Van Wert Hospital
1250 S Washington Street, Van Wert, OH · OhioHealth · · NPI 1942267760
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 |
|---|---|---|---|---|
| Drainage of prostate abscess CPT 55720 | not published | not published | $3,619.70 – $3,692.09 | 3 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $3,619.70 – $3,692.09 | 3 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $1,228.80 – $1,253.37 | 3 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $2,850.24 – $2,907.25 | 3 |
| Drainage of salivary gland CPT 42320 | not published | not published | $553.82 – $564.90 | 3 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $3,619.70 – $3,692.09 | 3 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $2,146.55 – $2,189.48 | 3 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $716.03 – $730.35 | 3 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $2,146.55 – $2,189.48 | 3 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $881.81 – $899.45 | 3 |
| Drain blood from under nail 11740 CPT 11740 | $224.25 | $345.00 | $136.62 – $139.36 | 3 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $2,684.50 | $4,130.00 | $1,695.98 – $1,729.90 | 3 |
| Drain cath image guided visceral pq CPT 49405 | $2,684.50 | $4,130.00 | $1,695.98 – $1,729.90 | 3 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,082.90 | $1,666.00 | $724.85 – $739.34 | 3 |
| Drain chest lesion CPT 21502 | not published | not published | $3,359.92 – $3,427.12 | 3 |
| Drain finger abscess;simple 26010 CPT 26010 | $523.25 | $805.00 | $206.03 – $210.15 | 3 |
| Drain lower leg bursa CPT 27604 | not published | not published | $3,359.92 – $3,427.12 | 3 |
| Drain lower leg lesion 27603 CPT 27603 | $3,141.45 | $4,833.00 | $2,982.76 – $3,042.42 | 3 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $2,982.76 – $3,042.42 | 3 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $3,324.11 – $3,390.59 | 3 |
| Drain ovary abscess open CPT 58820 | not published | not published | $3,324.11 – $3,390.59 | 3 |
| Drain penis lesion CPT 54015 | not published | not published | $1,695.98 – $1,729.90 | 3 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,651.20 – $1,684.22 | 3 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $2,982.76 – $3,042.42 | 3 |
| Drain shoulder lesion CPT 23030 | not published | not published | $2,982.76 – $3,042.42 | 3 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $2,982.76 – $3,042.42 | 3 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $339.95 | $523.00 | $206.03 – $210.15 | 3 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $139.75 | $215.00 | $206.03 – $210.15 | 3 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $366.60 | $564.00 | $417.44 – $425.79 | 3 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $758.93 – $774.11 | 3 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $83.50 – $130.34 | 3 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $3,359.92 – $3,427.12 | 3 |
| Drng of eyelid abscess 67700 CPT 67700 | $471.90 | $726.00 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $957.45 | $1,473.00 | $1,695.98 – $1,729.90 | 3 |
| Drng of hydrocele 55000 CPT 55000 | $832.00 | $1,280.00 | $727.16 – $741.70 | 3 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $553.82 – $564.90 | 3 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $3,324.11 – $3,390.59 | 3 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $3,359.92 – $3,427.12 | 3 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $3,359.92 – $3,427.12 | 3 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $1,228.80 – $1,253.37 | 3 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,105.00 | $1,700.00 | $1,695.98 – $1,729.90 | 3 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $553.82 – $564.90 | 3 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $2.85 – $12.03 | 2 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $26.99 | $41.52 | $9.11 – $62.92 | 2 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $637.58 | $980.90 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $21.05 – $130.34 | 3 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $19.90 – $130.34 | 3 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $4.22 – $130.34 | 3 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $91.39 – $130.34 | 3 |
| Drug assay caffeine CPT 80155 | $83.85 | $129.00 | $38.57 – $39.34 | 2 |
| Drug assay posaconazole CPT 80187 | $130.00 | $200.00 | $27.11 – $27.65 | 2 |
| Drug assay rufinamide CPT 80210 | $87.75 | $135.00 | $27.11 – $27.65 | 2 |
| Drug assay vedolizumab CPT 80280 | $538.20 | $828.00 | $38.57 – $39.34 | 2 |
| Drug assay voriconazole CPT 80285 | $150.15 | $231.00 | $27.11 – $27.65 | 2 |
| Drug asy hydroxychloroquine CPT 80220 | $475.15 | $731.00 | $18.64 – $19.01 | 2 |
| Drug of abuse screen urine CPT 80305 | $376.35 | $579.00 | $12.60 – $12.85 | 2 |
| Drug screen quant tiagabine CPT 80199 | $159.90 | $246.00 | $27.11 – $27.65 | 2 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $198.74 – $202.71 | 2 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $114.43 – $116.72 | 2 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $246.92 – $251.86 | 2 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $156.59 – $159.72 | 2 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $17.14 – $17.48 | 2 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $178.75 | $275.00 | $62.14 – $63.38 | 2 |
| Drvvt confirm - quest CPT 85597 | $464.75 | $715.00 | $17.98 – $18.34 | 2 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $6,042.40 | $9,296.00 | $2,005.19 – $2,045.30 | 3 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $417.44 – $425.79 | 3 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $417.44 – $425.79 | 3 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $758.93 – $774.11 | 3 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $758.93 – $774.11 | 3 |
| Ductogram sgl duct CPT 77053 | $577.85 | $889.00 | $245.01 – $249.91 | 3 |
| Duodenal motility study CPT 91022 | not published | not published | $383.18 – $390.85 | 3 |
| Duplex scan bilateral study 93985 CPT 93985 | $650.00 | $1,000.00 | $245.01 – $249.91 | 3 |
| Duplex scan unilateral study 93986 CPT 93986 | $543.40 | $836.00 | $107.35 – $109.50 | 3 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $689.00 | $1,060.00 | $107.35 – $109.50 | 3 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $271.70 | $418.00 | $221.73 – $226.16 | 3 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,084.20 | $1,668.00 | $245.01 – $249.91 | 3 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $85.12 – $86.82 | 3 |
| Dxa bone density axl vrt fx CPT 77085 | $555.75 | $855.00 | $107.35 – $109.50 | 3 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $132.13 – $134.77 | 3 |
| Dx bronchoscope/brush 31623 CPT 31623 | $2,636.40 | $4,056.00 | $1,827.72 – $1,864.28 | 3 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $2,636.40 | $4,056.00 | $1,827.72 – $1,864.28 | 3 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,636.40 | $4,056.00 | $1,827.72 – $1,864.28 | 3 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $931.36 – $949.98 | 3 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $931.36 – $949.98 | 3 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $221.73 – $226.16 | 3 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $132.13 – $134.77 | 3 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $1,827.72 – $1,864.28 | 3 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $256.56 – $261.69 | 3 |
| Dynamic surface emg CPT 96002 | not published | not published | $221.73 – $226.16 | 3 |
| Ear and throat examination CPT 92502 | not published | not published | $553.82 – $564.90 | 3 |
| Ear irrigation 69209 CPT 69209 | $648.70 | $998.00 | $60.58 – $61.79 | 3 |
| Ear protector evaluation CPT 92596 | not published | not published | $38.35 – $39.12 | 3 |
| Ecallantide injection HCPCS J1290 | not published | not published | $579.96 – $591.56 | 3 |
| Ecg 12 lead tracing only CPT 93005 | $157.95 | $243.00 | $60.58 – $61.79 | 3 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $157.95 | $243.00 | $60.58 – $61.79 | 3 |
| Ecg external < 48 hours recording CPT 93225 | $360.10 | $554.00 | $136.62 – $139.36 | 3 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $172.25 | $265.00 | $60.58 – $61.79 | 3 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $325.00 | $500.00 | $38.35 – $39.12 | 3 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $325.00 | $500.00 | $38.35 – $39.12 | 3 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,506.70 | $2,318.00 | $561.10 – $572.32 | 3 |
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.