AdventHealth Polk — Injection prices
← Hospital overviewVerified from AdventHealth Polk’s published price file
Includes list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
6 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US Inpatient & outpatient | 20610 HCPCS | $519 | — | — | — | |
| HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/US Inpatient & outpatient | 20611 HCPCS | $1,465 | — | — | — | |
| HC CAH II ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US Inpatient & outpatient | 20610 HCPCS | $271 | — | — | — | |
| HC INJ NON-CHEMO, THER/PROPH/DIAG, IV PUSH, SGL/INITIAL DRUG Inpatient & outpatient | 96374 HCPCS | $661 | — | — | — | |
| HC INJ NON-CHEMO, THER/PROPH/DIAG, SUBQ/IM Inpatient & outpatient | 96372 HCPCS | $232 | — | — | — | |
| TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN Inpatient & outpatient | 96372 HCPCS | $80.84 | — | — | — |