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 |
|---|---|---|---|---|
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $211.20 | $352.00 | not published | 0 |
| Pt application of modality traction mechanical CPT 97012 | $167.40 | $279.00 | not published | 0 |
| Pten gene dup/delet variant CPT 81323 | $463.20 | $772.00 | not published | 0 |
| Pten gene full sequence CPT 81321 | $992.40 | $1,654.00 | not published | 0 |
| Pt evaluation high complexity patient/family CPT 97163 | $617.40 | $1,029.00 | not published | 0 |
| Pt evaluation low complexity patient/family CPT 97161 | $457.20 | $762.00 | not published | 0 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $537.60 | $896.00 | not published | 0 |
| Pt re-evaluation patient/family CPT 97164 | $267.00 | $445.00 | not published | 0 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $162.60 | $271.00 | not published | 0 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $180.60 | $301.00 | not published | 0 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $167.40 | $279.00 | not published | 0 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $167.40 | $279.00 | not published | 0 |
| Pt wheelchair management each 15 minutes CPT 97542 | $97.80 | $163.00 | not published | 0 |
| Pulmonary vent imaging CPT 78579 | $1,238.40 | $2,064.00 | not published | 0 |
| Pulse ox continuous overnight monitoring CPT 94762 | $476.40 | $794.00 | not published | 0 |
| Pulse ox multiple CPT 94761 | $238.20 | $397.00 | not published | 0 |
| Pulse ox single CPT 94760 | $166.20 | $277.00 | not published | 0 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $1,128.41 | $1,880.69 | not published | 0 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $192.00 | $320.00 | not published | 0 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $1,040.40 | $1,734.00 | not published | 0 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,395.00 | $2,325.00 | not published | 0 |
| Puraply 1 sq cm HCPCS Q4195 | $13,462.25 | $22,437.08 | not published | 0 |
| Puraply xt 1 sq cm HCPCS Q4197 | $4,461.17 | $7,435.29 | not published | 0 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $1,565.40 | $2,609.00 | not published | 0 |
| Pvb thoracic single inj site CPT 64461 | $1,565.40 | $2,609.00 | not published | 0 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $47.28 | $78.80 | not published | 0 |
| Pyruvate CPT 84210 | $113.40 | $189.00 | not published | 0 |
| Pyruvate kinase CPT 84220 | $45.00 | $75.00 | not published | 0 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,972.80 | $3,288.00 | not published | 0 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,238.40 | $2,064.00 | not published | 0 |
| Quest t3 uptake CPT 84479 | $58.20 | $97.00 | not published | 0 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $12,800.10 | $21,333.50 | not published | 0 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,874.40 | $3,124.00 | not published | 0 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,617.00 | $2,695.00 | not published | 0 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $2,132.40 | $3,554.00 | not published | 0 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,873.20 | $3,122.00 | not published | 0 |
| Radphm lcl tumor plr sgl day CPT 78800 | $2,559.00 | $4,265.00 | not published | 0 |
| Rapid Strep Test CPT 87880 | $111.60 | $186.00 | not published | 0 |
| Rbc count only automated CPT 85041 | $15.00 | $25.00 | not published | 0 |
| Rbc deglycerolized each unit HCPCS P9039 | $489.00 | $815.00 | not published | 0 |
| Rbc osmotic fragility CPT 85555 | $49.80 | $83.00 | not published | 0 |
| Red blood cells each unit HCPCS P9021 | $214.80 | $358.00 | not published | 0 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $339.00 | $565.00 | not published | 0 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $600.00 | $1,000.00 | not published | 0 |
| Red blood cells washed each unit HCPCS P9022 | $339.00 | $565.00 | not published | 0 |
| Refill/maint pump/resvr syst CPT 96522 | $302.40 | $504.00 | not published | 0 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $1,121.28 | $1,868.80 | not published | 0 |
| Reinforced solid stirrup HCPCS L2260 | $443.50 | $739.16 | not published | 0 |
| Release palm contracture CPT 26123 | $16,961.40 | $28,269.00 | not published | 0 |
| Removal cerumen impacted (both sides) CPT 69210 | $82.20 | $137.00 | not published | 0 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $675.00 | $1,125.00 | not published | 0 |
| Removal of implant deep CPT 20680 | $18,313.92 | $30,523.20 | not published | 0 |
| Removal sutr or stapl no anes CPT 15853 | $124.20 | $207.00 | not published | 0 |
| Remove foreign body from eye CPT 65235 | $2,245.80 | $3,743.00 | not published | 0 |
| Remove int/ext hem 1 group CPT 46255 | $14,130.85 | $23,551.42 | not published | 0 |
| Renal function panel CPT 80069 | $174.60 | $291.00 | not published | 0 |
| Repair blood vessel dir lower extr CPT 35226 | $912.00 | $1,520.00 | not published | 0 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $741.60 | $1,236.00 | not published | 0 |
| Repair finger/hand tendon CPT 26350 | $5,161.20 | $8,602.00 | not published | 0 |
| Repair of ruptured tendon CPT 24342 | $24,716.36 | $41,193.93 | not published | 0 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $824.40 | $1,374.00 | not published | 0 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | $386.40 | $644.00 | not published | 0 |
| Replace duod/jej tube perc CPT 49451 | $1,498.80 | $2,498.00 | not published | 0 |
| Repl trach puncture dilator HCPCS L8514 | $244.05 | $406.75 | not published | 0 |
| Reptilase test CPT 85635 | $135.60 | $226.00 | not published | 0 |
| Resp virus 6-11 targets CPT 87632 | $533.40 | $889.00 | not published | 0 |
| Restorigin 1 sq cm HCPCS Q4191 | $6,298.13 | $10,496.88 | not published | 0 |
| Resuscitation cardiopulmonary CPT 92950 | $391.80 | $653.00 | not published | 0 |
| Resuscitation delivery/birthing room CPT 99465 | $966.60 | $1,611.00 | not published | 0 |
| Reticulated platelet assay CPT 85055 | $68.40 | $114.00 | not published | 0 |
| Reticulocyte automated CPT 85045 | $54.00 | $90.00 | not published | 0 |
| Rheumatoid factor qualitative CPT 86430 | $109.20 | $182.00 | not published | 0 |
| Rheumatoid factor quantitative CPT 86431 | $139.80 | $233.00 | not published | 0 |
| Rho d immune globulin inj HCPCS J2790 | $697.44 | $1,162.40 | not published | 0 |
| Rib gusset (elastic) each HCPCS L1280 | $206.74 | $344.56 | not published | 0 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $670.38 | $1,117.30 | not published | 0 |
| Ring flange plas/leather mol HCPCS L1110 | $753.39 | $1,255.65 | not published | 0 |
| Ring flange plastic/leather HCPCS L1100 | $449.35 | $748.91 | not published | 0 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $2,311.94 | $3,853.23 | not published | 0 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $4,855.56 | $8,092.60 | not published | 0 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $17,475.12 | $29,125.20 | not published | 0 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $13,332.48 | $22,220.80 | not published | 0 |
| Rmvl pq iabp CPT 33968 | $2,350.20 | $3,917.00 | not published | 0 |
| Rocker bottom, contact afo HCPCS L2232 | $229.85 | $383.09 | not published | 0 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $5,178.54 | $8,630.90 | not published | 0 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $9,890.04 | $16,483.40 | not published | 0 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $82.26 | $137.10 | not published | 0 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,066.80 | $1,778.00 | not published | 0 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $2,434.80 | $4,058.00 | not published | 0 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $2,763.00 | $4,605.00 | not published | 0 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $16,187.46 | $26,979.10 | not published | 0 |
| Rsv assay w/optic CPT 87807 | $108.00 | $180.00 | not published | 0 |
| Rubella antibody igg CPT 86762 | $193.20 | $322.00 | not published | 0 |
| Rubeola antibody igg CPT 86765 | $150.60 | $251.00 | not published | 0 |
| Russell viper venom diluted CPT 85613 | $137.40 | $229.00 | not published | 0 |
| Sarscov coronavirus ag ia CPT 87426 | $46.80 | $78.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $664.80 | $1,108.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $254.40 | $424.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $373.20 | $622.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $1,571.40 | $2,619.00 | 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.