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 |
|---|---|---|---|---|
| Thyroid imaging CPT 78013 | $676.80 | $1,128.00 | not published | 0 |
| Thyroid met imaging CPT 78015 | $1,057.80 | $1,763.00 | not published | 0 |
| Thyroid mets imag whole body CPT 78018 | $1,498.80 | $2,498.00 | not published | 0 |
| Thyroid (TSH) Test CPT 84443 | $130.80 | $218.00 | not published | 0 |
| Thyroid Ultrasound CPT 76536 | $1,032.00 | $1,720.00 | not published | 0 |
| Thyroid uptake measurement CPT 78012 | $508.20 | $847.00 | not published | 0 |
| Thyroxine binding globulin (tbg) CPT 84442 | $108.60 | $181.00 | not published | 0 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | $7,611.55 | $12,685.92 | not published | 0 |
| Tissue culture placenta CPT 88235 | $546.00 | $910.00 | not published | 0 |
| Tissue culture skin/biopsy CPT 88233 | $1,476.00 | $2,460.00 | not published | 0 |
| Tissue culture tumor CPT 88239 | $393.60 | $656.00 | not published | 0 |
| Tissue exam koh skin/hair/nails CPT 87220 | $87.00 | $145.00 | not published | 0 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $33,376.04 | $55,626.73 | not published | 0 |
| Tissue transglutaminase iga CPT 86364 | $29.40 | $49.00 | not published | 0 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | $2,110.21 | $3,517.02 | not published | 0 |
| Tlso 2 piece rigid shell HCPCS L0491 | $1,817.14 | $3,028.57 | not published | 0 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | $2,160.47 | $3,600.78 | not published | 0 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | $2,687.36 | $4,478.93 | not published | 0 |
| Tlso 3 piece rigid shell HCPCS L0492 | $1,183.29 | $1,972.15 | not published | 0 |
| Tlso corset front HCPCS L0970 | $252.85 | $421.41 | not published | 0 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | $820.60 | $1,367.66 | not published | 0 |
| Tlso full corset HCPCS L0974 | $413.47 | $689.12 | not published | 0 |
| Tlso r fram soft ant pre cst HCPCS L0466 | $897.72 | $1,496.20 | not published | 0 |
| Tlso r fram soft pre ots HCPCS L0467 | $897.72 | $1,496.20 | not published | 0 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | $1,125.03 | $1,875.05 | not published | 0 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | $1,125.03 | $1,875.05 | not published | 0 |
| Tlso rigid frame pre subclav HCPCS L0470 | $1,556.79 | $2,594.65 | not published | 0 |
| Tlso rigid lined custom fab HCPCS L0482 | $3,410.30 | $5,683.84 | not published | 0 |
| Tlso rigid lined pre one pie HCPCS L0488 | $2,375.18 | $3,958.64 | not published | 0 |
| Tlso rigid plastic custom fa HCPCS L0480 | $3,573.87 | $5,956.45 | not published | 0 |
| Tlso rigid plastic pre one HCPCS L0490 | $669.31 | $1,115.51 | not published | 0 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | $1,117.92 | $1,863.20 | not published | 0 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $348.00 | $580.00 | not published | 0 |
| Tobramycin non-comp unit HCPCS J7682 | $45.12 | $75.20 | not published | 0 |
| Tobramycin peak therapeutic drug level CPT 80200 | $157.80 | $263.00 | not published | 0 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $4,419.66 | $7,366.10 | not published | 0 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $24.00 | $40.00 | not published | 0 |
| Tomosynthesis breast screen bilateral CPT 77063 | $22.20 | $37.00 | not published | 0 |
| Torsion ank & half solid sti HCPCS L2375 | $291.13 | $485.22 | not published | 0 |
| Torsion straight knee joint HCPCS L2380 | $253.84 | $423.07 | not published | 0 |
| Total Hip Replacement CPT 27130 | $59,950.27 | $99,917.12 | not published | 0 |
| Total Knee Replacement CPT 27447 | $38,434.10 | $64,056.83 | not published | 0 |
| Toxoplasma antibody igg CPT 86777 | $93.60 | $156.00 | not published | 0 |
| Toxoplasma antibody igm CPT 86778 | $146.40 | $244.00 | not published | 0 |
| Tpmt gene com vrnts CPT 81335 | $323.40 | $539.00 | not published | 0 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $111.60 | $186.00 | not published | 0 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $25.26 | $42.10 | not published | 0 |
| Transferrin CPT 84466 | $155.40 | $259.00 | not published | 0 |
| Transfusion blood/blood component(s) CPT 36430 | $1,099.20 | $1,832.00 | not published | 0 |
| Trans shoe caliper plate new HCPCS L3610 | $237.73 | $396.21 | not published | 0 |
| Trans shoe calip plate exist HCPCS L3600 | $180.55 | $300.91 | not published | 0 |
| Trans shoe solid stirrup exi HCPCS L3620 | $180.55 | $300.91 | not published | 0 |
| Trans shoe solid stirrup new HCPCS L3630 | $237.73 | $396.21 | not published | 0 |
| Trapezius sling HCPCS L1070 | $265.44 | $442.40 | not published | 0 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $14,166.48 | $23,610.80 | not published | 0 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $12,614.82 | $21,024.70 | not published | 0 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $9,053.56 | $15,089.27 | not published | 0 |
| Treat elbow dislocation CPT 24605 | $2,024.40 | $3,374.00 | not published | 0 |
| Treat finger fracture each CPT 26727 | $19,875.88 | $33,126.47 | not published | 0 |
| Treat finger fracture each CPT 26742 | $13,668.56 | $22,780.93 | not published | 0 |
| Treat foot dislocation CPT 28570 | $376.20 | $627.00 | not published | 0 |
| Treat fracture of radius CPT 25505 | $2,411.40 | $4,019.00 | not published | 0 |
| Treat fracture of ulna CPT 25535 | $375.60 | $626.00 | not published | 0 |
| Treat humerus fracture CPT 24579 | $16,693.52 | $27,822.53 | not published | 0 |
| Treat knee fracture CPT 27535 | $47,954.66 | $79,924.43 | not published | 0 |
| Treat lower leg dislocation CPT 27830 | $375.60 | $626.00 | not published | 0 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | $22,418.35 | $37,363.92 | not published | 0 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | $15,455.93 | $25,759.88 | not published | 0 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $268.80 | $448.00 | not published | 0 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $276.60 | $461.00 | not published | 0 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $316.80 | $528.00 | not published | 0 |
| Treatment of ankle fracture 27786 CPT 27786 | $360.00 | $600.00 | not published | 0 |
| Treatment of thigh fracture CPT 27510 | $2,722.20 | $4,537.00 | not published | 0 |
| Treat metacarpal fracture CPT 26608 | $5,868.96 | $9,781.60 | not published | 0 |
| Treat metacarpal fracture CPT 26615 | $7,055.23 | $11,758.72 | not published | 0 |
| Treat thigh fracture CPT 27246 | $375.60 | $626.00 | not published | 0 |
| Treponema pallidum antibody CPT 86780 | $170.40 | $284.00 | not published | 0 |
| Trg gene rearrangement anal CPT 81342 | $723.00 | $1,205.00 | not published | 0 |
| Trichinella antibody CPT 86784 | $247.80 | $413.00 | not published | 0 |
| Triglycerides CPT 84478 | $107.40 | $179.00 | not published | 0 |
| Trim nondyst nails CPT 11719 | $366.00 | $610.00 | not published | 0 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $12,619.20 | $21,032.00 | not published | 0 |
| Troponin quantitative CPT 84484 | $129.60 | $216.00 | not published | 0 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $445.99 | $743.31 | not published | 0 |
| Tx closed distal humerus fx CPT 24999 | $342.60 | $571.00 | not published | 0 |
| Tx closed hip disl traumatic without anes CPT 27250 | $322.20 | $537.00 | not published | 0 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $19,234.94 | $32,058.23 | not published | 0 |
| Ua w/micro/comp poc CPT 81000 | $52.20 | $87.00 | not published | 0 |
| Ugt1a1 gene analy common variants CPT 81350 | $619.20 | $1,032.00 | not published | 0 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $156.60 | $261.00 | not published | 0 |
| Ultrasound breast complete CPT 76641 | $591.00 | $985.00 | not published | 0 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $591.00 | $985.00 | not published | 0 |
| Ultrasound chest CPT 76604 | $861.60 | $1,436.00 | not published | 0 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $198.00 | $330.00 | not published | 0 |
| Ultrasound encephalogram CPT 76506 | $1,032.00 | $1,720.00 | not published | 0 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $860.40 | $1,434.00 | not published | 0 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $1,255.80 | $2,093.00 | not published | 0 |
| Ultrasound guidance for vascular access CPT 76937 | $332.40 | $554.00 | not published | 0 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $809.40 | $1,349.00 | not published | 0 |
| Ultrasound guide intraoperative CPT 76998 | $1,390.20 | $2,317.00 | 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.