Berger Hospital
600 North Pickaway Street, Circleville, OH · OhioHealth · · NPI 1326020447
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 |
|---|---|---|---|---|
| T3 (triiodothyronine) free CPT 84481 | $24.05 | $37.00 | $16.94 – $16.94 | 1 |
| T3 (triiodothyronine) total CPT 84480 | $22.75 | $35.00 | $14.18 – $14.18 | 1 |
| T4 (thyroxine) free CPT 84439 | $55.90 | $86.00 | $9.02 – $9.02 | 1 |
| T4 (thyroxine) total CPT 84436 | $76.05 | $117.00 | $6.87 – $6.87 | 1 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.97 – $3.71 | 3 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $3.07 – $11.70 | 3 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $5.21 | $8.02 | $0.30 – $1.17 | 3 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $263.15 – $1,655.36 | 3 |
| Tacrolimus therapeutic drug level CPT 80197 | $47.45 | $73.00 | $13.73 – $13.73 | 1 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $14.31 – $90.81 | 3 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $5,598.35 – $7,007.00 | 2 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $5,171.37 – $7,007.00 | 2 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $3,083.00 – $7,007.00 | 2 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $73.94 – $457.41 | 3 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $72.62 – $454.81 | 3 |
| Talymed HCPCS Q4127 | not published | not published | $116.43 – $119.99 | 2 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $0.70 – $1.24 | 2 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $184.24 – $1,752.00 | 2 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $152.59 – $1,752.00 | 2 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.36 – $0.36 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | $5,766.80 | $8,872.00 | $759.53 – $759.53 | 1 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $8,487.70 | $13,058.00 | $2,919.60 – $2,919.60 | 1 |
| Target gsa panel organ neop CPT 81445 | $4,902.95 | $7,543.00 | $597.91 – $597.91 | 1 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,564.64 – $9,750.00 | 2 |
| Tas congenital car anomal CPT 33741 | not published | not published | $2,032.11 – $7,007.00 | 2 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $292.66 – $1,752.00 | 2 |
| Tavr perq femoral CPT 33361 | $17,687.80 | $27,212.00 | $3,251.38 – $7,007.00 | 2 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.28 – $2.60 | 3 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $137.00 – $137.00 | 1 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $93.60 – $93.60 | 1 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $24.52 – $24.52 | 1 |
| Tbs techl calculation only CPT 77091 | not published | not published | $63.57 – $63.57 | 1 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $5.51 – $5.51 | 1 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $98.15 | $151.00 | $100.00 – $100.00 | 1 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $137.80 | $212.00 | $61.98 – $61.98 | 1 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $1,040.00 – $1,040.00 | 1 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $0.07 – $2,704.00 | 2 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $775.52 – $23,831.15 | 2 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $2,912.00 – $2,912.00 | 1 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $0.07 – $174.72 | 2 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $3,915.05 | $6,023.15 | $934.13 – $11,140.81 | 2 |
| Tc-99m exametazime diag HCPCS A9521 | not published | not published | $927.71 – $11,140.81 | 2 |
| Tc-99m fanolesomab diag HCPCS A9566 | not published | not published | $537.47 – $537.47 | 1 |
| Tc-99m gluceptate HCPCS A9550 | not published | not published | $52.86 – $52.86 | 1 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $328.60 – $2,015.00 | 2 |
| Tc-99m labeled rbc HCPCS A9560 | not published | not published | $233.12 – $650.00 | 2 |
| Tc-99m maa HCPCS A9540 | $413.72 | $636.49 | $74.88 – $195.00 | 2 |
| Tc-99m mebrofenin HCPCS A9537 | $59.48 | $91.50 | $138.06 – $367.25 | 2 |
| Tc-99m medronate HCPCS A9503 | $70.14 | $107.90 | $32.45 – $84.50 | 2 |
| Tc-99m mertiatide HCPCS A9562 | $523.61 | $805.55 | $1,020.45 – $1,020.45 | 1 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $0.81 | $1.25 | $7.64 – $7.64 | 1 |
| Tc-99m oxidronate HCPCS A9561 | $85.38 | $131.35 | $109.82 – $109.82 | 1 |
| Tc-99m pentetate dtpa HCPCS A9539 | not published | not published | $0.07 – $78.21 | 2 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $320.22 | $492.65 | $28.70 – $28.70 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $1.04 | $1.60 | $4.16 – $10.99 | 2 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | not published | not published | $159.87 – $416.33 | 2 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $64.29 | $98.91 | $266.45 – $266.45 | 1 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $659.93 – $659.93 | 1 |
| Tc-99m sulfur colloid HCPCS A9541 | $184.08 | $283.20 | $667.34 – $1,737.91 | 2 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $68.25 | $105.00 | $212.84 – $554.26 | 2 |
| Tc-99m tilmanocept diag HCPCS A9520 | $798.12 | $1,227.88 | $1,651.29 – $4,300.21 | 2 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $712.63 – $1,752.00 | 2 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $100.81 – $100.81 | 1 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $100.81 – $100.81 | 1 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $547.33 – $547.33 | 1 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $201.73 – $1,752.00 | 2 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $237.90 | $366.00 | $46.98 – $46.98 | 1 |
| T cells absolute cd 4 count CPT 86361 | $329.55 | $507.00 | $26.78 – $26.78 | 1 |
| T cells total count CPT 86359 | $464.10 | $714.00 | $37.73 – $37.73 | 1 |
| Tcranial magn stim tx deli CPT 90868 | $536.25 | $825.00 | $208.20 – $208.20 | 1 |
| Tcranial magn stim tx plan CPT 90867 | $755.95 | $1,163.00 | $208.20 – $208.20 | 1 |
| Tcran magn stim redetemine CPT 90869 | $755.95 | $1,163.00 | $208.20 – $208.20 | 1 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $1,087.32 – $7,007.00 | 2 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $2,775.37 – $7,007.00 | 2 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $73.84 – $73.84 | 1 |
| Team conf without pat by phys CPT 99367 | not published | not published | $114.04 – $114.04 | 1 |
| Team conf w/pat by hc prof CPT 99366 | $95.55 | $147.00 | $84.42 – $84.42 | 1 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $217.09 – $1,395.94 | 3 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $755.87 – $755.87 | 1 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $755.87 – $755.87 | 1 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $56.38 – $56.38 | 1 |
| Telavancin injection HCPCS J3095 | not published | not published | $7.11 – $48.10 | 3 |
| Telehealth original site facility fee HCPCS Q3014 | $134.55 | $207.00 | $70.25 – $70.25 | 1 |
| Telethx isodose plan cplx CPT 77307 | $5,424.90 | $8,346.00 | $306.44 – $306.44 | 1 |
| Telethx isodose plan simple CPT 77306 | $4,407.00 | $6,780.00 | $169.00 – $169.00 | 1 |
| Temozolomide HCPCS J8700 | not published | not published | $0.45 – $1.76 | 3 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.39 – $67.67 | 3 |
| Temperature gradient studies CPT 93740 | not published | not published | $3.56 – $3.56 | 1 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $26.71 – $191.88 | 3 |
| Tendon lengthening CPT 26476 | not published | not published | $1,032.00 – $3,729.00 | 2 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $1,473.42 – $10,169.00 | 2 |
| Tendon shortening CPT 26477 | not published | not published | $1,032.00 – $3,729.00 | 2 |
| Tendon transfer with graft CPT 26492 | not published | not published | $1,580.00 – $10,169.00 | 2 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $20,845.40 | $32,069.85 | $172.22 – $1,055.80 | 3 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $6,229.89 – $16,223.68 | 2 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $1,574.35 – $12,880.00 | 2 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $1,530.00 – $3,729.00 | 2 |
| Tenolysis triceps CPT 24332 | not published | not published | $1,382.00 – $10,169.00 | 2 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $1,580.00 – $10,169.00 | 2 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $1,306.11 – $3,729.00 | 2 |
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.