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 |
|---|---|---|---|---|
| Intro long gi tube w/mult fluo CPT 74340 | $906.60 | $1,511.00 | not published | 0 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $77,493.31 | $129,155.52 | $3,067.35 – $3,128.70 | 4 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $61,720.79 | $102,867.98 | $5,529.10 – $5,639.68 | 4 |
| Intubation endotracheal emergency procedure CPT 31500 | $1,122.00 | $1,870.00 | not published | 0 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $1,334.88 | $2,224.80 | not published | 0 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $1,500.00 | $2,500.00 | not published | 0 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $108,656.64 | $181,094.40 | not published | 0 |
| Ipratropium bromide non-comp HCPCS J7644 | $6.30 | $10.50 | not published | 0 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $151.62 | $252.70 | not published | 0 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $25,381.08 | $42,301.80 | not published | 0 |
| Iron CPT 83540 | $255.00 | $425.00 | not published | 0 |
| Iron binding capacity CPT 83550 | $118.80 | $198.00 | not published | 0 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $149.94 | $249.90 | not published | 0 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $2,425.50 | $4,042.50 | not published | 0 |
| Irradiation of blood product each unit reference CPT 86945 | $286.80 | $478.00 | not published | 0 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $126.60 | $211.00 | not published | 0 |
| Ivc venogram s&i CPT 75825 | $3,442.80 | $5,738.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $183.00 | $305.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $183.00 | $305.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $183.00 | $305.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $1,038.60 | $1,731.00 | not published | 0 |
| IV inj ra drug dx study CPT 78808 | $364.80 | $608.00 | not published | 0 |
| Ivp w/nephrotomography CPT 74415 | $1,863.00 | $3,105.00 | not published | 0 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $1,863.00 | $3,105.00 | not published | 0 |
| Jak2 targeted sequence analysis CPT 81279 | $489.60 | $816.00 | not published | 0 |
| John cunningham antibody CPT 86711 | $948.00 | $1,580.00 | not published | 0 |
| J-tube placement CPT 44015 | $1,375.20 | $2,292.00 | not published | 0 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | $3,000.44 | $5,000.74 | not published | 0 |
| Kafo dbl solid stirrup without j HCPCS L2030 | $2,949.20 | $4,915.33 | not published | 0 |
| Kafo fem fx cast molded to p HCPCS L2128 | $4,416.64 | $7,361.07 | not published | 0 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | $3,137.63 | $5,229.38 | not published | 0 |
| Kafo fem fx cast thermoplas HCPCS L2126 | $3,118.97 | $5,198.28 | not published | 0 |
| Kafo femoral fx cast rigid HCPCS L2136 | $3,433.69 | $5,722.81 | not published | 0 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | $5,531.11 | $9,218.51 | not published | 0 |
| Kafo plas sing free knee mol HCPCS L2037 | $4,515.17 | $7,525.29 | not published | 0 |
| Kafo plastic pediatric size HCPCS L2035 | $471.68 | $786.14 | not published | 0 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | $3,045.83 | $5,076.38 | not published | 0 |
| Kafo sng/dbl mechanical act HCPCS L2005 | $11,156.91 | $18,594.85 | not published | 0 |
| Kafo sng solid stirrup without j HCPCS L2010 | $2,375.72 | $3,959.53 | not published | 0 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $129.60 | $216.00 | not published | 0 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $68.22 | $113.70 | not published | 0 |
| Kidney imaging morphology CPT 78700 | $656.40 | $1,094.00 | not published | 0 |
| Kidney imag w/bld flow multi CPT 78709 | $2,802.60 | $4,671.00 | not published | 0 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $850.80 | $1,418.00 | not published | 0 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $1,674.00 | $2,790.00 | not published | 0 |
| Kit case 4.2mm spinejack HCPCS C1062 | $12,577.22 | $20,962.03 | not published | 0 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $14,192.78 | $23,654.63 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | $624.60 | $1,041.00 | not published | 0 |
| Kit hfx iq ipg bundle HCPCS C1822 | $79,721.14 | $132,868.56 | not published | 0 |
| Kit ipg optimizer smart HCPCS C1824 | $78,513.24 | $130,855.40 | not published | 0 |
| Kit lead specify 5-6-5 HCPCS C1778 | $33,217.14 | $55,361.90 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $2,219.51 | $3,699.18 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $40,998.98 | $68,331.63 | not published | 0 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $36,076.84 | $60,128.06 | not published | 0 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $2,877.81 | $4,796.35 | not published | 0 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $152,843.62 | $254,739.37 | $3,178.60 – $3,242.17 | 4 |
| Knee arthroscopy dx CPT 29870 | $41,213.20 | $68,688.67 | $3,178.60 – $3,178.60 | 3 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $60,417.35 | $100,695.58 | $3,178.60 – $3,242.17 | 4 |
| Knee arthroscopy/surgery CPT 29873 | $29,350.60 | $48,917.67 | $7,049.09 – $7,049.09 | 3 |
| Knee arthroscopy/surgery CPT 29874 | $31,990.92 | $53,318.20 | $3,178.60 – $3,242.17 | 4 |
| Knee arthroscopy/surgery CPT 29875 | $25,370.58 | $42,284.30 | $3,178.60 – $3,242.17 | 4 |
| Knee arthroscopy/surgery CPT 29876 | $52,575.02 | $87,625.03 | $3,178.60 – $3,242.17 | 4 |
| Knee arthroscopy/surgery CPT 29879 | $53,986.65 | $89,977.75 | $3,178.60 – $3,242.17 | 4 |
| Knee arthroscopy/surgery CPT 29880 | $33,554.94 | $55,924.90 | $3,178.60 – $3,242.17 | 4 |
| Knee arthroscopy/surgery CPT 29882 | $40,147.22 | $66,912.03 | $3,178.60 – $3,242.17 | 4 |
| Knee arthroscopy/surgery CPT 29883 | $85,390.82 | $142,318.03 | $3,178.60 – $3,178.60 | 3 |
| Knee arthroscopy/surgery CPT 29884 | $30,473.98 | $50,789.97 | $3,178.60 – $3,242.17 | 4 |
| Knee arthroscopy/surgery CPT 29888 | $79,604.38 | $132,673.97 | $7,049.09 – $7,190.07 | 4 |
| Knee control condylar pad HCPCS L2810 | $222.37 | $370.62 | not published | 0 |
| Knee control full kneecap HCPCS L2795 | $223.28 | $372.13 | not published | 0 |
| Knee disc/dial lock/adj flex HCPCS L2425 | $390.30 | $650.50 | not published | 0 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | $390.30 | $650.50 | not published | 0 |
| Knee joint cam lock each joi HCPCS L2415 | $330.78 | $551.30 | not published | 0 |
| Knee joint drop lock ea jnt HCPCS L2405 | $215.94 | $359.90 | not published | 0 |
| Knee lift loop drop lock rin HCPCS L2492 | $319.34 | $532.23 | not published | 0 |
| Knee orth pos locking joint HCPCS L1831 | $801.32 | $1,335.53 | not published | 0 |
| Knee X-ray CPT 73564 | $657.60 | $1,096.00 | not published | 0 |
| Ko dbl upright w/air pre cst HCPCS L1847 | $1,566.04 | $2,610.06 | not published | 0 |
| Ko dbl upright w/air pre ots HCPCS L1848 | $1,566.04 | $2,610.06 | not published | 0 |
| Ko derot ant cruciate custom HCPCS L1840 | $2,560.47 | $4,267.45 | not published | 0 |
| Ko elastic w/joints pre ots HCPCS L1812 | $219.56 | $365.94 | not published | 0 |
| Ko rigid without joints pre ots HCPCS L1836 | $363.25 | $605.41 | not published | 0 |
| Ko single upright prefab ots HCPCS L1851 | $2,443.00 | $4,071.67 | not published | 0 |
| Ko supracondylar socket mold HCPCS L1860 | $3,395.15 | $5,658.59 | not published | 0 |
| Ko swedish type pre ots HCPCS L1850 | $775.68 | $1,292.80 | not published | 0 |
| Ko w/0 joint rigid molded to HCPCS L1834 | $2,177.23 | $3,628.72 | not published | 0 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | $3,185.68 | $5,309.46 | not published | 0 |
| Kras gene addl variants CPT 81276 | $543.60 | $906.00 | not published | 0 |
| Kras gene variants exon 2 CPT 81275 | $543.60 | $906.00 | not published | 0 |
| Kyphosis pad HCPCS L1020 | $293.40 | $489.00 | not published | 0 |
| Kyphosis pad floating HCPCS L1025 | $423.31 | $705.51 | not published | 0 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $33.00 | $55.00 | not published | 0 |
| Lacer molded to patient mode HCPCS L2330 | $999.65 | $1,666.09 | not published | 0 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $297.48 | $495.80 | not published | 0 |
| Lactate dehydrogenase (ldh) CPT 83615 | $171.60 | $286.00 | not published | 0 |
| Lactated ringers intravenous solution HCPCS J7120 | $66.00 | $110.00 | not published | 0 |
| Lactic acid CPT 83605 | $192.60 | $321.00 | not published | 0 |
| Lactoferrin fecal qualitative CPT 83630 | $91.20 | $152.00 | not published | 0 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | $143,699.35 | $239,498.92 | $26,359.48 – $26,886.67 | 4 |
| Lam facetec & foramot crv CPT 63045 | $59,554.09 | $99,256.82 | $7,049.09 – $7,190.07 | 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.