Novant Health Pender Medical Center — price list

← Hospital overviewVerified from Novant Health Pender Medical Center’s published price file

Includes cash prices, 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.

116 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
""y set"" tubing Outpatient	A4719 HCPCS	—	—	—	—
& chlamydia ag dfa Outpatient	87270 CPT	$159	$71.55	$40.78 – $154	—
<50% total PT outpt ra encts Outpatient	M1008 HCPCS	—	—	—	—
<6yr new onset hd ache Outpatient	G2193 HCPCS	—	—	—	—
>= 2 same hi-rsk med not ord Outpatient	G9368 HCPCS	—	—	—	—
>= 2 same hi-rsk med ord Outpatient	G9367 HCPCS	—	—	—	—
>=2 same hi-rsk med without diag Outpatient	M1209 HCPCS	—	—	—	—
>=2 same meds tbl4 not ord Outpatient	M1210 HCPCS	—	—	—	—
>=50% total PT outpt ra enct Outpatient	M1007 HCPCS	—	—	—	—
>=86y no hx colo ca/rsn scop Outpatient	G9659 HCPCS	—	—	—	—
>55 yrs temp hd ache Outpatient	G2192 HCPCS	—	—	—	—
1 admn rsv monoc antb IM njx Outpatient	96381 CPT	—	—	—	—
1 bod temp >=35.5 Outpatient	G9773 HCPCS	—	—	—	—
1 bodytemp >=35.5cw/in 30min Outpatient	4559F CPT	—	—	—	—
1 cc sterile syringe&needle Outpatient	A4206 HCPCS	—	—	—	—
1 em core session Outpatient	G9873 HCPCS	—	—	—	—
1 med visit in 24mo Outpatient	G9247 HCPCS	—	—	—	—
1 or no CT sinus within 90d dx Outpatient	G9354 HCPCS	—	—	—	—
1,25-dihydroxyvitamin d level Outpatientapprox. match	82652 CPT	$428	$193	$110 – $415	—
100 insulin syringes Outpatient	S8490 HCPCS	—	—	—	—
11-dehydro thromboxane b2 Outpatient	83520 CPT	$806	$363	$207 – $782	—
11-deoxycortisol Outpatient	82634 CPT	$386	$174	$99.00 – $374	—
11-desoxycorticosterone Outpatient	82633 CPT	$409	$184	$105 – $397	—
12-lead ECG performed Outpatient	3120F CPT	—	—	—	—
17 hydroxyprogesterone urine Outpatient	83498 CPT	$302	$136	$77.46 – $293	—
17-hydropregnenolone Outpatient	84143 CPT	$253	$114	$64.89 – $245	—
17-hydroxyprogesterone Outpatient	83498 CPT	$359	$162	$92.08 – $348	—
17-ketosteroids total Outpatient	83586 CPT	$551	$248	$141 – $534	—
17-oh corticosteroid ur 24 hr Outpatient	83491 CPT	$757	$341	$194 – $734	—
1dose menig vac btwn 11 & 13 Outpatient	G9414 HCPCS	—	—	—	—