Visits & medical services prices at AdventHealth Polk
Columbus, NC · every code in this section with a posted price and a Medicare benchmark.
110 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) | $300.09 | $300.09 | 1.4× |
| Analyze neurostim complex (95972) | $841.68 | $841.68 | 9.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $77.28 | $77.28 | 5.4× |
| Assessment of aphasia per hr (96105) | $305.13 | $305.13 | 3.1× |
| Behavral qualit analys voice (92524) | $524.37 | $524.37 | 4.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $719.99 | $719.99 | 2.0× |
| Canalith repositioning proc (95992) | $139.86 | $139.86 | 3.4× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,634.33 | $1,634.33 | 7.9× |
| Cardiopulmonary resuscitation (92950) | $532.04 | $532.04 | 2.6× |
| Cardioversion (92960) | $2,455.22 | $2,455.22 | 3.9× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) range across 3 matching MRF lines |
$187.32–$215.88 | $187.32–$215.88 | varies |
| Cbt 1st hour (94644) | $261.35 | $261.35 | 2.1× |
| Chemo Anti-Neopl Sq/Im (96401) | $416.64 | $416.64 | 6.1× |
| Chemo Hormon Antineopl Sq/Im (96402) | $319.31 | $319.31 | 4.6× |
| Chemo IV infusion addl hr (96415) | $360.89 | $360.89 | 5.2× |
| Chemo IV push addl drug (96411) | $435.75 | $435.75 | 6.3× |
| Chemother Prolong Infuse W/Pump (96416) | $1,003.80 | $1,003.80 | 3.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $467.67 | $467.67 | 6.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $939.02 | $939.02 | 3.0× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $586.11 | $586.11 | 1.9× |
| Chest Wall Manipulation (94668) | $287.49 | $287.49 | 2.3× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$1,269.60–$1,333.08 | $1,269.60–$1,333.08 | varies |
| Color/duplex Doppler, limited (93976) | $874 | $874 | 8.7× |
| Continuous Pulse Ox (94762) | $660 | $660 | 5.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $819.63 | $819.63 | 3.9× |
| Cpt initial (94667) | $287.49 | $287.49 | 2.3× |
| Critical care first hour (99291) | $4,643.73 | $4,643.73 | 5.9× |
| Debridement Open Wound 20 Sq Cm< (97597) | $258.72 | $258.72 | 1.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,431.68 | $1,431.68 | 6.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,188.29 | $1,188.29 | 11.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,394.61 | $1,394.61 | 6.1× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$1,269.60–$1,333.08 | $1,269.60–$1,333.08 | varies |
| Duplex up extrem art unilat/ltd (93931) | $456.02 | $456.02 | 4.6× |
| Echo Congenital Complete (93303) | $3,333.65 | $3,333.65 | 6.4× |
| Echo Heart Xthoracic,Limited (93308) range across 4 matching MRF lines |
$463.90–$487.10 | $463.90–$487.10 | varies |
| Echo transesophageal (93312) range across 4 matching MRF lines |
$1,902.71–$4,535.37 | $1,902.71–$4,535.37 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $3,545.85 | $3,545.85 | 6.8× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$99.12–$101.64 | $99.12–$101.64 | varies |
| Electrocardiogram Tracing (93005) | $418.11 | $418.11 | 7.4× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$200.13–$446.57 | $200.13–$446.57 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$389.76–$1,168.13 | $389.76–$1,168.13 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$602.49–$1,712.55 | $602.49–$1,712.55 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$107.52–$255.26 | $107.52–$255.26 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$941.43–$2,174.55 | $941.43–$2,174.55 | varies |
| Evaluate pt use of inhaler (94664) | $200.87 | $200.87 | 1.0× |
| Evaluate Speech Production (92522) | $541.07 | $541.07 | 4.8× |
| Evaluate Swallowing Function (92610) | $187.32 | $187.32 | 2.2× |
| Evaluation of speech fluency (92521) | $524.37 | $524.37 | 3.9× |
| External ECG rec>48hr<7d recording (93242) | $383.99 | $383.99 | 10.8× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $384 | $384 | 3.0× |
| External ECG rec>7d<15d recording (93246) | $414.86 | $414.86 | 11.6× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $834 | $834 | 6.6× |
| External Ecg Scanning Analysis Report (93226) | $1,463.07 | $1,463.07 | 25.9× |
| Extracranial Bilat Study (93880) | $933.56 | $933.56 | 4.1× |
| Extracranial Uni/Ltd Study (93882) | $695.63 | $695.63 | 7.0× |
| Holter monitor recording (93225) | $2,070.39 | $2,070.39 | 16.3× |
| Immunization administration (90471) | $169.26 | $169.26 | 2.5× |
| Iontophoresis 15 min (97033) | $125.90 | $125.90 | 6.6× |
| Irrig Drug Delivery Device (96523) | $233.21 | $233.21 | 4.1× |
| IV infusion hydration each additional hour (96361) | $773.96 | $773.96 | 17.3× |
| IV infusion hydration initial 31 min-1 hour (96360) | $773.96 | $773.96 | 3.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $773.96 | $773.96 | 11.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $773.96 | $773.96 | 17.3× |
| IV push initial (96374) | $661.19 | $661.19 | 3.3× |
| Mechanical chest wall oscillation per session (94669) | $642.60 | $642.60 | 3.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $90.93 | $90.93 | 2.5× |
| Motion Fluoroscopy/Swallow (92611) | $202.76 | $202.76 | 2.2× |
| Neuromuscular Reeducation (97112) | $177.14 | $177.14 | 5.4× |
| Oral Function Therapy (92526) | $370.65 | $370.65 | 4.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $171.99 | $171.99 | 3.4× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $171.99 | $171.99 | 3.7× |
| Ot eval high complexity (97167) | $471.35 | $471.35 | 4.7× |
| Ot Eval Low Complex (97165) | $471.35 | $471.35 | 4.7× |
| Ot Eval Moderate Complexity (97166) | $471.35 | $471.35 | 4.7× |
| Ot manual therapy 15 min (97140) | $165.69 | $165.69 | 6.0× |
| Ot paraffin bath (97018) | $42.84 | $42.84 | 7.1× |
| Ot Re-Eval Est Plan Care (97168) | $286.97 | $286.97 | 4.2× |
| Phlebotomy therapeutic (99195) | $804.72 | $804.72 | 6.3× |
| Pm device eval in person (93288) | $130 | $130 | 3.6× |
| Pt Eval High Complex (97163) | $439.53 | $439.53 | 4.5× |
| Pt eval low complex 20 min (97161) | $439.53 | $439.53 | 4.5× |
| Pt Eval Mod Complex (97162) | $439.53 | $439.53 | 4.5× |
| Pt gait training 15 min (97116) | $152.57 | $152.57 | 5.3× |
| Pt group caregiver training (97552) range across 3 matching MRF lines |
$187.32–$215.88 | $187.32–$215.88 | varies |
| Pt mechanical traction (97012) | $93.98 | $93.98 | 6.5× |
| Pt Re-Eval Est Plan Care (97164) | $232.05 | $232.05 | 3.4× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$187.32–$215.88 | $187.32–$215.88 | varies |
| Slp caregiver training 1st 30 min (97550) range across 3 matching MRF lines |
$374.64–$431.76 | $374.64–$431.76 | varies |
| Speech sound lang comprehen (92523) | $524.37 | $524.37 | 2.3× |
| Stress Tte Only (93350) | $1,137.54 | $1,137.54 | 2.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $167.16 | $167.16 | 7.5× |
| Ther Ivntj Ea Addl 15 Min (97130) | $167.16 | $167.16 | 7.9× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $196.46 | $196.46 | 5.3× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$131.78–$138.71 | $131.78–$138.71 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $251.16 | $251.16 | 2.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$80.84–$232.05 | $80.84–$232.05 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $773.96 | $773.96 | 3.8× |
| Therapeutic Activities (97530) | $173.36 | $173.36 | 4.9× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $76.34 | $76.34 | 2.1× |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$2,464.77–$3,668.28 | $2,464.77–$3,668.28 | varies |
| Tte W/O Doppler Complete (93307) | $856.90 | $856.90 | 3.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $345.66 | $345.66 | 4.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $309.96 | $309.96 | 6.9× |
| Upr/L Xtremity Art 2 Levels (93922) | $510.93 | $510.93 | 4.0× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $686.60 | $686.60 | 3.3× |
| Vasopneumatic device (97016) range across 2 matching MRF lines |
$85.16–$98.07 | $85.16–$98.07 | varies |
| Vent Mgmt Inpat Init Day (94002) | $956.03 | $956.03 | 1.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $696.78 | $696.78 | 1.2× |
| Wheelchair Mgmt Ea 15 Min (97542) | $118.23 | $118.23 | 3.8× |
| Whirlpool Therapy (97022) | $86.94 | $86.94 | 5.5× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.