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 |
|---|---|---|---|---|
| Ghs semen analysis fert CPT 89320 | $250.80 | $418.00 | not published | 0 |
| Ghs sensitivity (per antimicro) CPT 87184 | $172.80 | $288.00 | not published | 0 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $1,168.20 | $1,947.00 | not published | 0 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $1,276.80 | $2,128.00 | not published | 0 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $2,080.80 | $3,468.00 | not published | 0 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $1,341.00 | $2,235.00 | not published | 0 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $1,147.80 | $1,913.00 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $1,147.80 | $1,913.00 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $1,168.20 | $1,947.00 | not published | 0 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $2,080.80 | $3,468.00 | not published | 0 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $1,341.00 | $2,235.00 | not published | 0 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $821.40 | $1,369.00 | not published | 0 |
| Ghs sphenopalatine ganglion block CPT 64505 | $500.40 | $834.00 | not published | 0 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $685.20 | $1,142.00 | not published | 0 |
| Ghs strapping shoulder - 29240 CPT 29240 | $529.80 | $883.00 | not published | 0 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $29,661.86 | $49,436.43 | $717.98 – $717.98 | 3 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $634.80 | $1,058.00 | not published | 0 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $2,571.00 | $4,285.00 | not published | 0 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $1,089.00 | $1,815.00 | not published | 0 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $394.20 | $657.00 | not published | 0 |
| Ghs urine, hydroxproline total CPT 83505 | $166.80 | $278.00 | not published | 0 |
| Ghs urine, porphyrins quant CPT 84120 | $180.00 | $300.00 | not published | 0 |
| Ghs vaginal delivery only CPT 59409 | $4,746.60 | $7,911.00 | not published | 0 |
| Giardia lamblia antibody CPT 86674 | $100.80 | $168.00 | not published | 0 |
| Gi endoscopic ultrasound CPT 76975 | $657.60 | $1,096.00 | not published | 0 |
| Gi inhouse confirmation CPT 87045 | $163.80 | $273.00 | not published | 0 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $11,113.56 | $18,522.60 | $881.10 – $898.72 | 4 |
| Gjb2 gene full sequence CPT 81252 | $502.80 | $838.00 | not published | 0 |
| Gjb6 gene com variants CPT 81254 | $502.80 | $838.00 | not published | 0 |
| Glassia injection HCPCS J0257 | $5,821.20 | $9,702.00 | not published | 0 |
| Glove finger flexion right lg xl HCPCS L3912 | $261.05 | $435.09 | not published | 0 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $5,090.40 | $8,484.00 | not published | 0 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $4,593.78 | $7,656.30 | not published | 0 |
| Glucagon plasma - sendout CPT 82943 | $152.40 | $254.00 | not published | 0 |
| Glucose 1 hr post dose CPT 82950 | $84.60 | $141.00 | not published | 0 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $42.00 | $70.00 | not published | 0 |
| Glucose blood quantitative CPT 82947 | $48,706.79 | $81,177.98 | $3.93 – $4.01 | 4 |
| Glucose body fluid CPT 82945 | $114.00 | $190.00 | not published | 0 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $157.80 | $263.00 | not published | 0 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $54.60 | $91.00 | not published | 0 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $21.36 | $35.60 | not published | 0 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $32,147.04 | $53,578.40 | not published | 0 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $280.20 | $467.00 | not published | 0 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $279.60 | $466.00 | not published | 0 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $26,346.42 | $43,910.70 | not published | 0 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $5,145.64 | $8,576.06 | not published | 0 |
| Graft axiofill 1000mg HCPCS J3590 | $41,023.32 | $68,372.20 | not published | 0 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $69,348.33 | $115,580.55 | not published | 0 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $49,985.75 | $83,309.59 | not published | 0 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | $4,489.69 | $7,482.82 | not published | 0 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $127,704.80 | $212,841.34 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $96,631.68 | $161,052.80 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $42,276.36 | $70,460.60 | not published | 0 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $15,491.27 | $25,818.78 | not published | 0 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $26,271.74 | $43,786.23 | not published | 0 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $10,204.61 | $17,007.68 | not published | 0 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | $4,529.61 | $7,549.35 | not published | 0 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $95,224.48 | $158,707.47 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $8,002.31 | $13,337.19 | not published | 0 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $95,393.59 | $158,989.31 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $45,182.86 | $75,304.77 | not published | 0 |
| Granisetron hcl injection HCPCS J1626 | $90.00 | $150.00 | not published | 0 |
| Great toe with reduction 28495 CPT 28495 | $1,089.00 | $1,815.00 | not published | 0 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | $38,541.59 | $64,235.98 | $3,442.57 – $7,049.09 | 4 |
| Grfg autol fat lipo ea addl CPT 15772 | $35,112.30 | $58,520.50 | $3,442.57 – $3,442.57 | 3 |
| Grfg autol soft tiss dir exc CPT 15769 | $38,214.48 | $63,690.80 | $3,442.57 – $3,511.42 | 4 |
| Growth hormone antibody CPT 86277 | $192.60 | $321.00 | not published | 0 |
| G-tube reposition CPT 43761 | $3,058.20 | $5,097.00 | not published | 0 |
| Gu dilat ureter/urethra s&i CPT 74485 | $1,390.80 | $2,318.00 | not published | 0 |
| Guided cath fluid drainage 10030 CPT 10030 | $2,809.80 | $4,683.00 | not published | 0 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $15,654.33 | $26,090.55 | not published | 0 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $24,097.52 | $40,162.54 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $2,113.82 | $3,523.03 | not published | 0 |
| Gw stiffened micro access kit HCPCS C1894 | $20,612.75 | $34,354.58 | not published | 0 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | $117.80 | $196.33 | not published | 0 |
| Halo cervical into jckt vest HCPCS L0810 | $20,383.25 | $33,972.08 | not published | 0 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $154.98 | $258.30 | not published | 0 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $17.40 | $29.00 | not published | 0 |
| Halo repl liner/interface HCPCS L0861 | $3,454.58 | $5,757.64 | not published | 0 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | $261.66 | $436.10 | not published | 0 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $9,814.16 | $16,356.93 | not published | 0 |
| Hand X-ray CPT 73130 | $822.00 | $1,370.00 | not published | 0 |
| Haptoglobin quantitative CPT 83010 | $243.60 | $406.00 | not published | 0 |
| Hba1/hba2 full gene sequence CPT 81259 | $347.40 | $579.00 | not published | 0 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $381.60 | $636.00 | not published | 0 |
| Hbb full gene sequence CPT 81364 | $380.40 | $634.00 | not published | 0 |
| Hbb gene dup/del variants CPT 81363 | $298.20 | $497.00 | not published | 0 |
| Hb glycosylated a1c home dev CPT 83037 | $22.80 | $38.00 | not published | 0 |
| Hbot, full body chamber, 30m HCPCS G0277 | $1,117.80 | $1,863.00 | not published | 0 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $1,897.20 | $3,162.00 | not published | 0 |
| Hcg qualitative CPT 84703 | $114.60 | $191.00 | not published | 0 |
| Hcg quantitative CPT 84702 | $186.60 | $311.00 | not published | 0 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $237.00 | $395.00 | not published | 0 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $2,825.40 | $4,709.00 | not published | 0 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $2,825.40 | $4,709.00 | not published | 0 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $7,999.20 | $13,332.00 | not published | 0 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | $9,874.20 | $16,457.00 | not published | 0 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $5,185.80 | $8,643.00 | not published | 0 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $5,185.80 | $8,643.00 | not published | 0 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $5,185.80 | $8,643.00 | 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.