Adventhealth Ottawa
1301 S Main Street, Ottawa, KS · AdventHealth · · NPI 1972063758
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Unlisted px arthroscopy CPT 29999 | not published | not published | $231.96 – $3,601.04 | 6 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $852.91 – $3,918.00 | 5 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $152.81 – $1,087.00 | 5 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $298.48 – $3,245.00 | 5 |
| Unlisted px diaphragm CPT 39599 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $665.91 – $3,245.00 | 5 |
| Unlisted px external ear CPT 69399 | not published | not published | $162.00 – $1,087.00 | 5 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $298.48 – $3,245.00 | 5 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $231.96 – $3,245.00 | 5 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $231.96 – $3,245.00 | 5 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $231.96 – $3,245.00 | 5 |
| Unlisted px inner ear CPT 69949 | not published | not published | $222.73 – $3,245.00 | 5 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $298.48 – $3,245.00 | 5 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $231.96 – $3,245.00 | 5 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $234.95 – $3,245.00 | 5 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $126.39 – $287.29 | 4 |
| Unlisted px middle ear CPT 69799 | not published | not published | $222.73 – $3,245.00 | 5 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $222.73 – $3,245.00 | 5 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $222.73 – $3,245.00 | 5 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $231.96 – $3,245.00 | 5 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $2,170.22 – $3,918.00 | 5 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $222.73 – $3,245.00 | 5 |
| Unlisted px small intestine CPT 44799 | not published | not published | $852.91 – $3,918.00 | 5 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $222.73 – $3,245.00 | 5 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $126.39 – $287.29 | 4 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $222.73 – $3,245.00 | 5 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $222.73 – $3,245.00 | 5 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $20.90 – $83.31 | 4 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $375.94 – $678.82 | 5 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $188.67 – $320.74 | 3 |
| Unlisted surgical path px CPT 88399 | not published | not published | $10.55 – $83.31 | 5 |
| Unlisted transfusion med px CPT 86999 | $100.01 | $100.01 | $10.36 – $46.24 | 5 |
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $81.84 – $145.62 | 5 |
| Unlisted urinalysis px CPT 81099 | not published | not published | $5.46 – $16.19 | 2 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $589.90 – $3,245.00 | 5 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $375.94 – $678.82 | 5 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $3,245.00 – $12,199.00 | 5 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $3,245.00 – $12,199.00 | 5 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $3,034.94 | $3,034.94 | not published | 0 |
| Upgrade pm system CPT 33214 | not published | not published | $3,245.00 – $42,382.15 | 6 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $6,046.72 | $6,046.72 | $328.07 – $1,079.33 | 5 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $4,879.79 | $4,879.79 | $328.07 – $854.70 | 5 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $4,032.52 | $4,032.52 | $224.38 – $704.59 | 5 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $852.91 – $3,918.00 | 6 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $852.91 – $3,918.00 | 6 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | not published | not published | $350.57 – $743.50 | 4 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $852.91 – $3,918.00 | 6 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $4,006.00 – $9,664.62 | 5 |
| Urea nitrogen CPT 84520 | $60.39 | $60.39 | $1.66 – $8.82 | 6 |
| Urea nitrogen 24 hour urine CPT 84540 | $146.57 | $146.57 | $2.34 – $18.82 | 6 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $3.02 – $46.08 | 6 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $2.15 – $24.59 | 6 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $1,087.00 – $2,624.00 | 2 |
| Ureteral reflux study CPT 78740 | not published | not published | $275.19 – $678.82 | 5 |
| Ureter endoscopy CPT 50970 | not published | not published | $2,079.00 – $5,635.17 | 5 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $2,079.00 – $8,571.58 | 5 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $2,079.00 – $8,571.58 | 5 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $2,079.00 – $5,635.17 | 5 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $2,079.00 – $8,571.58 | 5 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $2,079.00 – $8,571.58 | 5 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $2,079.00 – $8,571.58 | 5 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $2,079.00 – $8,571.58 | 5 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,515.34 – $7,256.00 | 4 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $1,355.32 | $1,355.32 | $224.38 – $414.23 | 5 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $3,245.00 – $8,348.00 | 5 |
| Urethrocystography void s&i CPT 74455 | $1,571.26 | $1,571.26 | $138.88 – $414.23 | 5 |
| Uric acid blood CPT 84550 | $164.45 | $164.45 | $1.90 – $15.34 | 6 |
| Uric acid urine CPT 84560 | $178.67 | $178.67 | $2.13 – $21.24 | 6 |
| Urinalysis glass test CPT 81020 | not published | not published | $1.97 – $31.87 | 6 |
| Urinalysis microscopic only CPT 81015 | not published | not published | $1.28 – $10.17 | 6 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $0.91 – $9.21 | 6 |
| Urinalysis (with microscopy) CPT 81001 | $290.80 | $290.80 | $1.33 – $10.13 | 6 |
| Urinalysis (without microscopy) CPT 81003 | $231.16 | $231.16 | $0.95 – $9.59 | 6 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $94.48 – $226.85 | 2 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $4.72 – $4.72 | 1 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $9.58 – $9.58 | 1 |
| Urinary reflex study CPT 51792 | not published | not published | $55.47 – $1,087.00 | 5 |
| Urinary suspensory HCPCS A5105 | not published | not published | $126.85 – $126.85 | 1 |
| Urine Culture Test CPT 87086 | $280.49 | $280.49 | $3.39 – $31.65 | 6 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $125.12 – $1,087.00 | 5 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $11.36 – $11.36 | 1 |
| Urine pregnancy test CPT 81025 | $238.63 | $238.63 | $3.62 – $28.28 | 6 |
| Urine screen for bacteria CPT 81007 | not published | not published | $3.74 – $50.97 | 6 |
| Urine shunt to intestine CPT 50815 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $1.26 – $2,624.00 | 3 |
| Urography, antegrade CPT 74425 | $2,995.38 | $2,995.38 | $176.06 – $662.62 | 5 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $164.94 – $345.95 | 5 |
| Use 1st target lesion CPT 76982 | not published | not published | $98.31 – $196.15 | 4 |
| User adjustable heel height HCPCS L5990 | not published | not published | $2,182.07 – $3,779.00 | 4 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $116,623.29 | $116,623.29 | $12.76 – $22.09 | 4 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $155.88 – $155.88 | 1 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $7,256.00 – $20,524.42 | 4 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $161.65 – $190.44 | 2 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $147.06 – $190.44 | 2 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $155.90 – $171.10 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $87.78 – $114.57 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $65.55 – $85.55 | 2 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.