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 |
|---|---|---|---|---|
| Dna probe chlamydia CPT 87490 | $245.40 | $409.00 | not published | 0 |
| Dna trichomonas CPT 87660 | $108.00 | $180.00 | not published | 0 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $163.20 | $272.00 | not published | 0 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $58.14 | $96.90 | not published | 0 |
| Doppler echo complete CPT 93320 | $1,240.20 | $2,067.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $454.80 | $758.00 | not published | 0 |
| Dornhoffer fixed part w/window HCPCS L8614 | $76,712.34 | $127,853.90 | not published | 0 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $107.46 | $179.10 | not published | 0 |
| Dpyd gene common variants CPT 81232 | $286.20 | $477.00 | not published | 0 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $784.80 | $1,308.00 | not published | 0 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $784.80 | $1,308.00 | not published | 0 |
| Drainage external ear simple 69000 CPT 69000 | $784.80 | $1,308.00 | not published | 0 |
| Drainage mouth roof lesion CPT 42000 | $784.80 | $1,308.00 | not published | 0 |
| Drainage of arm bursa 23931 CPT 23931 | $2,613.00 | $4,355.00 | not published | 0 |
| Drainage of mouth lesion CPT 41008 | $4,893.60 | $8,156.00 | not published | 0 |
| Drainage of mouth lesion CPT 41009 | $802.20 | $1,337.00 | not published | 0 |
| Drainage of nose lesion sept 30020 CPT 30020 | $834.60 | $1,391.00 | not published | 0 |
| Drainage of rectal abscess CPT 45005 | $1,966.20 | $3,277.00 | not published | 0 |
| Drain blood from under nail 11740 CPT 11740 | $367.20 | $612.00 | not published | 0 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $800.40 | $1,334.00 | not published | 0 |
| Drain finger abscess;simple 26010 CPT 26010 | $784.80 | $1,308.00 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $615.60 | $1,026.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $579.00 | $965.00 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $879.00 | $1,465.00 | not published | 0 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $36,960.07 | $61,600.11 | not published | 0 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $7,738.20 | $12,897.00 | not published | 0 |
| Drng of eyelid abscess 67700 CPT 67700 | $648.00 | $1,080.00 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $3,245.40 | $5,409.00 | not published | 0 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,279.80 | $2,133.00 | not published | 0 |
| Dronabinol 2.5mg oral HCPCS Q0167 | $7.92 | $13.20 | not published | 0 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $9.00 | $15.00 | not published | 0 |
| Drop lock knee HCPCS L2182 | $232.67 | $387.78 | not published | 0 |
| Drop lock retainer each HCPCS L2785 | $79.60 | $132.67 | not published | 0 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $7,745.71 | $12,909.52 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $5,135.26 | $8,558.76 | not published | 0 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $20,779.36 | $34,632.27 | not published | 0 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $4,856.17 | $8,093.62 | not published | 0 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | $29,049.40 | $48,415.67 | not published | 0 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $41,374.97 | $68,958.29 | not published | 0 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $29,165.59 | $48,609.31 | not published | 0 |
| Drug assay caffeine CPT 80155 | $64.20 | $107.00 | not published | 0 |
| Drug assay posaconazole CPT 80187 | $64.80 | $108.00 | not published | 0 |
| Drug assay rufinamide CPT 80210 | $139.20 | $232.00 | not published | 0 |
| Drug assay vedolizumab CPT 80280 | $164.40 | $274.00 | not published | 0 |
| Drug assay voriconazole CPT 80285 | $71.40 | $119.00 | not published | 0 |
| Drug of abuse screen urine CPT 80305 | $262.80 | $438.00 | not published | 0 |
| Drug screen quant tiagabine CPT 80199 | $130.80 | $218.00 | not published | 0 |
| Drug test def 1-7 classes HCPCS G0480 | $383.40 | $639.00 | not published | 0 |
| Drug test prsmv instrmnt CPT 80306 | $262.80 | $438.00 | not published | 0 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $96.00 | $160.00 | not published | 0 |
| Drvvt confirm - quest CPT 85597 | $66.00 | $110.00 | not published | 0 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $3,280.62 | $5,467.70 | not published | 0 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $1,482.60 | $2,471.00 | not published | 0 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,654.20 | $2,757.00 | not published | 0 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $20,202.96 | $33,671.60 | not published | 0 |
| Dxa bone density axl vrt fx CPT 77085 | $1,030.20 | $1,717.00 | not published | 0 |
| Ear irrigation 69209 CPT 69209 | $322.80 | $538.00 | not published | 0 |
| Ecg 12 lead tracing only CPT 93005 | $306.00 | $510.00 | not published | 0 |
| Ecg external < 48 hours recording CPT 93225 | $262.20 | $437.00 | not published | 0 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $642.00 | $1,070.00 | not published | 0 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $63.00 | $105.00 | not published | 0 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $99.00 | $165.00 | not published | 0 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,801.40 | $4,669.00 | not published | 0 |
| Echocardiography doppler color flow mapping CPT 93325 | $414.00 | $690.00 | not published | 0 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,996.40 | $4,994.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $843.00 | $1,405.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $633.60 | $1,056.00 | not published | 0 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $1,045.20 | $1,742.00 | not published | 0 |
| Echo stress CPT 93350 | $1,762.80 | $2,938.00 | not published | 0 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $952.80 | $1,588.00 | not published | 0 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $962.40 | $1,604.00 | not published | 0 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $1,359.00 | $2,265.00 | not published | 0 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $1,143.00 | $1,905.00 | not published | 0 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $1,515.60 | $2,526.00 | not published | 0 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $1,113.00 | $1,855.00 | not published | 0 |
| Eeg recording awake and asleep CPT 95819 | $1,025.40 | $1,709.00 | not published | 0 |
| E equine encephalitis igg CPT 86652 | $68.40 | $114.00 | not published | 0 |
| Egd remove foreign body CPT 43247 | $1,557.00 | $2,595.00 | not published | 0 |
| Egd remove lesion snare CPT 43251 | $6,597.06 | $10,995.10 | not published | 0 |
| Egfr gene com variants CPT 81235 | $531.00 | $885.00 | not published | 0 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $91.80 | $153.00 | not published | 0 |
| Electrd sq emblem s-icd HCPCS C1896 | $16,057.46 | $26,762.43 | not published | 0 |
| Electrolyte panel CPT 80051 | $77.40 | $129.00 | not published | 0 |
| Electron microscopy diagnostic CPT 88348 | $718.80 | $1,198.00 | not published | 0 |
| Encephalitis, california igg/igm CPT 86651 | $68.40 | $114.00 | not published | 0 |
| Encephalitis, st louis igg/igm CPT 86653 | $46.80 | $78.00 | not published | 0 |
| Encephalitis, western equine igg/igm CPT 86654 | $68.40 | $114.00 | not published | 0 |
| Endo ak/hip alignable system HCPCS L5920 | $1,323.17 | $2,205.29 | not published | 0 |
| Endo below knee alignable sy HCPCS L5910 | $909.61 | $1,516.02 | not published | 0 |
| Endo bk ultra-light material HCPCS L5940 | $1,250.90 | $2,084.84 | not published | 0 |
| Endo knee-shin frct swg & st HCPCS L5812 | $1,409.72 | $2,349.53 | not published | 0 |
| Endo knee-shin mnl lck ultra HCPCS L5811 | $1,818.75 | $3,031.25 | not published | 0 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $2,770.20 | $4,617.00 | not published | 0 |
| Endo, single, pulmonary HCPCS C1601 | $9,235.27 | $15,392.12 | not published | 0 |
| Endoskel knee-shin mnl lock HCPCS L5810 | $1,245.60 | $2,076.00 | not published | 0 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $130.80 | $218.00 | not published | 0 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $46.80 | $78.00 | not published | 0 |
| Enzyme cell activity ra CPT 82658 | $610.20 | $1,017.00 | not published | 0 |
| Enzyme histochemistry CPT 88319 | $1,278.00 | $2,130.00 | not published | 0 |
| Eo, adj lock joint prefab ot HCPCS L3761 | $1,222.57 | $2,037.62 | 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.