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 |
|---|---|---|---|---|
| X-ray knee 1-2 views (both sides) CPT 73560 | $626.40 | $1,044.00 | not published | 0 |
| X-ray knee 3 views (both sides) CPT 73562 | $657.60 | $1,096.00 | not published | 0 |
| X-ray knee ap standing bilateral CPT 73565 | $502.20 | $837.00 | not published | 0 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $598.80 | $998.00 | not published | 0 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $626.40 | $1,044.00 | not published | 0 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $1,085.40 | $1,809.00 | not published | 0 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $871.80 | $1,453.00 | not published | 0 |
| X-ray mandible complete > 4 views CPT 70110 | $502.20 | $837.00 | not published | 0 |
| X-ray mandible ltd <4 views CPT 70100 | $491.40 | $819.00 | not published | 0 |
| X-ray nasal bones complete > 3 views CPT 70160 | $502.20 | $837.00 | not published | 0 |
| X-ray neck soft tissue CPT 70360 | $612.60 | $1,021.00 | not published | 0 |
| X-ray nose to rectum for foreign body child CPT 76010 | $502.20 | $837.00 | not published | 0 |
| X-ray of mammary ducts CPT 77054 | $1,411.20 | $2,352.00 | not published | 0 |
| X-ray optic foramina CPT 70190 | $598.80 | $998.00 | not published | 0 |
| X-ray pelvis 1-2 views CPT 72170 | $626.40 | $1,044.00 | not published | 0 |
| X-ray pelvis complete > 3 views CPT 72190 | $657.60 | $1,096.00 | not published | 0 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,524.60 | $2,541.00 | not published | 0 |
| X-ray ribs 2 views left CPT 71100 | $657.60 | $1,096.00 | not published | 0 |
| X-ray ribs 3 views bilateral CPT 71110 | $598.80 | $998.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $685.80 | $1,143.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $871.80 | $1,453.00 | not published | 0 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $626.40 | $1,044.00 | not published | 0 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $626.40 | $1,044.00 | not published | 0 |
| X-ray scapula complete (both sides) CPT 73010 | $626.40 | $1,044.00 | not published | 0 |
| X-ray sella turcica CPT 70240 | $598.80 | $998.00 | not published | 0 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $626.40 | $1,044.00 | not published | 0 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $598.80 | $998.00 | not published | 0 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,441.80 | $2,403.00 | not published | 0 |
| X-ray skull < 4 views CPT 70250 | $626.40 | $1,044.00 | not published | 0 |
| X-ray skull > 4 views complete CPT 70260 | $1,085.40 | $1,809.00 | not published | 0 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $990.60 | $1,651.00 | not published | 0 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $1,684.20 | $2,807.00 | not published | 0 |
| X-ray small intestine follow-through study CPT 74248 | $1,303.20 | $2,172.00 | not published | 0 |
| X-ray spine single view CPT 72020 | $626.40 | $1,044.00 | not published | 0 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $502.20 | $837.00 | not published | 0 |
| X-ray sternum > 2 views CPT 71120 | $502.20 | $837.00 | not published | 0 |
| X-ray surgical specimen CPT 76098 | $529.80 | $883.00 | not published | 0 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $1,008.00 | $1,680.00 | not published | 0 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $491.40 | $819.00 | not published | 0 |
| X-ray thoracic spine 2 views CPT 72070 | $626.40 | $1,044.00 | not published | 0 |
| X-ray thoracic spine 3 views CPT 72072 | $657.60 | $1,096.00 | not published | 0 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $400.20 | $667.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $502.20 | $837.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $502.20 | $837.00 | not published | 0 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $981.60 | $1,636.00 | not published | 0 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $626.40 | $1,044.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $1,231.80 | $2,053.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $1,260.00 | $2,100.00 | not published | 0 |
| X-ray wrist 2 views (both sides) CPT 73100 | $626.40 | $1,044.00 | not published | 0 |
| Xylose absorption test blood &/or urine CPT 84620 | $109.20 | $182.00 | not published | 0 |
| Yersinia antibody CPT 86793 | $109.80 | $183.00 | not published | 0 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $324.12 | $540.20 | not published | 0 |
| Zika virus dna/rna amp probe CPT 87662 | $135.60 | $226.00 | not published | 0 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $854.46 | $1,424.10 | not published | 0 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $13,632.00 | $22,720.00 | not published | 0 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $527.46 | $879.10 | 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.