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 |
|---|---|---|---|---|
| Culture typing added method CPT 87158 | $59.40 | $99.00 | not published | 0 |
| Culture typing immunologic CPT 87147 | $31.80 | $53.00 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $30.60 | $51.00 | not published | 0 |
| Culture urine each isolate CPT 87088 | $87.00 | $145.00 | not published | 0 |
| Cutter lead HCPCS C1773 | $10,635.46 | $17,725.76 | not published | 0 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $33.00 | $55.00 | not published | 0 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $9.00 | $15.00 | not published | 0 |
| Cyclic citrullinated peptide antibody CPT 86200 | $82.20 | $137.00 | not published | 0 |
| Cyclosporine 2 hour CPT 80158 | $118.80 | $198.00 | not published | 0 |
| Cygnus, per sq cm HCPCS Q4170 | $13,406.04 | $22,343.40 | not published | 0 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $43,408.91 | $72,348.18 | not published | 0 |
| Cyp2c19 gene com variants CPT 81225 | $477.00 | $795.00 | not published | 0 |
| Cyp2c9 gene com variants CPT 81227 | $286.80 | $478.00 | not published | 0 |
| Cyp2d6 gene com variants CPT 81226 | $501.00 | $835.00 | not published | 0 |
| Cyp3a5 gene common variants CPT 81231 | $286.80 | $478.00 | not published | 0 |
| Cystatin c CPT 82610 | $158.40 | $264.00 | not published | 0 |
| Cystic fibrosis cftr CPT 81223 | $778.80 | $1,298.00 | not published | 0 |
| Cystine urine quantitative CPT 82131 | $286.20 | $477.00 | not published | 0 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $511.80 | $853.00 | not published | 0 |
| Cystoscopy and treatment CPT 52310 | $2,998.80 | $4,998.00 | not published | 0 |
| Cystoscopy and treatment CPT 52315 | $3,036.00 | $5,060.00 | not published | 0 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,066.80 | $1,778.00 | not published | 0 |
| Cystoscopy & ureter catheter CPT 52005 | $3,549.60 | $5,916.00 | not published | 0 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $1,619.40 | $2,699.00 | not published | 0 |
| Cytogenetics 25-99 CPT 88274 | $133.80 | $223.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $121.80 | $203.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $121.80 | $203.00 | not published | 0 |
| Cytopath c/v thin layer redo CPT 88143 | $61.20 | $102.00 | not published | 0 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $187.80 | $313.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $93.60 | $156.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $352.20 | $587.00 | not published | 0 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $209.40 | $349.00 | not published | 0 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $217.20 | $362.00 | not published | 0 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $147.00 | $245.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $147.00 | $245.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $331.80 | $553.00 | not published | 0 |
| Cytopath smear other source CPT 88160 | $150.00 | $250.00 | not published | 0 |
| Cytopath smear oth prep screen & interp CPT 88161 | $175.80 | $293.00 | not published | 0 |
| Cytopath tbs c/v manual CPT 88164 | $132.00 | $220.00 | not published | 0 |
| Cytotoxic antibody screening CPT 86807 | $220.80 | $368.00 | not published | 0 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $792.00 | $1,320.00 | not published | 0 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $2,159.46 | $3,599.10 | not published | 0 |
| Dch glucoscan CPT 82948 | $31.20 | $52.00 | not published | 0 |
| Dch validity tests CPT 81002 | $15.60 | $26.00 | not published | 0 |
| Deamidated gliadin antibody iga CPT 86258 | $30.00 | $50.00 | not published | 0 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $1,175.40 | $1,959.00 | not published | 0 |
| Debridement bone <= 20 sq cm CPT 11044 | $4,909.20 | $8,182.00 | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,444.20 | $2,407.00 | not published | 0 |
| Debride nail6 or more 11721 CPT 11721 | $5,105.16 | $8,508.60 | not published | 0 |
| Debride skin bone at fx site CPT 11012 | $5,595.60 | $9,326.00 | not published | 0 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $9,031.41 | $15,052.35 | not published | 0 |
| Decalcification CPT 88311 | $165.60 | $276.00 | not published | 0 |
| Demonstrate use home inr mon HCPCS G0248 | $201.00 | $335.00 | not published | 0 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $218.40 | $364.00 | not published | 0 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $5,232.48 | $8,720.80 | not published | 0 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $478.80 | $798.00 | not published | 0 |
| Dermapure 1 square cm HCPCS Q4152 | $5,943.34 | $9,905.57 | not published | 0 |
| Desoxycorticosterone CPT 82633 | $81.60 | $136.00 | not published | 0 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $4,259.17 | $7,098.62 | not published | 0 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $4,259.17 | $7,098.62 | not published | 0 |
| Destruction benign lesions < 14 lesions CPT 17110 | $5,786.22 | $9,643.70 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $4,202.65 | $7,004.42 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $4,203.55 | $7,005.92 | not published | 0 |
| Detect agent nos dna dir CPT 87797 | $180.60 | $301.00 | not published | 0 |
| Detect agnt mult dna direc CPT 87800 | $144.60 | $241.00 | not published | 0 |
| Device ablt adv novasure HCPCS C1886 | $14,448.73 | $24,081.22 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $7,447.80 | $12,413.00 | not published | 0 |
| Device sut capio slim opn HCPCS C2631 | $3,408.11 | $5,680.19 | not published | 0 |
| Device tiss remov myosure reach HCPCS C1782 | $2,759.41 | $4,599.02 | not published | 0 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $615.60 | $1,026.00 | not published | 0 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $3.84 | $6.40 | not published | 0 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $15.30 | $25.50 | not published | 0 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $30.00 | $50.00 | not published | 0 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $30.00 | $50.00 | not published | 0 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $30.00 | $50.00 | not published | 0 |
| Dextrose 5 % IV bolus HCPCS J7070 | $30.00 | $50.00 | not published | 0 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $139.20 | $232.00 | not published | 0 |
| Diabetes (HbA1c) Test CPT 83036 | $125.40 | $209.00 | not published | 0 |
| Diab manage trn ind/group HCPCS G0109 | $67.80 | $113.00 | not published | 0 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $174.60 | $291.00 | not published | 0 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $375.60 | $626.00 | not published | 0 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $181.20 | $302.00 | not published | 0 |
| Diagnostic Mammogram (one breast) CPT 77065 | $164.40 | $274.00 | not published | 0 |
| Dialysis one evaluation CPT 90945 | $906.00 | $1,510.00 | not published | 0 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $34.38 | $57.30 | not published | 0 |
| Dicyclomine injection HCPCS J0500 | $79.56 | $132.60 | not published | 0 |
| Diffusing capacity CPT 94729 | $457.20 | $762.00 | not published | 0 |
| Digital analysis of eeg CPT 95957 | $775.20 | $1,292.00 | not published | 0 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $9.00 | $15.00 | not published | 0 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $13,877.46 | $23,129.10 | not published | 0 |
| Digoxin total therapeutic drug level CPT 80162 | $46.80 | $78.00 | not published | 0 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $214.20 | $357.00 | not published | 0 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $1,213.20 | $2,022.00 | not published | 0 |
| Dilator fascial 10fx20cm HCPCS C2627 | $945.57 | $1,575.95 | not published | 0 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $46.56 | $77.60 | not published | 0 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $9.00 | $15.00 | not published | 0 |
| Disaccharidases CPT 82657 | $237.00 | $395.00 | not published | 0 |
| Dmd dup/delet analysis CPT 81161 | $541.80 | $903.00 | not published | 0 |
| Dna antibody native/double stranded CPT 86225 | $150.00 | $250.00 | not published | 0 |
| Dna gardnerella CPT 87510 | $43.20 | $72.00 | 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.