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 |
|---|---|---|---|---|
| Ak sleeve susp neoprene/equa HCPCS L5695 | $481.07 | $801.79 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $146.40 | $244.00 | not published | 0 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $1,272.60 | $2,121.00 | not published | 0 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | $767.58 | $1,279.30 | not published | 0 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $1,336.26 | $2,227.10 | not published | 0 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | $1,820.40 | $3,034.00 | not published | 0 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $160.20 | $267.00 | not published | 0 |
| Albumin serum plasma or whole blood CPT 82040 | $141.00 | $235.00 | not published | 0 |
| Albuterol ipratrop non-comp HCPCS J7620 | $6.30 | $10.50 | not published | 0 |
| Albuterol non-comp con HCPCS J7611 | $6.30 | $10.50 | not published | 0 |
| Albuterol non-comp unit HCPCS J7613 | $5.70 | $9.50 | not published | 0 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $146.40 | $244.00 | not published | 0 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $89,232.78 | $148,721.30 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $146.40 | $244.00 | not published | 0 |
| Allergen alpha lactalbumin ige CPT 86008 | $53.40 | $89.00 | not published | 0 |
| Allergen egg white ige CPT 86003 | $30.00 | $50.00 | not published | 0 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $37.80 | $63.00 | not published | 0 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | $7,607.63 | $12,679.38 | not published | 0 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $15,002.07 | $25,003.45 | not published | 0 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $18,824.85 | $31,374.75 | not published | 0 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $14,431.94 | $24,053.24 | not published | 0 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $11,707.53 | $19,512.55 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $53,146.46 | $88,577.43 | not published | 0 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $35,679.74 | $59,466.23 | not published | 0 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $30,194.38 | $50,323.97 | not published | 0 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $28,509.37 | $47,515.61 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $9,346.10 | $15,576.83 | not published | 0 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $10,674.78 | $17,791.30 | not published | 0 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $9,648.00 | $16,080.00 | not published | 0 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $99.60 | $166.00 | not published | 0 |
| Alpha-fetoprotein amniotic CPT 82106 | $178.80 | $298.00 | not published | 0 |
| Alpha-fetoprotein tumor marker CPT 82105 | $133.20 | $222.00 | not published | 0 |
| Alprostadil for injection HCPCS J0270 | $3,078.72 | $5,131.20 | not published | 0 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $159,990.60 | $266,651.00 | not published | 0 |
| Alt/sgpt CPT 84460 | $147.60 | $246.00 | not published | 0 |
| Aluminum - quest CPT 82108 | $91.20 | $152.00 | not published | 0 |
| Alveoloplasty each quadrant CPT 41874 | $23,809.38 | $39,682.30 | $3,220.82 – $3,285.24 | 4 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $211.80 | $353.00 | not published | 0 |
| Amino acid screen, urine CPT 82128 | $180.00 | $300.00 | not published | 0 |
| Amino acid single qual CPT 82127 | $23.40 | $39.00 | not published | 0 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $132.36 | $220.60 | not published | 0 |
| Aminolevulinic acid delta CPT 82135 | $153.60 | $256.00 | not published | 0 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $221.94 | $369.90 | not published | 0 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $36.42 | $60.70 | not published | 0 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $32,432.94 | $54,054.90 | not published | 0 |
| Ammonia CPT 82140 | $281.40 | $469.00 | not published | 0 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $709.80 | $1,183.00 | not published | 0 |
| Amniotic fluid scan CPT 82143 | $69.60 | $116.00 | not published | 0 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $43,835.90 | $73,059.83 | $3,178.60 – $3,242.17 | 4 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $872.64 | $1,454.40 | not published | 0 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $1,873.32 | $3,122.20 | not published | 0 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $148.74 | $247.90 | not published | 0 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $264.72 | $441.20 | not published | 0 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $16,950.60 | $28,251.00 | $3,178.60 – $3,178.60 | 3 |
| Amputation follow-up surgery CPT 27884 | $24,845.58 | $41,409.30 | $3,178.60 – $3,178.60 | 3 |
| Amputation thru metatarsal CPT 28805 | $44,086.85 | $73,478.08 | $3,178.60 – $3,242.17 | 4 |
| Amputation toe interphalangeal joint CPT 28825 | $43,194.90 | $71,991.50 | $3,178.60 – $3,242.17 | 4 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $44,490.67 | $74,151.12 | $3,178.60 – $3,242.17 | 4 |
| Amylase CPT 82150 | $183.00 | $305.00 | not published | 0 |
| Ana ds-dna CPT 86226 | $148.20 | $247.00 | not published | 0 |
| Analysis gene f2 20210g>a variant CPT 81240 | $455.40 | $759.00 | not published | 0 |
| Analysis gene f5 leiden variant CPT 81241 | $455.40 | $759.00 | not published | 0 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $92.40 | $154.00 | not published | 0 |
| Anca screen with reflex to titer -quest CPT 86021 | $208.80 | $348.00 | not published | 0 |
| An cholangiogram percutaneous compl CPT 47531 | $6,150.60 | $10,251.00 | not published | 0 |
| An fluoro guide for cvp CPT 77001 | $427.20 | $712.00 | not published | 0 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $40,010.55 | $66,684.25 | $5,529.10 – $5,639.68 | 4 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $149,769.38 | $249,615.63 | $414.90 – $423.20 | 4 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $62,801.83 | $104,669.72 | $185.66 – $189.37 | 4 |
| Angiotensin ii CPT 82163 | $198.60 | $331.00 | not published | 0 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $1,665.00 | $2,775.00 | not published | 0 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $70,374.21 | $117,290.35 | $505.38 – $515.49 | 4 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $13,495.80 | $22,493.00 | not published | 0 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $51,639.01 | $86,065.02 | $5,529.10 – $5,639.68 | 4 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $13,555.80 | $22,593.00 | not published | 0 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $48,256.19 | $80,426.98 | $5,529.10 – $5,639.68 | 4 |
| Anidulafungin injection HCPCS J0348 | $3,470.40 | $5,784.00 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29891 | $47,406.95 | $79,011.58 | $3,178.60 – $3,242.17 | 3 |
| Ankle arthroscopy/surgery CPT 29897 | $47,912.11 | $79,853.52 | $7,049.09 – $7,190.07 | 4 |
| Ankle arthroscopy/surgery CPT 29898 | $61,868.45 | $103,114.08 | $3,178.60 – $3,242.17 | 4 |
| Ankle X-ray CPT 73610 | $855.00 | $1,425.00 | not published | 0 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $83.40 | $139.00 | not published | 0 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $126.60 | $211.00 | not published | 0 |
| Anodyne therapy charges pt CPT 97026 | $43.20 | $72.00 | not published | 0 |
| Anoscopy remove fb 46608 CPT 46608 | $1,374.60 | $2,291.00 | not published | 0 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | $29,702.40 | $49,504.00 | $4,859.66 – $4,956.85 | 4 |
| Anterior asis pad HCPCS L1250 | $215.34 | $358.90 | not published | 0 |
| Anterior swing band HCPCS L2335 | $765.38 | $1,275.64 | not published | 0 |
| Anterior thoracic derotation HCPCS L1260 | $256.80 | $428.00 | not published | 0 |
| Anterior thoracic extension HCPCS L1220 | $593.05 | $988.41 | not published | 0 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $158.40 | $264.00 | not published | 0 |
| Antibody elution rbc reference CPT 86860 | $315.60 | $526.00 | not published | 0 |
| Antibody htlv/hiv confirm test CPT 86689 | $194.40 | $324.00 | not published | 0 |
| Antibody htlv-i CPT 86687 | $122.40 | $204.00 | not published | 0 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $483.60 | $806.00 | not published | 0 |
| Antibody id rbc panel CPT 86870 | $563.40 | $939.00 | not published | 0 |
| Antibody influenza virus CPT 86710 | $87.00 | $145.00 | not published | 0 |
| Antibody screen rbc CPT 86850 | $231.00 | $385.00 | not published | 0 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $63,439.20 | $105,732.00 | not published | 0 |
| Anti mog serum - sendout CPT 86362 | $163.20 | $272.00 | 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.