AdventHealth Ottawa
Ottawa, KS
Posts prices for 36 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Epidural injection, lumbar/sacral (with imaging) (62322) | $3,056.14 | $3,056.14 | 3.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) | $2,656.25 | $2,656.25 | 3.2× |
| CT head/brain without contrast (70450) | $4,153.72 | $4,153.72 | 42.3× |
| MRI brain without contrast (70551) | $3,272.76 | $3,272.76 | 14.6× |
| MRI brain with contrast (70552) | $3,959.73 | $3,959.73 | 12.1× |
| MRI brain without and with contrast (70553) | $4,909.12 | $4,909.12 | 15.0× |
| X-ray lower spine, 4+ views (72110) | $1,064.47 | $1,064.47 | 10.8× |
| MRI lumbar spine without contrast (72148) | $4,032.52 | $4,032.52 | 18.0× |
| CT pelvis with contrast (72193) | $3,579.55 | $3,579.55 | 21.7× |
| MRI lower-extremity joint without contrast (73721) | $4,032.52 | $4,032.52 | 18.0× |
| CT abdomen and pelvis with contrast (74177) | $8,865 | $8,865 | 27.0× |
| Ultrasound, abdomen complete (76700) | $2,361.79 | $2,361.79 | 24.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $1,765.47 | $1,765.47 | 18.0× |
| Ultrasound, transvaginal (76830) | $1,775.23 | $1,775.23 | 18.1× |
| Mammography, one breast (diagnostic) (77065) | $535.14 | $535.14 | 6.2× |
| Mammography, both breasts (diagnostic) (77066) | $712.08 | $712.08 | 6.4× |
| Mammography, screening (bilateral) (77067) | $535.14 | $535.14 | 5.9× |
| Basic metabolic panel (80048) | $280.43 | $280.43 | 33.1× |
| Comprehensive metabolic panel (80053) | $335.79 | $335.79 | 31.8× |
| Lipid panel (80061) | $412.60 | $412.60 | 30.8× |
| Renal function panel (80069) | $305.44 | $305.44 | 35.2× |
| Hepatic function panel (80076) | $260.78 | $260.78 | 31.9× |
| Urinalysis, non-automated, without microscopy (81002) | $143.21 | $143.21 | 41.2× |
| PSA, total (84153) | $371.58 | $371.58 | 20.2× |
| Thyroid stimulating hormone (TSH) (84443) | $271.09 | $271.09 | 16.1× |
| CBC with automated differential (85025) | $318.20 | $318.20 | 41.0× |
| CBC, automated (85027) | $162.46 | $162.46 | 25.1× |
| Prothrombin time (PT) (85610) | $279.69 | $279.69 | 65.2× |
| Partial thromboplastin time (PTT) (85730) | $265.85 | $265.85 | 44.2× |
| Group psychotherapy (90853) | $377.13 | $377.13 | 3.9× |
| Left heart catheterization (93452) | $19,384.35 | $19,384.35 | 6.4× |
| Sleep study (attended polysomnography) (95810) | $12,031.04 | $12,031.04 | 14.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $296.96 | $296.96 | 10.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) | $775.51 | $775.51 | 6.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $940.28 | $940.28 | 7.5× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $1,020.46 | $1,020.46 | 8.2× |
More prices at this hospital
- Imaging: 320 codes with posted prices and Medicare benchmarks
- Lab & pathology: 733 codes with posted prices and Medicare benchmarks
- Visits & medical services: 212 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 500 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 27 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 19.4 MB) ↓ — captured 2026-07-29
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