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 |
|---|---|---|---|---|
| Ghs peritonsillar abscess i andd CPT 42700 | $366.60 | $611.00 | not published | 0 |
| Ghs phenylketonurid CPT 84030 | $44.40 | $74.00 | not published | 0 |
| Ghs plngl fx pm cl CPT 26725 | $322.20 | $537.00 | not published | 0 |
| Ghs plt ct-manual CPT 85032 | $10.20 | $17.00 | not published | 0 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $87.60 | $146.00 | not published | 0 |
| Ghs protoporphyrins fract CPT 84202 | $122.40 | $204.00 | not published | 0 |
| Ghs pr without cont pulse ox CPT 94625 | $408.00 | $680.00 | not published | 0 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $135.00 | $225.00 | not published | 0 |
| Ghs quinidine CPT 80194 | $124.80 | $208.00 | not published | 0 |
| Ghs removal intranasal foreign body CPT 30300 | $121.80 | $203.00 | not published | 0 |
| Ghs removal pharyngeal foreign body CPT 42809 | $493.20 | $822.00 | not published | 0 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $5,023.20 | $8,372.00 | not published | 0 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $193.20 | $322.00 | not published | 0 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $123.00 | $205.00 | not published | 0 |
| Ghs sedimentation rate CPT 85651 | $27.60 | $46.00 | not published | 0 |
| Ghs semen analysis fert CPT 89320 | $264.60 | $441.00 | not published | 0 |
| Ghs sensitivity (per antimicro) CPT 87184 | $55.20 | $92.00 | not published | 0 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $477.00 | $795.00 | not published | 0 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $631.20 | $1,052.00 | not published | 0 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $261.60 | $436.00 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $261.60 | $436.00 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $261.60 | $436.00 | not published | 0 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $261.60 | $436.00 | not published | 0 |
| Ghs sleep study unattended CPT 95800 | $784.20 | $1,307.00 | not published | 0 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $179.40 | $299.00 | not published | 0 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $288.00 | $480.00 | not published | 0 |
| Ghs st - re-eval for alt comm CPT 92597 | $484.20 | $807.00 | not published | 0 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $955.80 | $1,593.00 | not published | 0 |
| Ghs trypsin (fecal) CPT 84488 | $74.40 | $124.00 | not published | 0 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $375.60 | $626.00 | not published | 0 |
| Ghs urine, hydroxproline total CPT 83505 | $54.00 | $90.00 | not published | 0 |
| Ghs urine, porphyrins quant CPT 84120 | $93.60 | $156.00 | not published | 0 |
| Giardia lamblia antibody CPT 86674 | $70.80 | $118.00 | not published | 0 |
| Gi inhouse confirmation CPT 87045 | $122.40 | $204.00 | not published | 0 |
| Gjb2 gene full sequence CPT 81252 | $502.80 | $838.00 | not published | 0 |
| Gjb6 gene com variants CPT 81254 | $250.20 | $417.00 | not published | 0 |
| Glove finger flexion right lg xl HCPCS L3912 | $226.87 | $378.11 | not published | 0 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $1,099.20 | $1,832.00 | not published | 0 |
| Glucagon plasma - sendout CPT 82943 | $178.80 | $298.00 | not published | 0 |
| Glucose 1 hr post dose CPT 82950 | $79.20 | $132.00 | not published | 0 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $49.20 | $82.00 | not published | 0 |
| Glucose blood quantitative CPT 82947 | $46.80 | $78.00 | not published | 0 |
| Glucose body fluid CPT 82945 | $42.60 | $71.00 | not published | 0 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $137.40 | $229.00 | not published | 0 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $67.20 | $112.00 | not published | 0 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $7.50 | $12.50 | not published | 0 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $189.60 | $316.00 | not published | 0 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $192.60 | $321.00 | not published | 0 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $4,471.67 | $7,452.78 | not published | 0 |
| Graft axiofill 1000mg HCPCS J3590 | $9,597.66 | $15,996.10 | not published | 0 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $60,265.21 | $100,442.02 | not published | 0 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $43,438.72 | $72,397.86 | not published | 0 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | $3,901.64 | $6,502.73 | not published | 0 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $110,978.26 | $184,963.77 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $83,975.04 | $139,958.40 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $36,739.08 | $61,231.80 | not published | 0 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $13,462.25 | $22,437.08 | not published | 0 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $22,830.71 | $38,051.19 | not published | 0 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $8,868.02 | $14,780.04 | not published | 0 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | $3,936.33 | $6,560.55 | not published | 0 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $82,752.16 | $137,920.26 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $6,954.19 | $11,590.31 | not published | 0 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $82,899.11 | $138,165.18 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $39,264.89 | $65,441.49 | not published | 0 |
| Granulocyte pheresis ea unit HCPCS P9050 | $1,342.20 | $2,237.00 | not published | 0 |
| Growth hormone antibody CPT 86277 | $166.20 | $277.00 | not published | 0 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $13,603.96 | $22,673.26 | not published | 0 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $20,941.28 | $34,902.13 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $1,836.95 | $3,061.59 | not published | 0 |
| Gw stiffened micro access kit HCPCS C1894 | $17,912.93 | $29,854.88 | not published | 0 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | $102.37 | $170.62 | not published | 0 |
| Halo cervical into jckt vest HCPCS L0810 | $17,713.49 | $29,522.48 | not published | 0 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $56.34 | $93.90 | not published | 0 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $7.50 | $12.50 | not published | 0 |
| Halo repl liner/interface HCPCS L0861 | $3,002.11 | $5,003.51 | not published | 0 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | $227.39 | $378.98 | not published | 0 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $8,528.72 | $14,214.53 | not published | 0 |
| Hand X-ray CPT 73130 | $900.00 | $1,500.00 | not published | 0 |
| Haptoglobin quantitative CPT 83010 | $133.80 | $223.00 | not published | 0 |
| Hba1/hba2 full gene sequence CPT 81259 | $992.40 | $1,654.00 | not published | 0 |
| Hbb full gene sequence CPT 81364 | $380.40 | $634.00 | not published | 0 |
| Hbb gene dup/del variants CPT 81363 | $337.80 | $563.00 | not published | 0 |
| Hbot, full body chamber, 30m HCPCS G0277 | $987.00 | $1,645.00 | not published | 0 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $1,012.80 | $1,688.00 | not published | 0 |
| Hcg qualitative CPT 84703 | $156.00 | $260.00 | not published | 0 |
| Hcg quantitative CPT 84702 | $240.60 | $401.00 | not published | 0 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $1,380.60 | $2,301.00 | not published | 0 |
| Head CT scan (with and without contrast) CPT 70470 | $1,675.20 | $2,792.00 | not published | 0 |
| Head CT scan (with contrast) CPT 70460 | $1,545.60 | $2,576.00 | not published | 0 |
| Head CT scan (without contrast) CPT 70450 | $1,099.80 | $1,833.00 | not published | 0 |
| Hearing loss dup/del analys CPT 81431 | $1,124.40 | $1,874.00 | not published | 0 |
| Hearing loss sequence analys CPT 81430 | $2,687.40 | $4,479.00 | not published | 0 |
| Heavy metal qual any number CPT 83015 | $226.20 | $377.00 | not published | 0 |
| Heel leather reinforced HCPCS L3440 | $180.55 | $300.91 | not published | 0 |
| Heinz bodies direct CPT 85441 | $51.00 | $85.00 | not published | 0 |
| Heinz bodies induced CPT 85445 | $60.00 | $100.00 | not published | 0 |
| Helicobacter pylori antibody igm CPT 86677 | $301.80 | $503.00 | not published | 0 |
| Hematocrit CPT 85014 | $32.40 | $54.00 | not published | 0 |
| Hemodialysis one evaluation CPT 90935 | $2,097.00 | $3,495.00 | not published | 0 |
| Hemoglobin CPT 85018 | $124.20 | $207.00 | 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.