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 |
|---|---|---|---|---|
| Destruction ciliary body CPT 66740 | not published | not published | $2,235.73 – $5,562.00 | 5 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $162.00 – $1,087.00 | 6 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $2,079.00 – $5,562.00 | 6 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $2,079.00 – $5,562.00 | 5 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $77.87 – $1,087.00 | 6 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $382.28 – $2,079.00 | 6 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $162.00 – $1,087.00 | 6 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $382.28 – $2,079.00 | 6 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $162.00 – $1,087.00 | 5 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $951.98 – $3,918.00 | 6 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $382.28 – $2,079.00 | 6 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $1,756.98 – $8,520.00 | 6 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $2,079.00 – $5,562.00 | 6 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $1,205.96 – $5,562.00 | 6 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $1,940.26 – $3,918.00 | 5 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $12.61 – $60.32 | 6 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $18.34 – $89.68 | 6 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $121.00 – $205.70 | 3 |
| Devise bowel pouch CPT 44316 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $644.58 | $644.58 | $33.56 – $145.62 | 5 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $71.86 | $71.86 | not published | 0 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $204.61 – $347.84 | 4 |
| Dexamethasone panel CPT 80420 | not published | not published | $67.99 – $284.89 | 6 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.65 – $0.65 | 1 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $63.06 – $107.20 | 4 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $201.98 | $201.98 | not published | 0 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $201.98 | $201.98 | not published | 0 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $53.06 | $53.06 | not published | 0 |
| Dextrose 5 % IV bolus HCPCS J7070 | $201.98 | $201.98 | not published | 0 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $277.78 | $277.78 | $9.34 – $83.78 | 6 |
| Diabetes (HbA1c) Test CPT 83036 | $276.23 | $276.23 | $4.08 – $37.45 | 6 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $217.13 – $217.13 | 1 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $46.37 – $46.37 | 1 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $51.27 – $51.27 | 1 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $42.34 – $42.34 | 1 |
| Diab manage trn ind/group HCPCS G0109 | $115.49 | $115.49 | $11.58 – $25.77 | 4 |
| Diab shoe for density insert HCPCS A5500 | not published | not published | $86.63 – $86.63 | 1 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $51.27 – $51.27 | 1 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $1,673.77 – $3,918.00 | 6 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $3,245.00 – $12,199.00 | 6 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $420.09 – $2,079.00 | 5 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,125.29 – $4,006.00 | 5 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $111.28 | $111.28 | $125.12 – $1,087.00 | 6 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $142.24 | $142.24 | $172.44 – $210.40 | 2 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $98.79 | $98.79 | $135.27 – $164.56 | 2 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $162.00 – $1,087.00 | 5 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $763.35 | $763.35 | $162.00 – $1,087.00 | 6 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $712.08 | $712.08 | $99.68 – $210.40 | 4 |
| Diagnostic Mammogram (one breast) CPT 77065 | $535.14 | $535.14 | $77.77 – $164.56 | 4 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $81.84 – $145.62 | 5 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $1,087.00 – $2,624.00 | 2 |
| Dialysis one evaluation CPT 90945 | $1,554.03 | $1,554.03 | $392.38 – $667.05 | 3 |
| Diathermy eg microwave CPT 97024 | not published | not published | $6.70 – $11.39 | 3 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $505.91 | $505.91 | not published | 0 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $154.96 | $154.96 | not published | 0 |
| Dicyclomine injection HCPCS J0500 | $686.19 | $686.19 | not published | 0 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.13 – $0.13 | 1 |
| Diffusing capacity CPT 94729 | $1,504.03 | $1,504.03 | not published | 0 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $1,087.00 – $3,281.00 | 3 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $69.79 | $69.79 | not published | 0 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $5,069.98 – $8,785.99 | 4 |
| Digoxin total therapeutic drug level CPT 80162 | $300.85 | $300.85 | $5.58 – $56.67 | 6 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $1,087.00 – $2,624.00 | 2 |
| Dilate esophagus CPT 43453 | not published | not published | $644.02 – $3,918.00 | 6 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $852.91 – $3,918.00 | 6 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $2,788.00 – $7,256.00 | 3 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $2,788.00 – $7,256.00 | 3 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Dilate tear duct opening CPT 68801 | not published | not published | $162.00 – $1,087.00 | 6 |
| Dilate urethra stricture CPT 53600 | not published | not published | $234.95 – $2,079.00 | 6 |
| Dilate urethra stricture CPT 53601 | not published | not published | $125.12 – $2,079.00 | 6 |
| Dilate urethra stricture CPT 53605 | not published | not published | $2,699.20 – $5,635.17 | 6 |
| Dilate urethra stricture CPT 53621 | not published | not published | $234.95 – $2,079.00 | 6 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $121.00 – $1,205.96 | 6 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,125.29 – $3,918.00 | 5 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $1,602.68 – $5,562.00 | 6 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $1,125.29 – $3,918.00 | 5 |
| Dilation of salivary duct CPT 42660 | not published | not published | $162.00 – $1,087.00 | 5 |
| Dilation of urethra CPT 53661 | not published | not published | $125.12 – $1,205.96 | 6 |
| Dilation of urethra CPT 53665 | not published | not published | $1,205.96 – $5,562.00 | 6 |
| Dilation of vagina CPT 57400 | not published | not published | $1,602.68 – $5,562.00 | 6 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $1,459.07 – $3,918.00 | 5 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $655.72 – $3,245.00 | 6 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $323.06 – $8,520.00 | 6 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $323.06 – $8,348.00 | 6 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $715.39 – $1,273.04 | 4 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $52.57 | $52.57 | not published | 0 |
| Disability dlco CPT 94727 | $481.89 | $481.89 | $203.05 – $345.18 | 3 |
| Disaccharidases CPT 82657 | $955.10 | $955.10 | $9.31 – $55.34 | 6 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $1,232.01 – $3,918.00 | 6 |
| Disarticulation shoulder CPT 23920 | not published | not published | $3,245.00 – $20,524.42 | 5 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $114.10 – $3,513.90 | 5 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $79.41 – $135.00 | 4 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $191.05 – $396.83 | 4 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $162.00 – $2,845.42 | 6 |
| Dissect brain w/scope CPT 62161 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | not published | not published | $31.07 – $31.07 | 1 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $773.45 – $7,256.00 | 3 |
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.