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 |
|---|---|---|---|---|
| Cta abdomen without & /or w/contrast CPT 74175 | $1,700.40 | $2,834.00 | not published | 0 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $1,700.40 | $2,834.00 | not published | 0 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $2,100.00 | $3,500.00 | not published | 0 |
| Cta neck without &/or w/contrast CPT 70498 | $1,340.40 | $2,234.00 | not published | 0 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $1,474.20 | $2,457.00 | not published | 0 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,274.40 | $2,124.00 | not published | 0 |
| CT Angiogram of the Head CPT 70496 | $1,340.40 | $2,234.00 | not published | 0 |
| CT angio pelvis CPT 72191 | $2,100.00 | $3,500.00 | not published | 0 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,100.00 | $3,500.00 | not published | 0 |
| CT guidance for needle placement CPT 77012 | $2,434.80 | $4,058.00 | not published | 0 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $886.20 | $1,477.00 | not published | 0 |
| CT guid parench tis ablat CPT 77013 | $1,119.00 | $1,865.00 | not published | 0 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $227.00 | $227.00 | not published | 0 |
| CT limited or localized follow-up study CPT 76380 | $777.00 | $1,295.00 | not published | 0 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,700.40 | $2,834.00 | not published | 0 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,360.80 | $2,268.00 | not published | 0 |
| Ctlso a-p-l control molded HCPCS L0700 | $4,710.32 | $7,850.53 | not published | 0 |
| Ctlso a-p-l control with inter HCPCS L0710 | $5,177.93 | $8,629.88 | not published | 0 |
| Ctlso axilla sling HCPCS L1010 | $197.97 | $329.95 | not published | 0 |
| Ctlso milwauke initial model HCPCS L1000 | $4,797.91 | $7,996.52 | not published | 0 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,995.00 | $3,325.00 | not published | 0 |
| CT neck soft tissue w/contrast CPT 70491 | $1,545.60 | $2,576.00 | not published | 0 |
| CT neck soft tissue without contrast CPT 70490 | $1,374.60 | $2,291.00 | not published | 0 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,675.20 | $2,792.00 | not published | 0 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,675.20 | $2,792.00 | not published | 0 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,545.60 | $2,576.00 | not published | 0 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,374.60 | $2,291.00 | not published | 0 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $386.40 | $644.00 | not published | 0 |
| CT scan for localization CPT 77011 | $550.20 | $917.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,833.80 | $4,723.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,721.60 | $4,536.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,419.20 | $4,032.00 | not published | 0 |
| CT thoracic spine w/contrast CPT 72129 | $1,700.40 | $2,834.00 | not published | 0 |
| CT thoracic spine without contrast CPT 72128 | $1,209.60 | $2,016.00 | not published | 0 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $267.60 | $446.00 | not published | 0 |
| CT t-spine w /wo contrast CPT 72130 | $1,842.60 | $3,071.00 | not published | 0 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,700.40 | $2,834.00 | not published | 0 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,512.00 | $2,520.00 | not published | 0 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,842.60 | $3,071.00 | not published | 0 |
| Cuffs adj lock with active con HCPCS L3740 | $2,313.75 | $3,856.25 | not published | 0 |
| Culture aerobic additional method definitive id each CPT 87077 | $106.20 | $177.00 | not published | 0 |
| Culture afb any source CPT 87116 | $193.20 | $322.00 | not published | 0 |
| Culture anaerobic additional method definitive id each CPT 87076 | $163.80 | $273.00 | not published | 0 |
| Culture anaerobic except blood CPT 87075 | $120.00 | $200.00 | not published | 0 |
| Culture bacteria anaerobic CPT 87073 | $202.80 | $338.00 | not published | 0 |
| Culture bact stool aero addl path ea CPT 87046 | $142.80 | $238.00 | not published | 0 |
| Culture body fluid CPT 87070 | $116.40 | $194.00 | not published | 0 |
| Culture fungi definitive id mold CPT 87107 | $160.20 | $267.00 | not published | 0 |
| Culture fungi definitive id yeast CPT 87106 | $25.80 | $43.00 | not published | 0 |
| Culture fungi other (except blood) CPT 87102 | $740.40 | $1,234.00 | not published | 0 |
| Culture fungi skin/hair/nail CPT 87101 | $163.80 | $273.00 | not published | 0 |
| Culture mycoplasma any source CPT 87109 | $118.80 | $198.00 | not published | 0 |
| Culture quantitative aerobic other source CPT 87071 | $181.20 | $302.00 | not published | 0 |
| Culture screening strep group a CPT 87081 | $64.20 | $107.00 | not published | 0 |
| Culture typing added method CPT 87158 | $97.20 | $162.00 | not published | 0 |
| Culture typing immunologic CPT 87147 | $24.60 | $41.00 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $378.60 | $631.00 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $78.60 | $131.00 | not published | 0 |
| Culture urine each isolate CPT 87088 | $71.40 | $119.00 | not published | 0 |
| Cutter lead HCPCS C1773 | $9,368.47 | $15,614.11 | not published | 0 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $185.40 | $309.00 | not published | 0 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $7.50 | $12.50 | not published | 0 |
| Cyclic citrullinated peptide antibody CPT 86200 | $374.40 | $624.00 | not published | 0 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $941.16 | $1,568.60 | not published | 0 |
| Cyclosporine 2 hour CPT 80158 | $175.80 | $293.00 | not published | 0 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $13.62 | $22.70 | not published | 0 |
| Cyclosporine oral 100 mg HCPCS J7502 | $54.30 | $90.50 | not published | 0 |
| Cygnus, per sq cm HCPCS Q4170 | $11,808.99 | $19,681.65 | not published | 0 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $38,237.64 | $63,729.40 | not published | 0 |
| Cyp2c19 gene com variants CPT 81225 | $481.20 | $802.00 | not published | 0 |
| Cyp2c9 gene com variants CPT 81227 | $289.80 | $483.00 | not published | 0 |
| Cyp2d6 gene com variants CPT 81226 | $505.80 | $843.00 | not published | 0 |
| Cyp3a4 gene common variants CPT 81230 | $289.80 | $483.00 | not published | 0 |
| Cyp3a5 gene common variants CPT 81231 | $289.80 | $483.00 | not published | 0 |
| Cystatin c CPT 82610 | $37.20 | $62.00 | not published | 0 |
| Cystic fibrosis cftr CPT 81223 | $1,141.20 | $1,902.00 | not published | 0 |
| Cystine urine quantitative CPT 82131 | $228.00 | $380.00 | not published | 0 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $986.40 | $1,644.00 | not published | 0 |
| Cytogenetics 25-99 CPT 88274 | $160.20 | $267.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $158.40 | $264.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $147.00 | $245.00 | not published | 0 |
| Cytopath c/v thin layer redo CPT 88143 | $61.80 | $103.00 | not published | 0 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $274.80 | $458.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $92.40 | $154.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $211.20 | $352.00 | not published | 0 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $366.00 | $610.00 | not published | 0 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $288.00 | $480.00 | not published | 0 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $67.80 | $113.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $260.40 | $434.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $477.00 | $795.00 | not published | 0 |
| Cytopath smear other source CPT 88160 | $179.40 | $299.00 | not published | 0 |
| Cytopath smear other source CPT 88162 | $361.20 | $602.00 | not published | 0 |
| Cytopath smear oth prep screen & interp CPT 88161 | $235.80 | $393.00 | not published | 0 |
| Cytopath tbs c/v manual CPT 88164 | $87.60 | $146.00 | not published | 0 |
| Cytotoxic antibody screening CPT 86807 | $223.20 | $372.00 | not published | 0 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $184.38 | $307.30 | not published | 0 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $39,327.36 | $65,545.60 | not published | 0 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $14,558.94 | $24,264.90 | not published | 0 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $98.58 | $164.30 | not published | 0 |
| Dch validity tests CPT 81002 | $37.80 | $63.00 | 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.