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 |
|---|---|---|---|---|
| Ghs quinidine CPT 80194 | not published | not published | $6.13 – $63.47 | 6 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $310.61 – $1,087.00 | 5 |
| Ghs removal intranasal foreign body CPT 30300 | $906.71 | $906.71 | $125.12 – $1,087.00 | 6 |
| Ghs removal pharyngeal foreign body CPT 42809 | $155.24 | $155.24 | $420.09 – $2,079.00 | 5 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $1,512.12 – $3,918.00 | 6 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $1,461.21 – $8,348.00 | 6 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $6.67 – $66.76 | 6 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $1.81 – $12.78 | 6 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $363.63 | $363.63 | $5.84 – $57.14 | 6 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $1.79 – $13.79 | 6 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $5.17 – $48.58 | 6 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $4.13 – $48.18 | 6 |
| Ghs sensitivity (per antimicro) CPT 87184 | $306.99 | $306.99 | $3.14 – $26.87 | 6 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $2,652.25 | $2,652.25 | $382.28 – $2,788.00 | 6 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $382.28 – $2,788.00 | 6 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $3,242.68 | $3,242.68 | $382.28 – $2,788.00 | 6 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $382.28 – $2,788.00 | 6 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $1,784.72 | $1,784.72 | $162.00 – $1,087.00 | 6 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $2,061.82 | $2,061.82 | $162.00 – $1,087.00 | 6 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $2,238.88 | $2,238.88 | $162.00 – $1,087.00 | 6 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $4,029.92 | $4,029.92 | $188.67 – $2,788.00 | 6 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $188.67 – $2,788.00 | 6 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $203.05 – $345.18 | 4 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $203.05 – $345.18 | 3 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $807.54 – $1,372.82 | 3 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $45.42 – $77.21 | 3 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $288.65 – $2,079.00 | 6 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $125.12 – $212.70 | 3 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $414.51 | $414.51 | $97.37 – $165.53 | 3 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $34.01 – $59.71 | 4 |
| Ghs strapping shoulder - 29240 CPT 29240 | $415.51 | $415.51 | $125.12 – $1,087.00 | 5 |
| Ghs st - re-eval for alt comm CPT 92597 | $946.32 | $946.32 | $67.99 – $115.58 | 3 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $44.03 – $74.86 | 3 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $580.53 | $580.53 | $200.02 – $340.04 | 3 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $4,475.52 | $4,475.52 | $225.20 – $2,079.00 | 6 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $225.20 – $2,079.00 | 6 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $1,459.07 – $3,918.00 | 5 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $3.07 – $34.72 | 6 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $162.00 – $1,087.00 | 6 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $162.00 – $1,087.00 | 5 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $10.21 – $116.98 | 6 |
| Ghs urine, porphyrins quant CPT 84120 | $174.49 | $174.49 | $6.18 – $63.10 | 6 |
| Ghs vaginal delivery only CPT 59409 | $7,489.39 | $7,489.39 | $2,624.00 – $5,562.00 | 5 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $350.91 – $596.54 | 3 |
| Ghs windowing of cast CPT 29730 | not published | not published | $152.81 – $1,087.00 | 5 |
| Giardia ag if CPT 87269 | not published | not published | $5.72 – $63.50 | 6 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $6.18 – $39.56 | 6 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $224.38 – $414.23 | 5 |
| Gi inhouse confirmation CPT 87045 | $656.80 | $656.80 | $3.96 – $30.86 | 6 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $1,515.34 – $12,199.00 | 6 |
| Gi protein loss CPT 78282 | not published | not published | $375.94 – $678.82 | 5 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $852.91 – $3,918.00 | 4 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $874.51 – $1,486.67 | 3 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $852.91 – $3,918.00 | 4 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $852.91 – $3,918.00 | 4 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $42.47 – $326.24 | 5 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $25.84 – $104.58 | 4 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $14.70 – $59.50 | 4 |
| Glassia injection HCPCS J0257 | not published | not published | $5.51 – $9.59 | 4 |
| Glaucoma surgery CPT 66150 | not published | not published | $2,059.00 – $6,607.85 | 6 |
| Glaucoma surgery CPT 66155 | not published | not published | $3,668.28 – $6,607.85 | 6 |
| Glaucoma surgery CPT 66160 | not published | not published | $1,541.62 – $5,562.00 | 6 |
| Glaucoma surgery CPT 66170 | not published | not published | $1,408.65 – $5,562.00 | 6 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $83.10 – $224.30 | 4 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $182.45 – $310.16 | 4 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $111.91 – $253.28 | 4 |
| Glucagon plasma - sendout CPT 82943 | $332.22 | $332.22 | $6.00 – $80.31 | 6 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $19.35 – $173.84 | 6 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $21.21 – $85.85 | 5 |
| Glucagon tolerance test CPT 82946 | not published | not published | $7.46 – $67.70 | 6 |
| Glucose 1 hr post dose CPT 82950 | $194.02 | $194.02 | $2.00 – $20.92 | 6 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $2.54 – $42.72 | 6 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | not published | not published | $1.38 – $8.32 | 6 |
| Glucose blood quantitative CPT 82947 | $152.88 | $152.88 | $1.65 – $9.00 | 6 |
| Glucose body fluid CPT 82945 | $152.88 | $152.88 | $1.65 – $14.87 | 6 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $55.47 – $94.31 | 3 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $166.10 | $166.10 | $5.41 – $50.76 | 6 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $92.13 | $92.13 | $1.65 – $15.18 | 6 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $126.47 | $126.47 | $0.58 – $0.58 | 1 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $6,803.94 | $6,803.94 | $10.54 – $18.77 | 4 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $290.37 | $290.37 | $7.80 – $74.28 | 6 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $62.33 – $587.13 | 6 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $290.37 | $290.37 | $7.78 – $72.47 | 6 |
| Gonioscopy CPT 92020 | not published | not published | $125.12 – $212.70 | 3 |
| Goniotomy CPT 65820 | not published | not published | $2,079.00 – $6,607.85 | 5 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $703.06 – $1,247.23 | 4 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $159.99 | $159.99 | not published | 0 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $1,978.20 – $8,348.00 | 6 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $220.56 | $220.56 | not published | 0 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $803.54 | $803.54 | not published | 0 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | not published | $117.02 – $198.94 | 4 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $117.02 – $198.94 | 4 |
| Great toe-hand transfer CPT 26551 | not published | not published | $3,245.00 – $12,199.00 | 5 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $162.00 – $1,684.76 | 6 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $1,017.94 – $8,520.00 | 6 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $2,423.74 – $8,520.00 | 6 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $1,087.00 – $2,624.00 | 2 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $1,957.15 – $8,520.00 | 6 |
| Ground mileage HCPCS A0425 | not published | not published | $9.33 – $15.86 | 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.