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 |
|---|---|---|---|---|
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $184.91 – $314.34 | 4 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $24,728.36 | $24,728.36 | $99.13 – $168.52 | 4 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $137.96 – $263.48 | 5 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,550.05 – $6,223.42 | 4 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $226.79 – $387.86 | 4 |
| Pelv band/spread bar thigh c HCPCS L1640 | not published | not published | $598.53 – $1,017.50 | 4 |
| Pelvic band & belt thigh fla HCPCS L2192 | not published | not published | $162.14 – $882.40 | 4 |
| Pelvic control band & belt b HCPCS L2640 | not published | not published | $252.19 – $656.49 | 4 |
| Pelvic control band & belt u HCPCS L2630 | not published | not published | $244.05 – $483.74 | 4 |
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $293.25 – $659.48 | 4 |
| Pelvic control pelvic sling HCPCS L2580 | not published | not published | $178.26 – $906.64 | 4 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $4,920.65 | $4,920.65 | $164.94 – $672.32 | 5 |
| Pelvic CT scan (with contrast) CPT 72193 | $3,579.55 | $3,579.55 | $164.94 – $598.75 | 5 |
| Pelvic CT scan (without contrast) CPT 72192 | $3,422.59 | $3,422.59 | $98.31 – $393.24 | 5 |
| Pelvic exenteration CPT 45126 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $1,292.97 – $2,898.69 | 4 |
| Pelvic MRI (with and without contrast) CPT 72197 | $6,046.72 | $6,046.72 | $328.07 – $1,079.33 | 5 |
| Pelvic MRI (with contrast) CPT 72196 | $4,879.79 | $4,879.79 | $328.07 – $854.70 | 5 |
| Pelvic MRI (without contrast) CPT 72195 | $4,435.77 | $4,435.77 | $224.38 – $704.59 | 5 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $6,560.00 – $11,600.07 | 5 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $3,119.07 – $15,451.00 | 6 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,900.37 | $1,900.37 | $98.31 – $196.15 | 5 |
| Pelvic Ultrasound (limited) CPT 76857 | $928.68 | $928.68 | $39.24 – $196.15 | 5 |
| Pelv & thor control gluteal HCPCS L2650 | not published | not published | $72.99 – $289.36 | 4 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $109,333.63 | $109,333.63 | $57.60 – $102.49 | 4 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $4.36 – $7.40 | 4 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $17.37 – $33.19 | 4 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $8,667.52 | $8,667.52 | $26.82 – $51.02 | 4 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $47.19 – $47.19 | 1 |
| Penile injection CPT 54235 | not published | not published | $162.00 – $1,087.00 | 5 |
| Penile vascular study CPT 93980 | not published | not published | $98.31 – $167.13 | 3 |
| Penile vascular study CPT 93981 | $655.66 | $655.66 | $98.31 – $167.13 | 3 |
| Penile venous occlusion CPT 37790 | not published | not published | $3,245.00 – $8,348.00 | 5 |
| Penis plastic surgery CPT 54360 | not published | not published | $2,117.80 – $12,199.00 | 6 |
| Penis study CPT 54240 | not published | not published | $162.00 – $1,087.00 | 5 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,608.16 – $4,433.87 | 4 |
| Perc cryo ablate renal tum CPT 50593 | $45,048.13 | $45,048.13 | $8,520.00 – $16,993.27 | 5 |
| Perc d-e cor revasc chro add HCPCS C9608 | $18,862.32 | $18,862.32 | $7,256.00 – $17,096.00 | 3 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $21,817.06 | $21,817.06 | $7,256.00 – $29,305.68 | 5 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $21,817.06 | $21,817.06 | $1,087.00 – $11,704.94 | 3 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $21,817.06 | $21,817.06 | $7,256.00 – $21,381.14 | 5 |
| Perc d-e cor stent ather br HCPCS C9603 | $20,698.08 | $20,698.08 | $1,087.00 – $11,704.94 | 3 |
| Perc d-e cor stent ather s HCPCS C9602 | $21,181.74 | $21,181.74 | $7,256.00 – $29,305.68 | 5 |
| Perc drug-el cor stent bran HCPCS C9601 | $21,817.06 | $21,817.06 | $1,087.00 – $19,671.00 | 3 |
| Perc drug-el cor stent sing HCPCS C9600 | $21,817.06 | $21,817.06 | $7,256.00 – $19,846.59 | 5 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $2,079.00 – $15,451.00 | 5 |
| Percut ablate liver rf CPT 47382 | $15,095.52 | $15,095.52 | $3,245.00 – $15,451.00 | 5 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $3,245.00 – $7,256.00 | 2 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $512.79 | $512.79 | not published | 0 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,418.99 | $2,418.99 | $1,480.30 – $6,329.00 | 5 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $3,381.10 – $8,348.00 | 6 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $3,044.12 – $5,562.00 | 5 |
| Peripheral vascular rehab CPT 93668 | $359.58 | $359.58 | $55.47 – $94.31 | 3 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $2,079.00 – $15,451.00 | 6 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $423.84 – $873.52 | 5 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $315.98 – $678.82 | 5 |
| Permanent tear duct plug HCPCS A4263 | not published | not published | $56.58 – $56.58 | 1 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $8.19 – $34.12 | 4 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $1,481.09 – $3,652.94 | 4 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $3,245.00 – $6,560.00 | 3 |
| Perq clsr tcat l atr apndge CPT 33340 | $30,090.04 | $30,090.04 | $3,245.00 – $12,199.00 | 3 |
| Perq dev breast 1st mr guide CPT 19287 | $2,342.46 | $2,342.46 | $665.91 – $2,746.00 | 5 |
| Perq dev breast 1st strtctc CPT 19283 | $6,807.37 | $6,807.37 | $665.91 – $2,746.00 | 5 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $3,245.00 – $15,133.46 | 6 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $3,245.00 – $15,133.46 | 6 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $3,245.00 – $18,455.00 | 5 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $3,245.00 – $29,305.68 | 5 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $3,245.00 – $18,455.00 | 5 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $3,245.00 – $18,455.00 | 5 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $1,087.00 – $2,624.00 | 2 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $4,376.00 – $15,451.00 | 5 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $4,376.00 – $15,451.00 | 5 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $4,376.00 – $15,451.00 | 5 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $234.95 – $2,079.00 | 6 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $1,157.55 – $5,562.00 | 6 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $2,268.80 – $5,562.00 | 6 |
| Perq transcath closure each CPT 93592 | not published | not published | $1,087.00 – $2,624.00 | 2 |
| Perq transcath closure pda CPT 93582 | not published | not published | $8,747.00 – $29,305.68 | 4 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $8,747.00 – $29,305.68 | 4 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $8,747.00 – $29,305.68 | 4 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $5,562.00 – $8,747.00 | 2 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $2,182.51 – $5,562.00 | 6 |
| Perq tx malar fracture CPT 21355 | not published | not published | $2,179.21 – $12,199.00 | 6 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $2,788.00 – $9,463.67 | 6 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $3,117.78 – $12,199.00 | 5 |
| Pertussis ag if CPT 87265 | not published | not published | $5.03 – $57.14 | 6 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $63,233.57 | $63,233.57 | $16.19 – $28.93 | 4 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $170,591.41 | $170,591.41 | $62.10 – $105.57 | 4 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | not published | not published | $60.70 – $60.70 | 1 |
| Pessary reusable rub anytype HCPCS A4561 | not published | not published | $45.17 – $45.17 | 1 |
| Pet CT skull-mid thgh initial CPT 78815 | $7,232.13 | $7,232.13 | $1,344.69 – $2,664.61 | 4 |
| Pet CT whole body initial CPT 78816 | $9,944.17 | $9,944.17 | $1,344.69 – $2,664.61 | 4 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $1,344.69 – $2,664.61 | 4 |
| Pet image full body CPT 78813 | $10,667.32 | $10,667.32 | $1,344.69 – $2,664.61 | 4 |
| Pet image ltd area CPT 78811 | not published | not published | $1,217.46 – $2,350.69 | 4 |
| Pet image skull-thigh CPT 78812 | not published | not published | $1,344.69 – $2,664.61 | 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.