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 |
|---|---|---|---|---|
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $2,424.23 | $4,040.38 | not published | 0 |
| Oscillation chest wall mechanical per session CPT 94669 | $154.20 | $257.00 | not published | 0 |
| O shoe add horseshoe toe tap HCPCS L3560 | $61.43 | $102.38 | not published | 0 |
| O shoe add instep extension HCPCS L3570 | $228.95 | $381.58 | not published | 0 |
| O shoe add instep velcro clo HCPCS L3580 | $174.22 | $290.36 | not published | 0 |
| O shoe add standard toe tap HCPCS L3550 | $24.01 | $40.02 | not published | 0 |
| O shoe convert to sof counte HCPCS L3590 | $143.50 | $239.17 | not published | 0 |
| Osmolality blood CPT 83930 | $65.40 | $109.00 | not published | 0 |
| Osmolality urine CPT 83935 | $65.40 | $109.00 | not published | 0 |
| Ot evaluation high complexity patient/family CPT 97167 | $441.60 | $736.00 | not published | 0 |
| Ot evaluation low complexity patient/family CPT 97165 | $325.80 | $543.00 | not published | 0 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $382.80 | $638.00 | not published | 0 |
| Other immunoelectrophoresis CPT 86325 | $124.80 | $208.00 | not published | 0 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $145.80 | $243.00 | not published | 0 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $153.60 | $256.00 | not published | 0 |
| Ot re-evaluation patient/family CPT 97168 | $178.80 | $298.00 | not published | 0 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $142.20 | $237.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $412.20 | $687.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $412.20 | $687.00 | not published | 0 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $199.20 | $332.00 | not published | 0 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $130.80 | $218.00 | not published | 0 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $175.20 | $292.00 | not published | 0 |
| Outrigger HCPCS L1080 | $140.56 | $234.26 | not published | 0 |
| Outrigger bil with vert extens HCPCS L1085 | $470.49 | $784.15 | not published | 0 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $9.00 | $15.00 | not published | 0 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $74,329.04 | $123,881.74 | not published | 0 |
| Palingen or palingen xplus HCPCS Q4173 | $17,308.69 | $28,847.81 | not published | 0 |
| Palonosetron hcl HCPCS J2469 | $90.00 | $150.00 | not published | 0 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $20.76 | $34.60 | not published | 0 |
| Parathormone (pth) intact CPT 83970 | $183.60 | $306.00 | not published | 0 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $380.40 | $634.00 | not published | 0 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $6,334.20 | $10,557.00 | not published | 0 |
| Partial removal finger bone CPT 26236 | $2,931.60 | $4,886.00 | not published | 0 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $13,048.55 | $21,747.58 | not published | 0 |
| Passy muir valve metal trach HCPCS L8501 | $1,196.09 | $1,993.48 | not published | 0 |
| Patten bottom HCPCS L2370 | $859.66 | $1,432.76 | not published | 0 |
| Pca3/klk3 antigen CPT 81313 | $864.60 | $1,441.00 | not published | 0 |
| Pcv21 vaccine im CPT 90684 | $577.20 | $962.00 | not published | 0 |
| Pdgfra gene CPT 81314 | $864.60 | $1,441.00 | not published | 0 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | $61.43 | $102.38 | not published | 0 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $5,824.14 | $9,706.90 | not published | 0 |
| Pelv band/spread bar thigh c HCPCS L1640 | $1,271.55 | $2,119.25 | not published | 0 |
| Pelvic control band & belt b HCPCS L2640 | $844.04 | $1,406.74 | not published | 0 |
| Pelvic control band & belt u HCPCS L2630 | $621.92 | $1,036.54 | not published | 0 |
| Pelvic control hip heavy dut HCPCS L2620 | $671.53 | $1,119.21 | not published | 0 |
| Pelvic control pelvic sling HCPCS L2580 | $1,165.67 | $1,942.78 | not published | 0 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,737.00 | $2,895.00 | not published | 0 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,374.60 | $2,291.00 | not published | 0 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,335.60 | $2,226.00 | not published | 0 |
| Pelvic & hip control thigh c HCPCS L1680 | $2,852.03 | $4,753.38 | not published | 0 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,609.40 | $4,349.00 | not published | 0 |
| Pelvic MRI (with contrast) CPT 72196 | $2,269.80 | $3,783.00 | not published | 0 |
| Pelvic MRI (without contrast) CPT 72195 | $1,973.40 | $3,289.00 | not published | 0 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,021.80 | $1,703.00 | not published | 0 |
| Pelvic Ultrasound (limited) CPT 76857 | $1,021.80 | $1,703.00 | not published | 0 |
| Pelv & thor control gluteal HCPCS L2650 | $371.71 | $619.51 | not published | 0 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $1,029.66 | $1,716.10 | not published | 0 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $207.60 | $346.00 | not published | 0 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $35,333.20 | $58,888.66 | not published | 0 |
| Pericardiocentesis wwo imaging CPT 33016 | $3,050.40 | $5,084.00 | not published | 0 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $2,838.60 | $4,731.00 | not published | 0 |
| Permanent tear duct plug HCPCS A4263 | $342.60 | $571.00 | not published | 0 |
| Peroneal straps pair pre ots HCPCS L0980 | $45.91 | $76.51 | not published | 0 |
| Perq dev breast 1st mr guide CPT 19287 | $1,837.20 | $3,062.00 | not published | 0 |
| Perq dev breast 1st strtctc CPT 19283 | $500.40 | $834.00 | not published | 0 |
| Pertussis ag if CPT 87265 | $127.20 | $212.00 | not published | 0 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $286.15 | $476.91 | not published | 0 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $93,507.13 | $155,845.22 | not published | 0 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $54.60 | $91.00 | not published | 0 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | $81.00 | $135.00 | not published | 0 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $28.20 | $47.00 | not published | 0 |
| Ph body fluid CPT 83986 | $48.60 | $81.00 | not published | 0 |
| Phencyclidine (pcp) CPT 83992 | $78.60 | $131.00 | not published | 0 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $107.58 | $179.30 | not published | 0 |
| Phenobarbital therapeutic drug level CPT 80184 | $76.80 | $128.00 | not published | 0 |
| Phentolaine mesylate inj HCPCS J2760 | $1,999.08 | $3,331.80 | not published | 0 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $9.00 | $15.00 | not published | 0 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $9.00 | $15.00 | not published | 0 |
| Phenytoin total therapeutic drug level CPT 80185 | $139.80 | $233.00 | not published | 0 |
| Phlebotomy therapeutic CPT 99195 | $219.00 | $365.00 | not published | 0 |
| Phosphorus CPT 84100 | $51.00 | $85.00 | not published | 0 |
| Phosphorus 24 hour urine CPT 84105 | $65.40 | $109.00 | not published | 0 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $50.46 | $84.10 | not published | 0 |
| Pik3ca gene trgt seq alys CPT 81309 | $458.40 | $764.00 | not published | 0 |
| Pillow shldr abduc inflat univ HCPCS L3960 | $1,949.74 | $3,249.57 | not published | 0 |
| Pin caspar distraction 12mm HCPCS C1821 | $27,407.90 | $45,679.84 | not published | 0 |
| Pinworm exam CPT 87172 | $65.40 | $109.00 | not published | 0 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $26.52 | $44.20 | not published | 0 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $2,361.60 | $3,936.00 | not published | 0 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $765.00 | $1,275.00 | not published | 0 |
| Placental lactogen CPT 83632 | $234.00 | $390.00 | not published | 0 |
| Plas shoe insert w ank joint HCPCS L2180 | $280.81 | $468.02 | not published | 0 |
| Plastic mod low ext pad/line HCPCS L2275 | $399.20 | $665.34 | not published | 0 |
| Plastic mold recipro hip & c HCPCS L2627 | $5,740.82 | $9,568.04 | not published | 0 |
| Platelet aggregation each agent teg CPT 85576 | $139.20 | $232.00 | not published | 0 |
| Platelet automated CPT 85049 | $38.40 | $64.00 | not published | 0 |
| Platelet pheresis each unit HCPCS P9034 | $731.40 | $1,219.00 | not published | 0 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $589.20 | $982.00 | not published | 0 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $688.80 | $1,148.00 | not published | 0 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $922.20 | $1,537.00 | 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.