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 |
|---|---|---|---|---|
| Drop lock knee HCPCS L2182 | $235.84 | $393.07 | not published | 0 |
| Drop lock retainer each HCPCS L2785 | $80.69 | $134.48 | not published | 0 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $7,851.32 | $13,085.54 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $5,205.28 | $8,675.46 | not published | 0 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $21,062.69 | $35,104.48 | not published | 0 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $4,922.39 | $8,203.98 | not published | 0 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | $29,445.49 | $49,075.81 | not published | 0 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $64,556.00 | $107,593.34 | not published | 0 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $29,563.25 | $49,272.09 | not published | 0 |
| Drug admin & hemodynmic meas CPT 93463 | $269.40 | $449.00 | not published | 0 |
| Drug assay caffeine CPT 80155 | $162.00 | $270.00 | not published | 0 |
| Drug assay posaconazole CPT 80187 | $71.40 | $119.00 | not published | 0 |
| Drug assay rufinamide CPT 80210 | $140.40 | $234.00 | not published | 0 |
| Drug assay vedolizumab CPT 80280 | $165.60 | $276.00 | not published | 0 |
| Drug assay voriconazole CPT 80285 | $67.80 | $113.00 | not published | 0 |
| Drug asy hydroxychloroquine CPT 80220 | $270.00 | $450.00 | not published | 0 |
| Drug of abuse screen urine CPT 80305 | $54.00 | $90.00 | not published | 0 |
| Drug screen quant tiagabine CPT 80199 | $133.80 | $223.00 | not published | 0 |
| Drug test def 1-7 classes HCPCS G0480 | $262.20 | $437.00 | not published | 0 |
| Drug test def 22+ classes HCPCS G0483 | $817.20 | $1,362.00 | not published | 0 |
| Drug test def 8-14 classes HCPCS G0481 | $259.20 | $432.00 | not published | 0 |
| Drug test prsmv instrmnt CPT 80306 | $206.40 | $344.00 | not published | 0 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $289.20 | $482.00 | not published | 0 |
| Drvvt confirm - quest CPT 85597 | $220.80 | $368.00 | not published | 0 |
| Ductogram sgl duct CPT 77053 | $1,258.20 | $2,097.00 | not published | 0 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $20,478.43 | $34,130.71 | not published | 0 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $36,590.52 | $60,984.20 | not published | 0 |
| Dxa bone density axl vrt fx CPT 77085 | $678.60 | $1,131.00 | not published | 0 |
| Dx bronchoscope/brush 31623 CPT 31623 | $35,696.45 | $59,494.08 | $1,729.09 – $6,993.12 | 4 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $34,063.70 | $56,772.83 | $1,729.09 – $1,763.67 | 4 |
| Dx bronchoscope/wash 31622 CPT 31622 | $21,497.75 | $35,829.58 | $1,729.09 – $1,763.67 | 4 |
| Dx laryngoscopy w/oper scope CPT 31526 | $13,650.36 | $22,750.60 | $1,729.09 – $1,763.67 | 4 |
| Ear irrigation 69209 CPT 69209 | $372.60 | $621.00 | not published | 0 |
| Echo exam of fetal heart CPT 76825 | $795.00 | $1,325.00 | not published | 0 |
| Echo exam of fetal heart CPT 76826 | $581.40 | $969.00 | not published | 0 |
| Echo exam of fetal heart CPT 76827 | $214.20 | $357.00 | not published | 0 |
| Echo exam of fetal heart CPT 76828 | $70.20 | $117.00 | not published | 0 |
| Echo exam uterus 76831- CPT 76831 | $159.60 | $266.00 | not published | 0 |
| Echograp trans r pros study CPT 76873 | $1,107.00 | $1,845.00 | not published | 0 |
| Echo guidance radiotherapy CPT 76965 | $1,524.60 | $2,541.00 | not published | 0 |
| Echo guide for amniocentesis CPT 76946 | $929.40 | $1,549.00 | not published | 0 |
| Echo guide for artery repair CPT 76936 | $841.20 | $1,402.00 | not published | 0 |
| Echo guide for transfusion CPT 76941 | $100.80 | $168.00 | not published | 0 |
| Echo guide villus sampling CPT 76945 | $1,226.40 | $2,044.00 | not published | 0 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $4,357.80 | $7,263.00 | not published | 0 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $25,856.40 | $43,094.00 | not published | 0 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $25,327.20 | $42,212.00 | not published | 0 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $30,630.60 | $51,051.00 | not published | 0 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | $2,587.20 | $4,312.00 | not published | 0 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | $2,587.20 | $4,312.00 | not published | 0 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | $2,587.20 | $4,312.00 | not published | 0 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | $2,358.60 | $3,931.00 | not published | 0 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | $2,358.60 | $3,931.00 | not published | 0 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | $2,358.60 | $3,931.00 | not published | 0 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $104,498.34 | $174,163.90 | not published | 0 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $107.40 | $179.00 | not published | 0 |
| E equine encephalitis igg CPT 86652 | $122.40 | $204.00 | not published | 0 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | $54,599.16 | $90,998.60 | not published | 0 |
| Egd control bleeding any CPT 43255 | $15,992.15 | $26,653.58 | $1,864.13 – $1,901.42 | 4 |
| Egd dilate stricture CPT 43245 | $13,941.21 | $23,235.35 | $1,864.13 – $1,901.42 | 4 |
| Egd endo mucosal resection CPT 43254 | $22,813.42 | $38,022.37 | $1,864.13 – $1,901.42 | 4 |
| Egd endoscopic stent place CPT 43266 | $33,036.17 | $55,060.28 | $5,897.60 – $6,015.56 | 4 |
| Egd guide wire insertion CPT 43248 | $17,316.27 | $28,860.45 | $881.10 – $898.72 | 4 |
| Egd lesion ablation CPT 43270 | $15,226.34 | $25,377.23 | $1,864.13 – $1,901.42 | 4 |
| Egd remove foreign body CPT 43247 | $12,393.96 | $20,656.60 | $881.10 – $898.72 | 4 |
| Egd remove lesion snare CPT 43251 | $27,897.00 | $46,495.00 | $1,864.13 – $1,901.42 | 4 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | $18,926.95 | $31,544.92 | $1,864.13 – $1,901.42 | 4 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | $18,563.58 | $30,939.30 | $1,864.13 – $1,901.42 | 4 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | $17,057.86 | $28,429.77 | $1,864.13 – $1,901.42 | 4 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | $17,382.39 | $28,970.65 | $1,864.13 – $1,901.42 | 4 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | $16,806.90 | $28,011.50 | $1,864.13 – $1,901.42 | 4 |
| Egd varices ligation CPT 43244 | $11,937.88 | $19,896.47 | $1,864.13 – $1,901.42 | 4 |
| Egfr gene com variants CPT 81235 | $908.40 | $1,514.00 | not published | 0 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $92.40 | $154.00 | not published | 0 |
| Electrd sq emblem s-icd HCPCS C1896 | $16,276.40 | $27,127.33 | not published | 0 |
| Electrical stimulation/unattended 97014 CPT 97014 | $202.20 | $337.00 | not published | 0 |
| Electroconvulsive therapy 90870 CPT 90870 | $14,460.18 | $24,100.30 | $834.23 – $1,631.00 | 3 |
| Electrolyte panel CPT 80051 | $206.40 | $344.00 | not published | 0 |
| Electron microscopy diagnostic CPT 88348 | $1,864.20 | $3,107.00 | not published | 0 |
| Electrophysiology evaluation CPT 93619 | $14,313.60 | $23,856.00 | not published | 0 |
| Electrophysiology evaluation CPT 93620 | $14,313.60 | $23,856.00 | not published | 0 |
| Electrophysiology evaluation CPT 93621 | $14,313.60 | $23,856.00 | not published | 0 |
| Electrophysiology evaluation CPT 93622 | $5,583.60 | $9,306.00 | not published | 0 |
| Electrophysiology evaluation CPT 93641 | $745.80 | $1,243.00 | not published | 0 |
| Electrophysiology evaluation CPT 93642 | $4,672.20 | $7,787.00 | not published | 0 |
| Electrophys map 3d add-on CPT 93613 | $13,528.20 | $22,547.00 | not published | 0 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $26,368.26 | $43,947.10 | not published | 0 |
| Embolization s&i CPT 75894 | $3,619.80 | $6,033.00 | not published | 0 |
| Embo or occlude vascular arterial s&i CPT 37242 | $15,624.60 | $26,041.00 | not published | 0 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $15,624.60 | $26,041.00 | not published | 0 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $13,479.00 | $22,465.00 | not published | 0 |
| Embo or occlude vascular venous s&i CPT 37241 | $15,624.60 | $26,041.00 | not published | 0 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | $9,132.60 | $15,221.00 | not published | 0 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | $9,238.80 | $15,398.00 | not published | 0 |
| Encephalitis, california igg/igm CPT 86651 | $122.40 | $204.00 | not published | 0 |
| Encephalitis, st louis igg/igm CPT 86653 | $122.40 | $204.00 | not published | 0 |
| Encephalitis, western equine igg/igm CPT 86654 | $122.40 | $204.00 | not published | 0 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $30,944.06 | $51,573.43 | $3,067.35 – $3,067.35 | 2 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $34,996.94 | $58,328.23 | $3,067.35 – $5,513.76 | 4 |
| Endo ak/hip alignable system HCPCS L5920 | $1,341.22 | $2,235.36 | 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.