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 |
|---|---|---|---|---|
| Cystoscopy and treatment CPT 52260 | $22,262.10 | $37,103.50 | $2,030.71 – $2,071.33 | 4 |
| Cystoscopy and treatment CPT 52276 | $21,544.74 | $35,907.90 | $2,030.71 – $2,071.33 | 4 |
| Cystoscopy and treatment CPT 52310 | $17,614.44 | $29,357.40 | $2,030.71 – $2,071.33 | 4 |
| Cystoscopy and treatment CPT 52315 | $14,104.04 | $23,506.73 | $2,030.71 – $2,071.33 | 4 |
| Cystoscopy and treatment CPT 52320 | $30,499.73 | $50,832.88 | $5,208.74 – $5,312.92 | 4 |
| Cystoscopy (Bladder Scope) CPT 52000 | $43,143.85 | $71,906.42 | $677.39 – $690.94 | 4 |
| Cystoscopy chemodenervation CPT 52287 | $30,454.14 | $50,756.90 | $2,030.71 – $2,071.33 | 4 |
| Cystoscopy implant stent CPT 52282 | $14,005.70 | $23,342.83 | $3,424.36 – $3,492.85 | 3 |
| Cystoscopy removal of clots CPT 52001 | $40,369.66 | $67,282.77 | $3,424.36 – $3,492.85 | 4 |
| Cystoscopy & ureter catheter CPT 52005 | $29,791.67 | $49,652.78 | $2,030.71 – $2,071.33 | 4 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $19,745.72 | $32,909.53 | $2,030.71 – $2,071.33 | 4 |
| Cystouretero & or pyeloscope CPT 52351 | $31,051.07 | $51,751.78 | $3,424.36 – $3,492.85 | 4 |
| Cysto/uretero stricture tx CPT 52344 | $42,727.66 | $71,212.77 | $3,424.36 – $3,492.85 | 4 |
| Cystouretero w/biopsy CPT 52354 | $23,624.94 | $39,374.90 | $5,208.74 – $5,312.92 | 4 |
| Cysto/uretero w/lithotripsy CPT 52356 | $32,017.18 | $53,361.97 | $5,208.74 – $5,312.92 | 4 |
| Cystouretero w/lithotripsy CPT 52353 | $22,096.09 | $36,826.82 | $5,208.74 – $5,312.92 | 4 |
| Cystouretero w/stone remove CPT 52352 | $37,353.07 | $62,255.12 | $3,424.36 – $3,492.85 | 4 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $23,969.81 | $39,949.68 | $2,030.71 – $2,071.33 | 4 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $24,140.77 | $40,234.62 | $2,030.71 – $2,071.33 | 4 |
| Cysto w/ureter stricture tx CPT 52341 | $20,038.16 | $33,396.93 | $3,424.36 – $3,492.85 | 4 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $90.00 | $150.00 | not published | 0 |
| Cytogenetics 25-99 CPT 88274 | $149.40 | $249.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $157.80 | $263.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $157.80 | $263.00 | not published | 0 |
| Cytopath c/v thin layer redo CPT 88143 | $150.60 | $251.00 | not published | 0 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $351.60 | $586.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $118.20 | $197.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $118.20 | $197.00 | not published | 0 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $508.20 | $847.00 | not published | 0 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $282.00 | $470.00 | not published | 0 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $566.40 | $944.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $528.60 | $881.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $625.80 | $1,043.00 | not published | 0 |
| Cytopath smear other source CPT 88160 | $211.80 | $353.00 | not published | 0 |
| Cytopath smear oth prep screen & interp CPT 88161 | $212.40 | $354.00 | not published | 0 |
| Cytopath tbs c/v manual CPT 88164 | $97.80 | $163.00 | not published | 0 |
| Cytotoxic antibody screening CPT 86807 | $223.20 | $372.00 | not published | 0 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $90.00 | $150.00 | not published | 0 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $28,608.42 | $47,680.70 | not published | 0 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $482.40 | $804.00 | not published | 0 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $90,072.30 | $150,120.50 | not published | 0 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $61,997.40 | $103,329.00 | $3.02 – $3.08 | 4 |
| D&c after delivery 59160 CPT 59160 | $17,193.60 | $28,656.00 | $3,144.72 – $3,144.72 | 3 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $22,408.98 | $37,348.30 | $3,144.72 – $3,207.62 | 4 |
| Dch glucoscan CPT 82948 | $39.00 | $65.00 | not published | 0 |
| Dch validity tests CPT 81002 | $54.00 | $90.00 | not published | 0 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $16,262.40 | $27,104.00 | not published | 0 |
| D&c of cervical stump CPT 57558 | $4,236.00 | $7,060.00 | not published | 0 |
| Deamidated gliadin antibody iga CPT 86258 | $30.00 | $50.00 | not published | 0 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $1,242.00 | $2,070.00 | not published | 0 |
| Debridement (>20 cm) charge pt CPT 97598 | $550.20 | $917.00 | not published | 0 |
| Debridement bone <= 20 sq cm CPT 11044 | $51,959.05 | $86,598.42 | $1,604.45 – $1,636.54 | 4 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $38,404.30 | $64,007.17 | $717.98 – $732.33 | 4 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $2,434.20 | $4,057.00 | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $30,893.68 | $51,489.47 | $394.91 – $402.81 | 4 |
| Debride nail1-5 11720 CPT 11720 | $208.80 | $348.00 | not published | 0 |
| Debride nail6 or more 11721 CPT 11721 | $219.00 | $365.00 | not published | 0 |
| Debride skin bone at fx site CPT 11012 | $16,104.36 | $26,840.60 | $3,178.60 – $3,178.60 | 3 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $30,893.68 | $51,489.47 | $394.91 – $402.81 | 4 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $152,843.62 | $254,739.37 | $717.98 – $732.33 | 4 |
| Decalcification CPT 88311 | $276.00 | $460.00 | not published | 0 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $395.10 | $658.50 | not published | 0 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $1,194.60 | $1,991.00 | not published | 0 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | $5,798.40 | $9,664.00 | not published | 0 |
| Decompression of tibia nerve CPT 28035 | $100,207.42 | $167,012.37 | $1,896.98 – $1,896.98 | 3 |
| Decompression unspecified nerve 64722 CPT 64722 | $152,843.62 | $254,739.37 | $12,472.20 – $12,472.20 | 3 |
| Deep muscle biopsy 20205 CPT 20205 | $13,423.50 | $22,372.50 | $2,821.80 – $2,821.80 | 2 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $452.10 | $753.50 | not published | 0 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $6,493.02 | $10,821.70 | not published | 0 |
| Delayed breast prosthesis 19342 CPT 19342 | $64,958.94 | $108,264.90 | $7,049.09 – $7,049.09 | 3 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $2,533.80 | $4,223.00 | not published | 0 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $186.60 | $311.00 | not published | 0 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $55,471.86 | $92,453.10 | not published | 0 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $568.80 | $948.00 | not published | 0 |
| Depo-estradiol cypionate inj HCPCS J1000 | $229.98 | $383.30 | not published | 0 |
| Dermapure 1 square cm HCPCS Q4152 | $6,024.38 | $10,040.64 | not published | 0 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $21,441.00 | $35,735.00 | not published | 0 |
| Design mlc device for imrt CPT 77338 | $1,839.60 | $3,066.00 | not published | 0 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $145.74 | $242.90 | not published | 0 |
| Desoxycorticosterone CPT 82633 | $282.00 | $470.00 | not published | 0 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $21,441.00 | $35,735.00 | not published | 0 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | $5,980.20 | $9,967.00 | not published | 0 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | $365.40 | $609.00 | not published | 0 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $12,900.18 | $21,500.30 | $1,162.48 – $1,185.73 | 4 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $180.00 | $300.00 | not published | 0 |
| Destroy vulva lesion extensive 56515 CPT 56515 | $15,535.56 | $25,892.60 | $2,004.38 – $2,004.38 | 3 |
| Destroy vulva lesion simple 56501 CPT 56501 | $25,533.48 | $42,555.80 | $1,604.45 – $1,604.45 | 3 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $15,098.94 | $25,164.90 | $129.34 – $194.91 | 3 |
| Destruction 2-14 lesions 17003 CPT 17003 | $180.00 | $300.00 | not published | 0 |
| Destruction benign lesions < 14 lesions CPT 17110 | $19,963.20 | $33,272.00 | $194.91 – $198.81 | 4 |
| Detect agent nos dna dir CPT 87797 | $145.80 | $243.00 | not published | 0 |
| Detect agnt mult dna direc CPT 87800 | $171.60 | $286.00 | not published | 0 |
| Device ablt adv novasure HCPCS C1886 | $14,645.74 | $24,409.57 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $7,549.35 | $12,582.25 | not published | 0 |
| Device sut capio slim opn HCPCS C2631 | $3,454.58 | $5,757.64 | not published | 0 |
| Device tiss remov myosure reach HCPCS C1782 | $2,797.03 | $4,661.72 | not published | 0 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $253.20 | $422.00 | not published | 0 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $6.30 | $10.50 | not published | 0 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $68.22 | $113.70 | not published | 0 |
| Dextran 40 infusion HCPCS J7100 | $1,209.00 | $2,015.00 | 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.