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 |
|---|---|---|---|---|
| Eo elas w/metal jnts pre ots HCPCS L3710 | $349.06 | $581.77 | not published | 0 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $3,222.00 | $5,370.00 | not published | 0 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $56.10 | $93.50 | not published | 0 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $9.00 | $15.00 | not published | 0 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $745.68 | $1,242.80 | not published | 0 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $307.74 | $512.90 | not published | 0 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $1,491.30 | $2,485.50 | not published | 0 |
| Epstein barr early antigen antibody CPT 86663 | $132.00 | $220.00 | not published | 0 |
| Epstein barr nuclear antigen antibody CPT 86664 | $132.00 | $220.00 | not published | 0 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $208.20 | $347.00 | not published | 0 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $236.28 | $393.80 | not published | 0 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $86.22 | $143.70 | not published | 0 |
| ER Visit (level 1, minor) CPT 99281 | $393.00 | $655.00 | not published | 0 |
| ER Visit (level 2) CPT 99282 | $982.80 | $1,638.00 | not published | 0 |
| ER Visit (level 3) CPT 99283 | $1,441.80 | $2,403.00 | not published | 0 |
| ER Visit (level 4) CPT 99284 | $1,638.00 | $2,730.00 | not published | 0 |
| ER Visit (level 5, high severity) CPT 99285 | $1,834.80 | $3,058.00 | not published | 0 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $344.94 | $574.90 | not published | 0 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $9.00 | $15.00 | not published | 0 |
| Esophagoscopy flex biopsy CPT 43202 | $1,477.20 | $2,462.00 | not published | 0 |
| Esophagoscopy flex remove fb CPT 43215 | $2,220.00 | $3,700.00 | not published | 0 |
| Established Patient Office Visit (level 1) CPT 99211 | $224.40 | $374.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $272.40 | $454.00 | not published | 0 |
| Established Patient Office Visit (level 3) CPT 99213 | $322.20 | $537.00 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $495.60 | $826.00 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $514.20 | $857.00 | not published | 0 |
| Estradiol total CPT 82670 | $182.40 | $304.00 | not published | 0 |
| Estrogens total-sendout CPT 82672 | $57.00 | $95.00 | not published | 0 |
| Ethylene glycol -sendout CPT 82693 | $142.20 | $237.00 | not published | 0 |
| Evaluation of speech fluency 92521 CPT 92521 | $310.20 | $517.00 | not published | 0 |
| Ewhfo w/joint(s) cf HCPCS L3766 | $3,319.31 | $5,532.18 | not published | 0 |
| Ewho w/joint(s) cf HCPCS L3764 | $1,914.50 | $3,190.84 | not published | 0 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $1,312.80 | $2,188.00 | not published | 0 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $1,312.80 | $2,188.00 | not published | 0 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $4,909.20 | $8,182.00 | not published | 0 |
| Excision olecranon bursa CPT 24105 | $7,330.20 | $12,217.00 | not published | 0 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $4,494.60 | $7,491.00 | not published | 0 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $6,494.48 | $10,824.14 | not published | 0 |
| Expl lap celiotomy w/wo bx 49000 CPT 49000 | $6,837.60 | $11,396.00 | not published | 0 |
| Exploration of toe joint CPT 28024 | $2,749.20 | $4,582.00 | not published | 0 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $1,765.20 | $2,942.00 | not published | 0 |
| Explore/treat finger joint CPT 26080 | $2,698.20 | $4,497.00 | not published | 0 |
| Extended steel shank HCPCS L2360 | $138.50 | $230.83 | not published | 0 |
| Extension per extension per HCPCS L2760 | $152.62 | $254.37 | not published | 0 |
| External chromosome analysis 20-25 cells CPT 88264 | $331.20 | $552.00 | not published | 0 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $357.00 | $595.00 | not published | 0 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $123.00 | $205.00 | not published | 0 |
| Eye implant band 40 HCPCS C1784 | $4,246.08 | $7,076.80 | not published | 0 |
| Facial bones <3 CPT 70140 | $357.00 | $595.00 | not published | 0 |
| Factor ix CPT 85250 | $121.80 | $203.00 | not published | 0 |
| Factor viii CPT 85240 | $103.80 | $173.00 | not published | 0 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $9.00 | $15.00 | not published | 0 |
| Fat/lipids feces qualitative CPT 82705 | $77.40 | $129.00 | not published | 0 |
| Fatty acids nonesterified CPT 82725 | $60.00 | $100.00 | not published | 0 |
| Fda ide #g240020 carry bag HCPCS Q0499 | $1,270.89 | $2,118.15 | not published | 0 |
| #fecal-sodium CPT 84302 | $85.20 | $142.00 | not published | 0 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $47.40 | $79.00 | not published | 0 |
| Femoral lgth sock fx or equa HCPCS L2850 | $144.94 | $241.56 | not published | 0 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $314.16 | $523.60 | not published | 0 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $4,108.56 | $6,847.60 | not published | 0 |
| Ferritin CPT 82728 | $196.80 | $328.00 | not published | 0 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $1,491.30 | $2,485.50 | not published | 0 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $662.40 | $1,104.00 | not published | 0 |
| Fetal chrmoml microdeltj CPT 81422 | $1,491.00 | $2,485.00 | not published | 0 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $929.40 | $1,549.00 | not published | 0 |
| Fetal fibronectin CPT 82731 | $340.80 | $568.00 | not published | 0 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $264.60 | $441.00 | not published | 0 |
| Fetal hemoglobin rosette CPT 85461 | $49.80 | $83.00 | not published | 0 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $50.40 | $84.00 | not published | 0 |
| Fibrin degradation d dimer quantitative CPT 85379 | $74.40 | $124.00 | not published | 0 |
| Fibrin degradation products CPT 85362 | $85.20 | $142.00 | not published | 0 |
| Fibrin degrade semiquant CPT 85378 | $60.00 | $100.00 | not published | 0 |
| Fibrinogen activity CPT 85384 | $112.20 | $187.00 | not published | 0 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $98.40 | $164.00 | not published | 0 |
| Fibrinolytic antiplasmin CPT 85410 | $98.40 | $164.00 | not published | 0 |
| Fibrinolytic plasminogen CPT 85415 | $125.40 | $209.00 | not published | 0 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $89.40 | $149.00 | not published | 0 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $878.40 | $1,464.00 | not published | 0 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $765.48 | $1,275.80 | not published | 0 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $44,575.09 | $74,291.81 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $6,169.76 | $10,282.93 | not published | 0 |
| Fine needle asp without image guide 10021 CPT 10021 | $1,084.80 | $1,808.00 | not published | 0 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $6,831.18 | $11,385.30 | not published | 0 |
| Fixation of knee joint CPT 27570 | $5,818.08 | $9,696.80 | not published | 0 |
| Flecainide (tambocor)-sendout CPT 80181 | $68.40 | $114.00 | not published | 0 |
| Fl exam g/colon tube w contrast CPT 49465 | $1,447.20 | $2,412.00 | not published | 0 |
| Flex thermoplastic collar mo HCPCS L0130 | $462.66 | $771.10 | not published | 0 |
| Flow cytometry marker each additional CPT 88185 | $95.40 | $159.00 | not published | 0 |
| Flow cytometry one marker technical component CPT 88184 | $556.20 | $927.00 | not published | 0 |
| Floweramniopatch, per sq cm HCPCS Q4178 | $7,624.46 | $12,707.44 | not published | 0 |
| Flt3 gene CPT 81245 | $271.80 | $453.00 | not published | 0 |
| Flt3 gene analysis CPT 81246 | $151.20 | $252.00 | not published | 0 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $84.90 | $141.50 | not published | 0 |
| Fluidotherapy charges pt CPT 97022 | $201.60 | $336.00 | not published | 0 |
| Fluid pressure muscle 20950 CPT 20950 | $784.80 | $1,308.00 | not published | 0 |
| Fluorescent antibody titer dna CPT 86256 | $200.40 | $334.00 | not published | 0 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $1,833.60 | $3,056.00 | not published | 0 |
| Fluoroguide needle placement CPT 77002 | $576.00 | $960.00 | not published | 0 |
| Fluoro polarize fetal lung CPT 83663 | $208.80 | $348.00 | not published | 0 |
| Fluoroscopy up to 1 hour CPT 76000 | $218.40 | $364.00 | 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.