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 |
|---|---|---|---|---|
| Hpa-4 genotyping CPT 81108 | $202.20 | $337.00 | not published | 0 |
| Hpa-5 genotyping CPT 81109 | $202.20 | $337.00 | not published | 0 |
| Hpa-6 genotyping CPT 81110 | $202.20 | $337.00 | not published | 0 |
| Hpa-9 genotyping CPT 81111 | $202.20 | $337.00 | not published | 0 |
| Hpv types 16 & 18 only CPT 87625 | $102.00 | $170.00 | not published | 0 |
| H pylori (c-13) breath CPT 83013 | $198.00 | $330.00 | not published | 0 |
| H pylori drug admin CPT 83014 | $23.40 | $39.00 | not published | 0 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $814.20 | $1,357.00 | not published | 0 |
| Hrdtry cardmypy gene panel CPT 81439 | $1,548.00 | $2,580.00 | not published | 0 |
| Hrdtry perph neurphy panel CPT 81448 | $1,951.80 | $3,253.00 | not published | 0 |
| Htt gene detc abnor alleles CPT 81271 | $118.80 | $198.00 | not published | 0 |
| Human epididymis protein 4 (he4) CPT 86305 | $228.00 | $380.00 | not published | 0 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $50,652.00 | $84,420.00 | not published | 0 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $171.84 | $286.40 | not published | 0 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $278.52 | $464.20 | not published | 0 |
| Hydration IV infusion each additional hour CPT 96361 | $183.00 | $305.00 | not published | 0 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $1,050.60 | $1,751.00 | not published | 0 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $809.58 | $1,349.30 | not published | 0 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $486.36 | $810.60 | not published | 0 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $1,960.20 | $3,267.00 | not published | 0 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $277.92 | $463.20 | not published | 0 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $175.80 | $293.00 | not published | 0 |
| Hysterosalpingography s&i CPT 74740 | $2,408.40 | $4,014.00 | not published | 0 |
| Hysteroscopy ablation CPT 58563 | $38,282.71 | $63,804.52 | $4,859.66 – $4,956.85 | 4 |
| Hysteroscopy biopsy CPT 58558 | $27,578.34 | $45,963.90 | $3,144.72 – $3,207.62 | 4 |
| Hysteroscopy remove fb CPT 58562 | $32,395.25 | $53,992.08 | $3,144.72 – $3,207.62 | 4 |
| Hysteroscopy remove myoma CPT 58561 | $34,511.87 | $57,519.78 | $4,859.66 – $4,956.85 | 4 |
| I-123 iobenguane diag HCPCS A9582 | $10,053.66 | $16,756.10 | not published | 0 |
| I-123 ioflupane diag HCPCS A9584 | $5,443.20 | $9,072.00 | not published | 0 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $242.16 | $403.60 | not published | 0 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $66.00 | $110.00 | not published | 0 |
| Ibuprofen injection HCPCS J1741 | $5,064.30 | $8,440.50 | not published | 0 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $2,198.16 | $3,663.60 | not published | 0 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $88,689.76 | $147,816.27 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $86,062.59 | $143,437.65 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $69,454.02 | $115,756.70 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $82,064.45 | $136,774.09 | not published | 0 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $4,934.40 | $8,224.00 | not published | 0 |
| Idarubicin hcl injection HCPCS J9211 | $1,957.08 | $3,261.80 | not published | 0 |
| Idh1 common variants CPT 81120 | $66.00 | $110.00 | not published | 0 |
| Idh2 common variants CPT 81121 | $66.00 | $110.00 | not published | 0 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $4,537.80 | $7,563.00 | not published | 0 |
| Idursulfase injection HCPCS J1743 | $28,487.76 | $47,479.60 | not published | 0 |
| I&d vag hemtma obst/postpart CPT 57022 | $2,988.00 | $4,980.00 | not published | 0 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $916.26 | $1,527.10 | not published | 0 |
| Igh gene rearrange amp meth CPT 81261 | $339.00 | $565.00 | not published | 0 |
| Igh@ var region somatic mutation analy CPT 81263 | $498.00 | $830.00 | not published | 0 |
| Igk rearrangeabn clonal pop CPT 81264 | $396.00 | $660.00 | not published | 0 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $408.00 | $680.00 | not published | 0 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $477.00 | $795.00 | not published | 0 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $453.00 | $755.00 | not published | 0 |
| Ikbkap gene CPT 81260 | $228.00 | $380.00 | not published | 0 |
| Iliac/fem angio cath insert HCPCS G0278 | $83.40 | $139.00 | not published | 0 |
| Iliac revasc add-on 37222 CPT 37222 | $73,470.29 | $122,450.48 | $173.69 – $177.16 | 4 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $88,689.66 | $147,816.10 | not published | 0 |
| Immob elbow child sm HCPCS L3762 | $1,854.33 | $3,090.55 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $754.94 | $1,258.23 | not published | 0 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $872.34 | $1,453.90 | not published | 0 |
| Immobilizer shldr sling med HCPCS L3660 | $895.63 | $1,492.71 | not published | 0 |
| Immt breast prosthesis 19340 CPT 19340 | $137,046.80 | $228,411.33 | $13,387.58 – $13,387.58 | 3 |
| Immune complex assay CPT 86332 | $126.00 | $210.00 | not published | 0 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $15,400.62 | $25,667.70 | not published | 0 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $93,711.06 | $156,185.10 | not published | 0 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $177.00 | $295.00 | not published | 0 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $177.00 | $295.00 | not published | 0 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $90.60 | $151.00 | not published | 0 |
| Immunodiffusion nes CPT 86329 | $55.80 | $93.00 | not published | 0 |
| Immunofixation electrophoresis serum CPT 86334 | $331.80 | $553.00 | not published | 0 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $211.80 | $353.00 | not published | 0 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $450.60 | $751.00 | not published | 0 |
| Immunoglobulin assay CPT 86023 | $212.40 | $354.00 | not published | 0 |
| Immunology procedure CPT 86849 | $162.60 | $271.00 | not published | 0 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $7,706.38 | $12,843.96 | not published | 0 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $10,116.13 | $16,860.22 | not published | 0 |
| Implant cochlear osia osi300 HCPCS L8690 | $37,746.75 | $62,911.25 | not published | 0 |
| Implant hormone pellet(s) 11980 CPT 11980 | $9,591.48 | $15,985.80 | $433.97 – $442.65 | 4 |
| Implant neuroelectrodes CPT 63655 | $140,336.74 | $233,894.57 | $29,976.87 – $30,576.41 | 4 |
| Implant neuroelectrodes CPT 64555 | $11,467.80 | $19,113.00 | not published | 0 |
| Implant neuroelectrodes CPT 64561 | $72,015.82 | $120,026.37 | $6,191.08 – $6,314.90 | 4 |
| Implant tcat pulm vlv perq CPT 33477 | $16,706.40 | $27,844.00 | not published | 0 |
| Implant ureth bulk agent HCPCS L8606 | $6,190.47 | $10,317.45 | not published | 0 |
| Impl ear abutment ba300 9mm HCPCS L8693 | $11,183.21 | $18,638.69 | not published | 0 |
| Impl neurostim electr perc CPT 63650 | $103,767.01 | $172,945.02 | $6,191.08 – $6,314.90 | 4 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | $177,408.15 | $295,680.25 | $13,387.58 – $13,655.33 | 4 |
| In-111 autol wbc diag per dose HCPCS A9570 | $2,623.20 | $4,372.00 | not published | 0 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $8,840.94 | $14,734.90 | not published | 0 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $5,578.68 | $9,297.80 | not published | 0 |
| Incise thigh tendon & fascia CPT 27305 | $44,408.59 | $74,014.32 | $3,178.60 – $3,242.17 | 4 |
| Incise wrist/forearm tendon CPT 25290 | $44,700.70 | $74,501.17 | $7,049.09 – $7,190.07 | 4 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $34,263.30 | $57,105.50 | $1,604.45 – $1,636.54 | 4 |
| Incision & drainage open of deep abscess (subfascial) pos CPT 22010 | $53,526.58 | $89,210.97 | $7,049.09 – $7,049.09 | 1 |
| Incision of achilles tendon CPT 27605 | $5,588.40 | $9,314.00 | not published | 0 |
| Incision of achilles tendon CPT 27606 | $47,665.58 | $79,442.63 | $3,178.60 – $3,242.17 | 4 |
| Incision of anal sphincter CPT 46080 | $20,951.90 | $34,919.83 | $2,696.43 – $2,696.43 | 3 |
| Incision of breast lesion CPT 19020 | $18,641.64 | $31,069.40 | $1,604.45 – $1,636.54 | 4 |
| Incision of burn scab initi CPT 16035 | $663.00 | $1,105.00 | not published | 0 |
| Incision of eardrum CPT 69421 | $14,059.76 | $23,432.93 | $3,220.82 – $3,285.24 | 4 |
| Incision of fibula CPT 27707 | $66,088.17 | $110,146.95 | $7,049.09 – $7,190.07 | 3 |
| Incision of foot fascia CPT 28008 | $15,728.48 | $26,214.13 | $3,178.60 – $3,178.60 | 1 |
| Incision of foot tendon 28234 CPT 28234 | $32,431.59 | $54,052.65 | $3,178.60 – $3,242.17 | 4 |
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.