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 |
|---|---|---|---|---|
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $24,775.26 | $41,292.10 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $8,121.96 | $13,536.60 | not published | 0 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $9,276.62 | $15,461.03 | not published | 0 |
| Alpha-fetoprotein amniotic CPT 82106 | $45.00 | $75.00 | not published | 0 |
| Alpha-fetoprotein tumor marker CPT 82105 | $135.00 | $225.00 | not published | 0 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $38,281.62 | $63,802.70 | not published | 0 |
| Alt/sgpt CPT 84460 | $57.60 | $96.00 | not published | 0 |
| Aluminum - quest CPT 82108 | $102.00 | $170.00 | not published | 0 |
| Amino acid screen, urine CPT 82128 | $176.40 | $294.00 | not published | 0 |
| Amino acids quant 2-5 CPT 82136 | $21.60 | $36.00 | not published | 0 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $31.68 | $52.80 | not published | 0 |
| Aminolevulinic acid delta CPT 82135 | $175.20 | $292.00 | not published | 0 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $7.50 | $12.50 | not published | 0 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $12.90 | $21.50 | not published | 0 |
| Ammonia CPT 82140 | $165.60 | $276.00 | not published | 0 |
| Amniotic fluid scan CPT 82143 | $115.80 | $193.00 | not published | 0 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $208.80 | $348.00 | not published | 0 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $709.98 | $1,183.30 | not published | 0 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $30.90 | $51.50 | not published | 0 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $63.36 | $105.60 | not published | 0 |
| Amputation toe interphalangeal joint CPT 28825 | $8,464.20 | $14,107.00 | not published | 0 |
| Amylase CPT 82150 | $112.80 | $188.00 | not published | 0 |
| Ana ds-dna CPT 86226 | $358.20 | $597.00 | not published | 0 |
| Analgesics non-opioid 3-5 CPT 80330 | $46.80 | $78.00 | not published | 0 |
| Analysis gene f2 20210g>a variant CPT 81240 | $951.60 | $1,586.00 | not published | 0 |
| Analysis gene f5 leiden variant CPT 81241 | $353.40 | $589.00 | not published | 0 |
| Anca screen with reflex to titer -quest CPT 86021 | $159.60 | $266.00 | not published | 0 |
| An cholangiogram percutaneous compl CPT 47531 | $5,857.80 | $9,763.00 | not published | 0 |
| An fluoro guide for cvp CPT 77001 | $315.60 | $526.00 | not published | 0 |
| Angiotensin ii CPT 82163 | $133.80 | $223.00 | not published | 0 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $652.50 | $1,087.50 | not published | 0 |
| Anidulafungin injection HCPCS J0348 | $830.40 | $1,384.00 | not published | 0 |
| Ankle X-ray CPT 73610 | $808.80 | $1,348.00 | not published | 0 |
| Anodyne therapy charges pt CPT 97026 | $90.60 | $151.00 | not published | 0 |
| Anterior asis pad HCPCS L1250 | $187.13 | $311.89 | not published | 0 |
| Anterior swing band HCPCS L2335 | $665.14 | $1,108.56 | not published | 0 |
| Anterior thoracic derotation HCPCS L1260 | $223.16 | $371.94 | not published | 0 |
| Anterior thoracic extension HCPCS L1220 | $515.37 | $858.95 | not published | 0 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $111.60 | $186.00 | not published | 0 |
| Antibody elution rbc reference CPT 86860 | $214.20 | $357.00 | not published | 0 |
| Antibody htlv/hiv confirm test CPT 86689 | $93.00 | $155.00 | not published | 0 |
| Antibody htlv-i CPT 86687 | $112.80 | $188.00 | not published | 0 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $285.60 | $476.00 | not published | 0 |
| Antibody id rbc panel CPT 86870 | $536.40 | $894.00 | not published | 0 |
| Antibody influenza virus CPT 86710 | $101.40 | $169.00 | not published | 0 |
| Antibody screen rbc CPT 86850 | $75.60 | $126.00 | not published | 0 |
| Antibody tetanus CPT 86774 | $78.60 | $131.00 | not published | 0 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $20.40 | $34.00 | not published | 0 |
| Antinuclear antibodies CPT 86038 | $205.80 | $343.00 | not published | 0 |
| Antinuclear antibodies titer CPT 86039 | $127.20 | $212.00 | not published | 0 |
| Antiphosphatidylserine antibody CPT 86148 | $110.40 | $184.00 | not published | 0 |
| Antistreptolysin o screen CPT 86063 | $167.40 | $279.00 | not published | 0 |
| Antistreptolysin o titer CPT 86060 | $167.40 | $279.00 | not published | 0 |
| Antithrombin iii activity CPT 85300 | $143.40 | $239.00 | not published | 0 |
| Aortic dysfunction/dilation CPT 81410 | $992.40 | $1,654.00 | not published | 0 |
| Aortic dysfunction/dilation CPT 81411 | $2,646.00 | $4,410.00 | not published | 0 |
| Apc gene dup/delet variants CPT 81203 | $330.60 | $551.00 | not published | 0 |
| Apc gene full sequence CPT 81201 | $1,290.00 | $2,150.00 | not published | 0 |
| Apc gene known fam variants CPT 81202 | $319.20 | $532.00 | not published | 0 |
| Apheresis plasma CPT 36514 | $3,806.40 | $6,344.00 | not published | 0 |
| Apl(pml-rara) quant - sendout CPT 81315 | $377.40 | $629.00 | not published | 0 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $1,836.60 | $3,061.00 | not published | 0 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $1,836.60 | $3,061.00 | not published | 0 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $852.60 | $1,421.00 | not published | 0 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $5,380.20 | $8,967.00 | not published | 0 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $1,836.60 | $3,061.00 | not published | 0 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $852.60 | $1,421.00 | not published | 0 |
| Application finger splntstatic 29130 CPT 29130 | $82.20 | $137.00 | not published | 0 |
| Application long leg splint 29505 CPT 29505 | $199.80 | $333.00 | not published | 0 |
| Application lower leg splint 29515 CPT 29515 | $199.80 | $333.00 | not published | 0 |
| Application multi layer compression below knee (both sides) CPT 29581 | $507.00 | $845.00 | not published | 0 |
| Application of paste boot 29580 CPT 29580 | $507.00 | $845.00 | not published | 0 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $2,854.80 | $4,758.00 | not published | 0 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $2,854.80 | $4,758.00 | not published | 0 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $6,547.43 | $10,912.38 | not published | 0 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $167.40 | $279.00 | not published | 0 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $160.20 | $267.00 | not published | 0 |
| Appl modality 1+lllt po pain CPT 97037 | $60.60 | $101.00 | not published | 0 |
| Apply forearm splintdynamic 29126 CPT 29126 | $163.80 | $273.00 | not published | 0 |
| Apply halo w/removal cranial CPT 20661 | $929.40 | $1,549.00 | not published | 0 |
| Apply of finger splint 29131 CPT 29131 | $101.40 | $169.00 | not published | 0 |
| Apply rigid leg cast 29445 CPT 29445 | $1,059.60 | $1,766.00 | not published | 0 |
| #aptt mix-1:1 incubated CPT 87532 | $39.00 | $65.00 | not published | 0 |
| Aquaporin-4 antibody cba each CPT 86052 | $184.80 | $308.00 | not published | 0 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $194.40 | $324.00 | not published | 0 |
| Aquatic exercise - group charge CPT 97150 | $147.60 | $246.00 | not published | 0 |
| Arch supp att to shoe long/m HCPCS L3090 | $96.31 | $160.51 | not published | 0 |
| Arch supp att to shoe metata HCPCS L3080 | $75.23 | $125.39 | not published | 0 |
| Arch suprt att to sho longit HCPCS L3070 | $75.23 | $125.39 | not published | 0 |
| Argatroban esrd dialysis 1mg HCPCS J0884 | $861.30 | $1,435.50 | not published | 0 |
| Argatroban nonesrd (accord) HCPCS J0891 | $848.28 | $1,413.80 | not published | 0 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | $0.06 | $0.10 | not published | 0 |
| Arterial blood draw/perc 36620 CPT 36620 | $1,188.60 | $1,981.00 | not published | 0 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $524.40 | $874.00 | not published | 0 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $550.80 | $918.00 | not published | 0 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $550.80 | $918.00 | not published | 0 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $499.80 | $833.00 | not published | 0 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $550.80 | $918.00 | not published | 0 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | $14,247.72 | $23,746.20 | not published | 0 |
| Arthrp ntrcrpl/crp/mtcrp ssp CPT 25448 | $20,006.90 | $33,344.83 | 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.