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 |
|---|---|---|---|---|
| Cystoscopy inject material CPT 52327 | not published | not published | $2,788.00 – $12,199.00 | 6 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $5,042.11 – $8,571.58 | 5 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $2,788.00 – $5,635.17 | 6 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $1,049.16 – $3,918.00 | 6 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $1,049.16 – $5,562.00 | 6 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $2,836.00 – $8,571.58 | 6 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $1,965.75 – $5,562.00 | 6 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $1,965.75 – $5,562.00 | 5 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $3,314.81 – $5,635.17 | 5 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $3,245.00 – $5,635.17 | 5 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $3,245.00 – $5,635.17 | 6 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $2,964.38 – $5,635.17 | 6 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $4,006.00 – $8,571.58 | 6 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $3,119.07 – $8,571.58 | 6 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $5,042.11 – $12,199.00 | 6 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $4,006.00 – $12,199.00 | 6 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $2,836.00 – $8,571.58 | 6 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $3,314.81 – $5,635.17 | 6 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $2,836.00 – $5,635.17 | 6 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $3,245.00 – $5,635.17 | 5 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $1,738.43 – $3,918.00 | 6 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $1,965.75 – $5,562.00 | 6 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $1,087.00 – $2,624.00 | 2 |
| Cystourethro w/implant CPT 52441 | not published | not published | $1,087.00 – $4,376.00 | 2 |
| Cysto with bx(s) with blue light HCPCS C7550 | not published | not published | $2,309.84 – $8,520.00 | 4 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $2,836.00 – $5,635.17 | 6 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $2,836.00 – $5,635.17 | 6 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $2,836.00 – $5,635.17 | 6 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $146.48 | $146.48 | not published | 0 |
| Cytog alys chrml abnr lw-ps CPT 81349 | not published | not published | $487.20 – $2,036.50 | 4 |
| Cytogenetics 25-99 CPT 88274 | $556.59 | $556.59 | $17.80 – $153.71 | 6 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $17.09 – $153.71 | 6 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $487.20 – $1,972.00 | 4 |
| Cytogenom microarray copy nmbr var CPT 81228 | $10,884.62 | $10,884.62 | $378.00 – $1,530.00 | 4 |
| Cytog genom-wid alys hem mal CPT 81195 | not published | not published | $530.68 – $3,167.47 | 4 |
| Cytomegalovirus ag ia CPT 87332 | not published | not published | $5.03 – $63.50 | 6 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $331.33 | $331.33 | $6.04 – $75.13 | 6 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $281.51 | $281.51 | $7.08 – $75.13 | 6 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $5.64 – $63.50 | 6 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,808.64 – $3,074.70 | 4 |
| Cytomeg dna dir probe CPT 87495 | not published | not published | $12.61 – $51.05 | 5 |
| Cyto/molecular report CPT 88291 | $412.73 | $412.73 | $14.22 – $114.91 | 3 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $10.66 – $43.13 | 6 |
| Cytopath c/v automated CPT 88147 | not published | not published | $16.51 – $85.95 | 6 |
| Cytopath c/v auto redo CPT 88152 | not published | not published | $11.61 – $46.99 | 6 |
| Cytopath c/v auto rescreen CPT 88148 | not published | not published | $6.72 – $31.52 | 6 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $6.15 – $24.90 | 6 |
| Cytopath c/v manual CPT 88150 | not published | not published | $6.36 – $31.52 | 6 |
| Cytopath c/v redo CPT 88153 | not published | not published | $10.09 – $40.85 | 6 |
| Cytopath c/v thin layer redo CPT 88143 | not published | not published | $9.68 – $39.17 | 6 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $10.36 – $58.97 | 6 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $469.58 | $469.58 | $20.90 – $85.35 | 6 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $283.66 | $283.66 | $11.18 – $45.24 | 6 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $313.99 | $313.99 | $8.51 – $67.48 | 6 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $506.53 | $506.53 | $14.21 – $85.35 | 6 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | not published | not published | $14.21 – $86.03 | 6 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | not published | not published | $3.08 – $18.66 | 2 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $389.49 | $389.49 | $22.62 – $272.36 | 6 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $399.59 | $399.59 | $20.90 – $234.69 | 6 |
| Cytopath smear other source CPT 88160 | not published | not published | $10.36 – $85.58 | 6 |
| Cytopath smear other source CPT 88162 | not published | not published | $20.90 – $128.16 | 6 |
| Cytopath smear oth prep screen & interp CPT 88161 | not published | not published | $10.36 – $97.45 | 6 |
| Cytopath tbs c/v auto redo CPT 88166 | not published | not published | $6.36 – $31.52 | 6 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $6.36 – $31.52 | 6 |
| Cytopath tbs c/v redo CPT 88165 | not published | not published | $15.32 – $71.77 | 6 |
| Cytopath tbs c/v select CPT 88167 | not published | not published | $6.36 – $31.52 | 6 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $33.03 – $133.71 | 6 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $12.47 – $50.46 | 6 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $2,640.14 | $2,640.14 | $122.33 – $1,073.27 | 5 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $324.80 – $558.17 | 4 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $15.60 – $26.54 | 4 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.04 – $0.04 | 1 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $97,995.45 | $97,995.45 | $51.39 – $94.46 | 4 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $29,647.96 | $29,647.96 | $2.93 – $4.97 | 4 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $2.93 – $4.97 | 4 |
| Dark field exam spec collj CPT 87164 | not published | not published | $4.51 – $20.61 | 6 |
| Dark field exam without collj CPT 87166 | not published | not published | $4.75 – $26.52 | 6 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $248.41 – $435.35 | 4 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $23.52 – $23.52 | 1 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $77.87 – $1,087.00 | 5 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $1,602.68 – $5,562.00 | 6 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $1,986.78 – $5,562.00 | 6 |
| Dch glucoscan CPT 82948 | not published | not published | $2.12 – $8.76 | 6 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $350.91 – $596.54 | 3 |
| Dch validity tests CPT 81002 | $143.21 | $143.21 | $1.46 – $10.79 | 6 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $1,169.23 – $8,520.00 | 6 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $3,117.78 – $12,199.00 | 5 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $1,018.64 – $5,562.00 | 6 |
| D&c of cervical stump CPT 57558 | not published | not published | $1,602.68 – $5,562.00 | 6 |
| Deamidated gliadin antibody iga CPT 86258 | $154.94 | $154.94 | $4.84 – $24.35 | 5 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $1,474.22 | $1,474.22 | $162.00 – $1,087.00 | 5 |
| Debridement (>20 cm) charge pt CPT 97598 | $1,135.73 | $1,135.73 | $1,087.00 – $2,624.00 | 2 |
| Debridement bone <= 20 sq cm CPT 11044 | $5,293.12 | $5,293.12 | $1,553.12 – $2,788.00 | 5 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $1,742.84 | $1,742.84 | $1,087.00 – $2,624.00 | 2 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $5,293.12 | $5,293.12 | $1,087.00 – $2,624.00 | 2 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,546.62 | $1,546.62 | $382.28 – $2,788.00 | 5 |
| Debride nail1-5 11720 CPT 11720 | not published | not published | $55.47 – $1,087.00 | 6 |
| Debride nail6 or more 11721 CPT 11721 | not published | not published | $55.47 – $1,087.00 | 6 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $665.91 – $2,788.00 | 5 |
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.