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 |
|---|---|---|---|---|
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $13,763.15 | $22,938.58 | not published | 0 |
| Integra meshed bil wound mat HCPCS C9363 | $45,143.38 | $75,238.97 | not published | 0 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | $10,382.23 | $17,303.72 | not published | 0 |
| Interdental fixation CPT 21110 | $1,776.60 | $2,961.00 | not published | 0 |
| Interfyl, 1 mg HCPCS Q4171 | $5,958.24 | $9,930.40 | not published | 0 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $857.40 | $1,429.00 | not published | 0 |
| Intrinsic factor antibody CPT 86340 | $165.60 | $276.00 | not published | 0 |
| Intubation endotracheal emergency procedure CPT 31500 | $951.60 | $1,586.00 | not published | 0 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $90.00 | $150.00 | not published | 0 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $600.00 | $1,000.00 | not published | 0 |
| Ipratropium bromide non-comp HCPCS J7644 | $1.50 | $2.50 | not published | 0 |
| Iron CPT 83540 | $156.60 | $261.00 | not published | 0 |
| Iron binding capacity CPT 83550 | $85.20 | $142.00 | not published | 0 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $90.00 | $150.00 | not published | 0 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $90.00 | $150.00 | not published | 0 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $42.60 | $71.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $276.00 | $460.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $276.00 | $460.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $276.00 | $460.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $276.00 | $460.00 | not published | 0 |
| Ivp w/nephrotomography CPT 74415 | $1,230.60 | $2,051.00 | not published | 0 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $920.40 | $1,534.00 | not published | 0 |
| Jak2 targeted sequence analysis CPT 81279 | $484.80 | $808.00 | not published | 0 |
| John cunningham antibody CPT 86711 | $130.80 | $218.00 | not published | 0 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | $2,960.08 | $4,933.47 | not published | 0 |
| Kafo dbl solid stirrup without j HCPCS L2030 | $2,909.53 | $4,849.21 | not published | 0 |
| Kafo fem fx cast molded to p HCPCS L2128 | $4,357.23 | $7,262.05 | not published | 0 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | $3,095.42 | $5,159.04 | not published | 0 |
| Kafo fem fx cast thermoplas HCPCS L2126 | $3,077.02 | $5,128.36 | not published | 0 |
| Kafo femoral fx cast rigid HCPCS L2136 | $3,387.50 | $5,645.83 | not published | 0 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | $5,456.71 | $9,094.51 | not published | 0 |
| Kafo plas sing free knee mol HCPCS L2037 | $4,454.44 | $7,424.07 | not published | 0 |
| Kafo plastic pediatric size HCPCS L2035 | $465.34 | $775.56 | not published | 0 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | $3,004.86 | $5,008.10 | not published | 0 |
| Kafo sng/dbl mechanical act HCPCS L2005 | $11,006.84 | $18,344.73 | not published | 0 |
| Kafo sng solid stirrup without j HCPCS L2010 | $2,343.76 | $3,906.27 | not published | 0 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $38.40 | $64.00 | not published | 0 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $33.48 | $55.80 | not published | 0 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $948.60 | $1,581.00 | not published | 0 |
| Kit case 4.2mm spinejack HCPCS C1062 | $12,408.04 | $20,680.06 | not published | 0 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $14,001.86 | $23,336.44 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | $650.40 | $1,084.00 | not published | 0 |
| Kit hfx iq ipg bundle HCPCS C1822 | $78,648.77 | $131,081.28 | not published | 0 |
| Kit ipg optimizer smart HCPCS C1824 | $77,457.12 | $129,095.20 | not published | 0 |
| Kit lead specify 5-6-5 HCPCS C1778 | $32,770.32 | $54,617.20 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $2,189.65 | $3,649.42 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $40,447.48 | $67,412.47 | not published | 0 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $35,591.54 | $59,319.24 | not published | 0 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $2,334.65 | $3,891.08 | not published | 0 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $10,962.48 | $18,270.80 | not published | 0 |
| Knee arthroscopy/surgery CPT 29880 | $12,265.92 | $20,443.20 | not published | 0 |
| Knee control condylar pad HCPCS L2810 | $219.38 | $365.64 | not published | 0 |
| Knee control full kneecap HCPCS L2795 | $220.28 | $367.13 | not published | 0 |
| Knee disc/dial lock/adj flex HCPCS L2425 | $385.05 | $641.75 | not published | 0 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | $385.05 | $641.75 | not published | 0 |
| Knee joint cam lock each joi HCPCS L2415 | $326.33 | $543.89 | not published | 0 |
| Knee joint drop lock ea jnt HCPCS L2405 | $213.04 | $355.06 | not published | 0 |
| Knee lift loop drop lock rin HCPCS L2492 | $315.04 | $525.07 | not published | 0 |
| Knee MRI (with and without contrast) CPT 73723 | $3,034.80 | $5,058.00 | not published | 0 |
| Knee MRI (with contrast) CPT 73722 | $2,724.00 | $4,540.00 | not published | 0 |
| Knee MRI (without contrast) CPT 73721 | $2,580.00 | $4,300.00 | not published | 0 |
| Knee orth pos locking joint HCPCS L1831 | $790.54 | $1,317.57 | not published | 0 |
| Knee X-ray CPT 73564 | $394.80 | $658.00 | not published | 0 |
| Ko dbl upright w/air pre cst HCPCS L1847 | $1,544.97 | $2,574.95 | not published | 0 |
| Ko dbl upright w/air pre ots HCPCS L1848 | $1,544.97 | $2,574.95 | not published | 0 |
| Ko derot ant cruciate custom HCPCS L1840 | $2,526.02 | $4,210.04 | not published | 0 |
| Ko elastic w/joints pre ots HCPCS L1812 | $216.61 | $361.02 | not published | 0 |
| Ko rigid without joints pre ots HCPCS L1836 | $358.36 | $597.26 | not published | 0 |
| Ko single upright prefab ots HCPCS L1851 | $2,410.14 | $4,016.90 | not published | 0 |
| Ko supracondylar socket mold HCPCS L1860 | $3,349.48 | $5,582.47 | not published | 0 |
| Ko swedish type pre ots HCPCS L1850 | $765.25 | $1,275.41 | not published | 0 |
| Ko w/0 joint rigid molded to HCPCS L1834 | $2,147.95 | $3,579.91 | not published | 0 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | $3,142.82 | $5,238.04 | not published | 0 |
| Kras gene addl variants CPT 81276 | $393.00 | $655.00 | not published | 0 |
| Kras gene variants exon 2 CPT 81275 | $393.00 | $655.00 | not published | 0 |
| Kyphosis pad HCPCS L1020 | $289.45 | $482.42 | not published | 0 |
| Kyphosis pad floating HCPCS L1025 | $417.61 | $696.02 | not published | 0 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $9.00 | $15.00 | not published | 0 |
| Lacer molded to patient mode HCPCS L2330 | $986.21 | $1,643.68 | not published | 0 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $101.10 | $168.50 | not published | 0 |
| Lactate dehydrogenase (ldh) CPT 83615 | $66.60 | $111.00 | not published | 0 |
| Lactated ringers intravenous solution HCPCS J7120 | $30.00 | $50.00 | not published | 0 |
| Lactic acid CPT 83605 | $79.20 | $132.00 | not published | 0 |
| Lactoferrin fecal qualitative CPT 83630 | $56.40 | $94.00 | not published | 0 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $2,865.00 | $4,775.00 | not published | 0 |
| Lateral thoracic extension HCPCS L1210 | $657.19 | $1,095.32 | not published | 0 |
| Lateral trochanteric pad HCPCS L1290 | $208.72 | $347.86 | not published | 0 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $59,582.40 | $99,304.00 | not published | 0 |
| Lead capillary CPT 83655 | $107.40 | $179.00 | not published | 0 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $65,966.65 | $109,944.42 | not published | 0 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $16,385.16 | $27,308.60 | not published | 0 |
| Legg perthes orthosis trilat HCPCS L1720 | $3,962.44 | $6,604.06 | not published | 0 |
| Legg perthes orth scottish r HCPCS L1730 | $3,345.19 | $5,575.32 | not published | 0 |
| Legg perthes patten bottom t HCPCS L1755 | $4,809.43 | $8,015.72 | not published | 0 |
| Leg perthes orth toronto typ HCPCS L1700 | $4,179.08 | $6,965.13 | not published | 0 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $964.80 | $1,608.00 | not published | 0 |
| Lens, intraocular (new tech) HCPCS C1780 | $253.22 | $422.04 | not published | 0 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $2,979.12 | $4,965.20 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $3,560.05 | $5,933.41 | not published | 0 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $893.74 | $1,489.56 | 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.