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 |
|---|---|---|---|---|
| Lo sag rig pnl stays pre cst HCPCS L0626 | not published | not published | $81.52 – $162.06 | 4 |
| Loudness balance test CPT 92562 | not published | not published | $203.05 – $345.18 | 3 |
| Low back disk surgery CPT 63030 | not published | not published | $6,560.00 – $15,451.00 | 5 |
| Low cost skin substitute app HCPCS C5271 | not published | not published | $387.25 – $3,281.00 | 4 |
| Low cost skin substitute app HCPCS C5273 | not published | not published | $842.91 – $8,520.00 | 4 |
| Low cost skin substitute app HCPCS C5275 | not published | not published | $387.25 – $3,281.00 | 4 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $842.91 – $3,281.00 | 4 |
| Low cost skin substitute app HCPCS C5272 | not published | not published | $1,087.00 – $2,624.00 | 2 |
| Low cost skin substitute app HCPCS C5274 | not published | not published | $1,087.00 – $2,624.00 | 2 |
| Low cost skin substitute app HCPCS C5276 | not published | not published | $1,087.00 – $2,624.00 | 2 |
| Low cost skin substitute app HCPCS C5278 | not published | not published | $1,087.00 – $2,624.00 | 2 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $5,235.43 | $5,235.43 | $164.94 – $672.32 | 5 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $5,034.65 | $5,034.65 | $232.98 – $662.62 | 5 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $4,947.46 | $4,947.46 | $98.31 – $393.24 | 5 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $6,046.72 | $6,046.72 | $328.07 – $1,079.33 | 5 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $4,879.79 | $4,879.79 | $328.07 – $854.70 | 5 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $4,032.52 | $4,032.52 | $224.38 – $704.59 | 5 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $920.62 | $920.62 | $45.42 – $196.15 | 5 |
| Lower jaw bone graft CPT 21215 | not published | not published | $4,911.32 – $12,199.00 | 6 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $188.67 – $320.74 | 3 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $6,560.00 – $16,993.27 | 5 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $6,560.00 – $16,993.27 | 5 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $6,560.00 – $16,993.27 | 5 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $6,560.00 – $16,993.27 | 5 |
| Lso corset front HCPCS L0972 | not published | not published | $120.25 – $335.01 | 4 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $63.89 – $108.61 | 4 |
| Lso full corset HCPCS L0976 | not published | not published | $204.72 – $348.02 | 4 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $169.83 – $336.63 | 4 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $1,331.66 – $2,741.98 | 4 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $1,015.47 – $2,090.95 | 4 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $1,670.35 – $3,439.36 | 4 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $279.93 – $596.14 | 4 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $1,056.47 – $2,175.44 | 4 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $841.63 – $2,476.13 | 4 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $9.24 – $108.12 | 6 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $2.23 – $2.23 | 1 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $73.10 – $124.27 | 4 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $81.30 – $151.67 | 4 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $111.01 – $3,513.90 | 5 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $85.80 – $154.07 | 4 |
| Lumbar sling HCPCS L1090 | not published | not published | $106.37 – $180.83 | 4 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $3,245.00 – $28,030.25 | 5 |
| Lumizyme injection HCPCS J0221 | not published | not published | $201.64 – $351.20 | 4 |
| Lung function test (mbc/mvv) CPT 94200 | $582.31 | $582.31 | $55.47 – $94.31 | 3 |
| Lung Function Test (Spirometry) CPT 94010 | $1,731.71 | $1,731.71 | $203.05 – $345.18 | 4 |
| Lung perfusion imaging CPT 78580 | $2,652.14 | $2,652.14 | $288.60 – $678.82 | 5 |
| Lung transplant double CPT 32853 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Lung transplant single CPT 32851 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Lung transplant with bypass CPT 32852 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Lung transplant with bypass CPT 32854 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $204.90 – $352.12 | 4 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $41.28 – $71.37 | 4 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $296.25 – $538.88 | 4 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $241.21 – $434.93 | 4 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $27.20 – $1,087.00 | 5 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $345.67 – $1,915.44 | 4 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $8.42 – $34.08 | 5 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $3,245.00 – $15,451.00 | 5 |
| Lymphatics/lymph node imaging CPT 78195 | $2,084.94 | $2,084.94 | $424.40 – $880.92 | 5 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $15.36 – $259.54 | 6 |
| Lymphocyte transformation mitogen CPT 86353 | $2,025.58 | $2,025.58 | $20.59 – $212.96 | 6 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $75.80 – $322.17 | 6 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $19.99 – $125.24 | 6 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $589.90 – $1,002.83 | 5 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $761.07 – $2,531.05 | 5 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $761.07 – $5,150.99 | 5 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $761.07 – $5,150.99 | 5 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $507.17 – $2,788.00 | 5 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $2,079.00 – $5,562.00 | 5 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $1,148.50 – $5,562.00 | 6 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $3.37 – $8.03 | 2 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $1.79 – $26.67 | 6 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $1.81 – $24.02 | 6 |
| Magnesium CPT 83735 | $222.26 | $222.26 | $2.81 – $26.93 | 6 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $212.76 | $212.76 | not published | 0 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $224.38 – $704.59 | 5 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $13.82 – $13.82 | 1 |
| Malaria antibody CPT 86750 | not published | not published | $5.54 – $34.98 | 6 |
| Male sling procedure CPT 53440 | not published | not published | $2,788.00 – $21,091.58 | 6 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $834.56 – $2,570.60 | 6 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $842.91 – $3,918.00 | 6 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $290.52 | $290.52 | $125.12 – $212.70 | 3 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $429.94 | $429.94 | $125.12 – $212.70 | 3 |
| Manipulation of hip joint CPT 27275 | not published | not published | $796.28 – $3,918.00 | 6 |
| Manipulation of spine CPT 22505 | not published | not published | $1,512.12 – $3,918.00 | 5 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $231.96 – $2,079.00 | 5 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $183.45 | $183.45 | not published | 0 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $96.09 – $163.35 | 4 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $2.13 – $8.62 | 6 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $1,087.00 – $4,963.79 | 3 |
| Map tachycard site(s) CPT 93609 | $8,887.37 | $8,887.37 | $7,469.00 – $9,839.00 | 2 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $112,526.96 | $112,526.96 | $49.40 – $89.23 | 4 |
| Marker biop eviva buckle ss HCPCS A4648 | $635.54 | $635.54 | not published | 0 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $1,137.96 – $2,131.80 | 4 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $3,245.00 – $7,256.00 | 4 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $138.23 – $138.23 | 1 |
| Mastectomy form HCPCS L8020 | not published | not published | $291.65 – $495.80 | 4 |
| Mastectomy partial CPT 19301 | not published | not published | $3,245.00 – $6,259.37 | 6 |
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.