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 |
|---|---|---|---|---|
| Stocking sup grips 4 pre ots HCPCS L0982 | $42.58 | $70.96 | not published | 0 |
| Straight knee joint heavy du HCPCS L2385 | $400.09 | $666.81 | not published | 0 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $631.20 | $1,052.00 | not published | 0 |
| Strapping of elbow or wrist 29260 CPT 29260 | $655.20 | $1,092.00 | not published | 0 |
| Strapping of hand or finger CPT 29280 | $655.20 | $1,092.00 | not published | 0 |
| Strapping of knee CPT 29530 | $655.20 | $1,092.00 | not published | 0 |
| Strapping of toes 29550 CPT 29550 | $103.20 | $172.00 | not published | 0 |
| Strep a ag ia CPT 87430 | $27.60 | $46.00 | not published | 0 |
| Strep b dna amp probe CPT 87653 | $156.00 | $260.00 | not published | 0 |
| Streptomycin injection HCPCS J3000 | $832.50 | $1,387.50 | not published | 0 |
| Str markers specimen anal CPT 81265 | $297.00 | $495.00 | not published | 0 |
| St treatment speech individual CPT 92507 | $348.60 | $581.00 | not published | 0 |
| St treatment swallow dysfunction/oral CPT 92526 | $934.20 | $1,557.00 | not published | 0 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $14.70 | $24.50 | not published | 0 |
| Suction lipectomy head&neck CPT 15876 | $106,814.46 | $178,024.10 | $3,442.57 – $3,511.42 | 4 |
| Suction lipectomy lwr extrem CPT 15879 | $179,123.72 | $298,539.53 | $2,821.80 – $6,450.62 | 4 |
| Suction lipectomy trunk CPT 15877 | $179,123.72 | $298,539.53 | $3,442.57 – $6,450.62 | 4 |
| Suction lipectomy upr extrem CPT 15878 | $51,738.96 | $86,231.60 | $2,004.38 – $2,044.47 | 3 |
| Sugars single quant CPT 84378 | $261.60 | $436.00 | not published | 0 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $35,464.50 | $59,107.50 | not published | 0 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $683.94 | $1,139.90 | not published | 0 |
| Support clav 29.6-40.5in med HCPCS L3650 | $689.38 | $1,148.96 | not published | 0 |
| Supprelin la implant HCPCS J9226 | $150,544.86 | $250,908.10 | not published | 0 |
| Surg dx exam anorectal CPT 45990 | $23,377.64 | $38,962.73 | $2,696.43 – $2,750.36 | 3 |
| Surgical pathology level 1 gross examination only CPT 88300 | $276.00 | $460.00 | not published | 0 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $406.20 | $677.00 | not published | 0 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $600.00 | $1,000.00 | not published | 0 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $517.80 | $863.00 | not published | 0 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $654.00 | $1,090.00 | not published | 0 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,348.20 | $2,247.00 | not published | 0 |
| Susceptibility agar dilution per agent CPT 87181 | $54.00 | $90.00 | not published | 0 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $54.00 | $90.00 | not published | 0 |
| Susceptibility mic per plate CPT 87186 | $154.80 | $258.00 | not published | 0 |
| Suscept studies macrobroth dilution ea CPT 87188 | $87.60 | $146.00 | not published | 0 |
| Suspension of uterus 58400 CPT 58400 | $29,702.40 | $49,504.00 | $4,859.66 – $4,859.66 | 3 |
| Suspension sleeve lower ext HCPCS L2397 | $289.26 | $482.10 | not published | 0 |
| Svc venogram s&i CPT 75827 | $3,442.80 | $5,738.00 | not published | 0 |
| Synvisc or synvisc-one HCPCS J7325 | $21,941.34 | $36,568.90 | not published | 0 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $126.60 | $211.00 | not published | 0 |
| System cardiomems hosp electronics HCPCS C2624 | $57,375.06 | $95,625.10 | not published | 0 |
| System pacing micra av HCPCS C1786 | $50,429.66 | $84,049.43 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $24,366.28 | $40,610.47 | not published | 0 |
| System recell skin grafting/harvesting HCPCS C1832 | $20,760.71 | $34,601.19 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $208.80 | $348.00 | not published | 0 |
| T3 (triiodothyronine) total CPT 84480 | $251.40 | $419.00 | not published | 0 |
| T4 (thyroxine) free CPT 84439 | $190.80 | $318.00 | not published | 0 |
| T4 (thyroxine) total CPT 84436 | $156.00 | $260.00 | not published | 0 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $25.50 | $42.50 | not published | 0 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $27.90 | $46.50 | not published | 0 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $4,636.44 | $7,727.40 | not published | 0 |
| Tacrolimus therapeutic drug level CPT 80197 | $155.40 | $259.00 | not published | 0 |
| Talymed HCPCS Q4127 | $3,925.66 | $6,542.77 | not published | 0 |
| Tap block bilat cont infusion 64489 CPT 64489 | $2,626.20 | $4,377.00 | not published | 0 |
| Tap block uni by cont infusion 64487 CPT 64487 | $1,372.20 | $2,287.00 | not published | 0 |
| Target gsa panel hmtlmph neop CPT 81450 | $3,175.20 | $5,292.00 | not published | 0 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $2,331.60 | $3,886.00 | not published | 0 |
| Target gsa panel organ neop CPT 81445 | $477.60 | $796.00 | not published | 0 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $127,800.00 | $213,000.00 | not published | 0 |
| Tavr perq femoral CPT 33361 | $9,874.20 | $16,457.00 | not published | 0 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $6,406.20 | $10,677.00 | not published | 0 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $136.20 | $227.00 | not published | 0 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $249.00 | $415.00 | not published | 0 |
| Tc-99m bicisate HCPCS A9557 | $1,550.40 | $2,584.00 | not published | 0 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $5,141.94 | $8,569.90 | not published | 0 |
| Tc-99m mebrofenin HCPCS A9537 | $231.00 | $385.00 | not published | 0 |
| Tc-99m medronate HCPCS A9503 | $115.20 | $192.00 | not published | 0 |
| Tc-99m mertiatide HCPCS A9562 | $831.00 | $1,385.00 | not published | 0 |
| Tc-99m pentetate dtpa HCPCS A9539 | $126.00 | $210.00 | not published | 0 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $928.08 | $1,546.80 | not published | 0 |
| Tc-99m sulfur colloid HCPCS A9541 | $963.00 | $1,605.00 | not published | 0 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $10,233.30 | $17,055.50 | not published | 0 |
| Tc-99m tilmanocept diag HCPCS A9520 | $1,122.48 | $1,870.80 | not published | 0 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $291.00 | $485.00 | not published | 0 |
| T cells absolute cd 4 count CPT 86361 | $126.00 | $210.00 | not published | 0 |
| T cells total count CPT 86359 | $175.20 | $292.00 | not published | 0 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | $10,984.80 | $18,308.00 | not published | 0 |
| Telethx isodose plan cplx CPT 77307 | $241.80 | $403.00 | not published | 0 |
| Telethx isodose plan simple CPT 77306 | $594.00 | $990.00 | not published | 0 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $8,546.52 | $14,244.20 | not published | 0 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $17,042.76 | $28,404.60 | not published | 0 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $133,419.96 | $222,366.60 | not published | 0 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | $10,225.92 | $17,043.20 | $3,178.60 – $3,242.17 | 4 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $77,892.76 | $129,821.27 | $3,178.60 – $3,242.17 | 4 |
| Tension based scoliosis orth HCPCS L1005 | $8,714.42 | $14,524.04 | not published | 0 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $89.58 | $149.30 | not published | 0 |
| Test for chlorohydrocarbons CPT 82441 | $303.00 | $505.00 | not published | 0 |
| Testicular imaging w/vasc flow CPT 78761 | $2,562.00 | $4,270.00 | not published | 0 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $66.00 | $110.00 | not published | 0 |
| Test socket below knee HCPCS L5620 | $702.76 | $1,171.26 | not published | 0 |
| Tetanus immune globulin inj HCPCS J1670 | $10,438.68 | $17,397.80 | not published | 0 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $70,252.92 | $117,088.20 | not published | 0 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $3,314.40 | $5,524.00 | not published | 0 |
| Theophylline therapeutic drug level CPT 80198 | $226.20 | $377.00 | not published | 0 |
| Ther fx nasal inf turbinate CPT 30930 | $49,058.89 | $81,764.82 | $3,220.82 – $3,285.24 | 4 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $997.80 | $1,663.00 | not published | 0 |
| Ther/proph/diag inj ia CPT 96373 | $246.00 | $410.00 | not published | 0 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $45.24 | $75.40 | not published | 0 |
| Thigh/wght bear high roll cu HCPCS L2550 | $926.39 | $1,543.99 | not published | 0 |
| Thigh/wght bear lacer molded HCPCS L2540 | $1,235.59 | $2,059.31 | not published | 0 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | $652.96 | $1,088.26 | 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.