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 |
|---|---|---|---|---|
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $110.40 | $184.00 | not published | 0 |
| Eye implant band 40 HCPCS C1784 | $3,740.25 | $6,233.75 | not published | 0 |
| Facial bones <3 CPT 70140 | $130.20 | $217.00 | not published | 0 |
| Factor ix CPT 85250 | $127.80 | $213.00 | not published | 0 |
| Factor viii CPT 85240 | $130.80 | $218.00 | not published | 0 |
| Family therapy without pt 50min 90846 CPT 90846 | $256.80 | $428.00 | not published | 0 |
| Family therapy with patient 50 min 90847 CPT 90847 | $256.80 | $428.00 | not published | 0 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $7.50 | $12.50 | not published | 0 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $11,481.72 | $19,136.20 | not published | 0 |
| Fat/lipids feces qualitative CPT 82705 | $66.00 | $110.00 | not published | 0 |
| Fatty acids nonesterified CPT 82725 | $151.20 | $252.00 | not published | 0 |
| Fda ide #g240020 carry bag HCPCS Q0499 | $1,119.49 | $1,865.82 | not published | 0 |
| #fecal-sodium CPT 84302 | $61.20 | $102.00 | not published | 0 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $48.00 | $80.00 | not published | 0 |
| Femoral lgth sock fx or equa HCPCS L2850 | $127.67 | $212.78 | not published | 0 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $334.98 | $558.30 | not published | 0 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $5,539.92 | $9,233.20 | not published | 0 |
| Ferritin CPT 82728 | $123.00 | $205.00 | not published | 0 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $421.20 | $702.00 | not published | 0 |
| Fetal chrmoml microdeltj CPT 81422 | $1,504.80 | $2,508.00 | not published | 0 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $616.80 | $1,028.00 | not published | 0 |
| Fetal fibronectin CPT 82731 | $166.20 | $277.00 | not published | 0 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $28.80 | $48.00 | not published | 0 |
| Fetal hemoglobin rosette CPT 85461 | $28.80 | $48.00 | not published | 0 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $51.00 | $85.00 | not published | 0 |
| Fibrin degradation d dimer quantitative CPT 85379 | $148.80 | $248.00 | not published | 0 |
| Fibrin degradation products CPT 85362 | $107.40 | $179.00 | not published | 0 |
| Fibrin degrade semiquant CPT 85378 | $60.60 | $101.00 | not published | 0 |
| Fibrinogen activity CPT 85384 | $87.00 | $145.00 | not published | 0 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $99.60 | $166.00 | not published | 0 |
| Fibrinolytic antiplasmin CPT 85410 | $57.60 | $96.00 | not published | 0 |
| Fibrinolytic plasminogen CPT 85415 | $92.40 | $154.00 | not published | 0 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $90.00 | $150.00 | not published | 0 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $952.68 | $1,587.80 | not published | 0 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1,886.04 | $3,143.40 | not published | 0 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $1,032.18 | $1,720.30 | not published | 0 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $39,264.89 | $65,441.49 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $5,434.76 | $9,057.93 | not published | 0 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $1,462.20 | $2,437.00 | not published | 0 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $6,017.39 | $10,028.98 | not published | 0 |
| Flecainide (tambocor)-sendout CPT 80181 | $69.60 | $116.00 | not published | 0 |
| Flex thermoplastic collar mo HCPCS L0130 | $407.54 | $679.24 | not published | 0 |
| Flow cytometry marker each additional CPT 88185 | $225.00 | $375.00 | not published | 0 |
| Flow cytometry one marker technical component CPT 88184 | $225.00 | $375.00 | not published | 0 |
| Floweramniopatch, per sq cm HCPCS Q4178 | $6,716.17 | $11,193.61 | not published | 0 |
| Flt3 gene CPT 81245 | $365.40 | $609.00 | not published | 0 |
| Flt3 gene analysis CPT 81246 | $178.80 | $298.00 | not published | 0 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $81.36 | $135.60 | not published | 0 |
| Fluidotherapy charges pt CPT 97022 | $180.60 | $301.00 | not published | 0 |
| Fluid pressure muscle 20950 CPT 20950 | $1,134.60 | $1,891.00 | not published | 0 |
| Fluorescent antibody titer dna CPT 86256 | $186.00 | $310.00 | not published | 0 |
| Fluoroguide needle placement CPT 77002 | $960.00 | $1,600.00 | not published | 0 |
| Fluoro polarize fetal lung CPT 83663 | $211.20 | $352.00 | not published | 0 |
| Fluoroscopy up to 1 hour CPT 76000 | $400.20 | $667.00 | not published | 0 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $75.00 | $125.00 | not published | 0 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $41.82 | $69.70 | not published | 0 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,462.20 | $2,437.00 | not published | 0 |
| Fna bx w/ct gdn ea addl CPT 10010 | $1,462.20 | $2,437.00 | not published | 0 |
| Folic acid CPT 82746 | $157.80 | $263.00 | not published | 0 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $7.50 | $12.50 | not published | 0 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $2,017.02 | $3,361.70 | not published | 0 |
| Fondaparinux sodium HCPCS J1652 | $100.44 | $167.40 | not published | 0 |
| Fo nontorsion joint cf HCPCS L3935 | $475.72 | $792.86 | not published | 0 |
| Foot arch supp premold metat HCPCS L3050 | $111.37 | $185.62 | not published | 0 |
| Foot drp splt w/exp heel lg HCPCS L4398 | $81.51 | $135.85 | not published | 0 |
| Foot external keel sach foot HCPCS L5970 | $482.25 | $803.75 | not published | 0 |
| Foot insert plastazote or eq HCPCS L3002 | $382.14 | $636.90 | not published | 0 |
| Foot insert remov molded spe HCPCS L3001 | $312.97 | $521.61 | not published | 0 |
| Foot insert silicone gel eac HCPCS L3003 | $412.24 | $687.06 | not published | 0 |
| Foot lamin/prepreg composite HCPCS L3031 | $289.76 | $482.94 | not published | 0 |
| Foot plas heel stabi pre ots HCPCS L3170 | $120.35 | $200.58 | not published | 0 |
| Foot plate molded stirrup at HCPCS L2250 | $790.34 | $1,317.23 | not published | 0 |
| Foot X-ray CPT 73630 | $477.00 | $795.00 | not published | 0 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $1,951.58 | $3,252.63 | not published | 0 |
| Forearm/arm cuffs free motio HCPCS L3720 | $1,406.84 | $2,344.74 | not published | 0 |
| Forensic autopsy (necropsy) CPT 88040 | $843.00 | $1,405.00 | not published | 0 |
| Formoterol fumarate, inh HCPCS J7606 | $71.40 | $119.00 | not published | 0 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $89.04 | $148.40 | not published | 0 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $175.92 | $293.20 | not published | 0 |
| Fractionation ketosteroids CPT 83593 | $123.60 | $206.00 | not published | 0 |
| Fracture assessment via dxa CPT 77086 | $274.20 | $457.00 | not published | 0 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $843.60 | $1,406.00 | not published | 0 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $843.60 | $1,406.00 | not published | 0 |
| Fresh frozen plasma thawing ea un CPT 86927 | $260.40 | $434.00 | not published | 0 |
| Frozen cell preparation CPT 88241 | $24.00 | $40.00 | not published | 0 |
| Fructosamine glycated protein CPT 82985 | $80.40 | $134.00 | not published | 0 |
| Ft insert ucb berkeley shell HCPCS L3000 | $743.29 | $1,238.81 | not published | 0 |
| Ftl cgen abnor four anal CPT 81511 | $339.00 | $565.00 | not published | 0 |
| Ftl cgen abnor three anal CPT 81510 | $148.80 | $248.00 | not published | 0 |
| Ftl cgen abnor two proteins CPT 81508 | $143.40 | $239.00 | not published | 0 |
| Full sole/heel wedge btween HCPCS L3420 | $129.40 | $215.67 | not published | 0 |
| Furnsh initial orthosis only HCPCS L1200 | $4,234.18 | $7,056.96 | not published | 0 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $7.50 | $12.50 | not published | 0 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $193.38 | $322.30 | not published | 0 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $988.68 | $1,647.80 | not published | 0 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $231.60 | $386.00 | not published | 0 |
| Galactokinase - sendout CPT 82759 | $216.00 | $360.00 | not published | 0 |
| Galectin-3 CPT 82777 | $73.80 | $123.00 | not published | 0 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $11,749.26 | $19,582.10 | not published | 0 |
| Gammaglobulin iga CPT 82784 | $136.20 | $227.00 | 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.