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 |
|---|---|---|---|---|
| Shoe metatarsal bar wedge ro HCPCS L3400 | $110.83 | $184.71 | not published | 0 |
| Shoe outflare wedge HCPCS L3390 | $135.04 | $225.07 | not published | 0 |
| Shoe post-op mens m HCPCS L3260 | $332.17 | $553.62 | not published | 0 |
| Shoe sole wedge between sole HCPCS L3370 | $135.04 | $225.07 | not published | 0 |
| Shoe sole wedge outside sole HCPCS L3360 | $96.94 | $161.56 | not published | 0 |
| Shoe wedge sach HCPCS L3340 | $232.07 | $386.78 | not published | 0 |
| Sho heel count plast reinfor HCPCS L3430 | $436.32 | $727.20 | not published | 0 |
| Sho insert w arch toe filler HCPCS L5000 | $1,408.92 | $2,348.20 | not published | 0 |
| Sho lift taper to metatarsal HCPCS L3300 | $141.99 | $236.65 | not published | 0 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $63,880.63 | $106,467.72 | $7,049.09 – $7,190.07 | 4 |
| Shoulder X-ray CPT 73030 | $657.60 | $1,096.00 | not published | 0 |
| Shrinker prosth above knee HCPCS L8460 | $229.93 | $383.21 | not published | 0 |
| Shrinker prosth below knee HCPCS L8440 | $161.74 | $269.56 | not published | 0 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $8,757.25 | $14,595.41 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $990.60 | $1,651.00 | not published | 0 |
| Sialography s&i CPT 70390 | $1,208.40 | $2,014.00 | not published | 0 |
| Sickling rbc CPT 85660 | $112.80 | $188.00 | not published | 0 |
| Sigmoidoscopy and biopsy CPT 45331 | $17,425.50 | $29,042.50 | $903.41 – $921.48 | 4 |
| Sigmoidoscopy for bleeding CPT 45334 | $5,187.83 | $8,646.38 | $1,162.48 – $1,185.73 | 3 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $10,570.56 | $17,617.60 | $903.41 – $921.48 | 4 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $16,558.15 | $27,596.92 | $1,162.48 – $1,185.73 | 4 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $17,919.42 | $29,865.70 | $903.41 – $921.48 | 4 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $2,371.86 | $3,953.10 | not published | 0 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,933.40 | $4,889.00 | not published | 0 |
| Sinus CT scan (with contrast) CPT 70487 | $3,558.60 | $5,931.00 | not published | 0 |
| Sinus CT scan (without contrast) CPT 70486 | $2,218.80 | $3,698.00 | not published | 0 |
| Sinus/juglr venogram s&i CPT 75860 | $3,802.80 | $6,338.00 | not published | 0 |
| Sio flex pelvisacral custom HCPCS L0622 | $727.73 | $1,212.88 | not published | 0 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | $481.86 | $803.10 | not published | 0 |
| Sipuleucel-t - su HCPCS Q2043 | $187,807.50 | $313,012.50 | not published | 0 |
| Sirolimus, oral HCPCS J7520 | $126.36 | $210.60 | not published | 0 |
| Skin Biopsy CPT 11102 | $35,709.30 | $59,515.50 | $394.91 – $402.81 | 4 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | $51,652.87 | $86,088.12 | $120.89 – $123.31 | 3 |
| Sleeve fing rolyan med HCPCS L3933 | $528.73 | $881.21 | not published | 0 |
| Sling pelv split sam med HCPCS L0621 | $234.76 | $391.26 | not published | 0 |
| Sling suprapubic suburetheral HCPCS C1771 | $20,532.06 | $34,220.10 | not published | 0 |
| Slp eval non-spch gen comm dev CPT 92605 | $839.40 | $1,399.00 | not published | 0 |
| Slp ther svc non-spch gen CPT 92606 | $294.00 | $490.00 | not published | 0 |
| Small bowel endoscopy CPT 44360 | $7,961.34 | $13,268.90 | $1,864.13 – $1,901.42 | 4 |
| Small bowel endoscopy CPT 44382 | $7,768.92 | $12,948.20 | $881.10 – $898.72 | 4 |
| Small bowel endoscopy/biopsy CPT 44361 | $13,075.13 | $21,791.88 | $1,864.13 – $1,864.13 | 3 |
| Small bowel endoscopy br/wa CPT 44380 | $17,670.09 | $29,450.15 | $881.10 – $898.72 | 4 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $144.00 | $240.00 | not published | 0 |
| Smear gram stain CPT 87205 | $115.20 | $192.00 | not published | 0 |
| Smear nasal eosinophil CPT 89190 | $112.80 | $188.00 | not published | 0 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $102.60 | $171.00 | not published | 0 |
| Smear wet mount CPT 87210 | $102.60 | $171.00 | not published | 0 |
| Smpd1 gene common variants CPT 81330 | $145.20 | $242.00 | not published | 0 |
| Snrpn/ube3a gene CPT 81331 | $247.20 | $412.00 | not published | 0 |
| So airplane w/wo joint cf HCPCS L3674 | $2,928.97 | $4,881.61 | not published | 0 |
| So cap design without jnts cf HCPCS L3671 | $2,232.74 | $3,721.23 | not published | 0 |
| Socket insert without lock mech HCPCS L5679 | $1,479.88 | $2,466.47 | not published | 0 |
| Sock fracture or equal each HCPCS L3995 | $82.80 | $138.00 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $133.20 | $222.00 | not published | 0 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $66.00 | $110.00 | not published | 0 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $88.20 | $147.00 | not published | 0 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $138.60 | $231.00 | not published | 0 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $483.96 | $806.60 | not published | 0 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $578.16 | $963.60 | not published | 0 |
| Sodium serum/plasma/whole blood CPT 84295 | $128.40 | $214.00 | not published | 0 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $33.78 | $56.30 | not published | 0 |
| Soft interface below knee se HCPCS L2820 | $206.07 | $343.45 | not published | 0 |
| So vest canvas/web pre ots HCPCS L3675 | $434.93 | $724.89 | not published | 0 |
| Sp bone algrft morsel add-on CPT 20930 | $104,060.59 | $173,434.32 | $12,472.20 – $12,721.65 | 4 |
| Special physics consult CPT 77370 | $1,096.80 | $1,828.00 | not published | 0 |
| Special radiation dosimetry CPT 77331 | $1,096.80 | $1,828.00 | not published | 0 |
| Special radiation treatment CPT 77470 | $381.60 | $636.00 | not published | 0 |
| Special teletx port plan CPT 77321 | $2,522.40 | $4,204.00 | not published | 0 |
| Specific gravity body fluid CPT 84315 | $67.80 | $113.00 | not published | 0 |
| Sperm antibody test CPT 89325 | $95.40 | $159.00 | not published | 0 |
| Spinal bone allograftstructural 20931 CPT 20931 | $69,423.67 | $115,706.12 | $12,472.20 – $12,472.20 | 2 |
| Spinal bone autograftlocal 20936 CPT 20936 | $106,952.75 | $178,254.58 | $26,359.48 – $26,886.67 | 3 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $3,142.20 | $5,237.00 | not published | 0 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $697.20 | $1,162.00 | not published | 0 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $1,255.73 | $2,092.88 | not published | 0 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $162.76 | $271.27 | not published | 0 |
| Splint finger fold over sm HCPCS L3924 | $239.35 | $398.91 | not published | 0 |
| Splint finger frog med HCPCS L3927 | $243.57 | $405.95 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $239.35 | $398.91 | not published | 0 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $20,143.98 | $33,573.30 | $3,442.57 – $3,511.42 | 4 |
| Sputum specimen collection CPT 89220 | $132.60 | $221.00 | not published | 0 |
| Srs linear based CPT 77372 | $16,900.20 | $28,167.00 | not published | 0 |
| Srs multisource CPT 77371 | $14,880.60 | $24,801.00 | not published | 0 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $1,482.60 | $2,471.00 | not published | 0 |
| Staph a dna amp probe CPT 87640 | $156.00 | $260.00 | not published | 0 |
| Static or dynami afo pre ots HCPCS L4397 | $754.94 | $1,258.23 | not published | 0 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $90,876.77 | $151,461.28 | $667.72 – $667.72 | 3 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $54,472.18 | $90,786.97 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $43,786.23 | $72,977.05 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $47,560.91 | $79,268.18 | not published | 0 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $1,056.91 | $1,761.52 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $92,315.63 | $153,859.38 | $460.24 – $469.44 | 4 |
| Stent placemt retro carotid CPT 37217 | $19,841.40 | $33,069.00 | not published | 0 |
| Sterile water/saline, 10 ml HCPCS A4216 | $63.00 | $105.00 | not published | 0 |
| Sternal pad HCPCS L1050 | $273.20 | $455.33 | not published | 0 |
| St evaluate speech sound production CPT 92522 | $1,233.00 | $2,055.00 | not published | 0 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $1,482.60 | $2,471.00 | not published | 0 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $1,432.20 | $2,387.00 | not published | 0 |
| St evaluation swallow function CPT 92610 | $1,192.20 | $1,987.00 | not published | 0 |
| Stimulants synthetic CPT 80371 | $145.20 | $242.00 | 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.