Tiffin Hospital
45 St. Lawrence Drive, Tiffin, OH · Mercy · · NPI 1316994734
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $412.20 | $687.00 | not published | 0 |
| 17-hydroxypregnenolone CPT 84143 | $320.40 | $534.00 | not published | 0 |
| 17-ketosteroids CPT 83586 | $135.00 | $225.00 | not published | 0 |
| 24 hr ambulatory b/p monitor CPT 93786 | $279.60 | $466.00 | not published | 0 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $1,286.40 | $2,144.00 | not published | 0 |
| 3d ech img cgen car anomal CPT 93319 | $1,120.20 | $1,867.00 | not published | 0 |
| 3d recon without postprocess indpndt CPT 76376 | $616.20 | $1,027.00 | not published | 0 |
| 5' nucleotidase - sendout CPT 83915 | $48.60 | $81.00 | not published | 0 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $97.20 | $162.00 | not published | 0 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $127.80 | $213.00 | not published | 0 |
| Abd aorta w/runoff s&i CPT 75630 | $5,487.60 | $9,146.00 | not published | 0 |
| Abd/low ext cath 1st CPT 36245 | $1,750.20 | $2,917.00 | not published | 0 |
| Abd/low ext cath 2nd CPT 36246 | $1,710.60 | $2,851.00 | not published | 0 |
| Abd/low ext cath 3rd CPT 36247 | $1,515.00 | $2,525.00 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,245.20 | $3,742.00 | not published | 0 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,629.60 | $2,716.00 | not published | 0 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,605.00 | $2,675.00 | not published | 0 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,215.40 | $5,359.00 | not published | 0 |
| Abdominal MRI (with contrast) CPT 74182 | $2,523.00 | $4,205.00 | not published | 0 |
| Abdominal MRI (without contrast) CPT 74181 | $2,677.80 | $4,463.00 | not published | 0 |
| Abdominal pad HCPCS L1270 | $408.38 | $680.64 | not published | 0 |
| Abdominal paracentesis w/image guidance CPT 49083 | $2,158.80 | $3,598.00 | not published | 0 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,107.00 | $1,845.00 | not published | 0 |
| Abdominal Ultrasound (limited) CPT 76705 | $1,223.40 | $2,039.00 | not published | 0 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $865.20 | $1,442.00 | not published | 0 |
| Abduct control hip semi-flex HCPCS L1630 | $889.27 | $1,482.12 | not published | 0 |
| Abduction bar jointed adjust HCPCS L2300 | $969.36 | $1,615.60 | not published | 0 |
| Abduction rotation bar shoe HCPCS L3140 | $438.66 | $731.10 | not published | 0 |
| Abduct rotation bar without shoe HCPCS L3150 | $401.12 | $668.53 | not published | 0 |
| Abl1 gene CPT 81170 | $772.80 | $1,288.00 | not published | 0 |
| Ablate arrhythmia add on CPT 93655 | $8,300.40 | $13,834.00 | not published | 0 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $7,825.80 | $13,043.00 | not published | 0 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $614.40 | $1,024.00 | not published | 0 |
| Ablation of upper extremity nerves rf CPT 64999 | $669.60 | $1,116.00 | not published | 0 |
| Abscess drain retroperitoneal surg code CPT 49406 | $2,404.80 | $4,008.00 | not published | 0 |
| Acetaminophen level CPT 80143 | $96.60 | $161.00 | not published | 0 |
| Acetone qualitative CPT 82009 | $23.40 | $39.00 | not published | 0 |
| Acetylcholine receptor modulating antibody CPT 86043 | $61.80 | $103.00 | not published | 0 |
| Acetylcholinesterase assay CPT 82013 | $176.40 | $294.00 | not published | 0 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $12.78 | $21.30 | not published | 0 |
| Acetylcysteine non-comp unit HCPCS J7608 | $60.66 | $101.10 | not published | 0 |
| Acne surgery 10040 CPT 10040 | $396.00 | $660.00 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $147.00 | $245.00 | not published | 0 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $42.24 | $70.40 | not published | 0 |
| #acylcarnitineprfl CPT 82017 | $276.60 | $461.00 | not published | 0 |
| Adapter b 8 channel 10cm HCPCS C1883 | $11,659.61 | $19,432.68 | not published | 0 |
| Add le poly knee custom kafo HCPCS L2387 | $803.56 | $1,339.27 | not published | 0 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $23.46 | $39.10 | not published | 0 |
| Adenovirus antibody,serum - quest CPT 86603 | $89.40 | $149.00 | not published | 0 |
| Adh-sendout CPT 84588 | $208.80 | $348.00 | not published | 0 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $179.40 | $299.00 | not published | 0 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $289.80 | $483.00 | not published | 0 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $126.00 | $210.00 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $469.20 | $782.00 | not published | 0 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $241.80 | $403.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $310.20 | $517.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $192.00 | $320.00 | not published | 0 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $19,801.32 | $33,002.20 | not published | 0 |
| _afb id by dna probe rflx ast CPT 87149 | $111.60 | $186.00 | not published | 0 |
| #afb mycobacteria suscep. #1 CPT 87190 | $111.60 | $186.00 | not published | 0 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $130.80 | $218.00 | not published | 0 |
| Afo molded ankle gauntlet HCPCS L1904 | $1,240.96 | $2,068.26 | not published | 0 |
| Afo molded plas rig ant tib HCPCS L1945 | $2,832.79 | $4,721.32 | not published | 0 |
| Afo molded to patient plasti HCPCS L1940 | $1,339.58 | $2,232.63 | not published | 0 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $2,453.31 | $4,088.85 | not published | 0 |
| Afo sing bar clasp attach sh HCPCS L1910 | $974.06 | $1,623.44 | not published | 0 |
| Afo sing solid stirrup calf HCPCS L1980 | $1,255.01 | $2,091.69 | not published | 0 |
| Afo sing upright with adjust s HCPCS L1920 | $1,276.90 | $2,128.17 | not published | 0 |
| Afo spiral molded to pt plas HCPCS L1950 | $2,114.39 | $3,523.98 | not published | 0 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | $990.94 | $1,651.56 | not published | 0 |
| Afo supramalleolar custom HCPCS L1907 | $1,547.07 | $2,578.45 | not published | 0 |
| Afo tib fx cast plaster mold HCPCS L2106 | $2,167.05 | $3,611.75 | not published | 0 |
| Afo tibial fracture rigid HCPCS L2116 | $2,119.05 | $3,531.75 | not published | 0 |
| Afo tibial fracture soft HCPCS L2112 | $1,387.05 | $2,311.75 | not published | 0 |
| Afo, walk boot type, cus fab HCPCS L4631 | $4,362.76 | $7,271.27 | not published | 0 |
| Afo w/ankle joint, prefab HCPCS L1971 | $1,756.37 | $2,927.29 | not published | 0 |
| Ak/knee disartic pelvic band HCPCS L5697 | $386.42 | $644.03 | not published | 0 |
| Ak/knee disartic silesian ba HCPCS L5698 | $480.58 | $800.96 | not published | 0 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | $743.75 | $1,239.59 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $39.00 | $65.00 | not published | 0 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $262.50 | $437.50 | not published | 0 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $49.80 | $83.00 | not published | 0 |
| Albumin serum plasma or whole blood CPT 82040 | $37.80 | $63.00 | not published | 0 |
| Albuterol ipratrop non-comp HCPCS J7620 | $3.00 | $5.00 | not published | 0 |
| Albuterol non-comp con HCPCS J7611 | $3.00 | $5.00 | not published | 0 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $146.40 | $244.00 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $73.80 | $123.00 | not published | 0 |
| Allergen alpha lactalbumin ige CPT 86008 | $55.20 | $92.00 | not published | 0 |
| Allergen egg white ige CPT 86003 | $27.00 | $45.00 | not published | 0 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $48.00 | $80.00 | not published | 0 |
| Allergy injections; 2 or more 95117 CPT 95117 | $39.00 | $65.00 | not published | 0 |
| Allergy injection; single 95115 CPT 95115 | $72.60 | $121.00 | not published | 0 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | $7,682.00 | $12,803.33 | not published | 0 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $15,148.72 | $25,247.87 | not published | 0 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $19,008.88 | $31,681.46 | not published | 0 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $14,573.02 | $24,288.37 | not published | 0 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $11,821.98 | $19,703.30 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $53,666.00 | $89,443.33 | not published | 0 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $36,028.53 | $60,047.55 | not published | 0 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $30,489.55 | $50,815.92 | 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.