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 |
|---|---|---|---|---|
| Deamidated gliadin antibody iga CPT 86258 | $19.80 | $33.00 | not published | 0 |
| Debridement (>20 cm) charge pt CPT 97598 | $688.20 | $1,147.00 | not published | 0 |
| Debridement bone <= 20 sq cm CPT 11044 | $3,182.40 | $5,304.00 | not published | 0 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $1,228.80 | $2,048.00 | not published | 0 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $3,182.40 | $5,304.00 | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,228.80 | $2,048.00 | not published | 0 |
| Debride nail1-5 11720 CPT 11720 | $366.00 | $610.00 | not published | 0 |
| Debride nail6 or more 11721 CPT 11721 | $366.00 | $610.00 | not published | 0 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $1,228.80 | $2,048.00 | not published | 0 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,228.80 | $2,048.00 | not published | 0 |
| Decalcification CPT 88311 | $150.00 | $250.00 | not published | 0 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $372.00 | $620.00 | not published | 0 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $612.00 | $1,020.00 | not published | 0 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $64.26 | $107.10 | not published | 0 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $193.80 | $323.00 | not published | 0 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $12,977.94 | $21,629.90 | not published | 0 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $163.80 | $273.00 | not published | 0 |
| Dermapure 1 square cm HCPCS Q4152 | $5,235.32 | $8,725.53 | not published | 0 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $42.96 | $71.60 | not published | 0 |
| Desoxycorticosterone CPT 82633 | $351.60 | $586.00 | not published | 0 |
| Detect agent nos dna dir CPT 87797 | $181.80 | $303.00 | not published | 0 |
| Detect agnt mult dna direc CPT 87800 | $146.40 | $244.00 | not published | 0 |
| Device ablt adv novasure HCPCS C1886 | $12,727.47 | $21,212.45 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $6,560.55 | $10,934.25 | not published | 0 |
| Device sut capio slim opn HCPCS C2631 | $3,002.11 | $5,003.51 | not published | 0 |
| Device tiss remov myosure reach HCPCS C1782 | $2,430.68 | $4,051.14 | not published | 0 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $147.60 | $246.00 | not published | 0 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $3.90 | $6.50 | not published | 0 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $16.32 | $27.20 | not published | 0 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $39.60 | $66.00 | not published | 0 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $39.60 | $66.00 | not published | 0 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $29.04 | $48.40 | not published | 0 |
| Dextrose 5 % IV bolus HCPCS J7070 | $39.60 | $66.00 | not published | 0 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $172.80 | $288.00 | not published | 0 |
| Diabetes (HbA1c) Test CPT 83036 | $113.40 | $189.00 | not published | 0 |
| Diab manage trn ind/group HCPCS G0109 | $82.20 | $137.00 | not published | 0 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $234.00 | $390.00 | not published | 0 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $268.80 | $448.00 | not published | 0 |
| Diagnostic Mammogram (one breast) CPT 77065 | $209.40 | $349.00 | not published | 0 |
| Diagnostic radio unlisted proc CPT 76499 | $1,143.00 | $1,905.00 | not published | 0 |
| Dialysis one evaluation CPT 90945 | $2,986.20 | $4,977.00 | not published | 0 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $117.00 | $195.00 | not published | 0 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $26.82 | $44.70 | not published | 0 |
| Diffusing capacity CPT 94729 | $316.80 | $528.00 | not published | 0 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $7.50 | $12.50 | not published | 0 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $18,712.20 | $31,187.00 | not published | 0 |
| Digoxin total therapeutic drug level CPT 80162 | $128.40 | $214.00 | not published | 0 |
| Dilator fascial 10fx20cm HCPCS C2627 | $832.93 | $1,388.21 | not published | 0 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $49.68 | $82.80 | not published | 0 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $7.50 | $12.50 | not published | 0 |
| Disability dlco CPT 94727 | $240.60 | $401.00 | not published | 0 |
| Disaccharidases CPT 82657 | $435.00 | $725.00 | not published | 0 |
| Discography cerv/thor spine CPT 72285 | $1,456.80 | $2,428.00 | not published | 0 |
| Dmd dup/delet analysis CPT 81161 | $496.20 | $827.00 | not published | 0 |
| Dna antibody native/double stranded CPT 86225 | $184.80 | $308.00 | not published | 0 |
| Dna gardnerella CPT 87510 | $44.40 | $74.00 | not published | 0 |
| Dna probe chlamydia CPT 87490 | $247.80 | $413.00 | not published | 0 |
| Dna trichomonas CPT 87660 | $44.40 | $74.00 | not published | 0 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $174.00 | $290.00 | not published | 0 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $316.20 | $527.00 | not published | 0 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $85.92 | $143.20 | not published | 0 |
| Doppler echo complete CPT 93320 | $858.60 | $1,431.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $1,948.80 | $3,248.00 | not published | 0 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $937.80 | $1,563.00 | not published | 0 |
| Dornhoffer fixed part w/window HCPCS L8614 | $67,573.67 | $112,622.78 | not published | 0 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $91.44 | $152.40 | not published | 0 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $69.60 | $116.00 | not published | 0 |
| Dpyd gene common variants CPT 81232 | $423.60 | $706.00 | not published | 0 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $678.00 | $1,130.00 | not published | 0 |
| Drainage external ear simple 69000 CPT 69000 | $912.00 | $1,520.00 | not published | 0 |
| Drainage of kidney lesion CPT 50390 | $1,350.00 | $2,250.00 | not published | 0 |
| Drainage of mouth lesion CPT 41008 | $4,705.20 | $7,842.00 | not published | 0 |
| Drainage of mouth lesion CPT 41009 | $763.80 | $1,273.00 | not published | 0 |
| Drainage of nose lesion sept 30020 CPT 30020 | $802.80 | $1,338.00 | not published | 0 |
| Drainage of rectal abscess CPT 45005 | $1,890.60 | $3,151.00 | not published | 0 |
| Drain blood from under nail 11740 CPT 11740 | $121.80 | $203.00 | not published | 0 |
| Drain finger abscess;simple 26010 CPT 26010 | $261.60 | $436.00 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $532.20 | $887.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $456.60 | $761.00 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $608.40 | $1,014.00 | not published | 0 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $32,557.04 | $54,261.74 | not published | 0 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $7,523.40 | $12,539.00 | not published | 0 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $7.50 | $12.50 | not published | 0 |
| Drop lock knee HCPCS L2182 | $204.95 | $341.59 | not published | 0 |
| Drop lock retainer each HCPCS L2785 | $70.12 | $116.87 | not published | 0 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $6,822.97 | $11,371.62 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $4,523.50 | $7,539.17 | not published | 0 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $18,303.94 | $30,506.56 | not published | 0 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $4,277.66 | $7,129.44 | not published | 0 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | $25,588.77 | $42,647.95 | not published | 0 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $36,446.01 | $60,743.35 | not published | 0 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $25,691.11 | $42,818.52 | not published | 0 |
| Drug assay caffeine CPT 80155 | $64.80 | $108.00 | not published | 0 |
| Drug assay rufinamide CPT 80210 | $140.40 | $234.00 | not published | 0 |
| Drug assay vedolizumab CPT 80280 | $165.60 | $276.00 | not published | 0 |
| Drug of abuse screen urine CPT 80305 | $107.40 | $179.00 | not published | 0 |
| Drug screen quant tiagabine CPT 80199 | $132.60 | $221.00 | not published | 0 |
| Drug test def 1-7 classes HCPCS G0480 | $273.60 | $456.00 | not published | 0 |
| Drug test prsmv instrmnt CPT 80306 | $177.60 | $296.00 | not published | 0 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $309.60 | $516.00 | 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.