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 |
|---|---|---|---|---|
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $1,431.87 | $1,431.87 | $20.90 – $203.81 | 6 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $1,591.37 | $1,591.37 | $122.33 – $573.03 | 6 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,892.94 | $1,892.94 | $181.42 – $1,287.99 | 6 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Surgical revision intestine CPT 44680 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $841.86 – $5,562.00 | 6 |
| Susceptibility agar dilution per agent CPT 87181 | $72.85 | $72.85 | $2.00 – $19.19 | 6 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $113.19 | $113.19 | $2.00 – $19.32 | 6 |
| Susceptibility mic per plate CPT 87186 | $280.49 | $280.49 | $3.63 – $34.32 | 6 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $2.79 – $11.29 | 6 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Suspension of testis CPT 54620 | not published | not published | $1,534.55 – $5,635.17 | 6 |
| Suspension of uterus CPT 58410 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $3,245.00 – $8,348.00 | 3 |
| Suspension sleeve lower ext HCPCS L2397 | not published | not published | $154.84 – $263.23 | 4 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Svc venogram s&i CPT 75827 | $8,368.27 | $8,368.27 | $102.75 – $2,531.05 | 5 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $4.37 – $83.31 | 6 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | not published | $2,064.47 – $4,378.40 | 4 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $2,359.16 – $6,343.72 | 4 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $162.14 – $536.81 | 4 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $329.19 – $680.66 | 4 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $162.14 – $524.04 | 4 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $576.55 – $1,199.76 | 4 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,836.30 – $3,918.00 | 5 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $886.12 – $5,562.00 | 6 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $2,788.00 – $8,348.00 | 5 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Synvisc or synvisc-one HCPCS J7325 | $3,117.85 | $3,117.85 | $7.95 – $13.52 | 4 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $293.07 | $293.07 | $1.85 – $23.51 | 6 |
| System sealant biosentry tract HCPCS C2613 | not published | not published | $7,256.00 – $7,256.00 | 1 |
| T3 (triiodothyronine) free CPT 84481 | $399.58 | $399.58 | $7.11 – $87.78 | 6 |
| T3 (triiodothyronine) total CPT 84480 | $199.14 | $199.14 | $5.96 – $49.18 | 6 |
| T4 (thyroxine) free CPT 84439 | $163.17 | $163.17 | $3.79 – $32.06 | 6 |
| T4 (thyroxine) total CPT 84436 | $160.61 | $160.61 | $2.89 – $18.71 | 6 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $254.67 – $447.35 | 4 |
| Tacrolimus therapeutic drug level CPT 80197 | $382.46 | $382.46 | $5.77 – $70.17 | 6 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $13.97 – $24.33 | 4 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $3,245.00 – $9,839.00 | 3 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $70.37 – $125.69 | 4 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $69.97 – $123.45 | 4 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $323.06 – $3,281.00 | 3 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $323.06 – $3,281.00 | 3 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.47 – $0.47 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $319.00 – $1,291.20 | 4 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $53,175.56 | $53,175.56 | $1,226.23 – $4,963.32 | 4 |
| Target gsa panel organ neop CPT 81445 | $3,111.40 | $3,111.40 | $251.12 – $1,016.45 | 4 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,564.64 – $2,659.88 | 4 |
| Tas congenital car anomal CPT 33741 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $162.00 – $1,181.51 | 5 |
| Tavr perq femoral CPT 33361 | $35,655.03 | $35,655.03 | $3,245.00 – $7,256.00 | 3 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $5,780.33 | $5,780.33 | $0.28 – $0.48 | 4 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $57.54 – $232.90 | 4 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $74.75 – $74.75 | 1 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $18.68 – $18.68 | 1 |
| Tbs techl calculation only CPT 77091 | not published | not published | $81.84 – $148.70 | 4 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $81.84 – $148.70 | 4 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $42.00 – $223.86 | 5 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $885.08 | $885.08 | $26.03 – $138.57 | 6 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $809.51 – $809.51 | 1 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $683.80 – $1,318.38 | 4 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $934.13 – $1,588.02 | 4 |
| Tc-99m exametazime diag HCPCS A9521 | not published | not published | $802.34 – $1,577.11 | 4 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $328.60 – $558.62 | 4 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $10.00 – $10.00 | 1 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $162.00 – $1,181.51 | 5 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $98.31 – $167.13 | 3 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $98.31 – $167.13 | 3 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $414.87 – $2,079.00 | 5 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $850.28 | $850.28 | $19.73 – $141.81 | 6 |
| T cells absolute cd 4 count CPT 86361 | $385.80 | $385.80 | $11.25 – $53.10 | 6 |
| T cells total count CPT 86359 | $667.10 | $667.10 | $15.85 – $86.05 | 6 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $203.05 – $345.18 | 3 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $203.05 – $345.18 | 3 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $203.05 – $345.18 | 3 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $3,245.00 – $7,256.00 | 3 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | $55,502.48 | $55,502.48 | $3,245.00 – $7,256.00 | 3 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $214.76 – $369.05 | 4 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $737.18 – $1,253.21 | 3 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $737.18 – $1,253.21 | 3 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $48.64 – $95.85 | 4 |
| Telavancin injection HCPCS J3095 | not published | not published | $7.11 – $12.09 | 4 |
| Telethx isodose plan cplx CPT 77307 | $1,000.40 | $1,000.40 | $209.15 – $598.58 | 3 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $115.80 – $598.58 | 3 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.39 – $17.66 | 4 |
| Temperature gradient studies CPT 93740 | not published | not published | $121.00 – $205.70 | 3 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $26.71 – $45.41 | 4 |
| Tendon lengthening CPT 26476 | not published | not published | $1,978.20 – $5,230.75 | 6 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $1,461.21 – $8,348.00 | 6 |
| Tendon shortening CPT 26477 | not published | not published | $1,978.20 – $5,230.75 | 6 |
| Tendon transfer with graft CPT 26492 | not published | not published | $1,978.20 – $8,348.00 | 6 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | not published | not published | $162.43 – $292.78 | 4 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $3,220.48 – $12,199.00 | 6 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $1,461.21 – $5,230.75 | 6 |
| Tenolysis triceps CPT 24332 | not published | not published | $1,978.20 – $8,348.00 | 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.