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 |
|---|---|---|---|---|
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $79.20 | $132.00 | not published | 0 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $79.20 | $132.00 | not published | 0 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $63.00 | $105.00 | not published | 0 |
| Dextrose 5 % IV bolus HCPCS J7070 | $79.20 | $132.00 | not published | 0 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $247.80 | $413.00 | not published | 0 |
| Diabetes (HbA1c) Test CPT 83036 | $94.80 | $158.00 | not published | 0 |
| Diag laparo separate proc 49320 CPT 49320 | $30,760.02 | $51,266.70 | $5,872.96 – $5,990.42 | 4 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $339.60 | $566.00 | not published | 0 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $282.60 | $471.00 | not published | 0 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $550.80 | $918.00 | not published | 0 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $313.20 | $522.00 | not published | 0 |
| Diagnostic Mammogram (one breast) CPT 77065 | $660.60 | $1,101.00 | not published | 0 |
| Diagnostic radio unlisted proc CPT 76499 | $223.80 | $373.00 | not published | 0 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $16,479.60 | $27,466.00 | not published | 0 |
| Dialysis one evaluation CPT 90945 | $1,200.60 | $2,001.00 | not published | 0 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $861.12 | $1,435.20 | not published | 0 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $153.00 | $255.00 | not published | 0 |
| Dicyclomine injection HCPCS J0500 | $354.54 | $590.90 | not published | 0 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $25.02 | $41.70 | not published | 0 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $79,981.92 | $133,303.20 | not published | 0 |
| Digoxin total therapeutic drug level CPT 80162 | $273.60 | $456.00 | not published | 0 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $762.30 | $1,270.50 | not published | 0 |
| Dilate biliary duct/ampulla CPT 47542 | $4,758.60 | $7,931.00 | not published | 0 |
| Dilate esophagus CPT 43453 | $11,570.97 | $19,284.95 | $1,864.13 – $1,901.42 | 4 |
| Dilate esophagus 1/mult pass CPT 43450 | $14,947.23 | $24,912.05 | $881.10 – $898.72 | 4 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $458.40 | $764.00 | not published | 0 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $162.00 | $270.00 | not published | 0 |
| Dilate ic vasospasm init CPT 61640 | $458.40 | $764.00 | not published | 0 |
| Dilate urethra stricture CPT 53600 | $471.60 | $786.00 | not published | 0 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $1,227.00 | $2,045.00 | not published | 0 |
| Dilator fascial 10fx20cm HCPCS C2627 | $958.46 | $1,597.44 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | $62,630.89 | $104,384.82 | $9,196.24 – $9,380.17 | 4 |
| Dilat xst trc new access rcs CPT 50437 | $5,704.80 | $9,508.00 | not published | 0 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $207.48 | $345.80 | not published | 0 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $13,266.90 | $22,111.50 | not published | 0 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $10.98 | $18.30 | not published | 0 |
| Dipyridamole injection HCPCS J1245 | $399.18 | $665.30 | not published | 0 |
| Disaccharidases CPT 82657 | $206.40 | $344.00 | not published | 0 |
| Discography cerv/thor spine CPT 72285 | $4,005.60 | $6,676.00 | not published | 0 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $2,533.80 | $4,223.00 | not published | 0 |
| Dmd dup/delet analysis CPT 81161 | $496.20 | $827.00 | not published | 0 |
| Dmpk gene detc abnor allele CPT 81234 | $859.80 | $1,433.00 | not published | 0 |
| Dna antibody native/double stranded CPT 86225 | $223.20 | $372.00 | not published | 0 |
| Dna gardnerella CPT 87510 | $57.00 | $95.00 | not published | 0 |
| Dna probe chlamydia CPT 87490 | $287.40 | $479.00 | not published | 0 |
| Dna trichomonas CPT 87660 | $124.20 | $207.00 | not published | 0 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $527.22 | $878.70 | not published | 0 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $2,556.00 | $4,260.00 | not published | 0 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $259.08 | $431.80 | not published | 0 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $11,205.00 | $18,675.00 | not published | 0 |
| Dornase alfa non-comp unit HCPCS J7639 | $2,431.98 | $4,053.30 | not published | 0 |
| Dornhoffer fixed part w/window HCPCS L8614 | $77,758.31 | $129,597.18 | not published | 0 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $102,497.94 | $170,829.90 | not published | 0 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $1,192.80 | $1,988.00 | not published | 0 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $3,834.00 | $6,390.00 | not published | 0 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $478.68 | $797.80 | not published | 0 |
| Dpyd gene common variants CPT 81232 | $201.60 | $336.00 | not published | 0 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $936.00 | $1,560.00 | not published | 0 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $568.80 | $948.00 | not published | 0 |
| Drainage external ear complex 69005 CPT 69005 | $2,694.60 | $4,491.00 | not published | 0 |
| Drainage external ear simple 69000 CPT 69000 | $16,416.60 | $27,361.00 | $687.92 – $687.92 | 3 |
| Drainage mouth roof lesion CPT 42000 | $1,585.80 | $2,643.00 | not published | 0 |
| Drainage of arm bursa 23931 CPT 23931 | $2,509.20 | $4,182.00 | not published | 0 |
| Drainage of bladder abscess CPT 51080 | $1,962.60 | $3,271.00 | not published | 0 |
| Drainage of kidney lesion CPT 50390 | $2,655.00 | $4,425.00 | not published | 0 |
| Drainage of mouth lesion CPT 41008 | $4,940.40 | $8,234.00 | not published | 0 |
| Drainage of mouth lesion CPT 41009 | $802.20 | $1,337.00 | not published | 0 |
| Drainage of nose lesion sept 30020 CPT 30020 | $843.00 | $1,405.00 | not published | 0 |
| Drainage of pelvis lesion 26990 CPT 26990 | $5,521.80 | $9,203.00 | not published | 0 |
| Drainage of rectal abscess CPT 45005 | $1,985.40 | $3,309.00 | not published | 0 |
| Drainage of rectal abscess 45020 CPT 45020 | $3,220.80 | $5,368.00 | not published | 0 |
| Drain bladder by trocar/cath CPT 51101 | $1,371.00 | $2,285.00 | not published | 0 |
| Drain blood from under nail 11740 CPT 11740 | $436.80 | $728.00 | not published | 0 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $6,905.40 | $11,509.00 | not published | 0 |
| Drain cath image guided visceral pq CPT 49405 | $4,115.40 | $6,859.00 | not published | 0 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $29,106.40 | $48,510.67 | $685.73 – $699.45 | 3 |
| Drain finger abscess;simple 26010 CPT 26010 | $5,734.20 | $9,557.00 | $194.91 – $194.91 | 3 |
| Drain lower leg lesion 27603 CPT 27603 | $19,559.82 | $32,599.70 | $2,821.80 – $2,821.80 | 2 |
| Drain ovarn cyst abd CPT 58805 | $4,909.80 | $8,183.00 | not published | 0 |
| Drain ovary abscess open CPT 58820 | $4,909.80 | $8,183.00 | not published | 0 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | $4,366.80 | $7,278.00 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $856.80 | $1,428.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $816.60 | $1,361.00 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $1,045.80 | $1,743.00 | not published | 0 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $37,464.01 | $62,440.02 | not published | 0 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $7,349.40 | $12,249.00 | not published | 0 |
| Drng appendix abscess open 44900 CPT 44900 | $3,259.20 | $5,432.00 | not published | 0 |
| Drng hand tendon sheath 26020 CPT 26020 | $12,348.78 | $20,581.30 | $3,178.60 – $3,242.17 | 4 |
| Drng of eyelid abscess 67700 CPT 67700 | $785.40 | $1,309.00 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $3,428.40 | $5,714.00 | not published | 0 |
| Drng of mouth lesion 40801 CPT 40801 | $843.00 | $1,405.00 | not published | 0 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | $4,909.80 | $8,183.00 | not published | 0 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | $2,523.60 | $4,206.00 | not published | 0 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,287.60 | $2,146.00 | not published | 0 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | $5,003.40 | $8,339.00 | not published | 0 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | $4,066.20 | $6,777.00 | not published | 0 |
| Drng ovary abscess perqt 58822 CPT 58822 | $2,989.80 | $4,983.00 | not published | 0 |
| Drng peritoneal abscess open 49020 CPT 49020 | $6,527.40 | $10,879.00 | not published | 0 |
| Dronabinol 2.5mg oral HCPCS Q0167 | $30.60 | $51.00 | not published | 0 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $22.02 | $36.70 | 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.