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 |
|---|---|---|---|---|
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $2,678.00 | $4,120.00 | $908.24 – $926.40 | 3 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,027.00 | $1,580.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $3,315.00 | $5,100.00 | $908.24 – $926.40 | 3 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,103.70 | $1,698.00 | $724.85 – $739.34 | 3 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,082.90 | $1,666.00 | $724.85 – $739.34 | 3 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $165.83 – $169.15 | 3 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $975.00 | $1,500.00 | $315.20 – $321.50 | 3 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $487.50 | $750.00 | $315.20 – $321.50 | 3 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $487.50 | $750.00 | $315.20 – $321.50 | 3 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $114.40 | $176.00 | $48.08 – $49.05 | 3 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $95.55 | $147.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $241.80 | $372.00 | $218.42 – $222.79 | 3 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $100.75 | $155.00 | $73.94 – $75.41 | 3 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $0.07 – $0.07 | 1 |
| Injection treatment of nerve CPT 64605 | $2,678.00 | $4,120.00 | $2,005.19 – $2,045.30 | 3 |
| Injection treatment of nerve CPT 64610 | not published | not published | $2,005.19 – $2,045.30 | 3 |
| Injection treatment of nerve CPT 64681 | $1,931.80 | $2,972.00 | $908.24 – $926.40 | 3 |
| Injection treatment of nose CPT 30200 | not published | not published | $553.82 – $564.90 | 3 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $33.89 – $34.57 | 3 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $20.87 – $21.29 | 3 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $384.85 – $392.54 | 3 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $56.10 – $57.22 | 3 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $724.85 – $739.34 | 3 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,588.60 | $2,444.00 | $908.24 – $926.40 | 3 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $193.76 – $197.63 | 3 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $18.50 – $18.87 | 3 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.78 – $9.97 | 3 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $33.88 – $34.55 | 3 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $22.02 – $22.46 | 3 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $140.99 – $143.81 | 3 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.23 – $1.25 | 3 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $12.63 – $49.99 | 2 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.84 – $2.90 | 3 |
| Inj for mammo ductogram CPT 19030 | $400.40 | $616.00 | not published | 0 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $1.03 – $1.05 | 3 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $575.50 – $587.01 | 3 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $5.65 – $27.30 | 3 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $41.67 – $42.50 | 3 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $117.36 – $119.71 | 3 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,767.88 – $2,823.24 | 3 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $3.15 – $13.13 | 2 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $4.29 – $4.37 | 3 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $75.97 – $77.49 | 3 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $0.07 – $3,722,119.33 | 3 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $5.11 – $22.88 | 2 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $61.44 – $62.66 | 3 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $69.37 – $70.76 | 3 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $1.52 – $1.55 | 3 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $3,180.35 | $4,892.85 | $5.18 – $5.29 | 3 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | not published | not published | $88.66 – $88.66 | 1 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $79.26 – $80.84 | 3 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $146.12 – $146.12 | 1 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $4.44 – $16.25 | 2 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.22 – $0.91 | 2 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $495.54 – $505.46 | 3 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $908.24 – $926.40 | 3 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $216.45 | $333.00 | $206.03 – $210.15 | 3 |
| Inj intralesional > 7 lsns CPT 11901 | $216.45 | $333.00 | $206.03 – $210.15 | 3 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $13.00 – $13.26 | 3 |
| Inj ivig privigen 500 mg HCPCS J1459 | not published | not published | $50.74 – $51.75 | 3 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.91 – $1.95 | 3 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.65 – $2.70 | 3 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.57 – $1.60 | 3 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $29.84 – $30.44 | 3 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.32 – $1.35 | 3 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $22.15 – $22.60 | 3 |
| Inj levocarnitine per 1 gm HCPCS J1955 | not published | not published | $41.30 – $166.14 | 2 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $28.03 | $43.12 | $6.83 – $6.97 | 3 |
| Inj, levothyroxine, hikma HCPCS J0652 | $191.72 | $294.95 | $8.73 – $33.41 | 2 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $329.05 – $335.63 | 3 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $23.39 – $23.86 | 3 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $0.07 – $3,032.61 | 3 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | not published | not published | $95.90 – $97.82 | 3 |
| Inj melphalan (hepzato) 1 mg HCPCS J9248 | not published | not published | $795.00 – $810.90 | 3 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | not published | not published | $6.50 – $23.08 | 2 |
| Inj., meropenem, vaborbactam HCPCS J2186 | not published | not published | $2.18 – $2.23 | 3 |
| Inj meropenem (wg crit care) HCPCS J2183 | not published | not published | $2.76 – $10.73 | 2 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | not published | not published | $43.05 – $43.91 | 3 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | not published | not published | $248.50 – $253.47 | 3 |
| Inj, motixafortide, 0.25 mg HCPCS J2277 | not published | not published | $25.22 – $25.72 | 3 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | not published | not published | $14.81 – $56.23 | 2 |
| Inj multihance HCPCS A9577 | not published | not published | $2.96 – $11.83 | 2 |
| Inj. mycophenolate mofetil HCPCS J7519 | not published | not published | $0.70 – $2.67 | 2 |
| Inj. naxitamab-gqgk, 1 mg HCPCS J9348 | not published | not published | $686.00 – $699.72 | 3 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $7,452.90 | $11,466.00 | $716.03 – $730.35 | 3 |
| Inj, nogapendekin pmln, 1mcg HCPCS J9028 | not published | not published | $94.66 – $96.56 | 3 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | $715.00 | $1,100.00 | $2,118.72 – $2,161.10 | 3 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $715.00 | $1,100.00 | $2,118.72 – $2,161.10 | 3 |
| Inj ogivri 10 mg HCPCS Q5114 | not published | not published | $40.29 – $41.10 | 3 |
| Inj, oliceridine 0.1 mg HCPCS C9101 | not published | not published | $8.39 – $8.39 | 1 |
| Inj olipudase alfa-rpcp 1mg HCPCS J0218 | not published | not published | $393.66 – $401.53 | 3 |
| Inj., omadacycline, 1 mg HCPCS J0121 | not published | not published | $4.02 – $4.10 | 3 |
| Inj onase abepar-xioi treat HCPCS J3399 | not published | not published | $0.07 – $2,479,661.71 | 3 |
| Inj ontruzant 10 mg HCPCS Q5112 | not published | not published | $19.00 – $19.38 | 3 |
| Inj, palonosetron (posfrea) HCPCS J2468 | not published | not published | $58.24 – $59.40 | 3 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | $29.84 | $45.90 | $42.25 – $42.25 | 1 |
| Inj, panzyga, 500 mg HCPCS J1576 | not published | not published | $73.00 – $74.46 | 3 |
| Inj, pasireotide long acting HCPCS J2502 | not published | not published | $572.96 – $584.42 | 3 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | not published | not published | $99.97 – $101.97 | 3 |
| Inj, pedmark, 100 mg HCPCS J0208 | not published | not published | $95.11 – $97.01 | 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.