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 |
|---|---|---|---|---|
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $338.89 – $588.38 | 4 |
| Inj bulking agent anal canal HCPCS L8605 | not published | not published | $726.43 – $726.43 | 1 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $0.50 – $0.50 | 1 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $61.80 – $169.20 | 4 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $0.05 – $441.49 | 4 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $152.33 | $152.33 | $1.00 – $1.00 | 1 |
| Inj cefazolin (wg crit care) HCPCS J0687 | not published | not published | $1.11 – $1.11 | 1 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | not published | not published | $2.28 – $4.11 | 4 |
| Inj ceftolozane tazobactam HCPCS J0695 | not published | not published | $8.15 – $15.41 | 4 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $15.73 – $28.08 | 4 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $86.16 – $168.74 | 4 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $89.38 – $155.06 | 4 |
| Inj, clevidipine butyrate HCPCS C9248 | not published | not published | $2.80 – $2.80 | 1 |
| Inj, clindamycin (baxter) HCPCS J0737 | $159.73 | $159.73 | not published | 0 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $616.03 | $616.03 | $1,087.00 – $2,624.00 | 2 |
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | not published | $89.16 – $89.16 | 1 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $1,027.17 – $1,776.76 | 4 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $535.90 – $937.57 | 4 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $16.61 – $28.63 | 4 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.63 – $1.07 | 4 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | not published | not published | $0.78 – $2.19 | 4 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $3.94 – $6.69 | 4 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.04 – $0.04 | 1 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $3.13 – $5.35 | 4 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $3,316,462.59 – $5,637,986.40 | 4 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $886.66 – $2,624.00 | 3 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.09 – $7.03 | 4 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $162.00 – $1,087.00 | 5 |
| Inj, durolane 1 mg HCPCS J7318 | $7,206.77 | $7,206.77 | $6.70 – $11.51 | 4 |
| Inj dx for sinogram CPT 20501 | $353.52 | $353.52 | $1,087.00 – $2,624.00 | 2 |
| Inject for sacroiliac joint HCPCS G0259 | not published | not published | $1,087.00 – $2,624.00 | 2 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,915.96 | $1,915.96 | $663.79 – $2,746.00 | 6 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $456.17 | $456.17 | $1,087.00 – $2,624.00 | 2 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $50.28 – $89.21 | 4 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $469.73 – $823.03 | 4 |
| Injection, cangrelor HCPCS C9460 | not published | not published | $18.82 – $33.97 | 4 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $2,252.41 | $2,252.41 | $288.65 – $2,079.00 | 5 |
| Injection, daratumumab 10 mg HCPCS J9145 | $28,637.29 | $28,637.29 | $65.32 – $121.33 | 4 |
| Injection during cath supravalvular aortography CPT 93567 | $4,029.16 | $4,029.16 | $1,087.00 – $1,087.00 | 1 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $20.99 – $35.69 | 4 |
| Injection epidural blood patch or clot CPT 62273 | $3,282.54 | $3,282.54 | $467.20 – $2,746.00 | 6 |
| Injection eye drug CPT 67028 | not published | not published | $310.61 – $2,079.00 | 5 |
| Injection for arthrography wrist (both sides) CPT 25246 | $360.53 | $360.53 | $1,087.00 – $2,624.00 | 2 |
| Injection for bladder x-ray CPT 51600 | $1,119.22 | $1,119.22 | $1,087.00 – $7,256.00 | 2 |
| Injection for hip x-ray CPT 27095 | not published | not published | $1,087.00 – $2,624.00 | 2 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $360.53 | $360.53 | $1,087.00 – $2,624.00 | 2 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $1,087.00 – $2,624.00 | 2 |
| Injection for tear sac x-ray CPT 68850 | $702.25 | $702.25 | $1,087.00 – $2,624.00 | 2 |
| Injection for ureter x-ray CPT 50684 | $5,250.99 | $5,250.99 | $323.06 – $2,624.00 | 3 |
| Injection for ureter x-ray CPT 50690 | $275.89 | $275.89 | $1,087.00 – $2,624.00 | 2 |
| Injection, fulvestrant HCPCS J9395 | $17,063.41 | $17,063.41 | $6.66 – $6.66 | 1 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $171.57 – $171.57 | 1 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $48,205.28 | $48,205.28 | $12.28 – $20.94 | 4 |
| Injection into brain canal CPT 61026 | not published | not published | $663.79 – $2,746.00 | 5 |
| Injection into brain canal CPT 61055 | not published | not published | $288.65 – $2,079.00 | 5 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $874.51 – $3,245.00 | 5 |
| Injection into spinal artery CPT 62294 | not published | not published | $831.74 – $3,245.00 | 5 |
| Injection into vocal cord CPT 31513 | not published | not published | $275.85 – $2,788.00 | 6 |
| Injection intraop add-on CPT 48400 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $0.99 – $1.71 | 4 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $1,087.00 – $2,624.00 | 2 |
| Injection jugular CPT 36299 | not published | not published | $1,087.00 – $7,256.00 | 2 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.73 – $9.74 | 4 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $67.71 – $115.10 | 3 |
| Injection of sinus tract CPT 20500 | not published | not published | $162.00 – $3,918.00 | 5 |
| Injection,onabotulinumtoxina HCPCS J0585 | not published | not published | $6.47 – $11.04 | 4 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.68 – $2.85 | 4 |
| Injection px peyronie ds CPT 54200 | not published | not published | $234.95 – $2,079.00 | 5 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $5,505.76 | $5,505.76 | $375.94 – $4,950.11 | 6 |
| Injection, renflexis HCPCS Q5104 | not published | not published | $26.26 – $45.90 | 4 |
| Injection, ruconest HCPCS J0596 | not published | not published | $34.67 – $62.50 | 4 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $663.79 – $2,746.00 | 5 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $3,821.48 | $3,821.48 | $383.63 – $2,746.00 | 6 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $885.98 | $885.98 | $663.79 – $2,746.00 | 6 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $2,656.25 | $2,656.25 | $717.28 – $2,746.00 | 6 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $2,531.72 | $2,531.72 | $797.66 – $2,624.00 | 3 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $4,163.56 | $4,163.56 | $558.57 – $2,746.00 | 6 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $2,847.41 | $2,847.41 | $1,025.94 – $2,624.00 | 3 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $5,628.60 | $5,628.60 | $721.03 – $2,746.00 | 6 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $3,056.14 | $3,056.14 | $663.79 – $2,746.00 | 5 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $3,056.14 | $3,056.14 | $663.79 – $2,746.00 | 5 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $155.97 – $281.91 | 4 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $1,502.75 | $1,502.75 | $288.65 – $2,079.00 | 5 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $1,652.80 | $1,652.80 | $288.65 – $2,079.00 | 5 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $1,909.04 | $1,909.04 | $288.65 – $2,079.00 | 5 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $267.99 | $267.99 | $44.03 – $74.86 | 3 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $261.94 | $261.94 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $497.23 | $497.23 | $200.02 – $340.04 | 3 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $307.81 | $307.81 | $67.71 – $115.10 | 3 |
| Injection treatment of eye CPT 66020 | not published | not published | $1,141.21 – $3,918.00 | 6 |
| Injection treatment of eye CPT 66030 | not published | not published | $2,079.00 – $3,918.00 | 5 |
| Injection treatment of nerve CPT 64605 | not published | not published | $1,836.30 – $5,562.00 | 5 |
| Injection treatment of nerve CPT 64610 | not published | not published | $1,836.30 – $5,562.00 | 5 |
| Injection treatment of nerve CPT 64681 | not published | not published | $831.74 – $2,788.00 | 5 |
| Injection treatment of nose CPT 30200 | not published | not published | $507.17 – $2,079.00 | 5 |
| Inject sacroiliac joint CPT 27096 | $3,459.10 | $3,459.10 | $162.00 – $2,624.00 | 3 |
| Inject/treat eye socket CPT 67500 | not published | not published | $162.00 – $1,087.00 | 5 |
| Inject/treat eye socket CPT 67505 | not published | not published | $298.48 – $2,079.00 | 5 |
| Inject/treat eye socket CPT 67515 | not published | not published | $298.48 – $2,079.00 | 5 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $220,347.56 | $220,347.56 | $33.10 – $57.61 | 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.