Defiance Hospital
1404 E. Second Street, Defiance, OH · Mercy · · NPI 1629011234
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $154.80 | $258.00 | not published | 0 |
| 17-hydroxypregnenolone CPT 84143 | $144.00 | $240.00 | not published | 0 |
| 17-ketosteroids CPT 83586 | $75.60 | $126.00 | not published | 0 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $1,286.40 | $2,144.00 | not published | 0 |
| 3-d radiotherapy plan CPT 77295 | $5,494.80 | $9,158.00 | not published | 0 |
| 3d recon without postprocess indpndt CPT 76376 | $629.40 | $1,049.00 | not published | 0 |
| 5' nucleotidase - sendout CPT 83915 | $71.40 | $119.00 | not published | 0 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $147.00 | $245.00 | not published | 0 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $105.00 | $175.00 | not published | 0 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $109.80 | $183.00 | not published | 0 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $113.40 | $189.00 | not published | 0 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $105.00 | $175.00 | not published | 0 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $109.80 | $183.00 | not published | 0 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $113.40 | $189.00 | not published | 0 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $116.40 | $194.00 | not published | 0 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $129.00 | $215.00 | not published | 0 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $3,692.10 | $6,153.50 | not published | 0 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $105.00 | $175.00 | not published | 0 |
| Abd/low ext cath 2nd CPT 36246 | $1,320.60 | $2,201.00 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,690.20 | $2,817.00 | not published | 0 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,269.00 | $2,115.00 | not published | 0 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,171.80 | $1,953.00 | not published | 0 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,478.60 | $4,131.00 | not published | 0 |
| Abdominal MRI (with contrast) CPT 74182 | $2,523.00 | $4,205.00 | not published | 0 |
| Abdominal MRI (without contrast) CPT 74181 | $1,964.40 | $3,274.00 | not published | 0 |
| Abdominal pad HCPCS L1270 | $214.46 | $357.43 | not published | 0 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,912.80 | $3,188.00 | not published | 0 |
| Abdominal Ultrasound (complete) CPT 76700 | $696.60 | $1,161.00 | not published | 0 |
| Abdominal Ultrasound (limited) CPT 76705 | $468.60 | $781.00 | not published | 0 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,401.60 | $2,336.00 | not published | 0 |
| Abduct control hip semi-flex HCPCS L1630 | $546.63 | $911.05 | not published | 0 |
| Abduction bar jointed adjust HCPCS L2300 | $651.40 | $1,085.67 | not published | 0 |
| Abduction rotation bar shoe HCPCS L3140 | $230.35 | $383.92 | not published | 0 |
| Abduct rotation bar without shoe HCPCS L3150 | $210.64 | $351.06 | not published | 0 |
| Abl1 gene CPT 81170 | $911.40 | $1,519.00 | not published | 0 |
| Ablation of upper extremity nerves rf CPT 64999 | $3,534.60 | $5,891.00 | not published | 0 |
| Abscess drain retroperitoneal surg code CPT 49406 | $2,670.00 | $4,450.00 | not published | 0 |
| Acetaminophen level CPT 80143 | $109.80 | $183.00 | not published | 0 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $124.74 | $207.90 | not published | 0 |
| Acetone qualitative CPT 82009 | $17.40 | $29.00 | not published | 0 |
| Acetylcholine receptor modulating antibody CPT 86043 | $61.80 | $103.00 | not published | 0 |
| Acetylcholinesterase assay CPT 82013 | $166.20 | $277.00 | not published | 0 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $13.44 | $22.40 | not published | 0 |
| Acetylcysteine non-comp unit HCPCS J7608 | $110.28 | $183.80 | not published | 0 |
| Acne surgery 10040 CPT 10040 | $396.00 | $660.00 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $309.00 | $515.00 | not published | 0 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $17.04 | $28.40 | not published | 0 |
| #acylcarnitineprfl CPT 82017 | $174.00 | $290.00 | not published | 0 |
| Adapter b 8 channel 10cm HCPCS C1883 | $10,973.17 | $18,288.61 | not published | 0 |
| Add le poly knee custom kafo HCPCS L2387 | $493.94 | $823.23 | not published | 0 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $21.72 | $36.20 | not published | 0 |
| Adenovirus antibody,serum - quest CPT 86603 | $89.40 | $149.00 | not published | 0 |
| Adh-sendout CPT 84588 | $210.00 | $350.00 | not published | 0 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $52.50 | $87.50 | not published | 0 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $130.20 | $217.00 | not published | 0 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $135.60 | $226.00 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $691.80 | $1,153.00 | not published | 0 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $421.20 | $702.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $237.60 | $396.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $263.40 | $439.00 | not published | 0 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $11,897.10 | $19,828.50 | not published | 0 |
| Aep neurodiagnostic i&r CPT 92653 | $241.80 | $403.00 | not published | 0 |
| Aep thrshld est mlt freq i&r CPT 92652 | $241.80 | $403.00 | not published | 0 |
| _afb id by dna probe rflx ast CPT 87149 | $86.40 | $144.00 | not published | 0 |
| #afb mycobacteria suscep. #1 CPT 87190 | $33.60 | $56.00 | not published | 0 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $150.60 | $251.00 | not published | 0 |
| Afo molded ankle gauntlet HCPCS L1904 | $1,167.90 | $1,946.50 | not published | 0 |
| Afo molded plas rig ant tib HCPCS L1945 | $2,666.02 | $4,443.36 | not published | 0 |
| Afo molded to patient plasti HCPCS L1940 | $1,115.12 | $1,858.54 | not published | 0 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $2,308.88 | $3,848.13 | not published | 0 |
| Afo sing bar clasp attach sh HCPCS L1910 | $725.64 | $1,209.40 | not published | 0 |
| Afo sing solid stirrup calf HCPCS L1980 | $1,044.73 | $1,741.21 | not published | 0 |
| Afo sing upright with adjust s HCPCS L1920 | $1,062.95 | $1,771.59 | not published | 0 |
| Afo spiral molded to pt plas HCPCS L1950 | $1,989.91 | $3,316.51 | not published | 0 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | $738.21 | $1,230.35 | not published | 0 |
| Afo supramalleolar custom HCPCS L1907 | $1,455.99 | $2,426.65 | not published | 0 |
| Afo tib fx cast plaster mold HCPCS L2106 | $2,039.47 | $3,399.11 | not published | 0 |
| Afo tibial fracture rigid HCPCS L2116 | $1,994.30 | $3,323.83 | not published | 0 |
| Afo tibial fracture soft HCPCS L2112 | $1,305.39 | $2,175.65 | not published | 0 |
| Afo, walk boot type, cus fab HCPCS L4631 | $4,105.91 | $6,843.18 | not published | 0 |
| Afo w/ankle joint, prefab HCPCS L1971 | $1,652.97 | $2,754.95 | not published | 0 |
| Ak/knee disartic pelvic band HCPCS L5697 | $202.92 | $338.20 | not published | 0 |
| Ak/knee disartic silesian ba HCPCS L5698 | $252.37 | $420.61 | not published | 0 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | $457.18 | $761.96 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $34.20 | $57.00 | not published | 0 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $356.40 | $594.00 | not published | 0 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $45.60 | $76.00 | not published | 0 |
| Albumin serum plasma or whole blood CPT 82040 | $33.60 | $56.00 | not published | 0 |
| Albuterol ipratrop non-comp HCPCS J7620 | $3.00 | $5.00 | not published | 0 |
| Albuterol non-comp con HCPCS J7611 | $3.00 | $5.00 | not published | 0 |
| Albuterol non-comp unit HCPCS J7613 | $3.00 | $5.00 | not published | 0 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $146.40 | $244.00 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $36.00 | $60.00 | not published | 0 |
| Allergen alpha lactalbumin ige CPT 86008 | $37.80 | $63.00 | not published | 0 |
| Allergen egg white ige CPT 86003 | $22.20 | $37.00 | not published | 0 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $28.20 | $47.00 | not published | 0 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | $7,229.74 | $12,049.56 | not published | 0 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $14,256.87 | $23,761.45 | not published | 0 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $17,889.76 | $29,816.26 | not published | 0 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $13,715.06 | $22,858.44 | not published | 0 |
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.