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 |
|---|---|---|---|---|
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $94.80 | $158.00 | not published | 0 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $478.80 | $798.00 | not published | 0 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,111.20 | $1,852.00 | not published | 0 |
| Puraply 1 sq cm HCPCS Q4195 | $15,282.89 | $25,471.48 | not published | 0 |
| Puraply xt 1 sq cm HCPCS Q4197 | $5,064.50 | $8,440.84 | not published | 0 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $870.60 | $1,451.00 | not published | 0 |
| Pvb thoracic single inj site CPT 64461 | $579.00 | $965.00 | not published | 0 |
| Pyruvate CPT 84210 | $40.20 | $67.00 | not published | 0 |
| Pyruvate kinase CPT 84220 | $49.80 | $83.00 | not published | 0 |
| Quest t3 uptake CPT 84479 | $80.40 | $134.00 | not published | 0 |
| Rabies ig ht&sol human im/sc CPT 90377 | $2,080.32 | $3,467.20 | not published | 0 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $9,492.90 | $15,821.50 | not published | 0 |
| Rapid Strep Test CPT 87880 | $90.60 | $151.00 | not published | 0 |
| Rbc count only automated CPT 85041 | $27.00 | $45.00 | not published | 0 |
| Rbc deglycerolized each unit HCPCS P9039 | $627.60 | $1,046.00 | not published | 0 |
| Rbc irradiated each unit HCPCS P9038 | $218.40 | $364.00 | not published | 0 |
| Red blood cells each unit HCPCS P9021 | $297.00 | $495.00 | not published | 0 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $255.00 | $425.00 | not published | 0 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $322.80 | $538.00 | not published | 0 |
| Red blood cells washed each unit HCPCS P9022 | $388.80 | $648.00 | not published | 0 |
| Reduction of procidentia 45900 CPT 45900 | $1,558.80 | $2,598.00 | not published | 0 |
| Refill/maint pump/resvr syst CPT 96522 | $327.60 | $546.00 | not published | 0 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $1,051.68 | $1,752.80 | not published | 0 |
| Reinforced solid stirrup HCPCS L2260 | $503.47 | $839.12 | not published | 0 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $1,560.00 | $2,600.00 | not published | 0 |
| Removal cerumen impacted (both sides) CPT 69210 | $322.80 | $538.00 | not published | 0 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $705.60 | $1,176.00 | not published | 0 |
| Removal foreign body foot subcutaneous right CPT 28190 | $4,909.20 | $8,182.00 | not published | 0 |
| Removal of foot lesion CPT 28104 | $9,013.32 | $15,022.20 | not published | 0 |
| Removal of implant deep CPT 20680 | $6,520.32 | $10,867.20 | not published | 0 |
| Removal of kneecap bursa CPT 27340 | $9,134.28 | $15,223.80 | not published | 0 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $380.40 | $634.00 | not published | 0 |
| Removal sutr or stapl no anes CPT 15853 | $129.00 | $215.00 | not published | 0 |
| Remove foreign body from eye CPT 65235 | $3,943.20 | $6,572.00 | not published | 0 |
| Renal function panel CPT 80069 | $191.40 | $319.00 | not published | 0 |
| Repair blood vess/direct/intra/abd 35221 CPT 35221 | $758.40 | $1,264.00 | not published | 0 |
| Repair blood vessel dir lower extr CPT 35226 | $1,830.00 | $3,050.00 | not published | 0 |
| Repair blood vessel dir upper extr CPT 35206 | $2,617.20 | $4,362.00 | not published | 0 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $1,749.00 | $2,915.00 | not published | 0 |
| Repair dental ellis ii fx CPT 41899 | $373.80 | $623.00 | not published | 0 |
| Repair extns tendon finger without grft ea CPT 26418 | $2,606.40 | $4,344.00 | not published | 0 |
| Repair eyelid wound CPT 67935 | $3,795.00 | $6,325.00 | not published | 0 |
| Repair finger/hand tendon CPT 26350 | $5,367.60 | $8,946.00 | not published | 0 |
| Repair lip full thkns =<one-half vert height CPT 40652 | $924.00 | $1,540.00 | not published | 0 |
| Repair lip full thkns >one-half vert height/cmplx CPT 40654 | $2,388.00 | $3,980.00 | not published | 0 |
| Repair of ruptured tendon CPT 24342 | $21,968.07 | $36,613.45 | not published | 0 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $2,305.80 | $3,843.00 | not published | 0 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $1,109.40 | $1,849.00 | not published | 0 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | $5,490.60 | $9,151.00 | not published | 0 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $5,490.60 | $9,151.00 | not published | 0 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | $490.80 | $818.00 | not published | 0 |
| Replace duod/jej tube perc CPT 49451 | $1,166.40 | $1,944.00 | not published | 0 |
| Replace g/c tube perc CPT 49450 | $2,529.00 | $4,215.00 | not published | 0 |
| Repl trach puncture dilator HCPCS L8514 | $277.06 | $461.76 | not published | 0 |
| Reptilase test CPT 85635 | $52.20 | $87.00 | not published | 0 |
| #resp virpnl dfa-adenovirus CPT 87260 | $46.80 | $78.00 | not published | 0 |
| #resp virpnl dfa-parainfluenza CPT 87279 | $46.80 | $78.00 | not published | 0 |
| Resp virus 6-11 targets CPT 87632 | $550.80 | $918.00 | not published | 0 |
| Restorigin 1 sq cm HCPCS Q4191 | $7,149.89 | $11,916.48 | not published | 0 |
| Resuscitation cardiopulmonary CPT 92950 | $547.20 | $912.00 | not published | 0 |
| Resuscitation delivery/birthing room CPT 99465 | $1,073.40 | $1,789.00 | not published | 0 |
| Reticulated platelet assay CPT 85055 | $79.20 | $132.00 | not published | 0 |
| Reticulocyte automated CPT 85045 | $36.00 | $60.00 | not published | 0 |
| Reticulocyte direct measurement automated CPT 85046 | $44.40 | $74.00 | not published | 0 |
| Revision of cervix CPT 57720 | $4,753.80 | $7,923.00 | not published | 0 |
| Revision of eyelid CPT 67961 | $3,795.00 | $6,325.00 | not published | 0 |
| Revision of knee joint CPT 27446 | $31,122.16 | $51,870.27 | not published | 0 |
| Revision of penis CPT 54435 | $3,442.20 | $5,737.00 | not published | 0 |
| Rheumatoid factor qualitative CPT 86430 | $42.00 | $70.00 | not published | 0 |
| Rheumatoid factor quantitative CPT 86431 | $146.40 | $244.00 | not published | 0 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $431.58 | $719.30 | not published | 0 |
| Rho d immune globulin inj HCPCS J2790 | $474.72 | $791.20 | not published | 0 |
| Rib gusset (elastic) each HCPCS L1280 | $234.70 | $391.16 | not published | 0 |
| Ring flange plas/leather mol HCPCS L1110 | $855.28 | $1,425.46 | not published | 0 |
| Ring flange plastic/leather HCPCS L1100 | $510.11 | $850.19 | not published | 0 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $2,624.60 | $4,374.34 | not published | 0 |
| Rmvl pq iabp CPT 33968 | $1,513.20 | $2,522.00 | not published | 0 |
| Rocker bottom, contact afo HCPCS L2232 | $260.94 | $434.90 | not published | 0 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $7,680.96 | $12,801.60 | not published | 0 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $7,334.70 | $12,224.50 | not published | 0 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $69.48 | $115.80 | not published | 0 |
| Rsv assay w/optic CPT 87807 | $106.80 | $178.00 | not published | 0 |
| Rsv vacc mrna lipid nano im CPT 90683 | $697.80 | $1,163.00 | not published | 0 |
| Rubella antibody igg CPT 86762 | $127.80 | $213.00 | not published | 0 |
| Rubeola antibody igg CPT 86765 | $99.60 | $166.00 | not published | 0 |
| Russell viper venom diluted CPT 85613 | $61.20 | $102.00 | not published | 0 |
| Sarscov coronavirus ag ia CPT 87426 | $46.20 | $77.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $991.80 | $1,653.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $991.80 | $1,653.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $1,037.40 | $1,729.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $712.20 | $1,187.00 | not published | 0 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $745.20 | $1,242.00 | not published | 0 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,308.00 | $2,180.00 | not published | 0 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $745.20 | $1,242.00 | not published | 0 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $646.80 | $1,078.00 | not published | 0 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $17,427.85 | $29,046.42 | not published | 0 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $231.60 | $386.00 | not published | 0 |
| Screen cerv/vag thin layer HCPCS G0123 | $255.60 | $426.00 | not published | 0 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $5,988.24 | $9,980.40 | not published | 0 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $5,863.92 | $9,773.20 | 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.