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 |
|---|---|---|---|---|
| Levalbuterol non-comp con HCPCS J7612 | $20.64 | $34.40 | not published | 0 |
| Levalbuterol non-comp unit HCPCS J7614 | $4.62 | $7.70 | not published | 0 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $62.04 | $103.40 | not published | 0 |
| Levetiracetam therapeutic drug level CPT 80177 | $40.20 | $67.00 | not published | 0 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $24.90 | $41.50 | not published | 0 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $374.64 | $624.40 | not published | 0 |
| Liberta rc ipg HCPCS C1820 | $92,159.08 | $153,598.46 | not published | 0 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $30.24 | $50.40 | not published | 0 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $24.48 | $40.80 | not published | 0 |
| Lidocaine therapeutic drug level CPT 80176 | $43.80 | $73.00 | not published | 0 |
| Lift heel adj small gl60404sm HCPCS L3332 | $198.11 | $330.19 | not published | 0 |
| Lift heel adjustable med HCPCS L3334 | $102.42 | $170.70 | not published | 0 |
| Lifts elevation metal extens HCPCS L3330 | $1,520.15 | $2,533.59 | not published | 0 |
| Ligation internal/common carotid artery 37605 CPT 37605 | $5,426.40 | $9,044.00 | not published | 0 |
| Ligation/major artery/extremity 37618 CPT 37618 | $4,975.20 | $8,292.00 | not published | 0 |
| Limited ankle motion ea jnt HCPCS L2200 | $111.30 | $185.50 | not published | 0 |
| Limited motion knee joint HCPCS L2184 | $311.14 | $518.57 | not published | 0 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $134.64 | $224.40 | not published | 0 |
| Lipase CPT 83690 | $135.60 | $226.00 | not published | 0 |
| Lipoprotein blood high res frac & quant CPT 83701 | $118.80 | $198.00 | not published | 0 |
| Lipoprotein blood quant CPT 83704 | $302.40 | $504.00 | not published | 0 |
| Lipoprotein direct measurement hdl CPT 83718 | $107.40 | $179.00 | not published | 0 |
| Lipoprotein direct measurement ldl CPT 83721 | $121.20 | $202.00 | not published | 0 |
| Listeria monocytogenes CPT 86723 | $125.40 | $209.00 | not published | 0 |
| Lithium therapeutic drug level CPT 80178 | $66.60 | $111.00 | not published | 0 |
| Liver Function Test CPT 80076 | $134.40 | $224.00 | not published | 0 |
| Liver/spleen imag static only CPT 78215 | $1,300.20 | $2,167.00 | 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 | $463.37 | $772.29 | not published | 0 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | $190.43 | $317.38 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,858.40 | $4,764.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,485.20 | $4,142.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,729.20 | $2,882.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $5,111.40 | $8,519.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $4,684.80 | $7,808.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $4,258.80 | $7,098.00 | not published | 0 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $304.20 | $507.00 | not published | 0 |
| Lso corset front HCPCS L0972 | $282.72 | $471.20 | not published | 0 |
| Lso flex no ri stays pre ots HCPCS L0628 | $305.48 | $509.13 | not published | 0 |
| Lso full corset HCPCS L0976 | $401.62 | $669.36 | not published | 0 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | $455.81 | $759.68 | not published | 0 |
| Lso sag-coronal panel custom HCPCS L0638 | $4,507.41 | $7,512.35 | not published | 0 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | $3,479.85 | $5,799.75 | not published | 0 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | $435.07 | $725.12 | not published | 0 |
| Lso sagit rigid panel prefab HCPCS L0635 | $2,684.01 | $4,473.35 | not published | 0 |
| Lso sagittal rigid panel cus HCPCS L0636 | $3,641.77 | $6,069.61 | not published | 0 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | $700.66 | $1,167.77 | not published | 0 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | $770.25 | $1,283.75 | not published | 0 |
| Lso s/c shell/panel custom HCPCS L0640 | $2,556.74 | $4,261.23 | not published | 0 |
| L/s ratio fetal lung CPT 83661 | $144.00 | $240.00 | not published | 0 |
| Lumbar bolster pad HCPCS L1030 | $210.32 | $350.54 | not published | 0 |
| Lumbar derotation pad HCPCS L1240 | $244.29 | $407.15 | not published | 0 |
| Lumbar or lumbar rib pad HCPCS L1040 | $238.15 | $396.92 | not published | 0 |
| Lumbar sling HCPCS L1090 | $270.29 | $450.49 | not published | 0 |
| Lung function test (mbc/mvv) CPT 94200 | $89.40 | $149.00 | not published | 0 |
| Lung Function Test (Spirometry) CPT 94010 | $141.00 | $235.00 | not published | 0 |
| Lung perfusion imaging CPT 78580 | $1,394.40 | $2,324.00 | not published | 0 |
| Lvad shower bag heartmate HCPCS Q0501 | $893.74 | $1,489.56 | not published | 0 |
| Lymphocyte culture mixed CPT 86821 | $59.40 | $99.00 | not published | 0 |
| Lymphocyte transformation mitogen CPT 86353 | $215.40 | $359.00 | not published | 0 |
| Macroscopic exam arthropod CPT 87168 | $25.20 | $42.00 | not published | 0 |
| Macroscopic exam parasite CPT 87169 | $31.20 | $52.00 | not published | 0 |
| Magnesium CPT 83735 | $87.00 | $145.00 | not published | 0 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $52.44 | $87.40 | not published | 0 |
| Magnetic image bone marrow CPT 77084 | $576.00 | $960.00 | not published | 0 |
| Malaria antibody CPT 86750 | $93.60 | $156.00 | not published | 0 |
| Mammosite ced HCPCS C1728 | $9,011.84 | $15,019.73 | not published | 0 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $177.60 | $296.00 | not published | 0 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $175.80 | $293.00 | not published | 0 |
| Man's shoe oxford brace HCPCS L3225 | $198.26 | $330.43 | not published | 0 |
| Marker biop eviva buckle ss HCPCS A4648 | $16,832.03 | $28,053.38 | not published | 0 |
| Mastoids complete CPT 70130 | $730.20 | $1,217.00 | not published | 0 |
| Matrion 1 sq cm HCPCS Q4201 | $23,043.49 | $38,405.82 | not published | 0 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $96,791.61 | $161,319.35 | not published | 0 |
| M.avium-intra dna amp prob CPT 87561 | $103.20 | $172.00 | not published | 0 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $41.40 | $69.00 | not published | 0 |
| Mayo aathr protein s free CPT 85306 | $135.00 | $225.00 | not published | 0 |
| Mayo activated protein c resistance assay CPT 85307 | $123.00 | $205.00 | not published | 0 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $147.00 | $245.00 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $90.60 | $151.00 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $139.20 | $232.00 | not published | 0 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $90.00 | $150.00 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $453.00 | $755.00 | not published | 0 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $471.00 | $785.00 | not published | 0 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $180.60 | $301.00 | not published | 0 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $3,376.20 | $5,627.00 | not published | 0 |
| Mayo androstenedione CPT 82157 | $182.40 | $304.00 | not published | 0 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $104.40 | $174.00 | not published | 0 |
| Mayo antithrombin iii antigen CPT 85301 | $106.80 | $178.00 | not published | 0 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $88.20 | $147.00 | not published | 0 |
| Mayo avwpr vw factor activity CPT 85397 | $204.00 | $340.00 | not published | 0 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $91.80 | $153.00 | not published | 0 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $136.80 | $228.00 | not published | 0 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $361.20 | $602.00 | not published | 0 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $535.20 | $892.00 | not published | 0 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $56.40 | $94.00 | not published | 0 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $79.20 | $132.00 | not published | 0 |
| Mayo brcmg brucella antibody igm CPT 86622 | $24.00 | $40.00 | not published | 0 |
| Mayo c1 esterase inhibitor CPT 83883 | $63.60 | $106.00 | not published | 0 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $55.80 | $93.00 | 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.