St Anne Hospital
3404 W. Sylvania Avenue, Toledo, OH · Mercy · · NPI 1467493551
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 | $358.20 | $597.00 | not published | 0 |
| 17-hydroxypregnenolone CPT 84143 | $279.60 | $466.00 | not published | 0 |
| 17-ketosteroids CPT 83586 | $117.00 | $195.00 | not published | 0 |
| 2nd order venous cath CPT 36012 | $69,313.93 | $115,523.22 | $5.12 – $5.22 | 4 |
| 3-d radiotherapy plan CPT 77295 | $5,494.80 | $9,158.00 | not published | 0 |
| 3d recon without postprocess indpndt CPT 76376 | $1,281.00 | $2,135.00 | not published | 0 |
| 5' nucleotidase - sendout CPT 83915 | $176.40 | $294.00 | not published | 0 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $151.20 | $252.00 | not published | 0 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $83.40 | $139.00 | not published | 0 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $83.40 | $139.00 | not published | 0 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $83.40 | $139.00 | not published | 0 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $24,924.00 | $41,540.00 | not published | 0 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $100.80 | $168.00 | not published | 0 |
| Abd aorta w/runoff s&i CPT 75630 | $8,482.20 | $14,137.00 | not published | 0 |
| Abd/low ext cath 1st CPT 36245 | $69,660.06 | $116,100.10 | $5.12 – $5.22 | 4 |
| Abd/low ext cath 2nd CPT 36246 | $62,801.83 | $104,669.72 | $505.38 – $3,128.70 | 4 |
| Abd/low ext cath 3rd CPT 36247 | $68,795.60 | $114,659.33 | $414.90 – $423.20 | 4 |
| Abd/low ext cath addl CPT 36248 | $59,806.91 | $99,678.18 | $3,067.35 – $3,067.35 | 3 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $4,587.60 | $7,646.00 | not published | 0 |
| Abdominal CT scan (with contrast) CPT 74160 | $3,990.00 | $6,650.00 | not published | 0 |
| Abdominal CT scan (without contrast) CPT 74150 | $3,469.80 | $5,783.00 | not published | 0 |
| Abdominal pad HCPCS L1270 | $225.67 | $376.11 | not published | 0 |
| Abdominal paracentesis w/image guidance CPT 49083 | $2,788.80 | $4,648.00 | not published | 0 |
| Abdominal Ultrasound (complete) CPT 76700 | $805.80 | $1,343.00 | not published | 0 |
| Abdominal Ultrasound (limited) CPT 76705 | $1,238.40 | $2,064.00 | not published | 0 |
| Abdominoplasty 15830 CPT 15830 | $179,123.72 | $298,539.53 | $6,450.62 – $6,450.62 | 2 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $974.40 | $1,624.00 | not published | 0 |
| Abduct control hip semi-flex HCPCS L1630 | $575.20 | $958.67 | not published | 0 |
| Abduction bar jointed adjust HCPCS L2300 | $685.45 | $1,142.42 | not published | 0 |
| Abduction rotation bar shoe HCPCS L3140 | $242.39 | $403.99 | not published | 0 |
| Abduct rotation bar without shoe HCPCS L3150 | $221.65 | $369.41 | not published | 0 |
| Abl1 gene CPT 81170 | $908.40 | $1,514.00 | not published | 0 |
| Ablate arrhythmia add on CPT 93655 | $7,186.80 | $11,978.00 | not published | 0 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $11,558.40 | $19,264.00 | not published | 0 |
| Ablate bone tumor(s) perq CPT 20982 | $55,120.89 | $91,868.15 | $17,033.32 – $17,373.98 | 3 |
| Ablate heart dysrhythm focus CPT 93650 | $11,323.80 | $18,873.00 | not published | 0 |
| Ablate inf turbinate submuc 30802 CPT 30802 | $41,480.68 | $69,134.47 | $3,220.82 – $3,285.24 | 4 |
| Ablate pulm tumor perq crybl CPT 32994 | $8,442.00 | $14,070.00 | not published | 0 |
| Ablate pulm tumor perq rf CPT 32998 | $6,182.40 | $10,304.00 | not published | 0 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $483.60 | $806.00 | not published | 0 |
| Ablation cryo abd perit om CPT 49999 | $1,433.40 | $2,389.00 | not published | 0 |
| Ablation cryo thigh/knee CPT 27599 | $46,848.37 | $78,080.62 | $239.63 – $239.63 | 2 |
| Ablation of upper extremity nerves rf CPT 64999 | $669.60 | $1,116.00 | not published | 0 |
| Abscess drain retroperitoneal surg code CPT 49406 | $4,842.60 | $8,071.00 | not published | 0 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $718.20 | $1,197.00 | not published | 0 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $77.94 | $129.90 | not published | 0 |
| Acetaminophen level CPT 80143 | $137.40 | $229.00 | not published | 0 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $721.80 | $1,203.00 | not published | 0 |
| Acetone qualitative CPT 82009 | $75.60 | $126.00 | not published | 0 |
| Acetylcholine receptor modulating antibody CPT 86043 | $61.80 | $103.00 | not published | 0 |
| Acetylcholinesterase assay CPT 82013 | $168.00 | $280.00 | not published | 0 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $61.74 | $102.90 | not published | 0 |
| Acetylcysteine non-comp unit HCPCS J7608 | $138.72 | $231.20 | not published | 0 |
| Acne surgery 10040 CPT 10040 | $396.00 | $660.00 | not published | 0 |
| Acromp/acromionectomy prtl CPT 23130 | $46,503.43 | $77,505.72 | $7,049.09 – $7,190.07 | 4 |
| Acute hepatitis panel CPT 80074 | $583.20 | $972.00 | not published | 0 |
| Acute venous thrombus image CPT 78456 | $1,558.20 | $2,597.00 | not published | 0 |
| Acyclovir 400 mg tablet HCPCS J8499 | $24.54 | $40.90 | not published | 0 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $304.92 | $508.20 | not published | 0 |
| #acylcarnitineprfl CPT 82017 | $263.40 | $439.00 | not published | 0 |
| Adapter b 8 channel 10cm HCPCS C1883 | $11,546.73 | $19,244.55 | not published | 0 |
| Add le poly knee custom kafo HCPCS L2387 | $519.76 | $866.26 | not published | 0 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $113.52 | $189.20 | not published | 0 |
| Adenovirus antibody,serum - quest CPT 86603 | $85.20 | $142.00 | not published | 0 |
| Adh-sendout CPT 84588 | $221.40 | $369.00 | not published | 0 |
| Adj gastric band via subq port CPT 43999 | $2,446.80 | $4,078.00 | not published | 0 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $24,302.76 | $40,504.60 | $2,004.38 – $2,044.47 | 3 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $1,076.64 | $1,794.40 | not published | 0 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $600.60 | $1,001.00 | not published | 0 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $600.60 | $1,001.00 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $1,396.80 | $2,328.00 | not published | 0 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $617.40 | $1,029.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $617.40 | $1,029.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $841.20 | $1,402.00 | not published | 0 |
| Administration immunization 1 vaccine CPT 90471 | $54.60 | $91.00 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $26.40 | $44.00 | not published | 0 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $44.40 | $74.00 | not published | 0 |
| Administration vaccine influenza virus HCPCS G0008 | $34.20 | $57.00 | not published | 0 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $54,386.58 | $90,644.30 | not published | 0 |
| _afb id by dna probe rflx ast CPT 87149 | $100.20 | $167.00 | not published | 0 |
| #afb mycobacteria suscep. #1 CPT 87190 | $126.00 | $210.00 | not published | 0 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $160.80 | $268.00 | not published | 0 |
| Afo molded ankle gauntlet HCPCS L1904 | $1,228.94 | $2,048.24 | not published | 0 |
| Afo molded plas rig ant tib HCPCS L1945 | $2,805.37 | $4,675.61 | not published | 0 |
| Afo molded to patient plasti HCPCS L1940 | $1,173.41 | $1,955.68 | not published | 0 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $3,170.73 | $5,284.55 | not published | 0 |
| Afo sing bar clasp attach sh HCPCS L1910 | $763.57 | $1,272.62 | not published | 0 |
| Afo sing solid stirrup calf HCPCS L1980 | $1,099.34 | $1,832.23 | not published | 0 |
| Afo sing upright with adjust s HCPCS L1920 | $1,118.51 | $1,864.19 | not published | 0 |
| Afo spiral molded to pt plas HCPCS L1950 | $2,093.92 | $3,489.86 | not published | 0 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | $776.80 | $1,294.66 | not published | 0 |
| Afo supramalleolar custom HCPCS L1907 | $1,532.09 | $2,553.49 | not published | 0 |
| Afo tib fx cast plaster mold HCPCS L2106 | $2,146.07 | $3,576.78 | not published | 0 |
| Afo tibial fracture rigid HCPCS L2116 | $2,098.54 | $3,497.56 | not published | 0 |
| Afo tibial fracture soft HCPCS L2112 | $1,373.62 | $2,289.37 | not published | 0 |
| Afo, walk boot type, cus fab HCPCS L4631 | $4,320.52 | $7,200.87 | not published | 0 |
| Afo w/ankle joint, prefab HCPCS L1971 | $1,739.37 | $2,898.95 | not published | 0 |
| Air injection into abdomen 49400 CPT 49400 | $637.20 | $1,062.00 | not published | 0 |
| Ak/knee disartic pelvic band HCPCS L5697 | $213.53 | $355.88 | not published | 0 |
| Ak/knee disartic silesian ba HCPCS L5698 | $265.55 | $442.59 | 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.