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 |
|---|---|---|---|---|
| Fo nontorsion joint cf HCPCS L3935 | $547.42 | $912.36 | not published | 0 |
| Foot arch supp premold metat HCPCS L3050 | $128.16 | $213.60 | not published | 0 |
| Foot drp splt w/exp heel lg HCPCS L4398 | $93.79 | $156.32 | not published | 0 |
| Foot external keel sach foot HCPCS L5970 | $554.94 | $924.90 | not published | 0 |
| Foot insert plastazote or eq HCPCS L3002 | $439.73 | $732.89 | not published | 0 |
| Foot insert remov molded spe HCPCS L3001 | $360.13 | $600.22 | not published | 0 |
| Foot insert silicone gel eac HCPCS L3003 | $474.37 | $790.62 | not published | 0 |
| Foot lamin/prepreg composite HCPCS L3031 | $333.44 | $555.73 | not published | 0 |
| Foot longitud/metatarsal sup HCPCS L3020 | $368.40 | $614.00 | not published | 0 |
| Foot plas heel stabi pre ots HCPCS L3170 | $138.49 | $230.81 | not published | 0 |
| Foot plate molded stirrup at HCPCS L2250 | $909.46 | $1,515.76 | not published | 0 |
| Foot X-ray CPT 73630 | $802.80 | $1,338.00 | not published | 0 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $2,245.72 | $3,742.87 | not published | 0 |
| Forearm/arm cuffs free motio HCPCS L3720 | $1,618.88 | $2,698.14 | not published | 0 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $513.00 | $855.00 | not published | 0 |
| Formoterol fumarate, inh HCPCS J7606 | $87.00 | $145.00 | not published | 0 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $724.86 | $1,208.10 | not published | 0 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $587.10 | $978.50 | not published | 0 |
| Fractionation ketosteroids CPT 83593 | $143.40 | $239.00 | not published | 0 |
| Fracture assessment via dxa CPT 77086 | $493.80 | $823.00 | not published | 0 |
| Fragmenting of kidney stone CPT 50590 | $24,760.62 | $41,267.70 | $3,424.36 – $3,492.85 | 4 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $885.60 | $1,476.00 | not published | 0 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $885.60 | $1,476.00 | not published | 0 |
| Fresh frozen plasma thawing ea un CPT 86927 | $315.60 | $526.00 | not published | 0 |
| Frozen blood prep CPT 86930 | $237.60 | $396.00 | not published | 0 |
| Frozen blood thaw CPT 86931 | $778.20 | $1,297.00 | not published | 0 |
| Frozen cell preparation CPT 88241 | $24.00 | $40.00 | not published | 0 |
| Fructosamine glycated protein CPT 82985 | $55.80 | $93.00 | not published | 0 |
| Ft insert ucb berkeley shell HCPCS L3000 | $855.31 | $1,425.52 | not published | 0 |
| Ftl cgen abnor four anal CPT 81511 | $544.20 | $907.00 | not published | 0 |
| Ftl cgen abnor three anal CPT 81510 | $437.40 | $729.00 | not published | 0 |
| Ftl cgen abnor two proteins CPT 81508 | $251.40 | $419.00 | not published | 0 |
| Full sole/heel wedge btween HCPCS L3420 | $148.90 | $248.17 | not published | 0 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $24,043.50 | $40,072.50 | $2,004.38 – $2,878.24 | 4 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $16,852.74 | $28,087.90 | $1,604.45 – $1,636.54 | 4 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $53,210.18 | $88,683.63 | $2,004.38 – $2,044.47 | 4 |
| Furnsh initial orthosis only HCPCS L1200 | $4,872.35 | $8,120.58 | not published | 0 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $30.54 | $50.90 | not published | 0 |
| Fusion of ankle joint open CPT 27870 | $96,585.46 | $160,975.77 | $12,472.20 – $12,721.65 | 3 |
| Fusion of big toe joint CPT 28750 | $61,340.45 | $102,234.08 | $7,049.09 – $7,190.07 | 4 |
| Fusion of big toe joint CPT 28755 | $52,074.22 | $86,790.37 | $7,049.09 – $7,190.07 | 4 |
| Fusion of finger joint CPT 26860 | $46,678.70 | $77,797.83 | $3,178.60 – $3,178.60 | 2 |
| Fusion of finger tendons CPT 26474 | $28,044.12 | $46,740.20 | $1,562.09 – $1,593.33 | 4 |
| Fusion of foot bones CPT 28730 | $71,119.07 | $118,531.78 | $12,472.20 – $12,721.65 | 4 |
| Fusion of foot bones CPT 28740 | $136,938.29 | $228,230.48 | $7,049.09 – $7,190.07 | 4 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $7,350.00 | $12,250.00 | not published | 0 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $299.04 | $498.40 | not published | 0 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $4,410.90 | $7,351.50 | not published | 0 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $224.40 | $374.00 | not published | 0 |
| Galactokinase - sendout CPT 82759 | $216.00 | $360.00 | not published | 0 |
| Galectin-3 CPT 82777 | $117.00 | $195.00 | not published | 0 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $61,712.77 | $102,854.62 | $5,872.96 – $5,990.42 | 4 |
| Gallium illuccix 1 millicure HCPCS A9596 | $10,848.60 | $18,081.00 | not published | 0 |
| Gammaglobulin iga CPT 82784 | $193.80 | $323.00 | not published | 0 |
| Gammaglobulin ige CPT 82785 | $235.80 | $393.00 | not published | 0 |
| Gamma glutamyltransferase CPT 82977 | $163.20 | $272.00 | not published | 0 |
| Gamunex-c/gammaked HCPCS J1561 | $95,669.58 | $159,449.30 | not published | 0 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $1,768.38 | $2,947.30 | not published | 0 |
| Gastric mucosa imaging CPT 78261 | $2,583.60 | $4,306.00 | not published | 0 |
| Gastroesophageal reflux study CPT 78262 | $2,583.60 | $4,306.00 | not published | 0 |
| Gated heart multiple CPT 78473 | $3,001.20 | $5,002.00 | not published | 0 |
| Gba gene CPT 81251 | $311.40 | $519.00 | not published | 0 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $102.72 | $171.20 | not published | 0 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $86,867.22 | $144,778.70 | not published | 0 |
| General health panel CPT 80050 | $293.40 | $489.00 | not published | 0 |
| Generator barostim neo2 2014 HCPCS C1767 | $117,525.26 | $195,875.44 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $89,384.30 | $148,973.84 | not published | 0 |
| Generator stim baroreceptor neo legacy implant pulse HCPCS C1825 | $105,690.90 | $176,151.50 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | $1,780.80 | $2,968.00 | not published | 0 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | $66,434.28 | $110,723.80 | not published | 0 |
| Genome sequence analysis CPT 81425 | $3,486.60 | $5,811.00 | not published | 0 |
| Genome sequence analysis CPT 81426 | $4,268.40 | $7,114.00 | not published | 0 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $68.52 | $114.20 | not published | 0 |
| Gentamicin peak therapeutic drug level CPT 80170 | $275.40 | $459.00 | not published | 0 |
| G-esoph reflx tst w/electrod CPT 91035 | $16,222.87 | $27,038.12 | $834.23 – $850.91 | 4 |
| Ghs abscess perianal iandd CPT 46050 | $17,519.51 | $29,199.18 | $903.41 – $921.48 | 4 |
| Ghs abscess postoperative iandd complex CPT 10180 | $12,799.68 | $21,332.80 | $2,821.80 – $2,878.24 | 4 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $78.60 | $131.00 | not published | 0 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $208.80 | $348.00 | not published | 0 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $406.20 | $677.00 | not published | 0 |
| Ghs antibodies (torch) igm CPT 86694 | $205.80 | $343.00 | not published | 0 |
| Ghs bladder cath - complex-foley CPT 51703 | $1,660.80 | $2,768.00 | not published | 0 |
| Ghs bleeding time (ivy) CPT 85002 | $97.20 | $162.00 | not published | 0 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $1,738.20 | $2,897.00 | not published | 0 |
| Ghs central line insert < age 5, failed CPT 36555 | $4,320.60 | $7,201.00 | not published | 0 |
| Ghs change cysto/gastrost CPT 43762 | $1,344.60 | $2,241.00 | not published | 0 |
| Ghs chemo >8 hrs CPT 96416 | $1,677.00 | $2,795.00 | not published | 0 |
| Ghs chemo IV push, ea addtl CPT 96411 | $617.40 | $1,029.00 | not published | 0 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $100.20 | $167.00 | not published | 0 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $1,089.00 | $1,815.00 | not published | 0 |
| Ghs closed reduction ankle dislocation CPT 27840 | $1,032.00 | $1,720.00 | not published | 0 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,065.60 | $1,776.00 | not published | 0 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,065.60 | $1,776.00 | not published | 0 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $31,761.10 | $52,935.17 | $3,442.57 – $3,511.42 | 4 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $2,162.40 | $3,604.00 | not published | 0 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $2,447.40 | $4,079.00 | not published | 0 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $1,089.00 | $1,815.00 | not published | 0 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $1,089.00 | $1,815.00 | not published | 0 |
| Ghs community re-entry 15 minutes CPT 97537 | $84.60 | $141.00 | not published | 0 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $909.00 | $1,515.00 | 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.