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 |
|---|---|---|---|---|
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,639.80 | $2,733.00 | not published | 0 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $1,639.80 | $2,733.00 | not published | 0 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,885.80 | $3,143.00 | not published | 0 |
| Placental lactogen CPT 83632 | $236.40 | $394.00 | not published | 0 |
| Plas shoe insert w ank joint HCPCS L2180 | $247.36 | $412.26 | not published | 0 |
| Plastic mod low ext pad/line HCPCS L2275 | $351.65 | $586.08 | not published | 0 |
| Plastic mold recipro hip & c HCPCS L2627 | $5,056.93 | $8,428.21 | not published | 0 |
| Platelet aggregation each agent teg CPT 85576 | $120.00 | $200.00 | not published | 0 |
| Platelet automated CPT 85049 | $64.80 | $108.00 | not published | 0 |
| Platelet pheresis each unit HCPCS P9034 | $799.20 | $1,332.00 | not published | 0 |
| Platelets each unit HCPCS P9019 | $118.80 | $198.00 | not published | 0 |
| Plating chrome/nickel pr bar HCPCS L2750 | $184.93 | $308.21 | not published | 0 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $1,885.80 | $3,143.00 | not published | 0 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $316.80 | $528.00 | not published | 0 |
| Pmp22 gene dup/delet CPT 81324 | $1,254.00 | $2,090.00 | not published | 0 |
| Pmp22 gene full sequence CPT 81325 | $1,254.00 | $2,090.00 | not published | 0 |
| Pneum full leg splnt pre ots HCPCS L4370 | $309.50 | $515.83 | not published | 0 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $187.80 | $313.00 | not published | 0 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,551.00 | $7,585.00 | not published | 0 |
| Postop app non-wgt bear dsg HCPCS L5450 | $598.11 | $996.85 | not published | 0 |
| Postop app non-wgt bear dsg HCPCS L5460 | $1,389.71 | $2,316.18 | not published | 0 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | $3,339.01 | $5,565.01 | not published | 0 |
| Post-operative body jacket HCPCS L1310 | $4,247.46 | $7,079.10 | not published | 0 |
| Potassium 24 hour urine CPT 84133 | $65.40 | $109.00 | not published | 0 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $43.50 | $72.50 | not published | 0 |
| Potassium serum/plasma/whole blood CPT 84132 | $39.60 | $66.00 | not published | 0 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $377.16 | $628.60 | not published | 0 |
| Pr application of long arm splint CPT 29105 | $199.80 | $333.00 | not published | 0 |
| Pr application splint static short arm CPT 29125 | $163.80 | $273.00 | not published | 0 |
| Pr biopsy skin punch single lesion CPT 11104 | $366.00 | $610.00 | not published | 0 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $49.20 | $82.00 | not published | 0 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $688.20 | $1,147.00 | not published | 0 |
| Prealbumin CPT 84134 | $141.00 | $235.00 | not published | 0 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $199.32 | $332.20 | not published | 0 |
| Prednisone 1 mg tablet HCPCS J7512 | $1.50 | $2.50 | not published | 0 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $929.40 | $1,549.00 | not published | 0 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $863.40 | $1,439.00 | not published | 0 |
| Prep bk ptb open end socket HCPCS L5535 | $4,585.93 | $7,643.22 | not published | 0 |
| Prep bk ptb thermopls molded HCPCS L5530 | $3,998.60 | $6,664.34 | not published | 0 |
| Prep skin to 100cm2 other CPT 15004 | $881.40 | $1,469.00 | not published | 0 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $2,854.80 | $4,758.00 | not published | 0 |
| Pressure max expiratory/inspiratory CPT 94799 | $183.60 | $306.00 | not published | 0 |
| Pretreat rbc absorption reference CPT 86978 | $208.80 | $348.00 | not published | 0 |
| Pretreat rbc density gradient separation reference CPT 86972 | $99.60 | $166.00 | not published | 0 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $186.00 | $310.00 | not published | 0 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $162.00 | $270.00 | not published | 0 |
| Preventive counseling group CPT 99411 | $42.60 | $71.00 | not published | 0 |
| Preventive counseling group CPT 99412 | $85.20 | $142.00 | not published | 0 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $2,479.80 | $4,133.00 | not published | 0 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,988.40 | $3,314.00 | not published | 0 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $616.20 | $1,027.00 | not published | 0 |
| Pr incision & drainage abscess simple/single CPT 10060 | $264.00 | $440.00 | not published | 0 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $404.40 | $674.00 | not published | 0 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $5,773.74 | $9,622.90 | not published | 0 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $206.40 | $344.00 | not published | 0 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $14,269.86 | $23,783.10 | not published | 0 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $15,627.23 | $26,045.38 | not published | 0 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $369.78 | $616.30 | not published | 0 |
| Procalcitonin CPT 84145 | $301.20 | $502.00 | not published | 0 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $11.82 | $19.70 | not published | 0 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $1.50 | $2.50 | not published | 0 |
| Progesterone CPT 84144 | $81.00 | $135.00 | not published | 0 |
| Prolactin CPT 84146 | $210.00 | $350.00 | not published | 0 |
| Prolonged IV inf, req pump HCPCS C8957 | $480.00 | $800.00 | not published | 0 |
| Promethazine 25 mg tablet HCPCS Q0169 | $1.50 | $2.50 | not published | 0 |
| Promethazine hcl injection HCPCS J2550 | $7.50 | $12.50 | not published | 0 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $130.50 | $217.50 | not published | 0 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $6,822.97 | $11,371.62 | not published | 0 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | $430.37 | $717.29 | not published | 0 |
| Prosthetic sock multi ply bk HCPCS L8420 | $82.43 | $137.38 | not published | 0 |
| Prosthetic type socket molde HCPCS L2350 | $2,049.99 | $3,416.65 | not published | 0 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | $14.67 | $24.45 | not published | 0 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $13.50 | $22.50 | not published | 0 |
| Protect body sock ea pre ots HCPCS L0984 | $139.40 | $232.33 | not published | 0 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $4,589.53 | $7,649.21 | not published | 0 |
| Protein c activity CPT 85303 | $160.20 | $267.00 | not published | 0 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $136.20 | $227.00 | not published | 0 |
| Protein s total CPT 85305 | $174.60 | $291.00 | not published | 0 |
| Protein total 24 hour urine CPT 84156 | $64.20 | $107.00 | not published | 0 |
| Protein total body fluid CPT 84157 | $73.20 | $122.00 | not published | 0 |
| Protein total serum plasma whole blood CPT 84155 | $51.00 | $85.00 | not published | 0 |
| Prothrombin complex kcentra HCPCS J7168 | $5,605.38 | $9,342.30 | not published | 0 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $26.40 | $44.00 | not published | 0 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $212.40 | $354.00 | not published | 0 |
| Pr removal intrauterine device CPT 58301 | $514.20 | $857.00 | not published | 0 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $477.00 | $795.00 | not published | 0 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $261.60 | $436.00 | not published | 0 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $261.60 | $436.00 | not published | 0 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $340.80 | $568.00 | not published | 0 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $261.60 | $436.00 | not published | 0 |
| Pr robotic surgical system HCPCS S2900 | $0.01 | $0.01 | not published | 0 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,071.00 | $1,785.00 | not published | 0 |
| PSA (Prostate) Test CPT 84153 | $136.20 | $227.00 | not published | 0 |
| Psychotherapy group therapy CPT 90853 | $281.40 | $469.00 | not published | 0 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $281.40 | $469.00 | not published | 0 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $342.00 | $570.00 | not published | 0 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $256.80 | $428.00 | not published | 0 |
| Psychthrp grp 45-50min mcr HCPCS G0410 | $444.00 | $740.00 | not published | 0 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $180.00 | $300.00 | not published | 0 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $185.40 | $309.00 | 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.