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 |
|---|---|---|---|---|
| Tx tarsal bone fx without manip 28450 CPT 28450 | $218.40 | $364.00 | not published | 0 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $178,648.86 | $297,748.10 | not published | 0 |
| Ugt1a1 gene analy common variants CPT 81350 | $701.40 | $1,169.00 | not published | 0 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $486.00 | $810.00 | not published | 0 |
| Ultrasound bone density measure CPT 76977 | $600.60 | $1,001.00 | not published | 0 |
| Ultrasound breast complete CPT 76641 | $128.40 | $214.00 | not published | 0 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $1,234.80 | $2,058.00 | not published | 0 |
| Ultrasound chest CPT 76604 | $1,320.60 | $2,201.00 | not published | 0 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $1,646.40 | $2,744.00 | not published | 0 |
| Ultrasound dx ophth b-scan CPT 76512 | $185.40 | $309.00 | not published | 0 |
| Ultrasound elastography ea l target les CPT 76983 | $700.80 | $1,168.00 | not published | 0 |
| Ultrasound elastography parenchyma CPT 76981 | $921.60 | $1,536.00 | not published | 0 |
| Ultrasound encephalogram CPT 76506 | $880.80 | $1,468.00 | not published | 0 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $1,125.60 | $1,876.00 | not published | 0 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $214.20 | $357.00 | not published | 0 |
| Ultrasound guidance for vascular access CPT 76937 | $1,345.80 | $2,243.00 | not published | 0 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $2,637.60 | $4,396.00 | not published | 0 |
| Ultrasound guide intraoperative CPT 76998 | $600.60 | $1,001.00 | not published | 0 |
| Ultrasound guide tissue ablation CPT 76940 | $385.80 | $643.00 | not published | 0 |
| Ultrasound hips infant dynamic CPT 76885 | $909.00 | $1,515.00 | not published | 0 |
| Ultrasound infant hips ltd without stress CPT 76886 | $196.20 | $327.00 | not published | 0 |
| Ultrasound joint complete left CPT 76881 | $745.80 | $1,243.00 | not published | 0 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $1,081.20 | $1,802.00 | not published | 0 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $168.00 | $280.00 | not published | 0 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $73.20 | $122.00 | not published | 0 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $267.60 | $446.00 | not published | 0 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $129.60 | $216.00 | not published | 0 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $577.80 | $963.00 | not published | 0 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $577.80 | $963.00 | not published | 0 |
| Ultrasound prostate/transrectal CPT 76872 | $1,129.20 | $1,882.00 | not published | 0 |
| Ultrasound retroperitoneal limited CPT 76775 | $1,724.40 | $2,874.00 | not published | 0 |
| Ultrasound scrotum and contents CPT 76870 | $921.60 | $1,536.00 | not published | 0 |
| Ultrasound spinal canal and contents CPT 76800 | $2,118.00 | $3,530.00 | not published | 0 |
| Ultrasound transabd ea addl gest CPT 76812 | $168.00 | $280.00 | not published | 0 |
| Ultrasound transvaginal non obstetric CPT 76830 | $1,409.40 | $2,349.00 | not published | 0 |
| Umbilicoplasty 15847 CPT 15847 | $179,123.72 | $298,539.53 | $6,450.62 – $6,579.64 | 3 |
| Unlisted chemotherapy px CPT 96549 | $389.40 | $649.00 | not published | 0 |
| Unlisted dx gi procedure CPT 91299 | $1,137.60 | $1,896.00 | $125.00 – $127.50 | 4 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | $86,953.75 | $144,922.92 | $5,872.96 – $5,872.96 | 3 |
| Unlisted laps px ureter CPT 50949 | $94,711.65 | $157,852.75 | $5,872.96 – $5,990.42 | 4 |
| Unlisted misc path test CPT 89240 | $44.40 | $74.00 | not published | 0 |
| Unlisted procedure eyelids CPT 67999 | $45,693.06 | $76,155.10 | $308.34 – $314.51 | 4 |
| Unlisted procedure microbiology CPT 87999 | $206.40 | $344.00 | not published | 0 |
| Unlisted procedure pancreas CPT 48999 | $8,642.22 | $14,403.70 | $687.92 – $701.68 | 4 |
| Unlisted procedure spine CPT 22899 | $1,179.60 | $1,966.00 | not published | 0 |
| Unlisted px abdomen muscskel CPT 22999 | $26,924.51 | $44,874.18 | $239.63 – $244.42 | 4 |
| Unlisted px arthroscopy CPT 29999 | $54,839.54 | $91,399.23 | $239.63 – $244.42 | 4 |
| Unlisted px foot/toes CPT 28899 | $35,639.63 | $59,399.38 | $239.63 – $244.42 | 4 |
| Unlisted px hands/fingers CPT 26989 | $378.00 | $630.00 | not published | 0 |
| Unlisted px middle ear CPT 69799 | $20,433.00 | $34,055.00 | $5,750.85 – $5,865.87 | 4 |
| Unlisted px neck/thorax CPT 21899 | $1,050.60 | $1,751.00 | not published | 0 |
| Unlisted px pelvis/hip joint CPT 27299 | $49,651.84 | $82,753.07 | $239.63 – $244.42 | 4 |
| Unlisted px small intestine CPT 44799 | $1,433.40 | $2,389.00 | not published | 0 |
| Unlisted px tongue flr mouth CPT 41599 | $408.60 | $681.00 | not published | 0 |
| Unlisted px vestibule mouth CPT 40899 | $384.60 | $641.00 | not published | 0 |
| Unlisted reprod med lab proc CPT 89398 | $150.60 | $251.00 | not published | 0 |
| Unlisted surgical path px CPT 88399 | $278.40 | $464.00 | not published | 0 |
| Unlisted ultrasound procedure CPT 76999 | $781.20 | $1,302.00 | not published | 0 |
| Unlstd laps px sprmatic cord CPT 55559 | $67,198.09 | $111,996.82 | $5,872.96 – $5,990.42 | 4 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,596.00 | $2,660.00 | not published | 0 |
| Upgrade pm system CPT 33214 | $7,371.60 | $12,286.00 | not published | 0 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $11,026.03 | $18,376.72 | $881.10 – $898.72 | 4 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $18,944.00 | $31,573.33 | $881.10 – $898.72 | 4 |
| Uppr gi scope w/submuc inj CPT 43236 | $29,974.05 | $49,956.75 | $881.10 – $898.72 | 4 |
| Urea nitrogen CPT 84520 | $121.20 | $202.00 | not published | 0 |
| Urea nitrogen 24 hour urine CPT 84540 | $172.80 | $288.00 | not published | 0 |
| Urea nitrogen clearance CPT 84545 | $106.20 | $177.00 | not published | 0 |
| Ureteral reflux study CPT 78740 | $2,562.00 | $4,270.00 | not published | 0 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $1,863.00 | $3,105.00 | not published | 0 |
| Urethrocystography void s&i CPT 74455 | $1,863.00 | $3,105.00 | not published | 0 |
| Uric acid blood CPT 84550 | $128.40 | $214.00 | not published | 0 |
| Uric acid urine CPT 84560 | $134.40 | $224.00 | not published | 0 |
| Urinalysis microscopic only CPT 81015 | $81.00 | $135.00 | not published | 0 |
| Urinalysis (with microscopy) CPT 81001 | $69.60 | $116.00 | not published | 0 |
| Urinalysis (without microscopy) CPT 81003 | $54.00 | $90.00 | not published | 0 |
| Urinary bldr retent nuc study CPT 78730 | $2,231.40 | $3,719.00 | not published | 0 |
| Urine Culture Test CPT 87086 | $151.20 | $252.00 | not published | 0 |
| Urine flow measurement 51736 CPT 51736 | $8,826.60 | $14,711.00 | $129.25 – $131.84 | 4 |
| Urine pregnancy test CPT 81025 | $114.60 | $191.00 | not published | 0 |
| Urography, antegrade CPT 74425 | $819.60 | $1,366.00 | not published | 0 |
| Use 1st target lesion CPT 76982 | $700.80 | $1,168.00 | not published | 0 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $68,167.98 | $113,613.30 | not published | 0 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $43,727.22 | $72,878.70 | not published | 0 |
| Vaccine dtap < 7 years im CPT 90700 | $75.48 | $125.80 | not published | 0 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $150.78 | $251.30 | not published | 0 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $75.54 | $125.90 | not published | 0 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $34.20 | $57.00 | not published | 0 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | $173.34 | $288.90 | not published | 0 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $0.06 | $0.10 | not published | 0 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $182.88 | $304.80 | not published | 0 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $604.68 | $1,007.80 | not published | 0 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $425.22 | $708.70 | not published | 0 |
| Vaccine mmr live subcutaneous CPT 90707 | $235.20 | $392.00 | not published | 0 |
| Vaccine mmrv live subcutaneous CPT 90710 | $694.02 | $1,156.70 | not published | 0 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $722.22 | $1,203.70 | not published | 0 |
| Vaccine rabies im CPT 90675 | $1,150.50 | $1,917.50 | not published | 0 |
| Vaccine tdap >=7 years im CPT 90715 | $124.32 | $207.20 | not published | 0 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $101.40 | $169.00 | not published | 0 |
| Vaccine varicella live subcutaneous CPT 90716 | $489.90 | $816.50 | not published | 0 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $18,420.41 | $30,700.69 | 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.