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 |
|---|---|---|---|---|
| Inj. cefepime hcl (baxter) HCPCS J0701 | $185.34 | $308.90 | not published | 0 |
| Inj, clindamycin (baxter) HCPCS J0737 | $30.90 | $51.50 | not published | 0 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $333.00 | $555.00 | not published | 0 |
| Inj disk cerv-thor ea lev CPT 62291 | $903.60 | $1,506.00 | not published | 0 |
| Inj dx for sinogram CPT 20501 | $473.40 | $789.00 | not published | 0 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $333.00 | $555.00 | not published | 0 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $10,438.98 | $17,398.30 | not published | 0 |
| Injection epidural blood patch or clot CPT 62273 | $1,886.40 | $3,144.00 | not published | 0 |
| Injection for arthrography wrist (both sides) CPT 25246 | $355.80 | $593.00 | not published | 0 |
| Injection for bladder x-ray CPT 51600 | $473.40 | $789.00 | not published | 0 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $355.80 | $593.00 | not published | 0 |
| Injection, fulvestrant HCPCS J9395 | $158.22 | $263.70 | not published | 0 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $13,497.06 | $22,495.10 | not published | 0 |
| Injection,onabotulinumtoxina HCPCS J0585 | $2,449.08 | $4,081.80 | not published | 0 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $728.40 | $1,214.00 | not published | 0 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $2,228.40 | $3,714.00 | not published | 0 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,347.00 | $2,245.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $5,354.40 | $8,924.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $6,136.80 | $10,228.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $5,354.40 | $8,924.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $6,136.80 | $10,228.00 | not published | 0 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $2,722.80 | $4,538.00 | not published | 0 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $391.20 | $652.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $91.20 | $152.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $140.40 | $234.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $341.40 | $569.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $174.00 | $290.00 | not published | 0 |
| Inject/treat eye socket CPT 67500 | $2,077.80 | $3,463.00 | not published | 0 |
| Inj for ext venography CPT 36005 | $252.00 | $420.00 | not published | 0 |
| Inj for mammo ductogram CPT 19030 | $334.80 | $558.00 | not published | 0 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $3,942.60 | $6,571.00 | not published | 0 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | $13.08 | $21.80 | not published | 0 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $101.88 | $169.80 | not published | 0 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $788.40 | $1,314.00 | not published | 0 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $967.92 | $1,613.20 | not published | 0 |
| Inj multihance HCPCS A9577 | $175.74 | $292.90 | not published | 0 |
| Inj. mycophenolate mofetil HCPCS J7519 | $469.74 | $782.90 | not published | 0 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $1,435.50 | $2,392.50 | not published | 0 |
| Inj ogivri 10 mg HCPCS Q5114 | $9,765.24 | $16,275.40 | not published | 0 |
| Inj proc ankle arthr CPT 27648 | $333.00 | $555.00 | not published | 0 |
| Inj proc elbow arthro CPT 24220 | $259.20 | $432.00 | not published | 0 |
| Inj proc lumbr disk ea lvl CPT 62290 | $903.60 | $1,506.00 | not published | 0 |
| Inj proc myelogram lumbar CPT 62284 | $916.20 | $1,527.00 | not published | 0 |
| Inj proc sialogram CPT 42550 | $444.00 | $740.00 | not published | 0 |
| Inj, releuko 1 mcg HCPCS Q5125 | $957.06 | $1,595.10 | not published | 0 |
| Inj retro urethrocysto CPT 51610 | $473.40 | $789.00 | not published | 0 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | $191.88 | $319.80 | not published | 0 |
| Inj testosterone cypionate HCPCS J1071 | $25.92 | $43.20 | not published | 0 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | $788.40 | $1,314.00 | not published | 0 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | $788.40 | $1,314.00 | not published | 0 |
| Inj. tigecycline (accord) HCPCS J3244 | $435.00 | $725.00 | not published | 0 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $7,367.52 | $12,279.20 | not published | 0 |
| Inj vancomycin (xellia) 10mg HCPCS J3375 | $121.80 | $203.00 | not published | 0 |
| Inj vocal cord bulking agent HCPCS L8607 | $1,928.80 | $3,214.67 | not published | 0 |
| Insert cath pleura with image CPT 32557 | $2,975.40 | $4,959.00 | not published | 0 |
| Insert cath pleura without image CPT 32556 | $3,456.60 | $5,761.00 | not published | 0 |
| Insertion catheter bladder non indwelling CPT 51701 | $205.80 | $343.00 | not published | 0 |
| Insertion catheter bladder temporary simple CPT 51702 | $197.40 | $329.00 | not published | 0 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $4,926.00 | $8,210.00 | not published | 0 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $2,564.40 | $4,274.00 | not published | 0 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $1,857.60 | $3,096.00 | not published | 0 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $13,498.80 | $22,498.00 | not published | 0 |
| Insert swan-ganz cath CPT 93503 | $2,829.60 | $4,716.00 | not published | 0 |
| Insitu hybridization (fish) CPT 88366 | $483.00 | $805.00 | not published | 0 |
| Insitu hybridization manual CPT 88368 | $159.00 | $265.00 | not published | 0 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $145.20 | $242.00 | not published | 0 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $317.40 | $529.00 | not published | 0 |
| Insole orthotic freedom sz6 6816 HCPCS L3060 | $174.51 | $290.85 | not published | 0 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $463.20 | $772.00 | not published | 0 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $3,139.80 | $5,233.00 | not published | 0 |
| Insulin total CPT 83525 | $29.40 | $49.00 | not published | 0 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $12,123.56 | $20,205.93 | not published | 0 |
| Integra meshed bil wound mat HCPCS C9363 | $39,765.49 | $66,275.81 | not published | 0 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | $13,121.10 | $21,868.50 | not published | 0 |
| Intens cardiac rehab no exer HCPCS G0423 | $285.60 | $476.00 | not published | 0 |
| Intens cardiac rehab w/exerc HCPCS G0422 | $285.60 | $476.00 | not published | 0 |
| Interdental fixation CPT 21110 | $2,467.80 | $4,113.00 | not published | 0 |
| Interfyl, 1 mg HCPCS Q4171 | $5,248.44 | $8,747.40 | not published | 0 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $824.40 | $1,374.00 | not published | 0 |
| Intrapul surf admin endo tube CPT 94610 | $349.80 | $583.00 | not published | 0 |
| Intrinsic factor antibody CPT 86340 | $15.00 | $25.00 | not published | 0 |
| Intro long gi tube CPT 44500 | $553.80 | $923.00 | not published | 0 |
| Intubation endotracheal emergency procedure CPT 31500 | $714.00 | $1,190.00 | not published | 0 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $60.00 | $100.00 | not published | 0 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $1,440.18 | $2,400.30 | not published | 0 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $134,734.26 | $224,557.10 | not published | 0 |
| Ipratropium bromide non-comp HCPCS J7644 | $1.50 | $2.50 | not published | 0 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $422.94 | $704.90 | not published | 0 |
| Iron CPT 83540 | $64.20 | $107.00 | not published | 0 |
| Iron binding capacity CPT 83550 | $79.80 | $133.00 | not published | 0 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $75.00 | $125.00 | not published | 0 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $112.74 | $187.90 | not published | 0 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $183.00 | $305.00 | not published | 0 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | $16,180.56 | $26,967.60 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $142.20 | $237.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $162.00 | $270.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $162.00 | $270.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $274.80 | $458.00 | not published | 0 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $997.80 | $1,663.00 | not published | 0 |
| Jak2 targeted sequence analysis CPT 81279 | $489.60 | $816.00 | 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.