (64461) $3,346.56 $3,346.56 5.0×
Removal fb intranasal (30300) $268.17 $268.17 2.1×
Removal foreign body foot subcutaneous (28190) $1,368.26 $1,368.26 2.0×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $3,117.24 $3,117.24 2.0×
Removal foreign body pharynx (42809) $941.33 $941.33 2.2×
Removal impacted cerumen irrigation/lvg unilat (69209) $112.14 $112.14 2.0×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $233.62 $233.62 4.1×
Removal of arm foreign body (24200) $5,107.31 $5,107.31 3.2×
Removal of nail bed (11750) $1,251.81 $1,251.81 3.2×
Removal subq cardiac rhythm monitor (33286) $4,212.97 $4,212.97 6.2×
Remove foreign body from eye (65210) $713.58 $713.58 1.7×
Remv Ext Canal Foreign Body (69200) $367.29 $367.29 2.9×
Remv F.B.,Eye,Superf Conjunc (65205) $910.88 $910.88 7.2×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $2,971.08 $2,971.08 4.2×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $859.95 $859.95 2.2×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,304.84 $1,304.84 3.4×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $469.25 $469.25 1.2×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $2,579.85 $2,579.85 6.6×
Repair forearm tendon/muscle (25270) $8,178.56 $8,178.56 2.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $1,242.47 $1,242.47 3.2×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $874.86 $874.86 2.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $779 $779 2.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $855.22 $855.22 2.2×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $1,339.70 $1,339.70 3.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $822.78 $822.78 2.1×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,339.70 $1,339.70 3.4×
Repair of nail bed (11760) $664.76 $664.76 0.9×
Revj/rmvl peripheral neurostimulator electrode (64585) $7,471.17 $7,471.17 2.2×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $5,352.27 $5,352.27 3.6×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $463.32 $463.32 1.1×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $717.05 $717.05 5.6×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $2,231.25 $2,231.25 4.3×
Rpr Lip Full Thickness Vermilion Only (40650) $2,374.26 $2,374.26 4.6×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $2,550.03 $2,550.03 1.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $798.74 $798.74 2.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $720.09 $720.09 3.8×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $749.12 $749.12 3.9×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $822.78 $822.78 4.3×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $870.45 $870.45 4.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $915.50 $915.50 4.8×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $806.30 $806.30 4.2×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $951.46 $951.46 5.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $949.04 $949.04 4.9×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $830.13 $830.13 2.1×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $717.26 $717.26 1.8×
Spinal puncture lumbar diagnostic (62270) $2,229.57 $2,229.57 3.3×
Strapping ankle (29540) $302.61 $302.61 1.9×
Strapping elbow/wrist (29260) $219.14 $219.14 3.9×
Strapping knee (29530) $417.38 $417.38 3.3×
Strapping shoulder (29240) $256.62 $256.62 2.0×
Strapping toes (29550) $412.76 $412.76 7.3×
Strapping unna boot (29580) $318.78 $318.78 2.1×
Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) $2,414.69 $2,414.69 3.6×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $2,035.11 $2,035.11 3.4×
Thoracentesis needle/cath pleura w/o imaging (32554) $1,751.40 $1,751.40 2.9×
Thrombolytic Therapy, Stroke (37195) $1,078.14 $1,078.14 3.4×
Trach Tube Change (31502) $847.46 $847.46 3.7×
Tracheostomy emergency cricothyroid membrane (31605) $2,547.62 $2,547.62 11.3×
Tracheostomy Emergency Procedure Transtracheal (31603) $4,606.88 $4,606.88 3.1×
Treat humerus fracture (24500) $806.93 $806.93 3.4×
Treatment closed elbow dislocation w/o anes (24600) $730.91 $730.91 3.1×
Trimming Of Nondystrophic Nails, Any Number (11719) $223.02 $223.02 4.0×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,148.91 $1,148.91 1.6×
Tx superficial wound dehiscence w/packing (12021) $705.39 $705.39 1.8×
Unlisted Procedure Nervous System (64999) $912.24 $912.24 3.1×
Vaginal delivery only (59409) $10,395.42 $10,395.42 3.4×
Venipuncture (36415) $20 $20 2.1×