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 |
|---|---|---|---|---|
| Stocking sup grips 4 pre ots HCPCS L0982 | $42.01 | $70.01 | not published | 0 |
| Straight knee joint heavy du HCPCS L2385 | $394.70 | $657.84 | not published | 0 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $197.40 | $329.00 | not published | 0 |
| Strapping of elbow or wrist 29260 CPT 29260 | $315.00 | $525.00 | not published | 0 |
| Strapping of hand or finger CPT 29280 | $211.20 | $352.00 | not published | 0 |
| Strapping of knee CPT 29530 | $211.20 | $352.00 | not published | 0 |
| Strep b dna amp probe CPT 87653 | $93.60 | $156.00 | not published | 0 |
| Str markers specimen anal CPT 81265 | $379.80 | $633.00 | not published | 0 |
| St treatment speech individual CPT 92507 | $403.80 | $673.00 | not published | 0 |
| St treatment swallow dysfunction/oral CPT 92526 | $463.80 | $773.00 | not published | 0 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $9.00 | $15.00 | not published | 0 |
| Sugars single quant CPT 84378 | $89.40 | $149.00 | not published | 0 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $2,354.76 | $3,924.60 | not published | 0 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $51.18 | $85.30 | not published | 0 |
| Support clav 29.6-40.5in med HCPCS L3650 | $680.11 | $1,133.51 | not published | 0 |
| Surgical pathology level 1 gross examination only CPT 88300 | $175.80 | $293.00 | not published | 0 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $233.40 | $389.00 | not published | 0 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $468.00 | $780.00 | not published | 0 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $686.40 | $1,144.00 | not published | 0 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $730.80 | $1,218.00 | not published | 0 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $759.00 | $1,265.00 | not published | 0 |
| Susceptibility agar dilution per agent CPT 87181 | $25.80 | $43.00 | not published | 0 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $33.60 | $56.00 | not published | 0 |
| Susceptibility mic per plate CPT 87186 | $140.40 | $234.00 | not published | 0 |
| Suscept studies macrobroth dilution ea CPT 87188 | $63.00 | $105.00 | not published | 0 |
| Suspension sleeve lower ext HCPCS L2397 | $285.37 | $475.62 | not published | 0 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $112.80 | $188.00 | not published | 0 |
| System cardiomems hosp electronics HCPCS C2624 | $56,603.28 | $94,338.80 | not published | 0 |
| System pacing micra av HCPCS C1786 | $49,751.30 | $82,918.84 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $24,038.52 | $40,064.20 | not published | 0 |
| System recell skin grafting/harvesting HCPCS C1832 | $20,481.45 | $34,135.75 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $77.40 | $129.00 | not published | 0 |
| T3 (triiodothyronine) total CPT 84480 | $160.80 | $268.00 | not published | 0 |
| T4 (thyroxine) free CPT 84439 | $169.80 | $283.00 | not published | 0 |
| T4 (thyroxine) total CPT 84436 | $142.80 | $238.00 | not published | 0 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $7.02 | $11.70 | not published | 0 |
| Tacrolimus therapeutic drug level CPT 80197 | $144.60 | $241.00 | not published | 0 |
| Talymed HCPCS Q4127 | $3,872.86 | $6,454.76 | not published | 0 |
| Tap block bilat cont infusion 64489 CPT 64489 | $1,153.20 | $1,922.00 | not published | 0 |
| Tap block uni by cont infusion 64487 CPT 64487 | $658.80 | $1,098.00 | not published | 0 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $4,554.60 | $7,591.00 | not published | 0 |
| Target gsa panel organ neop CPT 81445 | $982.80 | $1,638.00 | not published | 0 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $697.14 | $1,161.90 | not published | 0 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $177.00 | $295.00 | not published | 0 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $146.40 | $244.00 | not published | 0 |
| Tc-99m sulfur colloid HCPCS A9541 | $60.60 | $101.00 | not published | 0 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $109.20 | $182.00 | not published | 0 |
| T cells absolute cd 4 count CPT 86361 | $78.60 | $131.00 | not published | 0 |
| T cells total count CPT 86359 | $94.20 | $157.00 | not published | 0 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $23,149.38 | $38,582.30 | not published | 0 |
| Tension based scoliosis orth HCPCS L1005 | $8,597.20 | $14,328.67 | not published | 0 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $9.00 | $15.00 | not published | 0 |
| Test for chlorohydrocarbons CPT 82441 | $130.20 | $217.00 | not published | 0 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $62.40 | $104.00 | not published | 0 |
| Test socket below knee HCPCS L5620 | $693.30 | $1,155.50 | not published | 0 |
| Test stress cardiovascular tracing only CPT 93017 | $1,495.80 | $2,493.00 | not published | 0 |
| Tetanus immune globulin inj HCPCS J1670 | $1,811.22 | $3,018.70 | not published | 0 |
| Theophylline therapeutic drug level CPT 80198 | $81.60 | $136.00 | not published | 0 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $60.00 | $100.00 | not published | 0 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $60.00 | $100.00 | not published | 0 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $486.60 | $811.00 | not published | 0 |
| Ther/proph/diag inj ia CPT 96373 | $268.20 | $447.00 | not published | 0 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $10.20 | $17.00 | not published | 0 |
| Thigh/wght bear high roll cu HCPCS L2550 | $913.93 | $1,523.22 | not published | 0 |
| Thigh/wght bear lacer molded HCPCS L2540 | $1,218.97 | $2,031.61 | not published | 0 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | $644.18 | $1,073.63 | not published | 0 |
| Thi/glut/ischia wgt bearing HCPCS L2500 | $840.56 | $1,400.93 | not published | 0 |
| Thorac cont lat support upri HCPCS L2680 | $393.04 | $655.06 | not published | 0 |
| Thorac cont paraspinal uprig HCPCS L2670 | $428.43 | $714.05 | not published | 0 |
| Thoracic control thoracic ba HCPCS L2660 | $481.28 | $802.13 | not published | 0 |
| Thoracic pad HCPCS L1060 | $290.91 | $484.85 | not published | 0 |
| Thoracotomy with cardiac massage CPT 32160 | $1,989.60 | $3,316.00 | not published | 0 |
| Thor rib belt custom fabrica HCPCS L0220 | $3,088.04 | $5,146.73 | not published | 0 |
| Thrombin time CPT 85670 | $31.20 | $52.00 | not published | 0 |
| Thromboplastin inhibition CPT 85705 | $138.00 | $230.00 | not published | 0 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $36.60 | $61.00 | not published | 0 |
| Th/wght bear nar m-l brim cu HCPCS L2526 | $1,720.32 | $2,867.20 | not published | 0 |
| Th/wght bear nar m-l brim mo HCPCS L2525 | $3,061.58 | $5,102.64 | not published | 0 |
| Th/wght bear quad-lat brim c HCPCS L2520 | $1,443.77 | $2,406.28 | not published | 0 |
| Th/wght bear quad-lat brim m HCPCS L2510 | $2,166.35 | $3,610.59 | not published | 0 |
| Thyroglobulin antibody CPT 86800 | $200.40 | $334.00 | not published | 0 |
| Thyroid imaging CPT 78013 | $966.60 | $1,611.00 | not published | 0 |
| Thyroid (TSH) Test CPT 84443 | $207.60 | $346.00 | not published | 0 |
| Thyroid Ultrasound CPT 76536 | $446.40 | $744.00 | not published | 0 |
| Thyroid uptake measurement CPT 78012 | $1,438.80 | $2,398.00 | not published | 0 |
| Thyroxine binding globulin (tbg) CPT 84442 | $60.60 | $101.00 | not published | 0 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | $8,640.94 | $14,401.56 | not published | 0 |
| Tissue culture placenta CPT 88235 | $541.20 | $902.00 | not published | 0 |
| Tissue culture skin/biopsy CPT 88233 | $463.80 | $773.00 | not published | 0 |
| Tissue culture tumor CPT 88239 | $541.20 | $902.00 | not published | 0 |
| Tissue exam koh skin/hair/nails CPT 87220 | $27.00 | $45.00 | not published | 0 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $37,889.82 | $63,149.70 | not published | 0 |
| Tissue transglutaminase iga CPT 86364 | $19.80 | $33.00 | not published | 0 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | $2,395.60 | $3,992.67 | not published | 0 |
| Tlso 2 piece rigid shell HCPCS L0491 | $2,062.89 | $3,438.15 | not published | 0 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | $2,452.65 | $4,087.75 | not published | 0 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | $3,050.80 | $5,084.66 | not published | 0 |
| Tlso 3 piece rigid shell HCPCS L0492 | $1,343.32 | $2,238.86 | not published | 0 |
| Tlso corset front HCPCS L0970 | $287.04 | $478.40 | not published | 0 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | $931.57 | $1,552.62 | 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.