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 |
|---|---|---|---|---|
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $335.40 | $559.00 | not published | 0 |
| Injection for ureter x-ray CPT 50684 | $287.40 | $479.00 | not published | 0 |
| Injection for ureter x-ray CPT 50690 | $880.80 | $1,468.00 | not published | 0 |
| Injection, fulvestrant HCPCS J9395 | $8,260.38 | $13,767.30 | not published | 0 |
| Injection glatiramer acetate HCPCS J1595 | $3,798.90 | $6,331.50 | not published | 0 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $31,643.82 | $52,739.70 | not published | 0 |
| Injection into brain canal CPT 61055 | $1,675.20 | $2,792.00 | not published | 0 |
| Injection into spinal artery CPT 62294 | $839.40 | $1,399.00 | not published | 0 |
| Injection, isavuconazonium HCPCS J1833 | $7,169.88 | $11,949.80 | not published | 0 |
| Injection jaw joint x-ray CPT 21116 | $251.40 | $419.00 | not published | 0 |
| Injection jugular CPT 36299 | $240.60 | $401.00 | not published | 0 |
| Injection of sinus tract CPT 20500 | $3,827.40 | $6,379.00 | not published | 0 |
| Injection,onabotulinumtoxina HCPCS J0585 | $10,468.08 | $17,446.80 | not published | 0 |
| Injection, peramivir HCPCS J2547 | $570.00 | $950.00 | not published | 0 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $388.20 | $647.00 | not published | 0 |
| Injection, renflexis HCPCS Q5104 | $12,114.54 | $20,190.90 | not published | 0 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $1,513.20 | $2,522.00 | not published | 0 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $3,066.00 | $5,110.00 | not published | 0 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $147,548.20 | $245,913.67 | $685.73 – $699.45 | 4 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $4,476.00 | $7,460.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $2,084.40 | $3,474.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $2,084.40 | $3,474.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $2,084.40 | $3,474.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $2,084.40 | $3,474.00 | not published | 0 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $3,243.60 | $5,406.00 | not published | 0 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $6,815.40 | $11,359.00 | not published | 0 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $859.86 | $1,433.10 | $298.19 – $304.15 | 4 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $704.40 | $1,174.00 | not published | 0 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $19,238.52 | $32,064.20 | $3,144.72 – $3,144.72 | 2 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $470.40 | $784.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $159.00 | $265.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $470.40 | $784.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $234.60 | $391.00 | not published | 0 |
| Injection treatment of nerve CPT 64610 | $22,687.18 | $37,811.97 | $1,896.98 – $1,934.92 | 4 |
| Inject sacroiliac joint CPT 27096 | $2,124.00 | $3,540.00 | not published | 0 |
| Inject/treat eye socket CPT 67500 | $1,396.80 | $2,328.00 | not published | 0 |
| Inj., eravacycline, 1 mg HCPCS J0122 | $1,295.04 | $2,158.40 | not published | 0 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | $2,291.64 | $3,819.40 | not published | 0 |
| Inj for ext venography CPT 36005 | $2,800.80 | $4,668.00 | not published | 0 |
| Inj for mammo ductogram CPT 19030 | $1,679.40 | $2,799.00 | not published | 0 |
| Inj., guselkumab, 1 mg HCPCS J1628 | $211,504.74 | $352,507.90 | not published | 0 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | $39,833.10 | $66,388.50 | not published | 0 |
| Inj herzuma 10 mg HCPCS Q5113 | $21,073.32 | $35,122.20 | not published | 0 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $1,054.80 | $1,758.00 | not published | 0 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $1,179.00 | $1,965.00 | not published | 0 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | $1,179.00 | $1,965.00 | not published | 0 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $52.80 | $88.00 | not published | 0 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $66.00 | $110.00 | not published | 0 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | $140,248.50 | $233,747.50 | not published | 0 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | $1,824.60 | $3,041.00 | not published | 0 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $241.20 | $402.00 | not published | 0 |
| Inj ivig privigen 500 mg HCPCS J1459 | $62,474.04 | $104,123.40 | not published | 0 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | $21,256.20 | $35,427.00 | not published | 0 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | $78,433.32 | $130,722.20 | not published | 0 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | $13,424.16 | $22,373.60 | $1.33 – $1.36 | 4 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $706.80 | $1,178.00 | not published | 0 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $9,597.42 | $15,995.70 | not published | 0 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $425.82 | $709.70 | not published | 0 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $2,626.20 | $4,377.00 | not published | 0 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $13.50 | $22.50 | not published | 0 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $3,230.70 | $5,384.50 | not published | 0 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | $488.40 | $814.00 | not published | 0 |
| Inj moxifloxacin (fres kabi) HCPCS J2281 | $510.60 | $851.00 | not published | 0 |
| Inj. mycophenolate mofetil HCPCS J7519 | $1,318.08 | $2,196.80 | not published | 0 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $2,200.20 | $3,667.00 | not published | 0 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $5,999.40 | $9,999.00 | not published | 0 |
| Inj, nogapendekin pmln, 1mcg HCPCS J9028 | $107,400.00 | $179,000.00 | not published | 0 |
| Inj ogivri 10 mg HCPCS Q5114 | $22,365.48 | $37,275.80 | not published | 0 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | $72.18 | $120.30 | not published | 0 |
| Inj peritoneal venous shunt CPT 49427 | $208.20 | $347.00 | not published | 0 |
| Inj., perseris, 0.5 mg HCPCS J2798 | $0.06 | $0.10 | not published | 0 |
| Inj proc ankle arthr CPT 27648 | $3,165.60 | $5,276.00 | not published | 0 |
| Inj proc elbow arthro CPT 24220 | $5,394.60 | $8,991.00 | not published | 0 |
| Inj proc for lymphang CPT 38790 | $468.00 | $780.00 | not published | 0 |
| Inj proc lumbr disk ea lvl CPT 62290 | $4,629.60 | $7,716.00 | not published | 0 |
| Inj proc myelogram lumbar CPT 62284 | $508.20 | $847.00 | not published | 0 |
| Inj proc sialogram CPT 42550 | $6,529.80 | $10,883.00 | not published | 0 |
| Inj progesterone per 50 mg HCPCS J2675 | $7.50 | $12.50 | not published | 0 |
| Inj prohance multipack HCPCS A9576 | $730.80 | $1,218.00 | not published | 0 |
| Inj, releuko 1 mcg HCPCS Q5125 | $4,075.50 | $6,792.50 | not published | 0 |
| Inj retro urethrocysto CPT 51610 | $16,172.46 | $26,954.10 | $677.39 – $690.94 | 4 |
| Inj scleros sol mult veins CPT 36471 | $34,377.25 | $57,295.42 | $3,067.35 – $3,128.70 | 4 |
| Inj scleros sol sgl vein CPT 36470 | $628.80 | $1,048.00 | not published | 0 |
| Inj secretin synthetic human HCPCS J2850 | $5,830.02 | $9,716.70 | not published | 0 |
| Inj secukinumab intrav 1mg HCPCS J3247 | $61,355.10 | $102,258.50 | not published | 0 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | $164,071.44 | $273,452.40 | not published | 0 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | $2,472.54 | $4,120.90 | not published | 0 |
| Inj testosterone cypionate HCPCS J1071 | $79.86 | $133.10 | not published | 0 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | $2,744.40 | $4,574.00 | not published | 0 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | $2,084.40 | $3,474.00 | not published | 0 |
| Inj. tigecycline (accord) HCPCS J3244 | $1,110.00 | $1,850.00 | not published | 0 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $31,491.12 | $52,485.20 | not published | 0 |
| Inj, uzedy, 1 mg HCPCS J2799 | $0.06 | $0.10 | not published | 0 |
| Inj vancomycin (xellia) 10mg HCPCS J3375 | $210.90 | $351.50 | not published | 0 |
| Inj vocal cord bulking agent HCPCS L8607 | $2,219.51 | $3,699.18 | not published | 0 |
| Inj w/fluor eval cv device CPT 36598 | $274.20 | $457.00 | not published | 0 |
| Ins cath ren art 1st bi CPT 36252 | $9,421.80 | $15,703.00 | not published | 0 |
| Ins cath ren art 1st uni CPT 36251 | $201,409.49 | $335,682.48 | $5,405.65 – $5,405.65 | 3 |
| Ins cath ren art 2nd+ bi CPT 36254 | $8,245.80 | $13,743.00 | not published | 0 |
| Ins cath ren art 2nd+ uni CPT 36253 | $8,924.40 | $14,874.00 | 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.