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 |
|---|---|---|---|---|
| X-ray forearm 2 views (both sides) CPT 73090 | $450.00 | $750.00 | not published | 0 |
| X-ray hand 2 views (both sides) CPT 73120 | $216.00 | $360.00 | not published | 0 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $393.00 | $655.00 | not published | 0 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $871.80 | $1,453.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $871.80 | $1,453.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $871.80 | $1,453.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $871.80 | $1,453.00 | not published | 0 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $388.20 | $647.00 | not published | 0 |
| X-ray humerus >= 2 views left CPT 73060 | $462.60 | $771.00 | not published | 0 |
| X-ray joint survey 1 view CPT 77077 | $185.40 | $309.00 | not published | 0 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $477.00 | $795.00 | not published | 0 |
| X-ray knee 3 views (both sides) CPT 73562 | $476.40 | $794.00 | not published | 0 |
| X-ray knee ap standing bilateral CPT 73565 | $301.80 | $503.00 | not published | 0 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $338.40 | $564.00 | not published | 0 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $130.20 | $217.00 | not published | 0 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $617.40 | $1,029.00 | not published | 0 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $709.80 | $1,183.00 | not published | 0 |
| X-ray mandible complete > 4 views CPT 70110 | $568.20 | $947.00 | not published | 0 |
| X-ray mandible ltd <4 views CPT 70100 | $661.80 | $1,103.00 | not published | 0 |
| X-ray nasal bones complete > 3 views CPT 70160 | $551.40 | $919.00 | not published | 0 |
| X-ray neck soft tissue CPT 70360 | $468.00 | $780.00 | not published | 0 |
| X-ray nose to rectum for foreign body child CPT 76010 | $376.20 | $627.00 | not published | 0 |
| X-ray of mammary ducts CPT 77054 | $740.40 | $1,234.00 | not published | 0 |
| X-ray optic foramina CPT 70190 | $323.40 | $539.00 | not published | 0 |
| X-ray pelvis 1-2 views CPT 72170 | $412.80 | $688.00 | not published | 0 |
| X-ray pelvis complete > 3 views CPT 72190 | $493.80 | $823.00 | not published | 0 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $868.80 | $1,448.00 | not published | 0 |
| X-ray ribs 2 views left CPT 71100 | $504.60 | $841.00 | not published | 0 |
| X-ray ribs 3 views bilateral CPT 71110 | $557.40 | $929.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $550.80 | $918.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $518.40 | $864.00 | not published | 0 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $450.00 | $750.00 | not published | 0 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $450.00 | $750.00 | not published | 0 |
| X-ray scapula complete (both sides) CPT 73010 | $504.00 | $840.00 | not published | 0 |
| X-ray sella turcica CPT 70240 | $291.60 | $486.00 | not published | 0 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $328.80 | $548.00 | not published | 0 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $646.20 | $1,077.00 | not published | 0 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $819.00 | $1,365.00 | not published | 0 |
| X-ray skull < 4 views CPT 70250 | $327.60 | $546.00 | not published | 0 |
| X-ray skull > 4 views complete CPT 70260 | $675.00 | $1,125.00 | not published | 0 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $819.00 | $1,365.00 | not published | 0 |
| X-ray small intestine follow-through study CPT 74248 | $30.60 | $51.00 | not published | 0 |
| X-ray spine single view CPT 72020 | $419.40 | $699.00 | not published | 0 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $608.40 | $1,014.00 | not published | 0 |
| X-ray sternum > 2 views CPT 71120 | $465.60 | $776.00 | not published | 0 |
| X-ray surgical specimen CPT 76098 | $393.00 | $655.00 | not published | 0 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $848.40 | $1,414.00 | not published | 0 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $828.00 | $1,380.00 | not published | 0 |
| X-ray thoracic spine 2 views CPT 72070 | $450.00 | $750.00 | not published | 0 |
| X-ray thoracic spine 3 views CPT 72072 | $531.00 | $885.00 | not published | 0 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $531.00 | $885.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $412.80 | $688.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $531.00 | $885.00 | not published | 0 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $404.40 | $674.00 | not published | 0 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $293.40 | $489.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $1,219.20 | $2,032.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $1,219.20 | $2,032.00 | not published | 0 |
| X-ray wrist 2 views (both sides) CPT 73100 | $450.00 | $750.00 | not published | 0 |
| Xylose absorption test blood &/or urine CPT 84620 | $109.20 | $182.00 | not published | 0 |
| Yersinia antibody CPT 86793 | $55.80 | $93.00 | not published | 0 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $93.30 | $155.50 | 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.