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 |
|---|---|---|---|---|
| Static or dynami afo pre ots HCPCS L4397 | $656.06 | $1,093.43 | not published | 0 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $572.40 | $954.00 | not published | 0 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $47,337.52 | $78,895.86 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $38,051.19 | $63,418.65 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $41,331.47 | $68,885.78 | not published | 0 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $918.48 | $1,530.80 | not published | 0 |
| Sterile water/saline, 10 ml HCPCS A4216 | $18.00 | $30.00 | not published | 0 |
| Sternal pad HCPCS L1050 | $237.41 | $395.69 | not published | 0 |
| St evaluate speech sound production CPT 92522 | $414.60 | $691.00 | not published | 0 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $414.00 | $690.00 | not published | 0 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $465.60 | $776.00 | not published | 0 |
| St evaluation swallow function CPT 92610 | $514.20 | $857.00 | not published | 0 |
| Stimulants synthetic CPT 80371 | $168.60 | $281.00 | not published | 0 |
| Stocking sup grips 4 pre ots HCPCS L0982 | $37.00 | $61.67 | not published | 0 |
| Straight knee joint heavy du HCPCS L2385 | $347.68 | $579.47 | not published | 0 |
| Strep a ag ia CPT 87430 | $98.40 | $164.00 | not published | 0 |
| Strep a dna dir probe CPT 87650 | $76.80 | $128.00 | not published | 0 |
| Strep b dna amp probe CPT 87653 | $94.80 | $158.00 | not published | 0 |
| Stress test pulmonary CPT 94618 | $191.40 | $319.00 | not published | 0 |
| Str markers specimen anal CPT 81265 | $383.40 | $639.00 | not published | 0 |
| St treatment speech individual CPT 92507 | $272.40 | $454.00 | not published | 0 |
| St treatment swallow dysfunction/oral CPT 92526 | $372.00 | $620.00 | not published | 0 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $7.50 | $12.50 | not published | 0 |
| Sugars single quant CPT 84378 | $90.00 | $150.00 | not published | 0 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $6,350.28 | $10,583.80 | not published | 0 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $52.92 | $88.20 | not published | 0 |
| Support clav 29.6-40.5in med HCPCS L3650 | $599.08 | $998.47 | not published | 0 |
| Surgical pathology level 1 gross examination only CPT 88300 | $246.00 | $410.00 | not published | 0 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $254.40 | $424.00 | not published | 0 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $254.40 | $424.00 | not published | 0 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $303.60 | $506.00 | not published | 0 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $536.40 | $894.00 | not published | 0 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,042.20 | $1,737.00 | not published | 0 |
| Susceptibility agar dilution per agent CPT 87181 | $61.20 | $102.00 | not published | 0 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $14.40 | $24.00 | not published | 0 |
| Susceptibility mic per plate CPT 87186 | $141.00 | $235.00 | not published | 0 |
| Suscept studies macrobroth dilution ea CPT 87188 | $30.00 | $50.00 | not published | 0 |
| Suspension sleeve lower ext HCPCS L2397 | $251.38 | $418.96 | not published | 0 |
| Sweat collection by iontophoresis CPT 89230 | $135.00 | $225.00 | not published | 0 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $76.80 | $128.00 | not published | 0 |
| System cardiomems hosp electronics HCPCS C2624 | $49,860.18 | $83,100.30 | not published | 0 |
| System pacing micra av HCPCS C1786 | $43,824.47 | $73,040.79 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $21,174.83 | $35,291.39 | not published | 0 |
| System recell skin grafting/harvesting HCPCS C1832 | $18,041.51 | $30,069.19 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $189.00 | $315.00 | not published | 0 |
| T3 (triiodothyronine) total CPT 84480 | $205.80 | $343.00 | not published | 0 |
| T4 (thyroxine) free CPT 84439 | $133.80 | $223.00 | not published | 0 |
| T4 (thyroxine) total CPT 84436 | $76.80 | $128.00 | not published | 0 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $4.26 | $7.10 | not published | 0 |
| Tacrolimus therapeutic drug level CPT 80197 | $201.60 | $336.00 | not published | 0 |
| Talymed HCPCS Q4127 | $3,411.49 | $5,685.81 | not published | 0 |
| Tap block bilat cont infusion 64489 CPT 64489 | $788.40 | $1,314.00 | not published | 0 |
| Tap block uni by cont infusion 64487 CPT 64487 | $788.40 | $1,314.00 | not published | 0 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,662.20 | $4,437.00 | not published | 0 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $3,862.80 | $6,438.00 | not published | 0 |
| Target gsa panel organ neop CPT 81445 | $992.40 | $1,654.00 | not published | 0 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1,504.38 | $2,507.30 | not published | 0 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $190.20 | $317.00 | not published | 0 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $126.60 | $211.00 | not published | 0 |
| Tc-99m medronate HCPCS A9503 | $48.00 | $80.00 | not published | 0 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $150.30 | $250.50 | not published | 0 |
| Tc-99m sulfur colloid HCPCS A9541 | $142.20 | $237.00 | not published | 0 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $96.00 | $160.00 | not published | 0 |
| T cells absolute cd 4 count CPT 86361 | $123.00 | $205.00 | not published | 0 |
| T cells total count CPT 86359 | $76.80 | $128.00 | not published | 0 |
| Tendon lngth upr a/e ea tdn CPT 24305 | $11,872.80 | $19,788.00 | not published | 0 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $31,214.34 | $52,023.90 | not published | 0 |
| Tension based scoliosis orth HCPCS L1005 | $7,573.03 | $12,621.71 | not published | 0 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $7.50 | $12.50 | not published | 0 |
| Test for chlorohydrocarbons CPT 82441 | $131.40 | $219.00 | not published | 0 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $63.00 | $105.00 | not published | 0 |
| Test socket below knee HCPCS L5620 | $610.71 | $1,017.85 | not published | 0 |
| Test stress cardiovascular tracing only CPT 93017 | $960.00 | $1,600.00 | not published | 0 |
| Test urine for porphyrins CPT 84119 | $183.60 | $306.00 | not published | 0 |
| Tetanus immune globulin inj HCPCS J1670 | $2,442.18 | $4,070.30 | not published | 0 |
| Theophylline therapeutic drug level CPT 80198 | $157.80 | $263.00 | not published | 0 |
| Therapeutic procd strg endur HCPCS G0237 | $433.20 | $722.00 | not published | 0 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $75.00 | $125.00 | not published | 0 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $75.00 | $125.00 | not published | 0 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $375.60 | $626.00 | not published | 0 |
| Ther/proph/diag inj ia CPT 96373 | $193.80 | $323.00 | not published | 0 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $7.50 | $12.50 | not published | 0 |
| Thigh/wght bear high roll cu HCPCS L2550 | $805.06 | $1,341.76 | not published | 0 |
| Thigh/wght bear lacer molded HCPCS L2540 | $1,073.75 | $1,789.59 | not published | 0 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | $567.44 | $945.73 | not published | 0 |
| Thi/glut/ischia wgt bearing HCPCS L2500 | $740.42 | $1,234.04 | not published | 0 |
| Thorac cont lat support upri HCPCS L2680 | $346.21 | $577.02 | not published | 0 |
| Thorac cont paraspinal uprig HCPCS L2670 | $377.39 | $628.98 | not published | 0 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $2,601.00 | $4,335.00 | not published | 0 |
| Thoracic control thoracic ba HCPCS L2660 | $423.94 | $706.57 | not published | 0 |
| Thoracic pad HCPCS L1060 | $256.25 | $427.09 | not published | 0 |
| Thor rib belt custom fabrica HCPCS L0220 | $2,720.16 | $4,533.60 | not published | 0 |
| Thrombin time CPT 85670 | $81.00 | $135.00 | not published | 0 |
| Thromboplastin inhibition CPT 85705 | $139.20 | $232.00 | not published | 0 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $103.20 | $172.00 | not published | 0 |
| Th/wght bear nar m-l brim cu HCPCS L2526 | $1,515.38 | $2,525.64 | not published | 0 |
| Th/wght bear nar m-l brim mo HCPCS L2525 | $2,696.86 | $4,494.76 | not published | 0 |
| Th/wght bear quad-lat brim c HCPCS L2520 | $1,271.78 | $2,119.63 | not published | 0 |
| Th/wght bear quad-lat brim m HCPCS L2510 | $1,908.28 | $3,180.47 | not published | 0 |
| Thyroglobulin antibody CPT 86800 | $159.00 | $265.00 | 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.