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 |
|---|---|---|---|---|
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $976.84 | $976.84 | $109.97 – $321.39 | 5 |
| X-ray exam entire spi 4/5 vw CPT 72083 | not published | not published | $96.03 – $196.15 | 4 |
| X-ray exam entire spi 6/> vw CPT 72084 | $611.40 | $611.40 | $98.31 – $196.15 | 4 |
| X-ray exam of arm infant CPT 73092 | $465.23 | $465.23 | $37.17 – $196.15 | 5 |
| X-ray exam of eye sockets CPT 70200 | $725.80 | $725.80 | $53.69 – $196.15 | 5 |
| X-ray exam of femur 1 CPT 73551 | $519.16 | $519.16 | $33.03 – $145.62 | 4 |
| X-ray exam of jaw joint CPT 70328 | $585.25 | $585.25 | $40.26 – $145.62 | 5 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $91.38 – $534.83 | 5 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $46.46 – $196.15 | 5 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $69.18 – $873.52 | 5 |
| X-ray exam of penis CPT 74445 | not published | not published | $98.31 – $345.95 | 5 |
| X-ray exam of perineum CPT 74775 | not published | not published | $224.38 – $414.23 | 5 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $45.95 – $145.62 | 5 |
| X-ray exam of sinuses CPT 70210 | $838.76 | $838.76 | $37.17 – $145.62 | 5 |
| X-ray exam of tear duct CPT 70170 | $2,651.15 | $2,651.15 | $224.38 – $423.84 | 5 |
| X-ray exam of teeth CPT 70300 | not published | not published | $12.39 – $145.62 | 5 |
| X-ray exam of teeth CPT 70310 | not published | not published | $49.04 – $414.23 | 5 |
| X-ray exam si joints CPT 72200 | $508.54 | $508.54 | $38.73 – $196.15 | 5 |
| X-ray exam thorac spine4/>vw CPT 72074 | $1,387.59 | $1,387.59 | $50.59 – $196.15 | 5 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $980.63 | $980.63 | $37.17 – $145.62 | 5 |
| X-ray facial bones complete > 3 views CPT 70150 | $1,243.30 | $1,243.30 | $53.69 – $196.15 | 5 |
| X-ray fallopian tube CPT 74742 | not published | not published | $83.61 – $83.61 | 1 |
| X-ray femur >=2 views (both sides) CPT 73552 | $1,090.93 | $1,090.93 | $41.81 – $145.62 | 4 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $608.16 | $608.16 | $48.53 – $145.62 | 5 |
| X-ray foot 2 views (both sides) CPT 73620 | $785.98 | $785.98 | $32.52 – $145.62 | 5 |
| X-ray forearm 2 views (both sides) CPT 73090 | $915.63 | $915.63 | $33.56 – $145.62 | 5 |
| X-ray hand 2 views (both sides) CPT 73120 | $347.51 | $347.51 | $36.14 – $196.15 | 5 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $12.39 – $145.62 | 5 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $729.53 | $729.53 | $32.52 – $145.62 | 5 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $2,094.50 | $2,094.50 | $71.76 – $196.15 | 4 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $993.42 | $993.42 | $47.50 – $196.15 | 4 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $1,303.86 | $1,303.86 | $61.43 – $196.15 | 4 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $1,396.99 | $1,396.99 | $72.80 – $196.15 | 4 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $652.67 | $652.67 | $37.17 – $145.62 | 4 |
| X-ray humerus >= 2 views left CPT 73060 | $486.72 | $486.72 | $37.69 – $145.62 | 5 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $47.50 – $196.15 | 5 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $928.35 | $928.35 | $40.79 – $145.62 | 5 |
| X-ray knee 3 views (both sides) CPT 73562 | $966.52 | $966.52 | $49.04 – $145.62 | 5 |
| X-ray knee ap standing bilateral CPT 73565 | $509.73 | $509.73 | $49.04 – $145.62 | 5 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $539.39 | $539.39 | $37.17 – $145.62 | 5 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $1,157.01 | $1,157.01 | $46.46 – $196.15 | 5 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $1,064.47 | $1,064.47 | $60.41 – $196.15 | 5 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $1,237.08 | $1,237.08 | $73.31 – $196.15 | 5 |
| X-ray male genital tract CPT 74440 | not published | not published | $123.92 – $414.23 | 5 |
| X-ray mandible complete > 4 views CPT 70110 | $1,061.26 | $1,061.26 | $49.04 – $196.15 | 5 |
| X-ray mandible ltd <4 views CPT 70100 | $745.71 | $745.71 | $46.46 – $145.62 | 5 |
| X-ray nasal bones complete > 3 views CPT 70160 | $890.01 | $890.01 | $46.46 – $145.62 | 5 |
| X-ray neck soft tissue CPT 70360 | $558.71 | $558.71 | $35.62 – $145.62 | 5 |
| X-ray nose to rectum for foreign body child CPT 76010 | $1,351.71 | $1,351.71 | $33.03 – $145.62 | 5 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $74.35 – $423.84 | 5 |
| X-ray optic foramina CPT 70190 | not published | not published | $41.81 – $145.62 | 5 |
| X-ray pelvis 1-2 views CPT 72170 | $663.45 | $663.45 | $30.46 – $196.15 | 5 |
| X-ray pelvis complete > 3 views CPT 72190 | $663.45 | $663.45 | $46.98 – $196.15 | 5 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $260.17 – $390.92 | 2 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $297.05 – $437.97 | 2 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | not published | not published | $82.09 – $662.62 | 5 |
| X-ray ribs 2 views left CPT 71100 | $926.42 | $926.42 | $40.79 – $145.62 | 5 |
| X-ray ribs 3 views bilateral CPT 71110 | $796.96 | $796.96 | $46.98 – $196.15 | 5 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $1,161.06 | $1,161.06 | $45.95 – $196.15 | 5 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $1,548.07 | $1,548.07 | $57.82 – $196.15 | 5 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $678.06 | $678.06 | $44.40 – $196.15 | 5 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $790.22 | $790.22 | $37.69 – $145.62 | 5 |
| X-ray scapula complete (both sides) CPT 73010 | $890.01 | $890.01 | $23.23 – $196.15 | 5 |
| X-ray sella turcica CPT 70240 | not published | not published | $37.17 – $145.62 | 5 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $822.59 | $822.59 | $22.19 – $145.62 | 5 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $1,374.11 | $1,374.11 | $42.34 – $145.62 | 5 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,276.00 | $1,276.00 | $54.73 – $873.52 | 5 |
| X-ray skull < 4 views CPT 70250 | $819.89 | $819.89 | $42.34 – $196.15 | 5 |
| X-ray skull > 4 views complete CPT 70260 | $1,347.16 | $1,347.16 | $48.53 – $196.15 | 5 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $96.03 – $196.15 | 5 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $1,079.57 | $1,079.57 | $133.20 – $321.39 | 5 |
| X-ray small intestine follow-through study CPT 74248 | $1,079.57 | $1,079.57 | $78.47 – $78.47 | 1 |
| X-ray spine single view CPT 72020 | $691.77 | $691.77 | $26.33 – $145.62 | 5 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $640.54 | $640.54 | $48.02 – $145.62 | 5 |
| X-ray sternum > 2 views CPT 71120 | $888.65 | $888.65 | $37.69 – $145.62 | 5 |
| X-ray surgical specimen CPT 76098 | $304.13 | $304.13 | $41.81 – $873.52 | 5 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $1,220.13 | $1,220.13 | $157.99 – $321.39 | 5 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $841.46 | $841.46 | $64.53 – $145.62 | 5 |
| X-ray thoracic spine 2 views CPT 72070 | $591.99 | $591.99 | $36.14 – $196.15 | 5 |
| X-ray thoracic spine 3 views CPT 72072 | $1,061.26 | $1,061.26 | $44.40 – $196.15 | 5 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $528.60 | $528.60 | $38.20 – $145.62 | 5 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | not published | not published | $46.98 – $145.62 | 4 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $466.33 | $466.33 | $85.70 – $196.15 | 4 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $885.39 | $885.39 | $37.17 – $145.62 | 5 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $547.49 | $547.49 | $35.62 – $145.62 | 5 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $2,649.32 | $2,649.32 | $153.86 – $321.39 | 5 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $1,731.89 | $1,731.89 | $134.24 – $321.39 | 5 |
| X-ray wrist 2 views (both sides) CPT 73100 | $541.20 | $541.20 | $40.26 – $145.62 | 5 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $976.84 | $976.84 | $107.40 – $321.39 | 5 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $254.20 – $254.20 | 1 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $254.20 – $254.20 | 1 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $5.42 – $52.77 | 6 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.50 – $2.84 | 4 |
| Yersinia antibody CPT 86793 | not published | not published | $5.54 – $34.98 | 6 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $56,824.55 – $96,601.73 | 4 |
| Ziconotide injection HCPCS J2278 | not published | not published | $9.78 – $17.24 | 4 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $21.55 – $87.23 | 4 |
| Zika virus igm antibody CPT 86794 | $206.67 | $206.67 | $7.08 – $39.39 | 5 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $1.47 – $1.47 | 1 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $7.88 – $13.40 | 4 |
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.