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 |
|---|---|---|---|---|
| X-ray ankle 2 views (both sides) CPT 73600 | $212.40 | $354.00 | not published | 0 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $725.40 | $1,209.00 | not published | 0 |
| X-ray bone age studies CPT 77072 | $97.20 | $162.00 | not published | 0 |
| X-ray bone length studies CPT 77073 | $348.00 | $580.00 | not published | 0 |
| X-ray bone survey complete CPT 77075 | $816.60 | $1,361.00 | not published | 0 |
| X-ray bone survey infant CPT 77076 | $816.60 | $1,361.00 | not published | 0 |
| X-ray cervical spine 2-3 views CPT 72040 | $180.60 | $301.00 | not published | 0 |
| X-ray cervical spine 4-5 views CPT 72050 | $516.60 | $861.00 | not published | 0 |
| X-ray cervical spine >= 6 views CPT 72052 | $677.40 | $1,129.00 | not published | 0 |
| X-ray clavicle complete (both sides) CPT 73000 | $276.00 | $460.00 | not published | 0 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $750.00 | $1,250.00 | not published | 0 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $1,086.60 | $1,811.00 | not published | 0 |
| X-ray elbow 2 views (both sides) CPT 73070 | $250.20 | $417.00 | not published | 0 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $226.20 | $377.00 | not published | 0 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $544.80 | $908.00 | not published | 0 |
| X-ray exam of arm infant CPT 73092 | $424.80 | $708.00 | not published | 0 |
| X-ray exam of eye sockets CPT 70200 | $406.20 | $677.00 | not published | 0 |
| X-ray exam of femur 1 CPT 73551 | $263.40 | $439.00 | not published | 0 |
| X-ray exam of sinuses CPT 70210 | $227.40 | $379.00 | not published | 0 |
| X-ray exam thorac spine4/>vw CPT 72074 | $612.60 | $1,021.00 | not published | 0 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $275.40 | $459.00 | not published | 0 |
| X-ray facial bones complete > 3 views CPT 70150 | $431.40 | $719.00 | not published | 0 |
| X-ray femur >=2 views (both sides) CPT 73552 | $205.20 | $342.00 | not published | 0 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $149.40 | $249.00 | not published | 0 |
| X-ray foot 2 views (both sides) CPT 73620 | $262.20 | $437.00 | not published | 0 |
| X-ray forearm 2 views (both sides) CPT 73090 | $168.60 | $281.00 | not published | 0 |
| X-ray hand 2 views (both sides) CPT 73120 | $141.60 | $236.00 | not published | 0 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $286.20 | $477.00 | not published | 0 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $420.60 | $701.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $243.00 | $405.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $531.00 | $885.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $420.60 | $701.00 | not published | 0 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $209.40 | $349.00 | not published | 0 |
| X-ray humerus >= 2 views left CPT 73060 | $213.60 | $356.00 | not published | 0 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $156.00 | $260.00 | not published | 0 |
| X-ray knee 3 views (both sides) CPT 73562 | $420.60 | $701.00 | not published | 0 |
| X-ray knee ap standing bilateral CPT 73565 | $280.20 | $467.00 | not published | 0 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $405.00 | $675.00 | not published | 0 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $322.80 | $538.00 | not published | 0 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $391.80 | $653.00 | not published | 0 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $616.20 | $1,027.00 | not published | 0 |
| X-ray mandible complete > 4 views CPT 70110 | $413.40 | $689.00 | not published | 0 |
| X-ray mandible ltd <4 views CPT 70100 | $304.20 | $507.00 | not published | 0 |
| X-ray nasal bones complete > 3 views CPT 70160 | $319.20 | $532.00 | not published | 0 |
| X-ray neck soft tissue CPT 70360 | $267.60 | $446.00 | not published | 0 |
| X-ray nose to rectum for foreign body child CPT 76010 | $189.60 | $316.00 | not published | 0 |
| X-ray pelvis 1-2 views CPT 72170 | $249.00 | $415.00 | not published | 0 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $549.60 | $916.00 | not published | 0 |
| X-ray ribs 2 views left CPT 71100 | $399.60 | $666.00 | not published | 0 |
| X-ray ribs 3 views bilateral CPT 71110 | $485.40 | $809.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $377.40 | $629.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $631.20 | $1,052.00 | not published | 0 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $223.80 | $373.00 | not published | 0 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $320.40 | $534.00 | not published | 0 |
| X-ray scapula complete (both sides) CPT 73010 | $272.40 | $454.00 | not published | 0 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $193.20 | $322.00 | not published | 0 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $498.00 | $830.00 | not published | 0 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $385.20 | $642.00 | not published | 0 |
| X-ray skull < 4 views CPT 70250 | $271.80 | $453.00 | not published | 0 |
| X-ray skull > 4 views complete CPT 70260 | $541.80 | $903.00 | not published | 0 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $273.00 | $455.00 | not published | 0 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $647.40 | $1,079.00 | not published | 0 |
| X-ray small intestine follow-through study CPT 74248 | $226.80 | $378.00 | not published | 0 |
| X-ray spine single view CPT 72020 | $387.60 | $646.00 | not published | 0 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $367.20 | $612.00 | not published | 0 |
| X-ray sternum > 2 views CPT 71120 | $305.40 | $509.00 | not published | 0 |
| X-ray surgical specimen CPT 76098 | $379.80 | $633.00 | not published | 0 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $694.80 | $1,158.00 | not published | 0 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $455.40 | $759.00 | not published | 0 |
| X-ray thoracic spine 2 views CPT 72070 | $376.20 | $627.00 | not published | 0 |
| X-ray thoracic spine 3 views CPT 72072 | $336.00 | $560.00 | not published | 0 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $376.20 | $627.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $234.60 | $391.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $322.80 | $538.00 | not published | 0 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $213.60 | $356.00 | not published | 0 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $216.60 | $361.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $817.20 | $1,362.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $802.20 | $1,337.00 | not published | 0 |
| X-ray wrist 2 views (both sides) CPT 73100 | $272.40 | $454.00 | not published | 0 |
| Xylose absorption test blood &/or urine CPT 84620 | $126.00 | $210.00 | not published | 0 |
| Yersinia antibody CPT 86793 | $139.80 | $233.00 | not published | 0 |
| Zika virus dna/rna amp probe CPT 87662 | $135.60 | $226.00 | not published | 0 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $123.00 | $205.00 | not published | 0 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $90.00 | $150.00 | 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.