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 |
|---|---|---|---|---|
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $441.00 | $735.00 | not published | 0 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $1,111.20 | $1,852.00 | not published | 0 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,462.20 | $2,437.00 | not published | 0 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $981.00 | $1,635.00 | not published | 0 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $1,059.00 | $1,765.00 | not published | 0 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $15,351.69 | $25,586.15 | not published | 0 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $79.20 | $132.00 | not published | 0 |
| Screen cerv/vag thin layer HCPCS G0123 | $79.20 | $132.00 | not published | 0 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $4,549.38 | $7,582.30 | not published | 0 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $45.00 | $75.00 | not published | 0 |
| Screening Mammogram CPT 77067 | $223.80 | $373.00 | not published | 0 |
| Screening prostate cancer PSA HCPCS G0103 | $192.60 | $321.00 | not published | 0 |
| Screen pap by tech w md supv HCPCS P3000 | $98.40 | $164.00 | not published | 0 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $283,203.20 | $472,005.33 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $30.60 | $51.00 | not published | 0 |
| Semen analysis presence/motility CPT 89321 | $157.80 | $263.00 | not published | 0 |
| Serpina1 gene CPT 81332 | $115.80 | $193.00 | not published | 0 |
| Sewho cap design without jnts cf HCPCS L3961 | $3,617.93 | $6,029.89 | not published | 0 |
| Sheath below knee HCPCS L8400 | $38.15 | $63.59 | not published | 0 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $8,725.53 | $14,542.55 | not published | 0 |
| Sheath laser cavaclear 14f HCPCS C1603 | $13,107.98 | $21,846.63 | not published | 0 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $14,247.72 | $23,746.20 | not published | 0 |
| Shoe clubfoot wedge HCPCS L3380 | $117.35 | $195.59 | not published | 0 |
| Shoe dennis browne splint bo HCPCS L3640 | $102.37 | $170.62 | not published | 0 |
| Shoe heel new leather standa HCPCS L3455 | $96.31 | $160.51 | not published | 0 |
| Shoe heel new rubber standar HCPCS L3460 | $81.30 | $135.50 | not published | 0 |
| Shoe heel pad & depress for HCPCS L3480 | $147.43 | $245.71 | not published | 0 |
| Shoe heel sach cushion type HCPCS L3450 | $249.70 | $416.16 | not published | 0 |
| Shoe heel thomas extend to b HCPCS L3470 | $147.43 | $245.71 | not published | 0 |
| Shoe heel thomas with wedge HCPCS L3465 | $138.50 | $230.84 | not published | 0 |
| Shoe lift elev heel/sole neo HCPCS L3310 | $175.19 | $291.99 | not published | 0 |
| Shoe metatarsal bar between HCPCS L3410 | $219.65 | $366.08 | not published | 0 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | $96.31 | $160.51 | not published | 0 |
| Shoe outflare wedge HCPCS L3390 | $117.35 | $195.59 | not published | 0 |
| Shoe post-op mens m HCPCS L3260 | $288.67 | $481.11 | not published | 0 |
| Shoe sole wedge between sole HCPCS L3370 | $117.35 | $195.59 | not published | 0 |
| Shoe sole wedge outside sole HCPCS L3360 | $84.24 | $140.40 | not published | 0 |
| Shoe wedge sach HCPCS L3340 | $201.67 | $336.12 | not published | 0 |
| Sho heel count plast reinfor HCPCS L3430 | $379.18 | $631.96 | not published | 0 |
| Sho insert w arch toe filler HCPCS L5000 | $1,224.38 | $2,040.64 | not published | 0 |
| Sho lift taper to metatarsal HCPCS L3300 | $123.39 | $205.65 | not published | 0 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $24,140.63 | $40,234.38 | not published | 0 |
| Shoulder MRI (with and without contrast) CPT 73223 | $3,306.60 | $5,511.00 | not published | 0 |
| Shoulder MRI (with contrast) CPT 73222 | $2,856.00 | $4,760.00 | not published | 0 |
| Shoulder MRI (without contrast) CPT 73221 | $2,605.20 | $4,342.00 | not published | 0 |
| Shoulder X-ray CPT 73030 | $471.60 | $786.00 | not published | 0 |
| Shrinker prosth above knee HCPCS L8460 | $199.81 | $333.01 | not published | 0 |
| Shrinker prosth below knee HCPCS L8440 | $140.56 | $234.26 | not published | 0 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $7,610.24 | $12,683.73 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $1,827.60 | $3,046.00 | not published | 0 |
| Sialography s&i CPT 70390 | $1,404.00 | $2,340.00 | not published | 0 |
| Sickling rbc CPT 85660 | $794.40 | $1,324.00 | not published | 0 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $567.54 | $945.90 | not published | 0 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,675.20 | $2,792.00 | not published | 0 |
| Sinus CT scan (with contrast) CPT 70487 | $1,545.60 | $2,576.00 | not published | 0 |
| Sinus CT scan (without contrast) CPT 70486 | $1,099.80 | $1,833.00 | not published | 0 |
| Sio flex pelvisacral custom HCPCS L0622 | $632.41 | $1,054.02 | not published | 0 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | $418.75 | $697.91 | not published | 0 |
| Sirolimus, oral HCPCS J7520 | $22.08 | $36.80 | not published | 0 |
| Skin Biopsy CPT 11102 | $366.00 | $610.00 | not published | 0 |
| Sleep study attended CPT 95807 | $3,045.00 | $5,075.00 | not published | 0 |
| Sleep Study (Polysomnography) CPT 95810 | $4,459.20 | $7,432.00 | not published | 0 |
| Sleep study unattended CPT 95806 | $778.20 | $1,297.00 | not published | 0 |
| Sleeve fing rolyan med HCPCS L3933 | $459.47 | $765.79 | not published | 0 |
| Sling pelv split sam med HCPCS L0621 | $204.01 | $340.01 | not published | 0 |
| Sling suprapubic suburetheral HCPCS C1771 | $17,842.81 | $29,738.01 | not published | 0 |
| Slp pure tone screening CPT 92551 | $127.20 | $212.00 | not published | 0 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $69.60 | $116.00 | not published | 0 |
| Smear gram stain CPT 87205 | $73.20 | $122.00 | not published | 0 |
| Smear nasal eosinophil CPT 89190 | $52.20 | $87.00 | not published | 0 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $37.80 | $63.00 | not published | 0 |
| Smear wet mount CPT 87210 | $48.00 | $80.00 | not published | 0 |
| Smpd1 gene common variants CPT 81330 | $330.60 | $551.00 | not published | 0 |
| Snrpn/ube3a gene CPT 81331 | $252.60 | $421.00 | not published | 0 |
| So airplane w/wo joint cf HCPCS L3674 | $2,545.34 | $4,242.23 | not published | 0 |
| So cap design without jnts cf HCPCS L3671 | $1,940.30 | $3,233.83 | not published | 0 |
| Socket insert without lock mech HCPCS L5679 | $1,286.05 | $2,143.42 | not published | 0 |
| Sock fracture or equal each HCPCS L3995 | $71.96 | $119.93 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $63.00 | $105.00 | not published | 0 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $33.00 | $55.00 | not published | 0 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $46.20 | $77.00 | not published | 0 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $28.08 | $46.80 | not published | 0 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $33.30 | $55.50 | not published | 0 |
| Sodium serum/plasma/whole blood CPT 84295 | $48.00 | $80.00 | not published | 0 |
| Soft interface below knee se HCPCS L2820 | $179.08 | $298.46 | not published | 0 |
| So vest canvas/web pre ots HCPCS L3675 | $377.96 | $629.94 | not published | 0 |
| Specific gravity body fluid CPT 84315 | $15.60 | $26.00 | not published | 0 |
| Specimen fat stain CPT 89125 | $34.80 | $58.00 | not published | 0 |
| Sperm antibody test CPT 89325 | $108.60 | $181.00 | not published | 0 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,735.20 | $2,892.00 | not published | 0 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | $544.20 | $907.00 | not published | 0 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $484.20 | $807.00 | not published | 0 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $1,091.26 | $1,818.76 | not published | 0 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $141.44 | $235.74 | not published | 0 |
| Splint finger fold over sm HCPCS L3924 | $208.00 | $346.66 | not published | 0 |
| Splint finger frog med HCPCS L3927 | $211.67 | $352.78 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $208.00 | $346.66 | not published | 0 |
| Sputum specimen collection CPT 89220 | $283.80 | $473.00 | not published | 0 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $414.60 | $691.00 | not published | 0 |
| Staph a dna amp probe CPT 87640 | $165.60 | $276.00 | 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.