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 |
|---|---|---|---|---|
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $42,349.10 | $70,581.83 | not published | 0 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $29,852.26 | $49,753.76 | not published | 0 |
| Drug admin & hemodynmic meas CPT 93463 | $317.40 | $529.00 | not published | 0 |
| Drug assay caffeine CPT 80155 | $306.60 | $511.00 | not published | 0 |
| Drug assay posaconazole CPT 80187 | $71.40 | $119.00 | not published | 0 |
| Drug assay rufinamide CPT 80210 | $140.40 | $234.00 | not published | 0 |
| Drug assay vedolizumab CPT 80280 | $165.60 | $276.00 | not published | 0 |
| Drug assay voriconazole CPT 80285 | $67.80 | $113.00 | not published | 0 |
| Drug asy hydroxychloroquine CPT 80220 | $270.00 | $450.00 | not published | 0 |
| Drug of abuse screen urine CPT 80305 | $126.60 | $211.00 | not published | 0 |
| Drug screen quant tiagabine CPT 80199 | $279.00 | $465.00 | not published | 0 |
| Drug test def 1-7 classes HCPCS G0480 | $440.40 | $734.00 | not published | 0 |
| Drug test def 8-14 classes HCPCS G0481 | $259.20 | $432.00 | not published | 0 |
| Drug test prsmv instrmnt CPT 80306 | $481.80 | $803.00 | not published | 0 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $439.20 | $732.00 | not published | 0 |
| Drvvt confirm - quest CPT 85597 | $247.20 | $412.00 | not published | 0 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $20,678.62 | $34,464.36 | not published | 0 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $13,322.04 | $22,203.40 | not published | 0 |
| Dxa bone density axl vrt fx CPT 77085 | $582.00 | $970.00 | not published | 0 |
| Ear irrigation 69209 CPT 69209 | $121.80 | $203.00 | not published | 0 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,783.40 | $4,639.00 | not published | 0 |
| Echocardiography doppler color flow mapping CPT 93325 | $983.40 | $1,639.00 | not published | 0 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $3,170.40 | $5,284.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $469.80 | $783.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $639.60 | $1,066.00 | not published | 0 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $983.40 | $1,639.00 | not published | 0 |
| Echo guide for amniocentesis CPT 76946 | $819.00 | $1,365.00 | not published | 0 |
| Echo stress CPT 93350 | $1,991.40 | $3,319.00 | not published | 0 |
| Echo tee guidance CPT 93355 | $2,078.40 | $3,464.00 | not published | 0 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $2,559.60 | $4,266.00 | not published | 0 |
| Echo transthoracic CPT 93303 | $484.20 | $807.00 | not published | 0 |
| Echo transthoracic CPT 93304 | $873.60 | $1,456.00 | not published | 0 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $2,323.80 | $3,873.00 | not published | 0 |
| E equine encephalitis igg CPT 86652 | $156.00 | $260.00 | not published | 0 |
| Egd guide wire insertion CPT 43248 | $8,506.44 | $14,177.40 | $855.85 – $855.85 | 1 |
| Egd remove foreign body CPT 43247 | $1,570.80 | $2,618.00 | not published | 0 |
| Egfr gene com variants CPT 81235 | $850.80 | $1,418.00 | not published | 0 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $92.40 | $154.00 | not published | 0 |
| Electrd sq emblem s-icd HCPCS C1896 | $16,435.51 | $27,392.52 | not published | 0 |
| Electrical stimulation/unattended 97014 CPT 97014 | $48.00 | $80.00 | not published | 0 |
| Electrolyte panel CPT 80051 | $115.80 | $193.00 | not published | 0 |
| Electron microscopy diagnostic CPT 88348 | $943.20 | $1,572.00 | not published | 0 |
| Electrophysiologic study CPT 93624 | $11,691.60 | $19,486.00 | not published | 0 |
| Electrophysiology evaluation CPT 93622 | $6,448.80 | $10,748.00 | not published | 0 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $9,600.30 | $16,000.50 | not published | 0 |
| Embo or occlude vascular arterial s&i CPT 37242 | $15,624.60 | $26,041.00 | not published | 0 |
| Encephalitis, california igg/igm CPT 86651 | $156.00 | $260.00 | not published | 0 |
| Encephalitis, st louis igg/igm CPT 86653 | $156.00 | $260.00 | not published | 0 |
| Encephalitis, western equine igg/igm CPT 86654 | $156.00 | $260.00 | not published | 0 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $6,313.80 | $10,523.00 | not published | 0 |
| Endo ak/hip alignable system HCPCS L5920 | $1,354.33 | $2,257.21 | not published | 0 |
| Endo below knee alignable sy HCPCS L5910 | $1,052.58 | $1,754.30 | not published | 0 |
| Endo bk ultra-light material HCPCS L5940 | $1,280.35 | $2,133.92 | not published | 0 |
| Endo cath bile duct s&i CPT 74328 | $513.60 | $856.00 | not published | 0 |
| Endo knee-shin frct swg & st HCPCS L5812 | $1,442.91 | $2,404.85 | not published | 0 |
| Endo knee-shin mnl lck ultra HCPCS L5811 | $1,861.57 | $3,102.62 | not published | 0 |
| Endoluminl ivus oct c 1st CPT 92978 | $12,426.00 | $20,710.00 | not published | 0 |
| Endoluminl ivus oct c ea CPT 92979 | $1,970.40 | $3,284.00 | not published | 0 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $2,514.60 | $4,191.00 | not published | 0 |
| Endo, single, pulmonary HCPCS C1601 | $9,452.71 | $15,754.51 | not published | 0 |
| Endoskel knee-shin mnl lock HCPCS L5810 | $1,274.93 | $2,124.88 | not published | 0 |
| Endovenous rf abl vein addl CPT 36476 | $5,262.00 | $8,770.00 | not published | 0 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $6,247.20 | $10,412.00 | not published | 0 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | $428.40 | $714.00 | not published | 0 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $13,070.28 | $21,783.80 | not published | 0 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $55.92 | $93.20 | not published | 0 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $100.80 | $168.00 | not published | 0 |
| Enzyme cell activity ra CPT 82658 | $291.60 | $486.00 | not published | 0 |
| Enzyme histochemistry CPT 88319 | $1,348.20 | $2,247.00 | not published | 0 |
| Eo, adj lock joint prefab ot HCPCS L3761 | $1,251.35 | $2,085.59 | not published | 0 |
| Eo elas w/metal jnts pre ots HCPCS L3710 | $593.66 | $989.44 | not published | 0 |
| Epilepsy gen seq alys panel CPT 81419 | $1,951.80 | $3,253.00 | not published | 0 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $51.54 | $85.90 | not published | 0 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $9.00 | $15.00 | not published | 0 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $1,323.60 | $2,206.00 | not published | 0 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $3,207.00 | $5,345.00 | not published | 0 |
| Epstein barr early antigen antibody CPT 86663 | $108.60 | $181.00 | not published | 0 |
| Epstein barr nuclear antigen antibody CPT 86664 | $109.20 | $182.00 | not published | 0 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $128.40 | $214.00 | not published | 0 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $1,500.00 | $2,500.00 | not published | 0 |
| Ercp biliary & pancreas CPT 74330 | $771.00 | $1,285.00 | not published | 0 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $4,373.82 | $7,289.70 | not published | 0 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $53.16 | $88.60 | not published | 0 |
| ER Visit (level 1, minor) CPT 99281 | $105.60 | $176.00 | not published | 0 |
| ER Visit (level 2) CPT 99282 | $220.80 | $368.00 | not published | 0 |
| ER Visit (level 3) CPT 99283 | $577.20 | $962.00 | not published | 0 |
| ER Visit (level 4) CPT 99284 | $1,002.00 | $1,670.00 | not published | 0 |
| ER Visit (level 5, high severity) CPT 99285 | $1,303.20 | $2,172.00 | not published | 0 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $411.54 | $685.90 | not published | 0 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $485.64 | $809.40 | not published | 0 |
| Esophageal recording CPT 93615 | $6,439.20 | $10,732.00 | not published | 0 |
| Esophagoscopy flex biopsy CPT 43202 | $1,462.20 | $2,437.00 | not published | 0 |
| Esophagoscopy flex remove fb CPT 43215 | $2,085.60 | $3,476.00 | not published | 0 |
| Esoph egd dilation <30 mm CPT 43249 | $9,811.93 | $16,353.22 | $1,810.73 – $1,846.94 | 4 |
| Established Patient Office Visit (level 1) CPT 99211 | $109.80 | $183.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $113.40 | $189.00 | not published | 0 |
| Established Patient Office Visit (level 3) CPT 99213 | $116.40 | $194.00 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $121.20 | $202.00 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $126.00 | $210.00 | not published | 0 |
| Estradiol total CPT 82670 | $145.20 | $242.00 | 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.