Grady Memorial Hospital
561 West Central Avenue, Delaware, OH · OhioHealth · · NPI 1235174327
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 |
|---|---|---|---|---|
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $6.08 | $9.36 | $2.05 – $7.80 | 2 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $731.19 – $731.19 | 1 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $216.90 – $1,378.78 | 4 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $22.30 | $34.30 | $2.30 – $8.78 | 2 |
| Loudness balance test CPT 92562 | not published | not published | $208.20 – $216.53 | 3 |
| Low back disk surgery CPT 63030 | not published | not published | $6,996.60 – $7,276.46 | 3 |
| Low cost skin substitute app HCPCS C5271 | $380.25 | $585.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5273 | $1,137.50 | $1,750.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5275 | $380.25 | $585.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5272 | $254.80 | $392.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5274 | $484.90 | $746.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5276 | $254.80 | $392.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,183.00 | $1,820.00 | $169.13 – $175.89 | 3 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,032.20 | $1,588.00 | $336.39 – $349.85 | 3 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $835.25 | $1,285.00 | $100.81 – $104.84 | 3 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,924.65 | $2,961.00 | $336.39 – $349.85 | 3 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,634.75 | $2,515.00 | $336.39 – $349.85 | 3 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,311.70 | $2,018.00 | $230.07 – $239.27 | 3 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $245.05 | $377.00 | $100.81 – $104.84 | 3 |
| Low frequency non-thermal Ultrasound CPT 97610 | $616.85 | $949.00 | $193.46 – $201.19 | 3 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $15.90 – $97.50 | 4 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $10,249.52 – $10,659.50 | 3 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $10,249.52 – $10,659.50 | 3 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $10,249.52 – $10,659.50 | 3 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $10,249.52 – $10,659.50 | 3 |
| Lso flex no ri stays pre ots HCPCS L0628 | $46.59 | $71.67 | not published | 0 |
| L/s ratio fetal lung CPT 83661 | $395.85 | $609.00 | $21.99 – $22.87 | 3 |
| Lumbar diskogram s&i CPT 72295 | $1,524.90 | $2,346.00 | $1,882.86 – $1,958.17 | 3 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $16,906.49 – $17,582.75 | 3 |
| Lumizyme injection HCPCS J0221 | not published | not published | $206.59 – $1,310.66 | 4 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $56.88 – $59.16 | 3 |
| Lung Function Test (Spirometry) CPT 94010 | $342.55 | $527.00 | $208.20 – $216.53 | 3 |
| Lung perfusion imaging CPT 78580 | $702.65 | $1,081.00 | $385.47 – $400.89 | 3 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $22,297.54 | $34,303.90 | $207.13 – $1,331.85 | 4 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $13,361.30 | $20,555.85 | $41.98 – $268.32 | 4 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $316.99 – $1,907.43 | 4 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $255.84 – $1,545.90 | 4 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $27.89 – $29.00 | 3 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $20.05 – $20.85 | 3 |
| Lymphatics/lymph node imaging CPT 78195 | $1,047.15 | $1,611.00 | $523.54 – $544.48 | 3 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $38.02 | 3 |
| Lymphocyte transformation mitogen CPT 86353 | $385.45 | $593.00 | $49.03 – $50.99 | 3 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $189.51 – $197.09 | 3 |
| Lymphocytotoxicity assay CPT 86806 | $849.55 | $1,307.00 | $47.59 – $49.49 | 3 |
| Lymph vessel x-ray arm/leg CPT 75801 | $590.20 | $908.00 | $604.86 – $629.05 | 3 |
| Lymph vessel x-ray arms/legs CPT 75803 | $1,422.20 | $2,188.00 | not published | 0 |
| Lymph vessel x-ray trunk CPT 75805 | $1,422.20 | $2,188.00 | $3,044.51 – $3,166.29 | 3 |
| Lymph vessel x-ray trunk CPT 75807 | $2,414.75 | $3,715.00 | $3,044.51 – $3,166.29 | 3 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $520.03 – $540.83 | 3 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $3,121.31 – $3,246.16 | 3 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $2,015.59 – $2,096.22 | 3 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $26.31 – $100.62 | 2 |
| Macroscopic exam arthropod CPT 87168 | $52.65 | $81.00 | $4.27 – $4.44 | 3 |
| Macroscopic exam parasite CPT 87169 | $46.80 | $72.00 | $4.31 – $4.48 | 3 |
| Magnesium CPT 83735 | $46.80 | $72.00 | $6.70 – $6.97 | 3 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $49.24 | $75.75 | $0.83 – $3.19 | 2 |
| Magnetic image bone marrow CPT 77084 | $1,380.60 | $2,124.00 | $230.07 – $239.27 | 3 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $127.73 – $127.73 | 1 |
| Malaria antibody CPT 86750 | $16.90 | $26.00 | $13.19 – $13.72 | 3 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $1,550.46 – $1,612.48 | 3 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,550.46 – $1,612.48 | 3 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $126.10 | $194.00 | $128.29 – $133.42 | 3 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $126.10 | $194.00 | $128.29 – $133.42 | 3 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,550.46 – $1,612.48 | 3 |
| Manipulation of spine CPT 22505 | not published | not published | $1,550.46 – $1,612.48 | 3 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $237.84 – $247.36 | 3 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $4.31 – $16.51 | 2 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $42.77 – $42.77 | 1 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $5.07 – $5.27 | 3 |
| Map tachycard site(s) CPT 93609 | $5,532.80 | $8,512.00 | not published | 0 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $52.49 – $321.10 | 4 |
| Marker biop eviva buckle ss HCPCS A4648 | $298.51 | $459.25 | not published | 0 |
| Mastectomy partial CPT 19301 | not published | not published | $3,775.35 – $3,926.36 | 3 |
| Mast mod rad CPT 19307 | not published | not published | $6,402.59 – $6,658.70 | 3 |
| Mastoids complete CPT 70130 | $942.50 | $1,450.00 | $100.81 – $104.84 | 3 |
| Mastopexy CPT 19316 | not published | not published | $6,402.59 – $6,658.70 | 3 |
| Mast simple complete CPT 19303 | not published | not published | $6,402.59 – $6,658.70 | 3 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $119.99 – $124.79 | 3 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $34.95 – $124.79 | 3 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $35.09 – $36.49 | 3 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $27.29 – $28.38 | 3 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $42.84 – $44.55 | 3 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $77.35 | $119.00 | $14.46 – $15.04 | 3 |
| Mayo aathr protein s free CPT 85306 | $520.00 | $800.00 | $15.32 – $15.93 | 3 |
| Mayo activated protein c resistance assay CPT 85307 | $122.20 | $188.00 | $15.32 – $15.93 | 3 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $450.45 | $693.00 | $38.57 – $40.11 | 3 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $150.15 | $231.00 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $76.70 | $118.00 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $49.40 | $76.00 | $14.78 – $15.37 | 3 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $386.10 | $594.00 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $72.80 | $112.00 | $13.44 – $13.98 | 3 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $58.50 | $90.00 | $15.08 – $15.68 | 3 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $40.30 | $62.00 | not published | 0 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $65.65 | $101.00 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $643.50 | $990.00 | $121.63 – $126.50 | 3 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $536.25 | $825.00 | $91.66 – $95.33 | 3 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $858.00 | $1,320.00 | $137.00 – $142.48 | 3 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $5,796.70 | $8,918.00 | $1,160.00 – $1,206.40 | 3 |
| Mayo androstenedione CPT 82157 | $46.80 | $72.00 | $29.28 – $30.45 | 3 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $133.90 | $206.00 | $14.60 – $15.18 | 3 |
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.