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 |
|---|---|---|---|---|
| Boot mlti podous univ xlg HCPCS L4396 | $1,697.35 | $2,828.92 | not published | 0 |
| Boot softgait shrt m HCPCS L4387 | $947.36 | $1,578.93 | not published | 0 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $893.74 | $1,489.56 | not published | 0 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $4,003.94 | $6,673.23 | not published | 0 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $140.40 | $234.00 | not published | 0 |
| Brace adj motion lerman type HCPCS L2186 | $441.15 | $735.25 | not published | 0 |
| Brace afo dbl upright cust HCPCS L1990 | $1,043.41 | $1,739.01 | not published | 0 |
| Brace afo lg left 6607 HCPCS L1930 | $923.53 | $1,539.21 | not published | 0 |
| Brace afopos solid ankle cust HCPCS L1960 | $1,384.07 | $2,306.78 | not published | 0 |
| Brace afo spiral prefab HCPCS L1951 | $3,074.45 | $5,124.09 | not published | 0 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $302.02 | $503.37 | not published | 0 |
| Brace ank air stirrup univ HCPCS L4350 | $234.31 | $390.51 | not published | 0 |
| Brace ankle joint dflxn assist HCPCS L2210 | $161.08 | $268.47 | not published | 0 |
| Brace ankle stablizing lg HCPCS L1902 | $200.50 | $334.16 | not published | 0 |
| Brace back epic lo 627 HCPCS L0642 | $3,756.67 | $6,261.12 | not published | 0 |
| Brace back epic lso 637 HCPCS L0650 | $3,479.85 | $5,799.75 | not published | 0 |
| Brace back epic tslo 456 HCPCS L0457 | $2,671.52 | $4,452.54 | not published | 0 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $1,004.35 | $1,673.92 | not published | 0 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $5,442.85 | $9,071.42 | not published | 0 |
| Brace back t-lso custom HCPCS L0486 | $5,916.65 | $9,861.09 | not published | 0 |
| Brace back vista 464 tlso HCPCS L0648 | $2,968.22 | $4,947.03 | not published | 0 |
| Brace cust back lso HCPCS L0631 | $550.03 | $916.72 | not published | 0 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $1,647.46 | $2,745.76 | not published | 0 |
| Brace halo bremer l2830 HCPCS L2830 | $219.92 | $366.53 | not published | 0 |
| Brace kafo dbl upright cust HCPCS L2036 | $4,500.44 | $7,500.73 | not published | 0 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | $2,250.07 | $3,750.12 | not published | 0 |
| Brace knee extender plus 22-30in HCPCS L1832 | $2,523.31 | $4,205.52 | not published | 0 |
| Brace knee hing pat open med HCPCS L1820 | $178.60 | $297.66 | not published | 0 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $1,850.18 | $3,083.64 | not published | 0 |
| Brace knee postop tscope xl HCPCS L1845 | $2,275.03 | $3,791.72 | not published | 0 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $1,622.13 | $2,703.55 | not published | 0 |
| Brace m arm board HCPCS L3809 | $10,778.45 | $17,964.09 | not published | 0 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $644.32 | $1,073.87 | not published | 0 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $3,640.48 | $6,067.47 | not published | 0 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $834.16 | $1,390.26 | not published | 0 |
| Brace tlso flex cust HCPCS L0450 | $4,742.76 | $7,904.60 | not published | 0 |
| Brace wrist classic lft sm HCPCS L3908 | $178.75 | $297.91 | not published | 0 |
| Brachy source i-125 injection HCPCS C2638 | $223.43 | $372.39 | not published | 0 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | $80.44 | $134.06 | not published | 0 |
| Brachy source palladium HCPCS C2640 | $342.60 | $571.00 | not published | 0 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | $125.12 | $208.54 | not published | 0 |
| Brachy source yttrium-90 HCPCS C2616 | $60,565.51 | $100,942.52 | not published | 0 |
| Brachy src nonstrand c-131 HCPCS C2643 | $417.08 | $695.13 | not published | 0 |
| Brachy src stranded c-131 HCPCS C2642 | $22,839.93 | $38,066.55 | not published | 0 |
| Braf gene CPT 81210 | $489.00 | $815.00 | not published | 0 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,503.80 | $4,173.00 | not published | 0 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,097.00 | $3,495.00 | not published | 0 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,678.80 | $2,798.00 | not published | 0 |
| Brain MRI (with and without contrast) CPT 70553 | $4,662.00 | $7,770.00 | not published | 0 |
| Brain MRI (with contrast) CPT 70552 | $3,090.00 | $5,150.00 | not published | 0 |
| Brain MRI (without contrast) CPT 70551 | $2,677.80 | $4,463.00 | not published | 0 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $126.02 | $210.03 | not published | 0 |
| Brca1&2 gene full seq alys CPT 81163 | $1,791.00 | $2,985.00 | not published | 0 |
| Brcassure comprehensive panel-sendout CPT 81162 | $6,552.60 | $10,921.00 | not published | 0 |
| Bronchial challenge CPT 94070 | $1,636.80 | $2,728.00 | not published | 0 |
| Budesonide non-comp unit HCPCS J7626 | $34.08 | $56.80 | not published | 0 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $9.00 | $15.00 | not published | 0 |
| Bundled special stain group 1 microorganisms CPT 88312 | $120.00 | $200.00 | not published | 0 |
| Bundled special stain group 2 CPT 88313 | $162.00 | $270.00 | not published | 0 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $87.54 | $145.90 | not published | 0 |
| Bupren/nal 3.1 to 6mg bupren HCPCS J0573 | $34.50 | $57.50 | not published | 0 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $15.00 | $25.00 | not published | 0 |
| Bur rotalink 2.15mm HCPCS C1724 | $19,215.32 | $32,025.54 | not published | 0 |
| Bx breast 1st lesion mr imag CPT 19085 | $4,627.80 | $7,713.00 | not published | 0 |
| Bx breast 1st lesion strtctc CPT 19081 | $2,444.40 | $4,074.00 | not published | 0 |
| Bx breast add lesion mr imag CPT 19086 | $2,991.60 | $4,986.00 | not published | 0 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $233.40 | $389.00 | not published | 0 |
| Bx skin punch ea sep/ addl les CPT 11105 | $233.40 | $389.00 | not published | 0 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $233.40 | $389.00 | not published | 0 |
| Bypass temp external fem-fem CPT 37799 | $643.20 | $1,072.00 | not published | 0 |
| C1 esterase inhibitor func - sendout CPT 86161 | $87.00 | $145.00 | not published | 0 |
| Cable cath 22-pin diag HCPCS C1730 | $40,930.13 | $68,216.88 | not published | 0 |
| Cable centrimag pressure HCPCS Q0508 | $1,045.67 | $1,742.79 | not published | 0 |
| Cacna1a gen detc abnor allel CPT 81184 | $130.80 | $218.00 | not published | 0 |
| Cacna1a gene full gene seq CPT 81185 | $769.80 | $1,283.00 | not published | 0 |
| Cad breast MRI w/r&i HCPCS C8937 | $345.60 | $576.00 | not published | 0 |
| Cadd pump refill CPT 96521 | $327.60 | $546.00 | not published | 0 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $697.50 | $1,162.50 | not published | 0 |
| Calcium 24 hour urine CPT 82340 | $102.60 | $171.00 | not published | 0 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | $3.18 | $5.30 | not published | 0 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $21.42 | $35.70 | not published | 0 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $20.40 | $34.00 | not published | 0 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $80.58 | $134.30 | not published | 0 |
| Calcium ionized CPT 82330 | $95.40 | $159.00 | not published | 0 |
| Calcium total CPT 82310 | $70.80 | $118.00 | not published | 0 |
| Calculi urinary-sendout CPT 82360 | $114.00 | $190.00 | not published | 0 |
| Calprotectin fecal CPT 83993 | $252.60 | $421.00 | not published | 0 |
| Campylobacter antibody CPT 86625 | $69.00 | $115.00 | not published | 0 |
| Candida dna CPT 87480 | $44.40 | $74.00 | not published | 0 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $148,956.00 | $248,260.00 | not published | 0 |
| Canthotomy 67715 CPT 67715 | $3,797.40 | $6,329.00 | not published | 0 |
| Cap nerve 2x15mm HCPCS C1763 | $137,545.97 | $229,243.28 | not published | 0 |
| Cap trach decann 15mm HCPCS C1750 | $2,481.61 | $4,136.01 | not published | 0 |
| Carbamazepine free CPT 80157 | $50.40 | $84.00 | not published | 0 |
| Carbamazepine free -sendout CPT 80161 | $49.20 | $82.00 | not published | 0 |
| Carbamazepine total therapeutic drug level CPT 80156 | $94.20 | $157.00 | not published | 0 |
| Carbohydrate deficient transf - sendout CPT 82373 | $114.60 | $191.00 | not published | 0 |
| Carbohydrate urine - sendout CPT 84377 | $19.80 | $33.00 | not published | 0 |
| Carbon dioxide CPT 82374 | $51.00 | $85.00 | not published | 0 |
| Carbon graphite lamination HCPCS L2755 | $319.21 | $532.02 | 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.