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 |
|---|---|---|---|---|
| John cunningham antibody CPT 86711 | $24.60 | $41.00 | not published | 0 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | $2,607.45 | $4,345.75 | not published | 0 |
| Kafo dbl solid stirrup without j HCPCS L2030 | $2,562.92 | $4,271.53 | not published | 0 |
| Kafo fem fx cast molded to p HCPCS L2128 | $3,838.16 | $6,396.93 | not published | 0 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | $2,726.67 | $4,544.45 | not published | 0 |
| Kafo fem fx cast thermoplas HCPCS L2126 | $2,710.45 | $4,517.42 | not published | 0 |
| Kafo femoral fx cast rigid HCPCS L2136 | $2,983.95 | $4,973.25 | not published | 0 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | $4,806.65 | $8,011.09 | not published | 0 |
| Kafo plas sing free knee mol HCPCS L2037 | $3,923.78 | $6,539.64 | not published | 0 |
| Kafo plastic pediatric size HCPCS L2035 | $409.90 | $683.17 | not published | 0 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | $2,646.89 | $4,411.49 | not published | 0 |
| Kafo sng/dbl mechanical act HCPCS L2005 | $9,695.60 | $16,159.33 | not published | 0 |
| Kafo sng solid stirrup without j HCPCS L2010 | $2,064.55 | $3,440.92 | not published | 0 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $23.40 | $39.00 | not published | 0 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $16.32 | $27.20 | not published | 0 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,578.00 | $2,630.00 | not published | 0 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $1,032.00 | $1,720.00 | not published | 0 |
| Kit case 4.2mm spinejack HCPCS C1062 | $10,929.88 | $18,216.46 | not published | 0 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $12,333.83 | $20,556.39 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | $330.60 | $551.00 | not published | 0 |
| Kit hfx iq ipg bundle HCPCS C1822 | $69,279.41 | $115,465.68 | not published | 0 |
| Kit ipg optimizer smart HCPCS C1824 | $68,229.72 | $113,716.20 | not published | 0 |
| Kit lead specify 5-6-5 HCPCS C1778 | $28,866.42 | $48,110.70 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,928.80 | $3,214.67 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $35,629.01 | $59,381.68 | not published | 0 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $31,351.55 | $52,252.59 | not published | 0 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $2,056.52 | $3,427.54 | not published | 0 |
| Knee control condylar pad HCPCS L2810 | $193.25 | $322.08 | not published | 0 |
| Knee control full kneecap HCPCS L2795 | $194.03 | $323.39 | not published | 0 |
| Knee disc/dial lock/adj flex HCPCS L2425 | $339.18 | $565.30 | not published | 0 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | $339.18 | $565.30 | not published | 0 |
| Knee joint cam lock each joi HCPCS L2415 | $287.46 | $479.10 | not published | 0 |
| Knee joint drop lock ea jnt HCPCS L2405 | $187.66 | $312.76 | not published | 0 |
| Knee lift loop drop lock rin HCPCS L2492 | $277.51 | $462.52 | not published | 0 |
| Knee MRI (with and without contrast) CPT 73723 | $3,306.60 | $5,511.00 | not published | 0 |
| Knee MRI (with contrast) CPT 73722 | $2,856.00 | $4,760.00 | not published | 0 |
| Knee MRI (without contrast) CPT 73721 | $2,605.20 | $4,342.00 | not published | 0 |
| Knee orth pos locking joint HCPCS L1831 | $696.37 | $1,160.61 | not published | 0 |
| Knee X-ray CPT 73564 | $653.40 | $1,089.00 | not published | 0 |
| Ko dbl upright w/air pre cst HCPCS L1847 | $1,360.92 | $2,268.20 | not published | 0 |
| Ko dbl upright w/air pre ots HCPCS L1848 | $1,360.92 | $2,268.20 | not published | 0 |
| Ko derot ant cruciate custom HCPCS L1840 | $2,225.10 | $3,708.50 | not published | 0 |
| Ko elastic w/joints pre ots HCPCS L1812 | $190.81 | $318.01 | not published | 0 |
| Ko rigid without joints pre ots HCPCS L1836 | $315.67 | $526.11 | not published | 0 |
| Ko single upright prefab ots HCPCS L1851 | $2,123.02 | $3,538.37 | not published | 0 |
| Ko supracondylar socket mold HCPCS L1860 | $2,950.46 | $4,917.44 | not published | 0 |
| Ko swedish type pre ots HCPCS L1850 | $674.08 | $1,123.47 | not published | 0 |
| Ko w/0 joint rigid molded to HCPCS L1834 | $1,892.06 | $3,153.44 | not published | 0 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | $2,768.42 | $4,614.03 | not published | 0 |
| Kras gene addl variants CPT 81276 | $427.20 | $712.00 | not published | 0 |
| Kras gene variants exon 2 CPT 81275 | $1,199.40 | $1,999.00 | not published | 0 |
| Kyphosis pad HCPCS L1020 | $254.97 | $424.95 | not published | 0 |
| Kyphosis pad floating HCPCS L1025 | $367.87 | $613.11 | not published | 0 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $7.50 | $12.50 | not published | 0 |
| Lacer molded to patient mode HCPCS L2330 | $868.72 | $1,447.87 | not published | 0 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $42.96 | $71.60 | not published | 0 |
| Lactate dehydrogenase (ldh) CPT 83615 | $76.80 | $128.00 | not published | 0 |
| Lactated ringers intravenous solution HCPCS J7120 | $33.00 | $55.00 | not published | 0 |
| Lactic acid CPT 83605 | $122.40 | $204.00 | not published | 0 |
| Lactoferrin fecal qualitative CPT 83630 | $77.40 | $129.00 | not published | 0 |
| Laryngeal function studies CPT 92520 | $601.20 | $1,002.00 | not published | 0 |
| Lateral thoracic extension HCPCS L1210 | $578.90 | $964.84 | not published | 0 |
| Lateral trochanteric pad HCPCS L1290 | $183.85 | $306.42 | not published | 0 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $52,484.40 | $87,474.00 | not published | 0 |
| Lead capillary CPT 83655 | $103.20 | $172.00 | not published | 0 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $58,108.10 | $96,846.84 | not published | 0 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $14,433.21 | $24,055.35 | not published | 0 |
| Legg perthes orthosis trilat HCPCS L1720 | $3,490.40 | $5,817.33 | not published | 0 |
| Legg perthes orth scottish r HCPCS L1730 | $2,946.68 | $4,911.14 | not published | 0 |
| Legg perthes patten bottom t HCPCS L1755 | $4,236.49 | $7,060.81 | not published | 0 |
| Leg perthes orth toronto typ HCPCS L1700 | $3,681.23 | $6,135.38 | not published | 0 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,667.40 | $2,779.00 | not published | 0 |
| Lens, intraocular (new tech) HCPCS C1780 | $223.06 | $371.76 | not published | 0 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $2,624.22 | $4,373.70 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $3,135.94 | $5,226.57 | not published | 0 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $787.27 | $1,312.11 | not published | 0 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $324.30 | $540.50 | not published | 0 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $5,090.52 | $8,484.20 | not published | 0 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $20,100.54 | $33,500.90 | not published | 0 |
| Levalbuterol non-comp unit HCPCS J7614 | $6.18 | $10.30 | not published | 0 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $60.90 | $101.50 | not published | 0 |
| Levetiracetam therapeutic drug level CPT 80177 | $48.00 | $80.00 | not published | 0 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $47.64 | $79.40 | not published | 0 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $411.12 | $685.20 | not published | 0 |
| Liberta rc ipg HCPCS C1820 | $81,180.25 | $135,300.41 | not published | 0 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $63.12 | $105.20 | not published | 0 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $26.10 | $43.50 | not published | 0 |
| Lidocaine therapeutic drug level CPT 80176 | $156.60 | $261.00 | not published | 0 |
| Lift heel adj small gl60404sm HCPCS L3332 | $174.51 | $290.85 | not published | 0 |
| Lift heel adjustable med HCPCS L3334 | $90.22 | $150.37 | not published | 0 |
| Lifts elevation metal extens HCPCS L3330 | $1,339.06 | $2,231.77 | not published | 0 |
| Ligation internal/common carotid artery 37605 CPT 37605 | $5,217.60 | $8,696.00 | not published | 0 |
| Ligation/major artery/extremity 37618 CPT 37618 | $4,783.80 | $7,973.00 | not published | 0 |
| Limited ankle motion ea jnt HCPCS L2200 | $351.65 | $586.08 | not published | 0 |
| Limited motion knee joint HCPCS L2184 | $274.07 | $456.79 | not published | 0 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $143.58 | $239.30 | not published | 0 |
| Lipase CPT 83690 | $95.40 | $159.00 | not published | 0 |
| Lipoprotein blood high res frac & quant CPT 83701 | $129.00 | $215.00 | not published | 0 |
| Lipoprotein blood quant CPT 83704 | $129.00 | $215.00 | not published | 0 |
| Lipoprotein direct measurement hdl CPT 83718 | $114.00 | $190.00 | 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.