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 |
|---|---|---|---|---|
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $30,535.68 | $50,892.80 | not published | 0 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $30,535.68 | $50,892.80 | not published | 0 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | $9,789.60 | $16,316.00 | not published | 0 |
| R&l hrt cath chd nml nt cnj CPT 93596 | $9,789.60 | $16,316.00 | not published | 0 |
| Rmvl ext fixj sys under anes CPT 20694 | $28,143.48 | $46,905.80 | $1,562.09 – $1,593.33 | 4 |
| Rmvl icd by tv extr CPT 33244 | $4,498.20 | $7,497.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $39,956.40 | $66,594.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $48,546.00 | $80,910.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $39,956.40 | $66,594.00 | not published | 0 |
| Rmvl icd pulse gen only CPT 33241 | $4,498.20 | $7,497.00 | not published | 0 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $690.60 | $1,151.00 | not published | 0 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $16,275.60 | $27,126.00 | not published | 0 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $14,267.40 | $23,779.00 | not published | 0 |
| Rmvl pq iabp CPT 33968 | $3,268.20 | $5,447.00 | not published | 0 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $2,870.40 | $4,784.00 | not published | 0 |
| Rmvl subq card rhythm mntr CPT 33286 | $2,224.80 | $3,708.00 | not published | 0 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | $3,271.80 | $5,453.00 | not published | 0 |
| Rmvl tv pm lead dual CPT 33235 | $4,498.20 | $7,497.00 | not published | 0 |
| Rmvl tv pm lead sgl CPT 33234 | $4,498.20 | $7,497.00 | not published | 0 |
| Rocker bottom, contact afo HCPCS L2232 | $264.50 | $440.83 | not published | 0 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $27,252.54 | $45,420.90 | not published | 0 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $88,536.84 | $147,561.40 | not published | 0 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $42,273.06 | $70,455.10 | not published | 0 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $739.98 | $1,233.30 | not published | 0 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $3,638.40 | $6,064.00 | not published | 0 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $2,766.60 | $4,611.00 | not published | 0 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $2,556.60 | $4,261.00 | not published | 0 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $2,901.00 | $4,835.00 | not published | 0 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $4,320.60 | $7,201.00 | not published | 0 |
| Rpl tun-cvad w subq port CPT 36582 | $24,356.00 | $40,593.33 | $3,067.35 – $3,128.70 | 4 |
| Rpl tun-cvad w subq pump CPT 36583 | $12,002.40 | $20,004.00 | not published | 0 |
| Rpl tun cvc wo subq port CPT 36581 | $28,390.67 | $47,317.78 | $3,067.35 – $3,128.70 | 4 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | $80,013.19 | $133,355.32 | $8.61 – $1,001.54 | 4 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | $75,334.33 | $125,557.22 | $6,289.03 – $6,414.81 | 4 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $92,493.25 | $154,155.42 | $5,872.96 – $5,990.42 | 4 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $81,797.59 | $136,329.32 | $6,289.03 – $6,414.81 | 4 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $68,390.78 | $113,984.63 | $3,478.20 – $3,547.76 | 4 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $61,922.67 | $103,204.45 | $5,872.96 – $5,990.42 | 4 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | $76,698.16 | $127,830.27 | $6,289.03 – $6,414.81 | 4 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | $27,396.30 | $45,660.50 | $5,872.96 – $5,990.42 | 4 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | $73,602.79 | $122,671.32 | $3,478.20 – $3,547.76 | 4 |
| Rsv assay w/optic CPT 87807 | $218.40 | $364.00 | not published | 0 |
| Rubella antibody igg CPT 86762 | $100.20 | $167.00 | not published | 0 |
| Rubeola antibody igg CPT 86765 | $135.00 | $225.00 | not published | 0 |
| Russell viper venom diluted CPT 85613 | $130.80 | $218.00 | not published | 0 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $21,841.02 | $36,401.70 | not published | 0 |
| Salmonella antibody CPT 86768 | $55.80 | $93.00 | not published | 0 |
| Sarscov coronavirus ag ia CPT 87426 | $49.20 | $82.00 | not published | 0 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $55.80 | $93.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $3,558.00 | $5,930.00 | not published | 0 |
| Scan proc cranial extra CPT 61782 | $35,287.77 | $58,812.95 | $6,856.00 – $6,856.00 | 2 |
| Scan proc spinal CPT 61783 | $120,550.70 | $200,917.83 | $17,033.32 – $26,886.67 | 4 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $1,659.00 | $2,765.00 | not published | 0 |
| Scope plantar fasciotomy CPT 29893 | $30,278.17 | $50,463.62 | $3,178.60 – $3,242.17 | 4 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $17,665.48 | $29,442.47 | not published | 0 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $134.40 | $224.00 | not published | 0 |
| Screen cerv/vag thin layer HCPCS G0123 | $91.80 | $153.00 | not published | 0 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $12,311.22 | $20,518.70 | $903.41 – $921.48 | 4 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $14,862.66 | $24,771.10 | $903.41 – $921.48 | 4 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $12.00 | $20.00 | not published | 0 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $47.40 | $79.00 | not published | 0 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $84.60 | $141.00 | not published | 0 |
| Screening Mammogram CPT 77067 | $962.40 | $1,604.00 | not published | 0 |
| Screening prostate cancer PSA HCPCS G0103 | $112.80 | $188.00 | not published | 0 |
| Screen pap by tech w md supv HCPCS P3000 | $78.00 | $130.00 | not published | 0 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $325,887.32 | $543,145.54 | not published | 0 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $4,564.20 | $7,607.00 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $58.80 | $98.00 | not published | 0 |
| Semen analysis presence/motility CPT 89321 | $190.80 | $318.00 | not published | 0 |
| Serpina1 gene CPT 81332 | $95.40 | $159.00 | not published | 0 |
| Set radiation therapy field CPT 77280 | $87.60 | $146.00 | not published | 0 |
| Set radiation therapy field CPT 77285 | $2,522.40 | $4,204.00 | not published | 0 |
| Set radiation therapy field CPT 77290 | $2,522.40 | $4,204.00 | not published | 0 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | $19.62 | $32.70 | not published | 0 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | $34.08 | $56.80 | not published | 0 |
| Sewho cap design without jnts cf HCPCS L3961 | $4,163.23 | $6,938.71 | not published | 0 |
| Sgmdsc w/band ligation CPT 45350 | $9,832.84 | $16,388.07 | $1,162.48 – $1,185.73 | 4 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $209.40 | $349.00 | $194.91 – $198.81 | 4 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $15,381.00 | $25,635.00 | $394.91 – $402.81 | 4 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $9,613.56 | $16,022.60 | $194.91 – $198.81 | 4 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $712.80 | $1,188.00 | not published | 0 |
| Sheath below knee HCPCS L8400 | $43.91 | $73.18 | not published | 0 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $10,040.63 | $16,734.39 | not published | 0 |
| Sheath laser cavaclear 14f HCPCS C1603 | $15,083.60 | $25,139.34 | not published | 0 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $58,779.16 | $97,965.27 | $7,049.09 – $7,190.07 | 4 |
| Sho arthrs srg capsulorraphy CPT 29806 | $58,392.89 | $97,321.48 | $7,049.09 – $7,190.07 | 4 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $58,561.10 | $97,601.83 | $3,178.60 – $3,242.17 | 4 |
| Sho arthrs srg lss&rescj ads CPT 29825 | $26,531.79 | $44,219.65 | $3,178.60 – $3,242.17 | 4 |
| Sho arthrs srg rpr slap les CPT 29807 | $62,841.02 | $104,735.03 | $7,049.09 – $7,190.07 | 4 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $59,711.94 | $99,519.90 | $3,178.60 – $3,242.17 | 4 |
| Shoe clubfoot wedge HCPCS L3380 | $135.04 | $225.07 | not published | 0 |
| Shoe dennis browne splint bo HCPCS L3640 | $117.80 | $196.33 | not published | 0 |
| Shoe heel new leather standa HCPCS L3455 | $110.83 | $184.71 | not published | 0 |
| Shoe heel new rubber standar HCPCS L3460 | $93.55 | $155.92 | not published | 0 |
| Shoe heel pad & depress for HCPCS L3480 | $169.65 | $282.75 | not published | 0 |
| Shoe heel sach cushion type HCPCS L3450 | $287.33 | $478.88 | not published | 0 |
| Shoe heel thomas extend to b HCPCS L3470 | $169.65 | $282.75 | not published | 0 |
| Shoe heel thomas with wedge HCPCS L3465 | $159.38 | $265.64 | not published | 0 |
| Shoe lift elev heel/sole neo HCPCS L3310 | $201.60 | $336.00 | not published | 0 |
| Shoe metatarsal bar between HCPCS L3410 | $252.75 | $421.25 | 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.