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 |
|---|---|---|---|---|
| One-way allow prorated trip HCPCS P9604 | $8.40 | $14.00 | not published | 0 |
| Open bx/exc inguinofem nodes CPT 38531 | $29,819.66 | $49,699.43 | $3,803.67 – $3,879.74 | 4 |
| Open periprosthetic breast capsule 19370 CPT 19370 | $73,184.41 | $121,974.02 | $7,049.09 – $7,940.08 | 4 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | $35,443.63 | $59,072.72 | $3,178.60 – $3,242.17 | 4 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | $52,677.42 | $87,795.70 | $5,405.65 – $5,513.76 | 4 |
| Opn ax/subcla art expos CPT 34715 | $718.20 | $1,197.00 | not published | 0 |
| Opn impltj crnl nrv nea&pg CPT 64568 | $174,703.22 | $291,172.03 | $42,789.18 – $43,644.96 | 4 |
| Opn impltj nea sacral nerve CPT 64581 | $77,613.16 | $129,355.27 | $18,846.34 – $19,223.27 | 4 |
| Opn tx complx malar fx CPT 21365 | $49,156.93 | $81,928.22 | $5,750.85 – $5,865.87 | 4 |
| Opn tx nasomax fx w/fixj CPT 21346 | $51,769.65 | $86,282.75 | $5,750.85 – $5,750.85 | 2 |
| Opn tx orbit fx w/implant CPT 21407 | $25,937.38 | $43,228.97 | $5,750.85 – $5,865.87 | 4 |
| Opn tx orbit periorbtl implt CPT 21390 | $36,654.30 | $61,090.50 | $5,750.85 – $5,865.87 | 4 |
| Optx carpl scphd fx int fixj CPT 25628 | $44,491.97 | $74,153.28 | $7,049.09 – $7,190.07 | 4 |
| Optx clavicular fx w/int fix CPT 23515 | $56,008.38 | $93,347.30 | $7,049.09 – $7,190.07 | 4 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | $40,852.60 | $68,087.67 | $7,049.09 – $7,190.07 | 4 |
| Optx medial ankle fx CPT 27766 | $93,700.18 | $156,166.97 | $7,049.09 – $7,190.07 | 4 |
| Optx palatal/max fracture CPT 21422 | $51,769.65 | $86,282.75 | $5,750.85 – $5,865.87 | 3 |
| Optx prox humrl fx w/int fix CPT 23615 | $99,870.65 | $166,451.08 | $12,472.20 – $12,721.65 | 4 |
| Optx radial shaft fracture CPT 25515 | $29,629.64 | $49,382.73 | $7,049.09 – $7,190.07 | 4 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | $31,269.10 | $52,115.17 | $7,049.09 – $7,190.07 | 4 |
| Optx ulnar shft fx int fixj CPT 25545 | $76,470.75 | $127,451.25 | $7,049.09 – $7,190.07 | 4 |
| Oral aprepitant HCPCS J8501 | $1,230.60 | $2,051.00 | not published | 0 |
| Oral everolimus HCPCS J7527 | $157.92 | $263.20 | not published | 0 |
| Orchiopexy ingun/scrot appr CPT 54640 | $26,378.10 | $43,963.50 | $3,478.20 – $3,547.76 | 4 |
| Organic acids total quant ea spec CPT 83918 | $155.40 | $259.00 | not published | 0 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $10,238.40 | $17,064.00 | not published | 0 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $283.62 | $472.70 | not published | 0 |
| Ortho dvc repair per 15 min HCPCS L4205 | $679.44 | $1,132.40 | not published | 0 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $715.53 | $1,192.55 | not published | 0 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $1,688.03 | $2,813.39 | not published | 0 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | $3,177.31 | $5,295.52 | not published | 0 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $671.08 | $1,118.46 | not published | 0 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $795.94 | $1,326.57 | not published | 0 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $261.66 | $436.10 | not published | 0 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $671.08 | $1,118.46 | not published | 0 |
| Orthopantogram CPT 70355 | $574.80 | $958.00 | not published | 0 |
| Orthopedic shoe add rub insl HCPCS L3510 | $79.60 | $132.67 | not published | 0 |
| Ortho shoe add leather insol HCPCS L3500 | $79.60 | $132.67 | not published | 0 |
| Ortho shoe add march bar HCPCS L3595 | $114.20 | $190.34 | not published | 0 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $1,503.83 | $2,506.38 | not published | 0 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $882.67 | $1,471.12 | not published | 0 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $2,457.28 | $4,095.47 | not published | 0 |
| Oscillation chest wall mechanical per session CPT 94669 | $209.40 | $349.00 | not published | 0 |
| O shoe add horseshoe toe tap HCPCS L3560 | $62.27 | $103.78 | not published | 0 |
| O shoe add instep extension HCPCS L3570 | $232.07 | $386.78 | not published | 0 |
| O shoe add instep velcro clo HCPCS L3580 | $176.59 | $294.32 | not published | 0 |
| O shoe add standard toe tap HCPCS L3550 | $24.34 | $40.57 | not published | 0 |
| O shoe convert to sof counte HCPCS L3590 | $145.46 | $242.43 | not published | 0 |
| Osmolality blood CPT 83930 | $176.40 | $294.00 | not published | 0 |
| Osmolality urine CPT 83935 | $192.60 | $321.00 | not published | 0 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $49.80 | $83.00 | not published | 0 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | $16.80 | $28.00 | not published | 0 |
| Ot evaluation high complexity patient/family CPT 97167 | $498.00 | $830.00 | not published | 0 |
| Ot evaluation low complexity patient/family CPT 97165 | $367.20 | $612.00 | not published | 0 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $432.60 | $721.00 | not published | 0 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $159.00 | $265.00 | not published | 0 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $183.00 | $305.00 | not published | 0 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $150.00 | $250.00 | not published | 0 |
| Ot re-evaluation patient/family CPT 97168 | $229.20 | $382.00 | not published | 0 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $174.00 | $290.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $193.80 | $323.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $193.80 | $323.00 | not published | 0 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $227.40 | $379.00 | not published | 0 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $170.40 | $284.00 | not published | 0 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $115.80 | $193.00 | not published | 0 |
| Outrigger HCPCS L1080 | $142.47 | $237.45 | not published | 0 |
| Outrigger bil with vert extens HCPCS L1085 | $476.91 | $794.85 | not published | 0 |
| Ovarian cystectomy 58925 CPT 58925 | $41,793.15 | $69,655.25 | $4,859.66 – $4,956.85 | 4 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $455.64 | $759.40 | not published | 0 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $232.32 | $387.20 | not published | 0 |
| Pabpn1 gene detc abnor allel CPT 81312 | $417.60 | $696.00 | not published | 0 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $75,342.52 | $125,570.86 | not published | 0 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $852.00 | $1,420.00 | not published | 0 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $13,462.14 | $22,436.90 | not published | 0 |
| Palb2 gene full gene seq CPT 81307 | $895.20 | $1,492.00 | not published | 0 |
| Palingen or palingen xplus HCPCS Q4173 | $17,544.69 | $29,241.15 | not published | 0 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $57,391.98 | $95,653.30 | not published | 0 |
| Palonosetron hcl HCPCS J2469 | $198.48 | $330.80 | not published | 0 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $490.86 | $818.10 | not published | 0 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $61,741.08 | $102,901.80 | not published | 0 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $109.08 | $181.80 | not published | 0 |
| Papaverin hcl injection HCPCS J2440 | $295.44 | $492.40 | not published | 0 |
| Parathormone (pth) intact CPT 83970 | $239.40 | $399.00 | not published | 0 |
| Parathyrd planar w/spect&ct CPT 78072 | $2,481.60 | $4,136.00 | not published | 0 |
| Parathyroid planar imaging CPT 78070 | $2,143.20 | $3,572.00 | not published | 0 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,917.00 | $3,195.00 | not published | 0 |
| Paricalcitol HCPCS J2501 | $275.46 | $459.10 | not published | 0 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $227.40 | $379.00 | not published | 0 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | $9,232.02 | $15,386.70 | $3,144.72 – $3,144.72 | 3 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $48,450.76 | $80,751.27 | $3,178.60 – $3,242.17 | 4 |
| Partial removal finger bone CPT 26236 | $3,310.20 | $5,517.00 | not published | 0 |
| Partial removal foot fascia CPT 28060 | $35,746.97 | $59,578.28 | $3,178.60 – $3,242.17 | 4 |
| Partial removal leg bone(s) CPT 27360 | $76,190.47 | $126,984.12 | $3,178.60 – $12,721.65 | 4 |
| Partial removal of fibula CPT 27641 | $52,849.76 | $88,082.93 | $3,178.60 – $3,242.17 | 4 |
| Partial removal of foot bone CPT 28288 | $22,553.62 | $37,589.37 | $3,178.60 – $3,242.17 | 4 |
| Partial removal of thyroid CPT 60220 | $47,251.43 | $78,752.38 | $5,872.96 – $5,990.42 | 4 |
| Partial removal of tibia CPT 27640 | $52,849.76 | $88,082.93 | $7,049.09 – $7,190.07 | 4 |
| Partial removal of toe CPT 28160 | $29,219.19 | $48,698.65 | $7,049.09 – $7,190.07 | 4 |
| Partial removal of ulna CPT 25240 | $22,106.58 | $36,844.30 | $3,178.60 – $3,242.17 | 4 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $13,226.46 | $22,044.10 | 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.