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 |
|---|---|---|---|---|
| Ghs sensitivity (per antimicro) CPT 87184 | $39.00 | $65.00 | not published | 0 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $262.20 | $437.00 | not published | 0 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $262.20 | $437.00 | not published | 0 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $262.20 | $437.00 | not published | 0 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $262.20 | $437.00 | not published | 0 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $142.80 | $238.00 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $142.80 | $238.00 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $142.80 | $238.00 | not published | 0 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $193.20 | $322.00 | not published | 0 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $349.80 | $583.00 | not published | 0 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $54.00 | $90.00 | not published | 0 |
| Ghs sphenopalatine ganglion block CPT 64505 | $500.40 | $834.00 | not published | 0 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $115.20 | $192.00 | not published | 0 |
| Ghs st - eval for alt comm CPT 92567 | $67.20 | $112.00 | not published | 0 |
| Ghs strapping shoulder - 29240 CPT 29240 | $149.40 | $249.00 | not published | 0 |
| Ghs st - re-eval for alt comm CPT 92597 | $165.60 | $276.00 | not published | 0 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $412.20 | $687.00 | not published | 0 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $2,700.00 | $4,500.00 | not published | 0 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $463.80 | $773.00 | not published | 0 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $394.20 | $657.00 | not published | 0 |
| Ghs urine, hydroxproline total CPT 83505 | $192.60 | $321.00 | not published | 0 |
| Ghs urine, porphyrins quant CPT 84120 | $170.40 | $284.00 | not published | 0 |
| Ghs vaginal delivery only CPT 59409 | $4,984.80 | $8,308.00 | not published | 0 |
| Giardia lamblia antibody CPT 86674 | $127.80 | $213.00 | not published | 0 |
| Gi inhouse confirmation CPT 87045 | $67.80 | $113.00 | not published | 0 |
| Gjb2 gene full sequence CPT 81252 | $528.00 | $880.00 | not published | 0 |
| Gjb6 gene com variants CPT 81254 | $528.00 | $880.00 | not published | 0 |
| Glove finger flexion right lg xl HCPCS L3912 | $472.43 | $787.39 | not published | 0 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $1,050.00 | $1,750.00 | not published | 0 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $1,049.28 | $1,748.80 | not published | 0 |
| Glucagon plasma - sendout CPT 82943 | $175.20 | $292.00 | not published | 0 |
| Glucose 1 hr post dose CPT 82950 | $45.60 | $76.00 | not published | 0 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $13.80 | $23.00 | not published | 0 |
| Glucose blood quantitative CPT 82947 | $25.80 | $43.00 | not published | 0 |
| Glucose body fluid CPT 82945 | $38.40 | $64.00 | not published | 0 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $97.20 | $162.00 | not published | 0 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $22.80 | $38.00 | not published | 0 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $24.42 | $40.70 | not published | 0 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $5,997.60 | $9,996.00 | not published | 0 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $113.40 | $189.00 | not published | 0 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $133.20 | $222.00 | not published | 0 |
| Goniotomy CPT 65820 | $15,176.45 | $25,294.08 | $3,900.40 – $3,978.41 | 4 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $9,592.32 | $15,987.20 | not published | 0 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $5,195.94 | $8,659.90 | not published | 0 |
| Graft axiofill 1000mg HCPCS J3590 | $7,653.60 | $12,756.00 | not published | 0 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $70,026.26 | $116,710.43 | not published | 0 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $50,474.40 | $84,124.00 | not published | 0 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | $4,533.58 | $7,555.96 | not published | 0 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $128,953.21 | $214,922.01 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $97,576.32 | $162,627.20 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $42,689.64 | $71,149.40 | not published | 0 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $15,642.70 | $26,071.17 | not published | 0 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $26,528.56 | $44,214.27 | not published | 0 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $10,304.36 | $17,173.94 | not published | 0 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | $4,573.89 | $7,623.15 | not published | 0 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $96,155.36 | $160,258.94 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $8,080.54 | $13,467.57 | not published | 0 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $96,326.12 | $160,543.54 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $45,624.55 | $76,040.92 | not published | 0 |
| Great toe with reduction 28495 CPT 28495 | $463.80 | $773.00 | not published | 0 |
| Growth hormone antibody CPT 86277 | $243.60 | $406.00 | not published | 0 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,306.80 | $2,178.00 | not published | 0 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $15,807.37 | $26,345.61 | not published | 0 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $24,333.10 | $40,555.16 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $2,134.48 | $3,557.47 | not published | 0 |
| Gw stiffened micro access kit HCPCS C1894 | $20,814.25 | $34,690.41 | not published | 0 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | $229.76 | $382.94 | not published | 0 |
| Halo cervical into jckt vest HCPCS L0810 | $20,582.51 | $34,304.18 | not published | 0 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $9.00 | $15.00 | not published | 0 |
| Halo repl liner/interface HCPCS L0861 | $3,488.35 | $5,813.92 | not published | 0 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | $473.53 | $789.21 | not published | 0 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $9,910.10 | $16,516.83 | not published | 0 |
| Hand X-ray CPT 73130 | $361.80 | $603.00 | not published | 0 |
| Haptoglobin quantitative CPT 83010 | $85.20 | $142.00 | not published | 0 |
| Hba1/hba2 full gene sequence CPT 81259 | $364.80 | $608.00 | not published | 0 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $381.60 | $636.00 | not published | 0 |
| Hbb full gene sequence CPT 81364 | $399.60 | $666.00 | not published | 0 |
| Hbb gene dup/del variants CPT 81363 | $298.20 | $497.00 | not published | 0 |
| Hcg qualitative CPT 84703 | $36.60 | $61.00 | not published | 0 |
| Hcg quantitative CPT 84702 | $40.80 | $68.00 | not published | 0 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $6,705.00 | $11,175.00 | not published | 0 |
| Head CT scan (with and without contrast) CPT 70470 | $1,156.80 | $1,928.00 | not published | 0 |
| Head CT scan (with contrast) CPT 70460 | $1,435.80 | $2,393.00 | not published | 0 |
| Head CT scan (without contrast) CPT 70450 | $1,666.20 | $2,777.00 | not published | 0 |
| Hearing loss dup/del analys CPT 81431 | $544.80 | $908.00 | not published | 0 |
| Hearing loss sequence analys CPT 81430 | $2,712.00 | $4,520.00 | not published | 0 |
| Heel leather reinforced HCPCS L3440 | $375.98 | $626.63 | not published | 0 |
| Heinz bodies direct CPT 85441 | $69.60 | $116.00 | not published | 0 |
| Heinz bodies induced CPT 85445 | $84.00 | $140.00 | not published | 0 |
| Helicobacter pylori antibody igm CPT 86677 | $148.80 | $248.00 | not published | 0 |
| Hematocrit CPT 85014 | $19.80 | $33.00 | not published | 0 |
| Hemoglobin CPT 85018 | $18.00 | $30.00 | not published | 0 |
| Hemoglobin fetal qualitative CPT 83033 | $58.20 | $97.00 | not published | 0 |
| Hemoglobin f (fetal) chemical CPT 83030 | $142.20 | $237.00 | not published | 0 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $36.00 | $60.00 | not published | 0 |
| Hemoglobin-oxygen affinity CPT 82820 | $171.60 | $286.00 | not published | 0 |
| Hemoglobin plasma CPT 83051 | $89.40 | $149.00 | not published | 0 |
| Hemoglobin urine CPT 83069 | $43.20 | $72.00 | not published | 0 |
| Hemolysins/agglutinins auto CPT 86940 | $53.40 | $89.00 | not published | 0 |
| Hemolysins and agglutinins incubated CPT 86941 | $67.20 | $112.00 | 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.