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 |
|---|---|---|---|---|
| Legg perthes patten bottom t HCPCS L1755 | $4,632.85 | $7,721.42 | not published | 0 |
| Leg perthes orth toronto typ HCPCS L1700 | $4,025.64 | $6,709.40 | not published | 0 |
| Lens, intraocular (new tech) HCPCS C1780 | $243.93 | $406.55 | not published | 0 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $2,869.74 | $4,782.90 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $3,429.34 | $5,715.57 | not published | 0 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $860.92 | $1,434.87 | not published | 0 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $205.32 | $342.20 | not published | 0 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $2,040.30 | $3,400.50 | not published | 0 |
| Leuprolide acetate injeciton HCPCS J9218 | $38.40 | $64.00 | not published | 0 |
| Levalbuterol non-comp con HCPCS J7612 | $19.98 | $33.30 | not published | 0 |
| Levalbuterol non-comp unit HCPCS J7614 | $6.00 | $10.00 | not published | 0 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $9.90 | $16.50 | not published | 0 |
| Levetiracetam therapeutic drug level CPT 80177 | $132.60 | $221.00 | not published | 0 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $43.38 | $72.30 | not published | 0 |
| Liberta rc ipg HCPCS C1820 | $88,775.41 | $147,959.01 | not published | 0 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $29.34 | $48.90 | not published | 0 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $23.76 | $39.60 | not published | 0 |
| Lidocaine therapeutic drug level CPT 80176 | $78.60 | $131.00 | not published | 0 |
| Lift heel adj small gl60404sm HCPCS L3332 | $190.84 | $318.06 | not published | 0 |
| Lift heel adjustable med HCPCS L3334 | $98.66 | $164.44 | not published | 0 |
| Lifts elevation metal extens HCPCS L3330 | $1,464.34 | $2,440.57 | not published | 0 |
| Ligation internal/common carotid artery 37605 CPT 37605 | $5,478.60 | $9,131.00 | not published | 0 |
| Ligation/major artery/extremity 37618 CPT 37618 | $5,023.20 | $8,372.00 | not published | 0 |
| Limited ankle motion ea jnt HCPCS L2200 | $384.55 | $640.91 | not published | 0 |
| Limited motion knee joint HCPCS L2184 | $299.72 | $499.53 | not published | 0 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $130.68 | $217.80 | not published | 0 |
| Lipase CPT 83690 | $51.60 | $86.00 | not published | 0 |
| Lipoprotein blood high res frac & quant CPT 83701 | $70.80 | $118.00 | not published | 0 |
| Lipoprotein blood quant CPT 83704 | $146.40 | $244.00 | not published | 0 |
| Lipoprotein direct measurement hdl CPT 83718 | $57.00 | $95.00 | not published | 0 |
| Lipoprotein direct measurement ldl CPT 83721 | $39.00 | $65.00 | not published | 0 |
| Lip surgery procedure CPT 40799 | $376.20 | $627.00 | not published | 0 |
| Listeria monocytogenes CPT 86723 | $160.20 | $267.00 | not published | 0 |
| Lithium therapeutic drug level CPT 80178 | $50.40 | $84.00 | not published | 0 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | $6,805.80 | $11,343.00 | not published | 0 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $444.00 | $740.00 | not published | 0 |
| Liver Function Test CPT 80076 | $55.20 | $92.00 | not published | 0 |
| Liver/spleen imag static only CPT 78215 | $1,090.80 | $1,818.00 | not published | 0 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $9.00 | $15.00 | not published | 0 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | $446.36 | $743.93 | not published | 0 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | $183.43 | $305.72 | not published | 0 |
| Low back disk surgery CPT 63030 | $21,711.50 | $36,185.83 | $7,219.00 – $7,363.38 | 3 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,649.40 | $2,749.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,097.40 | $1,829.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,099.20 | $1,832.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,811.60 | $4,686.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,958.60 | $4,931.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,069.40 | $3,449.00 | not published | 0 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $211.20 | $352.00 | not published | 0 |
| Lso corset front HCPCS L0972 | $272.34 | $453.90 | not published | 0 |
| Lso flex no ri stays pre ots HCPCS L0628 | $294.26 | $490.44 | not published | 0 |
| Lso full corset HCPCS L0976 | $386.87 | $644.78 | not published | 0 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | $439.07 | $731.78 | not published | 0 |
| Lso sag-coronal panel custom HCPCS L0638 | $4,341.92 | $7,236.53 | not published | 0 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | $3,352.09 | $5,586.81 | not published | 0 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | $419.09 | $698.49 | not published | 0 |
| Lso sagit rigid panel prefab HCPCS L0635 | $2,585.47 | $4,309.11 | not published | 0 |
| Lso sagittal rigid panel cus HCPCS L0636 | $3,508.06 | $5,846.76 | not published | 0 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | $674.93 | $1,124.89 | not published | 0 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | $741.97 | $1,236.62 | not published | 0 |
| Lso s/c shell/panel custom HCPCS L0640 | $2,462.87 | $4,104.78 | not published | 0 |
| L/s ratio fetal lung CPT 83661 | $139.80 | $233.00 | not published | 0 |
| Lumbar bolster pad HCPCS L1030 | $202.60 | $337.67 | not published | 0 |
| Lumbar derotation pad HCPCS L1240 | $235.32 | $392.20 | not published | 0 |
| Lumbar or lumbar rib pad HCPCS L1040 | $229.41 | $382.35 | not published | 0 |
| Lumbar sling HCPCS L1090 | $260.37 | $433.95 | not published | 0 |
| Lung function test (mbc/mvv) CPT 94200 | $222.60 | $371.00 | not published | 0 |
| Lung Function Test (Spirometry) CPT 94010 | $140.40 | $234.00 | not published | 0 |
| Lung perfusion imaging CPT 78580 | $1,361.40 | $2,269.00 | not published | 0 |
| Lvad shower bag heartmate HCPCS Q0501 | $860.92 | $1,434.87 | not published | 0 |
| Lymphatics/lymph node imaging CPT 78195 | $1,511.40 | $2,519.00 | not published | 0 |
| Lymphocyte culture mixed CPT 86821 | $62.40 | $104.00 | not published | 0 |
| Lymphocyte transformation mitogen CPT 86353 | $306.00 | $510.00 | not published | 0 |
| Macroscopic exam arthropod CPT 87168 | $25.80 | $43.00 | not published | 0 |
| Macroscopic exam parasite CPT 87169 | $52.20 | $87.00 | not published | 0 |
| Magnesium CPT 83735 | $57.60 | $96.00 | not published | 0 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $64.20 | $107.00 | not published | 0 |
| Malaria antibody CPT 86750 | $115.80 | $193.00 | not published | 0 |
| Mammosite ced HCPCS C1728 | $8,680.96 | $14,468.27 | not published | 0 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $84.00 | $140.00 | not published | 0 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $322.80 | $538.00 | not published | 0 |
| Man's shoe oxford brace HCPCS L3225 | $190.98 | $318.30 | not published | 0 |
| Marker biop eviva buckle ss HCPCS A4648 | $16,214.03 | $27,023.39 | not published | 0 |
| Mastectomy partial CPT 19301 | $20,538.65 | $34,231.08 | $3,895.35 – $3,895.35 | 3 |
| Mastoids complete CPT 70130 | $243.60 | $406.00 | not published | 0 |
| Mast simple complete CPT 19303 | $30,315.76 | $50,526.27 | $6,606.11 – $6,606.11 | 3 |
| Matrion 1 sq cm HCPCS Q4201 | $22,197.44 | $36,995.73 | not published | 0 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $93,237.85 | $155,396.42 | not published | 0 |
| M.avium-intra dna amp prob CPT 87561 | $103.80 | $173.00 | not published | 0 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $100.80 | $168.00 | not published | 0 |
| Mayo aathr protein s free CPT 85306 | $133.20 | $222.00 | not published | 0 |
| Mayo activated protein c resistance assay CPT 85307 | $82.20 | $137.00 | not published | 0 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $148.80 | $248.00 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $85.20 | $142.00 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $76.80 | $128.00 | not published | 0 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $98.40 | $164.00 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $459.00 | $765.00 | not published | 0 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $255.60 | $426.00 | not published | 0 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $541.20 | $902.00 | not published | 0 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,489.40 | $4,149.00 | 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.