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 |
|---|---|---|---|---|
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | not published | not published | $1,087.00 – $2,624.00 | 2 |
| Drm agrft t/a/l ea addl CPT 15131 | not published | not published | $1,087.00 – $2,624.00 | 2 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $1,461.21 – $5,230.75 | 6 |
| Drng of eyelid abscess 67700 CPT 67700 | $1,911.53 | $1,911.53 | $298.48 – $2,079.00 | 5 |
| Drng of finger abscess comp 26011 CPT 26011 | $10,122.14 | $10,122.14 | $1,107.04 – $3,918.00 | 6 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $162.00 – $2,746.00 | 5 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $507.17 – $2,788.00 | 5 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $3,044.12 – $5,562.00 | 5 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $1,978.20 – $5,230.75 | 6 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $1,461.21 – $5,230.75 | 6 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $1,125.29 – $3,918.00 | 5 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $3,117.78 – $5,562.00 | 5 |
| Drng of scrotum abscess 55100 CPT 55100 | $11,470.98 | $11,470.98 | $1,553.12 – $3,918.00 | 5 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $3,245.00 – $8,348.00 | 3 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $1,459.07 – $3,918.00 | 5 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $507.17 – $2,079.00 | 5 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $83.26 | $83.26 | not published | 0 |
| Drop lock knee HCPCS L2182 | not published | not published | $80.86 – $214.83 | 4 |
| Drop lock retainer each HCPCS L2785 | not published | not published | $31.29 – $66.04 | 4 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $20.96 – $198.94 | 4 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | not published | not published | $73.95 – $73.95 | 1 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $296.67 | $296.67 | not published | 0 |
| Drug admin & hemodynmic meas CPT 93463 | not published | not published | $1,087.00 – $1,087.00 | 1 |
| Drug assay caffeine CPT 80155 | not published | not published | $16.20 – $65.57 | 5 |
| Drug assay posaconazole CPT 80187 | $374.40 | $374.40 | $11.39 – $46.09 | 4 |
| Drug assay rufinamide CPT 80210 | not published | not published | $11.39 – $46.09 | 4 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $16.20 – $65.57 | 4 |
| Drug assay voriconazole CPT 80285 | $354.57 | $354.57 | $11.39 – $46.09 | 4 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $7.83 – $31.69 | 4 |
| Drug of abuse screen urine CPT 80305 | not published | not published | $5.29 – $29.33 | 5 |
| Drug screening tapentadol CPT 80372 | $78.39 | $78.39 | $24.88 – $24.88 | 1 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $11.39 – $46.09 | 4 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $74.12 – $74.12 | 1 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $83.47 – $337.86 | 5 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $48.06 – $194.53 | 5 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $103.71 – $419.76 | 5 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $65.77 – $266.20 | 5 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $26.10 – $156.37 | 5 |
| Drug test prsmv instrmnt CPT 80306 | $424.88 | $424.88 | $7.20 – $39.08 | 5 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $659.99 | $659.99 | $26.10 – $156.37 | 5 |
| Drvvt confirm - quest CPT 85597 | $223.64 | $223.64 | $7.55 – $156.56 | 6 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $214.50 – $8,348.00 | 6 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $7,628.23 | $7,628.23 | $1,836.30 – $5,562.00 | 5 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $382.28 – $2,079.00 | 6 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $162.00 – $1,087.00 | 5 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $695.01 – $2,079.00 | 5 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $162.00 – $1,181.51 | 5 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $517.20 – $2,746.00 | 5 |
| Ductogram sgl duct CPT 77053 | not published | not published | $56.28 – $423.84 | 5 |
| Duodenal exclusion CPT 48547 | not published | not published | $3,245.00 – $7,256.00 | 4 |
| Duodenal motility study CPT 91022 | not published | not published | $350.91 – $1,087.00 | 4 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $224.38 – $381.44 | 3 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $98.31 – $167.13 | 3 |
| Dup scan/hemodialysis access 93990 CPT 93990 | not published | not published | $98.31 – $167.13 | 3 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | not published | not published | $203.05 – $345.18 | 3 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $2,096.30 | $2,096.30 | $224.38 – $381.44 | 3 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $117,079.46 | $117,079.46 | $83.88 – $144.70 | 4 |
| Dxa bone density axl vrt fx CPT 77085 | $1,515.52 | $1,515.52 | $57.82 – $196.15 | 4 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $121.00 – $205.70 | 3 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $1,673.77 – $3,918.00 | 6 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $9,569.86 | $9,569.86 | $1,390.11 – $3,918.00 | 6 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $1,522.71 – $3,918.00 | 6 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $470.39 – $3,918.00 | 6 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $470.39 – $3,918.00 | 6 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $203.05 – $2,079.00 | 6 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $121.00 – $2,079.00 | 6 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $162.00 – $4,529.18 | 6 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $1,673.77 – $4,547.07 | 6 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $234.95 – $3,918.00 | 5 |
| Dynamic surface emg CPT 96002 | not published | not published | $203.05 – $345.18 | 3 |
| Ear and throat examination CPT 92502 | not published | not published | $507.17 – $1,087.00 | 4 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $138.91 – $3,918.00 | 6 |
| Ear cartilage graft CPT 21235 | not published | not published | $2,623.94 – $9,463.67 | 6 |
| Ear irrigation 69209 CPT 69209 | $527.24 | $527.24 | $55.47 – $1,087.00 | 6 |
| Ecallantide injection HCPCS J1290 | not published | not published | $563.10 – $985.94 | 4 |
| Ecg 12 lead tracing only CPT 93005 | $748.24 | $748.24 | $55.47 – $94.31 | 3 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | not published | not published | $55.47 – $94.31 | 3 |
| Ecg < 30 days transmission & analysis CPT 93271 | $2,928.14 | $2,928.14 | $89.40 – $211.50 | 4 |
| Ecg external < 48 hours recording CPT 93225 | $489.98 | $489.98 | $125.12 – $212.70 | 4 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $1,507.40 | $1,507.40 | $55.47 – $193.50 | 4 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $732.03 | $732.03 | $35.12 – $196.16 | 4 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $1,464.07 | $1,464.07 | $35.12 – $196.16 | 4 |
| Ecg record/review CPT 93268 | not published | not published | $323.05 – $323.05 | 1 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $3,914.17 | $3,914.17 | $513.84 – $873.52 | 3 |
| Echocardiography doppler color flow mapping CPT 93325 | $312.49 | $312.49 | not published | 0 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | not published | not published | $737.18 – $1,253.21 | 3 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $1,603.53 | $1,603.53 | $224.38 – $381.44 | 3 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | not published | not published | $328.07 – $557.72 | 3 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $284.06 | $284.06 | not published | 0 |
| Echo exam of eye CPT 76516 | not published | not published | $37.69 – $196.15 | 5 |
| Echo exam of eye CPT 76519 | not published | not published | $57.82 – $196.15 | 5 |
| Echo exam of eye CPT 76529 | not published | not published | $81.84 – $145.62 | 5 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $5.68 – $46.24 | 5 |
| Echo exam of fetal heart CPT 76825 | $1,866.70 | $1,866.70 | $285.50 – $1,201.51 | 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.