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 |
|---|---|---|---|---|
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $44.40 | $74.00 | not published | 0 |
| Screening Mammogram CPT 77067 | $181.20 | $302.00 | not published | 0 |
| Screening prostate cancer PSA HCPCS G0103 | $204.60 | $341.00 | not published | 0 |
| Screen pap by tech w md supv HCPCS P3000 | $79.20 | $132.00 | not published | 0 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $321,503.65 | $535,839.42 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $76.20 | $127.00 | not published | 0 |
| Semen analysis presence/motility CPT 89321 | $162.60 | $271.00 | not published | 0 |
| Semen analysis w/count CPT 89310 | $76.20 | $127.00 | not published | 0 |
| Serpina1 gene CPT 81332 | $141.00 | $235.00 | not published | 0 |
| Sewho cap design without jnts cf HCPCS L3961 | $4,107.22 | $6,845.37 | not published | 0 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $552.00 | $920.00 | not published | 0 |
| Sheath below knee HCPCS L8400 | $43.31 | $72.19 | not published | 0 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $9,905.57 | $16,509.29 | not published | 0 |
| Sheath laser cavaclear 14f HCPCS C1603 | $14,880.70 | $24,801.17 | not published | 0 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $21,721.87 | $36,203.12 | not published | 0 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $35,411.59 | $59,019.32 | not published | 0 |
| Shoe clubfoot wedge HCPCS L3380 | $133.22 | $222.04 | not published | 0 |
| Shoe dennis browne splint bo HCPCS L3640 | $116.21 | $193.69 | not published | 0 |
| Shoe heel new leather standa HCPCS L3455 | $109.33 | $182.22 | not published | 0 |
| Shoe heel new rubber standar HCPCS L3460 | $92.29 | $153.82 | not published | 0 |
| Shoe heel pad & depress for HCPCS L3480 | $167.36 | $278.94 | not published | 0 |
| Shoe heel sach cushion type HCPCS L3450 | $283.46 | $472.44 | not published | 0 |
| Shoe heel thomas extend to b HCPCS L3470 | $167.36 | $278.94 | not published | 0 |
| Shoe heel thomas with wedge HCPCS L3465 | $157.24 | $262.06 | not published | 0 |
| Shoe lift elev heel/sole neo HCPCS L3310 | $198.89 | $331.48 | not published | 0 |
| Shoe metatarsal bar between HCPCS L3410 | $249.35 | $415.59 | not published | 0 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | $109.33 | $182.22 | not published | 0 |
| Shoe outflare wedge HCPCS L3390 | $133.22 | $222.04 | not published | 0 |
| Shoe post-op mens m HCPCS L3260 | $327.70 | $546.17 | not published | 0 |
| Shoe sole wedge between sole HCPCS L3370 | $133.22 | $222.04 | not published | 0 |
| Shoe sole wedge outside sole HCPCS L3360 | $95.63 | $159.38 | not published | 0 |
| Shoe wedge sach HCPCS L3340 | $228.95 | $381.58 | not published | 0 |
| Sho heel count plast reinfor HCPCS L3430 | $430.45 | $717.42 | not published | 0 |
| Sho insert w arch toe filler HCPCS L5000 | $1,389.97 | $2,316.61 | not published | 0 |
| Sho lift taper to metatarsal HCPCS L3300 | $140.08 | $233.46 | not published | 0 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,655.00 | $4,425.00 | not published | 0 |
| Shoulder MRI (with contrast) CPT 73222 | $2,476.20 | $4,127.00 | not published | 0 |
| Shoulder MRI (without contrast) CPT 73221 | $2,332.20 | $3,887.00 | not published | 0 |
| Shoulder X-ray CPT 73030 | $388.80 | $648.00 | not published | 0 |
| Shrinker prosth above knee HCPCS L8460 | $226.83 | $378.05 | not published | 0 |
| Shrinker prosth below knee HCPCS L8440 | $159.56 | $265.94 | not published | 0 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $8,639.45 | $14,399.08 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $341.40 | $569.00 | not published | 0 |
| Sickling rbc CPT 85660 | $48.60 | $81.00 | not published | 0 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $532.32 | $887.20 | not published | 0 |
| Sinus CT scan (with and without contrast) CPT 70488 | $3,390.00 | $5,650.00 | not published | 0 |
| Sinus CT scan (with contrast) CPT 70487 | $2,947.80 | $4,913.00 | not published | 0 |
| Sinus CT scan (without contrast) CPT 70486 | $2,051.40 | $3,419.00 | not published | 0 |
| Sio flex pelvisacral custom HCPCS L0622 | $717.94 | $1,196.56 | not published | 0 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | $475.38 | $792.30 | not published | 0 |
| Skin Biopsy CPT 11102 | $233.40 | $389.00 | not published | 0 |
| Sleep Study (Polysomnography) CPT 95810 | $4,838.40 | $8,064.00 | not published | 0 |
| Sleeve fing rolyan med HCPCS L3933 | $521.62 | $869.36 | not published | 0 |
| Sling pelv split sam med HCPCS L0621 | $231.59 | $385.99 | not published | 0 |
| Sling suprapubic suburetheral HCPCS C1771 | $20,255.87 | $33,759.79 | not published | 0 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $75.00 | $125.00 | not published | 0 |
| Smear gram stain CPT 87205 | $60.60 | $101.00 | not published | 0 |
| Smear nasal eosinophil CPT 89190 | $51.60 | $86.00 | not published | 0 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $93.60 | $156.00 | not published | 0 |
| Smear wet mount CPT 87210 | $88.80 | $148.00 | not published | 0 |
| Smpd1 gene common variants CPT 81330 | $327.60 | $546.00 | not published | 0 |
| Snrpn/ube3a gene CPT 81331 | $250.20 | $417.00 | not published | 0 |
| So airplane w/wo joint cf HCPCS L3674 | $2,889.57 | $4,815.95 | not published | 0 |
| So cap design without jnts cf HCPCS L3671 | $2,202.70 | $3,671.17 | not published | 0 |
| Socket insert without lock mech HCPCS L5679 | $1,459.98 | $2,433.30 | not published | 0 |
| Sock fracture or equal each HCPCS L3995 | $81.69 | $136.15 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $87.00 | $145.00 | not published | 0 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $30.00 | $50.00 | not published | 0 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $30.00 | $50.00 | not published | 0 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $46.20 | $77.00 | not published | 0 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $30.00 | $50.00 | not published | 0 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $129.78 | $216.30 | not published | 0 |
| Sodium serum/plasma/whole blood CPT 84295 | $57.00 | $95.00 | not published | 0 |
| Soft interface below knee se HCPCS L2820 | $203.30 | $338.83 | not published | 0 |
| So vest canvas/web pre ots HCPCS L3675 | $429.08 | $715.14 | not published | 0 |
| Specific gravity body fluid CPT 84315 | $13.20 | $22.00 | not published | 0 |
| Sperm antibody test CPT 89325 | $107.40 | $179.00 | not published | 0 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $2,941.20 | $4,902.00 | not published | 0 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | $567.00 | $945.00 | not published | 0 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $647.40 | $1,079.00 | not published | 0 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $1,238.84 | $2,064.73 | not published | 0 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $160.57 | $267.62 | not published | 0 |
| Splint finger fold over sm HCPCS L3924 | $236.12 | $393.54 | not published | 0 |
| Splint finger frog med HCPCS L3927 | $240.29 | $400.49 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $236.12 | $393.54 | not published | 0 |
| Sputum specimen collection CPT 89220 | $271.80 | $453.00 | not published | 0 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $310.20 | $517.00 | not published | 0 |
| Staph a dna amp probe CPT 87640 | $164.40 | $274.00 | not published | 0 |
| Static or dynami afo pre ots HCPCS L4397 | $744.78 | $1,241.30 | not published | 0 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $53,739.45 | $89,565.75 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $43,197.24 | $71,995.40 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $46,921.14 | $78,201.90 | not published | 0 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $1,042.69 | $1,737.82 | not published | 0 |
| Sterile water/saline, 10 ml HCPCS A4216 | $30.00 | $50.00 | not published | 0 |
| Sternal pad HCPCS L1050 | $269.52 | $449.20 | not published | 0 |
| St evaluate speech sound production CPT 92522 | $310.20 | $517.00 | not published | 0 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $310.20 | $517.00 | not published | 0 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $321.60 | $536.00 | not published | 0 |
| St evaluation swallow function CPT 92610 | $447.60 | $746.00 | not published | 0 |
| Stimulants synthetic CPT 80371 | $167.40 | $279.00 | 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.