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 |
|---|---|---|---|---|
| Cefepime 1 gram solution for injection HCPCS J0692 | $61.50 | $102.50 | not published | 0 |
| Cefotaxime sodium injection HCPCS J0698 | $85.44 | $142.40 | not published | 0 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $60.78 | $101.30 | not published | 0 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $1,119.96 | $1,866.60 | not published | 0 |
| Ceftazidime and avibactam HCPCS J0714 | $1,806.84 | $3,011.40 | not published | 0 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $61.80 | $103.00 | not published | 0 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $25.44 | $42.40 | not published | 0 |
| #celiac hla-dq2 CPT 81377 | $250.20 | $417.00 | not published | 0 |
| #celiac hla-dq8 CPT 81383 | $291.60 | $486.00 | not published | 0 |
| Cell count body fluid CPT 89050 | $135.00 | $225.00 | not published | 0 |
| Cell count w differential body fluid CPT 89051 | $118.20 | $197.00 | not published | 0 |
| Cell cryopreserve/storage CPT 88240 | $25.80 | $43.00 | not published | 0 |
| Cellesta or duo per sq cm HCPCS Q4184 | $17,634.76 | $29,391.26 | not published | 0 |
| Cell function assay w/stim CPT 86352 | $294.00 | $490.00 | not published | 0 |
| Cell marker study CPT 88182 | $785.40 | $1,309.00 | not published | 0 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $40,640.88 | $67,734.80 | not published | 0 |
| Cer post col occ/man sup adj HCPCS L0180 | $785.43 | $1,309.05 | not published | 0 |
| Cerv collar supp adj cerv ba HCPCS L0190 | $1,989.16 | $3,315.26 | not published | 0 |
| Cesarean section delivery only 59514 CPT 59514 | $6,512.40 | $10,854.00 | not published | 0 |
| #cf-97variants CPT 81220 | $567.00 | $945.00 | not published | 0 |
| Cftr gene dup/delet variants CPT 81222 | $574.80 | $958.00 | not published | 0 |
| Cftr gene known fam variants CPT 81221 | $205.80 | $343.00 | not published | 0 |
| Change cystostomy tube simple CPT 51705 | $2,037.00 | $3,395.00 | not published | 0 |
| Change of windpipe airway 31502 CPT 31502 | $634.20 | $1,057.00 | not published | 0 |
| Chemo extend IV infus w/pump HCPCS G0498 | $593.40 | $989.00 | not published | 0 |
| Chemotherapy injection 96542 CPT 96542 | $372.00 | $620.00 | not published | 0 |
| Chest 2 vws w oblique CPT 71048 | $1,027.80 | $1,713.00 | not published | 0 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,842.60 | $3,071.00 | not published | 0 |
| Chest CT scan (with contrast) CPT 71260 | $1,360.20 | $2,267.00 | not published | 0 |
| Chest CT scan (without contrast) CPT 71250 | $1,209.60 | $2,016.00 | not published | 0 |
| Chest X-ray CPT 71046 | $621.00 | $1,035.00 | not published | 0 |
| Chest X-ray (single view) CPT 71045 | $318.60 | $531.00 | not published | 0 |
| Chg pr pul rehab for copd patients CPT 94626 | $311.40 | $519.00 | not published | 0 |
| Chlamydia culture CPT 87110 | $183.00 | $305.00 | not published | 0 |
| Chlamydia trachomatis ag if CPT 87270 | $102.00 | $170.00 | not published | 0 |
| Chlamydia type CPT 87140 | $18.00 | $30.00 | not published | 0 |
| Chlnggrphy intraop addl s&i CPT 74301 | $476.40 | $794.00 | not published | 0 |
| Chloride CPT 82435 | $37.80 | $63.00 | not published | 0 |
| Chloride 24 hour urine CPT 82436 | $60.00 | $100.00 | not published | 0 |
| Chloroprocaine hcl injection HCPCS J2401 | $97.38 | $162.30 | not published | 0 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $50.28 | $83.80 | not published | 0 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $766.20 | $1,277.00 | not published | 0 |
| Cholesterol CPT 82465 | $79.20 | $132.00 | not published | 0 |
| Cholesterol body fluid CPT 84999 | $18.00 | $30.00 | not published | 0 |
| Cholesterol (Lipid) Test CPT 80061 | $160.20 | $267.00 | not published | 0 |
| Cholinesterase CPT 82480 | $84.00 | $140.00 | not published | 0 |
| Chrom analysis CPT 88273 | $135.00 | $225.00 | not published | 0 |
| Chromatography CPT 83021 | $91.20 | $152.00 | not published | 0 |
| Chromo high res and frag x - sendout CPT 81243 | $181.20 | $302.00 | not published | 0 |
| Chromosome analys amniotic CPT 88269 | $684.60 | $1,141.00 | not published | 0 |
| Chromosome analysis 100 CPT 88249 | $569.40 | $949.00 | not published | 0 |
| Chromosome analysis 15-20 cell count CPT 88262 | $646.80 | $1,078.00 | not published | 0 |
| Chromosome analysis 45 CPT 88263 | $648.00 | $1,080.00 | not published | 0 |
| Chromosome analysis 50-100 CPT 88248 | $569.40 | $949.00 | not published | 0 |
| Chromosome analys placenta CPT 88267 | $268.80 | $448.00 | not published | 0 |
| Chromosome banding study CPT 88283 | $246.60 | $411.00 | not published | 0 |
| Chromosome count additional CPT 88285 | $159.60 | $266.00 | not published | 0 |
| Chromosome karyotype study CPT 88280 | $55.20 | $92.00 | not published | 0 |
| Chromosome study additional CPT 88289 | $63.60 | $106.00 | not published | 0 |
| Chylomicron screen, bf - sendout CPT 82664 | $52.80 | $88.00 | not published | 0 |
| Cilastatin sodium injection HCPCS J0743 | $142.08 | $236.80 | not published | 0 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $15.24 | $25.40 | not published | 0 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $148.80 | $248.00 | not published | 0 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $767.40 | $1,279.00 | not published | 0 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $28,866.42 | $48,110.70 | not published | 0 |
| Clearance of airways CPT 31720 | $139.20 | $232.00 | not published | 0 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $63.12 | $105.20 | not published | 0 |
| Clip ligating vesolock lg HCPCS C1760 | $5,064.74 | $8,441.24 | not published | 0 |
| Cllr miami j sm HCPCS L0174 | $898.12 | $1,496.86 | not published | 0 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $16.32 | $27.20 | not published | 0 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,504.80 | $2,508.00 | not published | 0 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $342.60 | $571.00 | not published | 0 |
| Closed tx orbit without manipulj CPT 21400 | $824.40 | $1,374.00 | not published | 0 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $2,400.60 | $4,001.00 | not published | 0 |
| Closure paravalvlr leak pq CPT 33999 | $1,152.00 | $1,920.00 | not published | 0 |
| Clot factor fletcher fact CPT 85292 | $120.60 | $201.00 | not published | 0 |
| Clot factor viii reltd antgn CPT 85244 | $174.60 | $291.00 | not published | 0 |
| Clot factor wght kininogen CPT 85293 | $200.40 | $334.00 | not published | 0 |
| Clot factor xii hageman CPT 85280 | $126.00 | $210.00 | not published | 0 |
| Clot factor xiii fibrin stab CPT 85290 | $88.80 | $148.00 | not published | 0 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $322.20 | $537.00 | not published | 0 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $375.60 | $626.00 | not published | 0 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $375.60 | $626.00 | not published | 0 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $375.60 | $626.00 | not published | 0 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $240.00 | $400.00 | not published | 0 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $322.20 | $537.00 | not published | 0 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $240.00 | $400.00 | not published | 0 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $2,024.40 | $3,374.00 | not published | 0 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $2,371.80 | $3,953.00 | not published | 0 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $375.60 | $626.00 | not published | 0 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $322.20 | $537.00 | not published | 0 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $375.60 | $626.00 | not published | 0 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $473.40 | $789.00 | not published | 0 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $360.00 | $600.00 | not published | 0 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $240.00 | $400.00 | not published | 0 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $2,371.80 | $3,953.00 | not published | 0 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $354.00 | $590.00 | not published | 0 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $2,539.80 | $4,233.00 | not published | 0 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $2,371.80 | $3,953.00 | not published | 0 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,504.80 | $2,508.00 | 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.