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 |
|---|---|---|---|---|
| Ins icd gen exist sgl lead CPT 33240 | $46,146.60 | $76,911.00 | not published | 0 |
| Insitu hybridization (fish) CPT 88366 | $398.40 | $664.00 | not published | 0 |
| Insitu hybridization manual CPT 88368 | $329.40 | $549.00 | not published | 0 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $150.00 | $250.00 | not published | 0 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $315.00 | $525.00 | not published | 0 |
| Ins lv lead exist pm/icd CPT 33224 | $7,276.80 | $12,128.00 | not published | 0 |
| Insole orthotic freedom sz6 6816 HCPCS L3060 | $363.41 | $605.68 | not published | 0 |
| Ins picad w subq port 5yr> CPT 36571 | $2,427.00 | $4,045.00 | not published | 0 |
| Ins pm gen w/exist mlt leads CPT 33221 | $15,471.00 | $25,785.00 | not published | 0 |
| Ins pq tunnld ip cath w/img CPT 49418 | $5,182.20 | $8,637.00 | not published | 0 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | $45,697.35 | $76,162.25 | $18,306.43 – $18,672.56 | 4 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | $55,165.20 | $91,942.00 | not published | 0 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $13,254.24 | $22,090.40 | $657.99 – $3,392.79 | 4 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | $25,068.60 | $41,781.00 | not published | 0 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $6,672.00 | $11,120.00 | not published | 0 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $6,672.00 | $11,120.00 | not published | 0 |
| Ins tun intraperit dia cath CPT 49421 | $5,256.00 | $8,760.00 | not published | 0 |
| Insulin total CPT 83525 | $154.20 | $257.00 | not published | 0 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $14,087.18 | $23,478.64 | not published | 0 |
| Integra meshed bil wound mat HCPCS C9363 | $46,206.23 | $77,010.38 | not published | 0 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | $10,626.67 | $17,711.12 | not published | 0 |
| Interdental fixation CPT 21110 | $1,572.60 | $2,621.00 | not published | 0 |
| Interfyl, 1 mg HCPCS Q4171 | $6,098.52 | $10,164.20 | not published | 0 |
| Interrogate subq defib CPT 93261 | $37.20 | $62.00 | not published | 0 |
| Interrog dev eval icpms ip CPT 93290 | $195.60 | $326.00 | not published | 0 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $865.80 | $1,443.00 | not published | 0 |
| Intraventricular pacing CPT 93612 | $6,162.00 | $10,270.00 | not published | 0 |
| Intrinsic factor antibody CPT 86340 | $192.60 | $321.00 | not published | 0 |
| Intro cath dialysis circuit CPT 36901 | $2,583.60 | $4,306.00 | not published | 0 |
| Intro cath dialysis circuit w/pta CPT 36902 | $16,871.40 | $28,119.00 | not published | 0 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $24,560.40 | $40,934.00 | not published | 0 |
| Intro catheter aorta CPT 36200 | $1,066.80 | $1,778.00 | not published | 0 |
| Intro cath svc/ivc CPT 36010 | $990.00 | $1,650.00 | not published | 0 |
| Intubation endotracheal emergency procedure CPT 31500 | $709.20 | $1,182.00 | not published | 0 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $36.00 | $60.00 | not published | 0 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $3,110.77 | $5,184.61 | not published | 0 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $112,351.02 | $187,251.70 | not published | 0 |
| Ipratropium bromide non-comp HCPCS J7644 | $3.00 | $5.00 | not published | 0 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $93.30 | $155.50 | not published | 0 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $9,240.90 | $15,401.50 | not published | 0 |
| Iron CPT 83540 | $237.00 | $395.00 | not published | 0 |
| Iron binding capacity CPT 83550 | $45.60 | $76.00 | not published | 0 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $90.00 | $150.00 | not published | 0 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $90.00 | $150.00 | not published | 0 |
| Irradiation of blood product each unit reference CPT 86945 | $39.00 | $65.00 | not published | 0 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $134.40 | $224.00 | not published | 0 |
| Ivc venogram s&i CPT 75825 | $3,870.60 | $6,451.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $282.00 | $470.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $241.80 | $403.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $171.60 | $286.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $341.40 | $569.00 | not published | 0 |
| Ivp w/nephrotomography CPT 74415 | $883.80 | $1,473.00 | not published | 0 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $901.80 | $1,503.00 | not published | 0 |
| Jak2 targeted sequence analysis CPT 81279 | $489.60 | $816.00 | not published | 0 |
| John cunningham antibody CPT 86711 | $1,095.00 | $1,825.00 | not published | 0 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | $3,029.78 | $5,049.63 | not published | 0 |
| Kafo dbl solid stirrup without j HCPCS L2030 | $2,978.03 | $4,963.38 | not published | 0 |
| Kafo fem fx cast molded to p HCPCS L2128 | $4,459.82 | $7,433.03 | not published | 0 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | $3,168.31 | $5,280.51 | not published | 0 |
| Kafo fem fx cast thermoplas HCPCS L2126 | $3,149.46 | $5,249.10 | not published | 0 |
| Kafo femoral fx cast rigid HCPCS L2136 | $3,467.25 | $5,778.75 | not published | 0 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | $5,585.18 | $9,308.63 | not published | 0 |
| Kafo plas sing free knee mol HCPCS L2037 | $4,559.32 | $7,598.86 | not published | 0 |
| Kafo plastic pediatric size HCPCS L2035 | $729.23 | $1,215.39 | not published | 0 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | $3,075.61 | $5,126.01 | not published | 0 |
| Kafo sng/dbl mechanical act HCPCS L2005 | $11,265.98 | $18,776.63 | not published | 0 |
| Kafo sng solid stirrup without j HCPCS L2010 | $2,398.94 | $3,998.24 | not published | 0 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $32.40 | $54.00 | not published | 0 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $14.10 | $23.50 | not published | 0 |
| Kidney imag w/bld flow multi CPT 78709 | $2,448.00 | $4,080.00 | not published | 0 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,339.20 | $2,232.00 | not published | 0 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $615.00 | $1,025.00 | not published | 0 |
| Kit case 4.2mm spinejack HCPCS C1062 | $12,700.17 | $21,166.95 | not published | 0 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $14,331.52 | $23,885.87 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | $584.40 | $974.00 | not published | 0 |
| Kit hfx iq ipg bundle HCPCS C1822 | $80,500.46 | $134,167.44 | not published | 0 |
| Kit ipg optimizer smart HCPCS C1824 | $79,280.76 | $132,134.60 | not published | 0 |
| Kit lead specify 5-6-5 HCPCS C1778 | $33,541.86 | $55,903.10 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $2,241.20 | $3,735.34 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $41,399.77 | $68,999.62 | not published | 0 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $36,429.51 | $60,715.85 | not published | 0 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $2,389.61 | $3,982.69 | not published | 0 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $15,116.88 | $25,194.80 | $3,087.54 – $3,149.29 | 3 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $16,493.46 | $27,489.10 | $3,087.54 – $3,149.29 | 4 |
| Knee arthroscopy/surgery CPT 29875 | $13,931.46 | $23,219.10 | $3,087.54 – $3,149.29 | 4 |
| Knee arthroscopy/surgery CPT 29876 | $18,820.14 | $31,366.90 | $3,087.54 – $3,149.29 | 3 |
| Knee arthroscopy/surgery CPT 29879 | $17,508.71 | $29,181.18 | $3,087.54 – $3,149.29 | 4 |
| Knee arthroscopy/surgery CPT 29880 | $18,820.14 | $31,366.90 | $3,087.54 – $3,149.29 | 4 |
| Knee control condylar pad HCPCS L2810 | $402.43 | $670.71 | not published | 0 |
| Knee control full kneecap HCPCS L2795 | $404.07 | $673.45 | not published | 0 |
| Knee disc/dial lock/adj flex HCPCS L2425 | $654.87 | $1,091.45 | not published | 0 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | $654.87 | $1,091.45 | not published | 0 |
| Knee joint cam lock each joi HCPCS L2415 | $555.01 | $925.01 | not published | 0 |
| Knee joint drop lock ea jnt HCPCS L2405 | $390.79 | $651.31 | not published | 0 |
| Knee lift loop drop lock rin HCPCS L2492 | $535.81 | $893.01 | not published | 0 |
| Knee MRI (with and without contrast) CPT 73723 | $4,343.40 | $7,239.00 | not published | 0 |
| Knee MRI (with contrast) CPT 73722 | $5,394.60 | $8,991.00 | not published | 0 |
| Knee MRI (without contrast) CPT 73721 | $3,127.20 | $5,212.00 | not published | 0 |
| Knee orth pos locking joint HCPCS L1831 | $1,022.21 | $1,703.69 | not published | 0 |
| Knee X-ray CPT 73564 | $370.20 | $617.00 | 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.