Allen Hospital
200 W. Lorain St., Oberlin, OH · Mercy · · NPI 1801825997
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 | $62.40 | $104.00 | not published | 0 |
| 17-hydroxypregnenolone CPT 84143 | $60.00 | $100.00 | not published | 0 |
| 17-ketosteroids CPT 83586 | $29.40 | $49.00 | not published | 0 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $2,996.40 | $4,994.00 | not published | 0 |
| 3d recon without postprocess indpndt CPT 76376 | $523.80 | $873.00 | not published | 0 |
| 5' nucleotidase - sendout CPT 83915 | $92.40 | $154.00 | not published | 0 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $90.60 | $151.00 | not published | 0 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $94.20 | $157.00 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,298.60 | $3,831.00 | not published | 0 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,840.80 | $3,068.00 | not published | 0 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,788.00 | $2,980.00 | not published | 0 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,583.00 | $4,305.00 | not published | 0 |
| Abdominal MRI (with contrast) CPT 74182 | $2,367.00 | $3,945.00 | not published | 0 |
| Abdominal MRI (without contrast) CPT 74181 | $2,152.20 | $3,587.00 | not published | 0 |
| Abdominal pad HCPCS L1270 | $222.63 | $371.05 | not published | 0 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,092.00 | $1,820.00 | not published | 0 |
| Abdominal Ultrasound (limited) CPT 76705 | $778.20 | $1,297.00 | not published | 0 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $935.40 | $1,559.00 | not published | 0 |
| Abduct control hip semi-flex HCPCS L1630 | $567.46 | $945.77 | not published | 0 |
| Abduction bar jointed adjust HCPCS L2300 | $676.23 | $1,127.05 | not published | 0 |
| Abduction rotation bar shoe HCPCS L3140 | $239.14 | $398.56 | not published | 0 |
| Abduct rotation bar without shoe HCPCS L3150 | $218.67 | $364.45 | not published | 0 |
| Abl1 gene CPT 81170 | $768.00 | $1,280.00 | not published | 0 |
| Ablation of upper extremity nerves rf CPT 64999 | $540.00 | $900.00 | not published | 0 |
| Acetaminophen level CPT 80143 | $129.60 | $216.00 | not published | 0 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $128.52 | $214.20 | not published | 0 |
| Acetone qualitative CPT 82009 | $34.20 | $57.00 | not published | 0 |
| Acetylcholine receptor modulating antibody CPT 86043 | $61.20 | $102.00 | not published | 0 |
| Acetylcholinesterase assay CPT 82013 | $91.20 | $152.00 | not published | 0 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $13.86 | $23.10 | not published | 0 |
| Acetylcysteine non-comp unit HCPCS J7608 | $113.82 | $189.70 | not published | 0 |
| Acne surgery 10040 CPT 10040 | $396.00 | $660.00 | not published | 0 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $58.80 | $98.00 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $308.40 | $514.00 | not published | 0 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $117.06 | $195.10 | not published | 0 |
| #acylcarnitineprfl CPT 82017 | $178.80 | $298.00 | not published | 0 |
| Adapter b 8 channel 10cm HCPCS C1883 | $11,391.41 | $18,985.68 | not published | 0 |
| Add le poly knee custom kafo HCPCS L2387 | $512.77 | $854.61 | not published | 0 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $25.50 | $42.50 | not published | 0 |
| Adenovirus antibody,serum - quest CPT 86603 | $78.00 | $130.00 | not published | 0 |
| Adh-sendout CPT 84588 | $80.40 | $134.00 | not published | 0 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $166.56 | $277.60 | not published | 0 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $51.60 | $86.00 | not published | 0 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $514.20 | $857.00 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $514.20 | $857.00 | not published | 0 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $514.20 | $857.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $365.40 | $609.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $365.40 | $609.00 | not published | 0 |
| Administration immunization 1 vaccine CPT 90471 | $162.60 | $271.00 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $162.60 | $271.00 | not published | 0 |
| Administration vaccine hepatitis b HCPCS G0010 | $162.60 | $271.00 | not published | 0 |
| Administration vaccine influenza virus HCPCS G0008 | $117.00 | $195.00 | not published | 0 |
| Administration vaccine pneumococcal HCPCS G0009 | $117.00 | $195.00 | not published | 0 |
| _afb id by dna probe rflx ast CPT 87149 | $78.00 | $130.00 | not published | 0 |
| #afb mycobacteria suscep. #1 CPT 87190 | $81.00 | $135.00 | not published | 0 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $403.80 | $673.00 | not published | 0 |
| Afo molded ankle gauntlet HCPCS L1904 | $1,212.41 | $2,020.69 | not published | 0 |
| Afo molded plas rig ant tib HCPCS L1945 | $2,767.63 | $4,612.72 | not published | 0 |
| Afo molded to patient plasti HCPCS L1940 | $1,157.63 | $1,929.38 | not published | 0 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $2,396.88 | $3,994.80 | not published | 0 |
| Afo sing bar clasp attach sh HCPCS L1910 | $753.30 | $1,255.50 | not published | 0 |
| Afo sing solid stirrup calf HCPCS L1980 | $1,084.55 | $1,807.58 | not published | 0 |
| Afo sing upright with adjust s HCPCS L1920 | $1,103.47 | $1,839.11 | not published | 0 |
| Afo spiral molded to pt plas HCPCS L1950 | $2,065.75 | $3,442.92 | not published | 0 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | $766.35 | $1,277.25 | not published | 0 |
| Afo supramalleolar custom HCPCS L1907 | $1,511.48 | $2,519.14 | not published | 0 |
| Afo tib fx cast plaster mold HCPCS L2106 | $2,117.20 | $3,528.67 | not published | 0 |
| Afo tibial fracture rigid HCPCS L2116 | $2,070.31 | $3,450.52 | not published | 0 |
| Afo tibial fracture soft HCPCS L2112 | $1,355.14 | $2,258.57 | not published | 0 |
| Afo, walk boot type, cus fab HCPCS L4631 | $4,262.41 | $7,104.01 | not published | 0 |
| Afo w/ankle joint, prefab HCPCS L1971 | $1,715.98 | $2,859.96 | not published | 0 |
| Ak/knee disartic pelvic band HCPCS L5697 | $210.65 | $351.09 | not published | 0 |
| Ak/knee disartic silesian ba HCPCS L5698 | $261.98 | $436.64 | not published | 0 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | $474.61 | $791.01 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $68.40 | $114.00 | not published | 0 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $189.96 | $316.60 | not published | 0 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $189.72 | $316.20 | not published | 0 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $119.40 | $199.00 | not published | 0 |
| Albumin serum plasma or whole blood CPT 82040 | $51.00 | $85.00 | not published | 0 |
| Albuterol ipratrop non-comp HCPCS J7620 | $1.98 | $3.30 | not published | 0 |
| Albuterol non-comp con HCPCS J7611 | $1.92 | $3.20 | not published | 0 |
| Albuterol non-comp unit HCPCS J7613 | $1.50 | $2.50 | not published | 0 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $138.00 | $230.00 | not published | 0 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | $27.60 | $46.00 | not published | 0 |
| Alcohol/subs interv >30 min HCPCS G0397 | $249.00 | $415.00 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $70.80 | $118.00 | not published | 0 |
| Allergen alpha lactalbumin ige CPT 86008 | $33.00 | $55.00 | not published | 0 |
| Allergen egg white ige CPT 86003 | $49.20 | $82.00 | not published | 0 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $48.60 | $81.00 | not published | 0 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | $7,505.30 | $12,508.83 | not published | 0 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $14,800.27 | $24,667.11 | not published | 0 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $18,571.63 | $30,952.71 | not published | 0 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $11,550.05 | $19,250.08 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $52,431.56 | $87,385.93 | not published | 0 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $35,199.79 | $58,666.32 | not published | 0 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $29,788.22 | $49,647.03 | not published | 0 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $28,125.87 | $46,876.45 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $9,220.37 | $15,367.29 | not published | 0 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $10,531.19 | $17,551.98 | not published | 0 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $207.00 | $345.00 | 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.