Urbana Hospital
904 Scioto St., Urbana, OH · Mercy · · NPI 1144286352
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 |
|---|---|---|---|---|
| Drvvt confirm - quest CPT 85597 | $120.00 | $200.00 | not published | 0 |
| Dry needling (97799) CPT 97799 | $171.60 | $286.00 | not published | 0 |
| Duplex scan bilateral study 93985 CPT 93985 | $1,303.20 | $2,172.00 | not published | 0 |
| Duplex scan unilateral study 93986 CPT 93986 | $652.20 | $1,087.00 | not published | 0 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $463.80 | $773.00 | not published | 0 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $999.00 | $1,665.00 | not published | 0 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $684.60 | $1,141.00 | not published | 0 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $17,796.20 | $29,660.33 | not published | 0 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $15,976.14 | $26,626.90 | not published | 0 |
| Dxa bone density axl vrt fx CPT 77085 | $931.20 | $1,552.00 | not published | 0 |
| Ear irrigation 69209 CPT 69209 | $300.00 | $500.00 | not published | 0 |
| Ecg 12 lead tracing only CPT 93005 | $272.40 | $454.00 | not published | 0 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $123.60 | $206.00 | not published | 0 |
| Ecg external < 48 hours recording CPT 93225 | $676.80 | $1,128.00 | not published | 0 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $961.20 | $1,602.00 | not published | 0 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,514.00 | $4,190.00 | not published | 0 |
| Echocardiography doppler color flow mapping CPT 93325 | $1,166.40 | $1,944.00 | not published | 0 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,514.00 | $4,190.00 | not published | 0 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $610.20 | $1,017.00 | not published | 0 |
| Echograp trans r pros study CPT 76873 | $670.80 | $1,118.00 | not published | 0 |
| Echo guide for artery repair CPT 76936 | $320.40 | $534.00 | not published | 0 |
| Echo transesophageal intraop CPT 93318 | $1,758.60 | $2,931.00 | not published | 0 |
| Echo transthoracic CPT 93304 | $1,844.40 | $3,074.00 | not published | 0 |
| E equine encephalitis igg CPT 86652 | $66.00 | $110.00 | not published | 0 |
| Egfr gene com variants CPT 81235 | $536.40 | $894.00 | not published | 0 |
| Electrd sq emblem s-icd HCPCS C1896 | $14,144.54 | $23,574.24 | not published | 0 |
| Electrical stimulation/unattended 97014 CPT 97014 | $180.60 | $301.00 | not published | 0 |
| Electrolyte panel CPT 80051 | $146.40 | $244.00 | not published | 0 |
| Electron microscopy diagnostic CPT 88348 | $1,575.60 | $2,626.00 | not published | 0 |
| Encephalitis, california igg/igm CPT 86651 | $66.00 | $110.00 | not published | 0 |
| Encephalitis, st louis igg/igm CPT 86653 | $66.00 | $110.00 | not published | 0 |
| Encephalitis, western equine igg/igm CPT 86654 | $66.00 | $110.00 | not published | 0 |
| Endo ak/hip alignable system HCPCS L5920 | $1,165.55 | $1,942.58 | not published | 0 |
| Endo below knee alignable sy HCPCS L5910 | $801.25 | $1,335.42 | not published | 0 |
| Endo bk ultra-light material HCPCS L5940 | $1,101.88 | $1,836.47 | not published | 0 |
| Endo cath bile duct s&i CPT 74328 | $1,045.20 | $1,742.00 | not published | 0 |
| Endo cath panc duct s&i CPT 74329 | $455.40 | $759.00 | not published | 0 |
| Endo knee-shin frct swg & st HCPCS L5812 | $1,241.78 | $2,069.63 | not published | 0 |
| Endo knee-shin mnl lck ultra HCPCS L5811 | $1,602.08 | $2,670.14 | not published | 0 |
| Endoscopy swallow (fees) vid CPT 92612 | $625.80 | $1,043.00 | not published | 0 |
| Endo, single, pulmonary HCPCS C1601 | $8,135.08 | $13,558.47 | not published | 0 |
| Endoskel knee-shin mnl lock HCPCS L5810 | $1,097.21 | $1,828.69 | not published | 0 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $15,674.22 | $26,123.70 | not published | 0 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $60.78 | $101.30 | not published | 0 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $38.40 | $64.00 | not published | 0 |
| Entamoeb hist dispr ag ia CPT 87336 | $65.40 | $109.00 | not published | 0 |
| Enzyme cell activity ra CPT 82658 | $616.20 | $1,027.00 | not published | 0 |
| Enzyme histochemistry CPT 88319 | $202.20 | $337.00 | not published | 0 |
| Eo, adj lock joint prefab ot HCPCS L3761 | $1,076.93 | $1,794.88 | not published | 0 |
| Eo elas w/metal jnts pre ots HCPCS L3710 | $307.48 | $512.47 | not published | 0 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $3,460.20 | $5,767.00 | not published | 0 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | $1,836.60 | $3,061.00 | not published | 0 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | $3,460.20 | $5,767.00 | not published | 0 |
| Epidrm autogrft t/a/l add-on CPT 15111 | $1,836.60 | $3,061.00 | not published | 0 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $2,647.50 | $4,412.50 | not published | 0 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $7.50 | $12.50 | not published | 0 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $623.76 | $1,039.60 | not published | 0 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $1,659.84 | $2,766.40 | not published | 0 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $4,021.62 | $6,702.70 | not published | 0 |
| Epstein barr early antigen antibody CPT 86663 | $147.60 | $246.00 | not published | 0 |
| Epstein barr nuclear antigen antibody CPT 86664 | $136.80 | $228.00 | not published | 0 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $147.60 | $246.00 | not published | 0 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $7,298.58 | $12,164.30 | not published | 0 |
| Ercp biliary & pancreas CPT 74330 | $2,202.00 | $3,670.00 | not published | 0 |
| ER Visit (level 1, minor) CPT 99281 | $292.80 | $488.00 | not published | 0 |
| ER Visit (level 2) CPT 99282 | $945.00 | $1,575.00 | not published | 0 |
| ER Visit (level 3) CPT 99283 | $1,259.40 | $2,099.00 | not published | 0 |
| ER Visit (level 4) CPT 99284 | $1,385.40 | $2,309.00 | not published | 0 |
| ER Visit (level 5, high severity) CPT 99285 | $1,575.00 | $2,625.00 | not published | 0 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $477.42 | $795.70 | not published | 0 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $563.34 | $938.90 | not published | 0 |
| Established Patient Office Visit (level 1) CPT 99211 | $127.80 | $213.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $148.20 | $247.00 | not published | 0 |
| Established Patient Office Visit (level 3) CPT 99213 | $162.00 | $270.00 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $178.80 | $298.00 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $196.20 | $327.00 | not published | 0 |
| Estradiol total CPT 82670 | $123.60 | $206.00 | not published | 0 |
| Estrogens total-sendout CPT 82672 | $57.60 | $96.00 | not published | 0 |
| Ethanolamine oleate 100 mg HCPCS J1430 | $1,451.28 | $2,418.80 | not published | 0 |
| Ethylene glycol -sendout CPT 82693 | $87.00 | $145.00 | not published | 0 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $75.00 | $125.00 | not published | 0 |
| Euglobulin lysis CPT 85360 | $141.60 | $236.00 | not published | 0 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $357.00 | $595.00 | not published | 0 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $120.60 | $201.00 | not published | 0 |
| Evaluation of speech fluency 92521 CPT 92521 | $414.00 | $690.00 | not published | 0 |
| Evaluation psychiatric diagnostic CPT 90791 | $342.00 | $570.00 | not published | 0 |
| Ewhfo w/joint(s) cf HCPCS L3766 | $2,923.88 | $4,873.13 | not published | 0 |
| Ewho w/joint(s) cf HCPCS L3764 | $1,686.43 | $2,810.71 | not published | 0 |
| Exc hand les sc < 1.5 cm CPT 26115 | $6,525.66 | $10,876.10 | not published | 0 |
| Excision olecranon bursa CPT 24105 | $12,340.62 | $20,567.70 | not published | 0 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $4,321.80 | $7,203.00 | not published | 0 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | $10,438.98 | $17,398.30 | not published | 0 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $5,720.80 | $9,534.67 | not published | 0 |
| Expl lap celiotomy w/wo bx 49000 CPT 49000 | $6,574.80 | $10,958.00 | not published | 0 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $2,479.80 | $4,133.00 | not published | 0 |
| Extended steel shank HCPCS L2360 | $122.00 | $203.33 | not published | 0 |
| Extension per extension per HCPCS L2760 | $134.44 | $224.06 | not published | 0 |
| External chromosome analysis 20-25 cells CPT 88264 | $315.60 | $526.00 | not published | 0 |
| External recharg sys intern HCPCS L8689 | $2,361.80 | $3,936.33 | not published | 0 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $478.80 | $798.00 | 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.