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 |
|---|---|---|---|---|
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $3,242.32 – $3,307.17 | 3 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $3,242.32 – $3,307.17 | 3 |
| Ligation major artery neck CPT 37615 | not published | not published | $3,242.32 – $3,307.17 | 3 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $3,242.32 – $3,307.17 | 3 |
| Ligation of femoral vein CPT 37650 | not published | not published | $3,242.32 – $3,307.17 | 3 |
| Ligation of neck artery CPT 37606 | not published | not published | $3,242.32 – $3,307.17 | 3 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $3,242.32 – $3,307.17 | 3 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $3,242.32 – $3,307.17 | 3 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $3,242.32 – $3,307.17 | 3 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $3,242.32 – $3,307.17 | 3 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $5,767.84 – $5,767.84 | 1 |
| Limb exercise test CPT 95875 | not published | not published | $132.13 – $134.77 | 3 |
| Limited visual field xm CPT 92081 | not published | not published | $60.58 – $61.79 | 3 |
| Lincomycin injection HCPCS J2010 | not published | not published | $9.54 – $43.75 | 2 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $58.63 | $90.20 | $5.90 – $19.37 | 2 |
| Lipase CPT 83690 | $72.80 | $112.00 | $6.89 – $7.03 | 2 |
| Lipoprotein blood high res frac & quant CPT 83701 | $116.35 | $179.00 | $33.86 – $34.54 | 2 |
| Lipoprotein blood quant CPT 83704 | $57.20 | $88.00 | $34.19 – $34.87 | 2 |
| Lipoprotein direct measurement hdl CPT 83718 | $20.15 | $31.00 | $8.19 – $8.35 | 2 |
| Lipoprotein direct measurement ldl CPT 83721 | $27.95 | $43.00 | $10.50 – $10.71 | 2 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $34.19 – $34.87 | 2 |
| Lip surgery procedure CPT 40799 | not published | not published | $243.21 – $248.08 | 3 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $0.07 – $568,163.57 | 3 |
| Listeria monocytogenes CPT 86723 | $193.70 | $298.00 | $13.19 – $13.45 | 2 |
| Lithium therapeutic drug level CPT 80178 | $20.15 | $31.00 | $6.61 – $6.74 | 2 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $176.19 – $179.71 | 2 |
| Liver elastography 91200 CPT 91200 | not published | not published | $132.13 – $134.77 | 3 |
| Liver Function Test CPT 80076 | $20.15 | $31.00 | $8.17 – $8.33 | 2 |
| Liver imaging CPT 78201 | not published | not published | $557.56 – $568.71 | 3 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $557.56 – $568.71 | 3 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $410.51 – $418.72 | 3 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $410.51 – $418.72 | 3 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $3,359.92 – $3,427.12 | 3 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $625.01 | $961.55 | $3.06 – $7.80 | 2 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $731.19 – $731.19 | 1 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $216.90 – $221.24 | 3 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $24.16 | $37.17 | $2.24 – $8.78 | 2 |
| Loudness balance test CPT 92562 | not published | not published | $221.73 – $226.16 | 3 |
| Low back disk surgery CPT 63030 | not published | not published | $7,451.19 – $7,600.21 | 3 |
| Low cost skin substitute app HCPCS C5271 | $319.80 | $492.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5273 | $415.35 | $639.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5275 | $460.20 | $708.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5272 | $243.75 | $375.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5274 | $460.20 | $708.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5276 | $243.75 | $375.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,338.35 | $2,059.00 | $180.11 – $183.72 | 3 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,217.45 | $1,873.00 | $358.25 – $365.41 | 3 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,106.30 | $1,702.00 | $107.35 – $109.50 | 3 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,468.05 | $3,797.00 | $358.25 – $365.41 | 3 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,080.00 | $3,200.00 | $358.25 – $365.41 | 3 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,691.95 | $2,603.00 | $245.01 – $249.91 | 3 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $321.10 | $494.00 | $107.35 – $109.50 | 3 |
| Low frequency non-thermal Ultrasound CPT 97610 | $616.85 | $949.00 | $206.03 – $210.15 | 3 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $15.90 – $16.22 | 3 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $10,915.46 – $11,133.77 | 3 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $10,915.46 – $11,133.77 | 3 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $10,915.46 – $11,133.77 | 3 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $10,915.46 – $11,133.77 | 3 |
| Lso flex no ri stays pre ots HCPCS L0628 | $46.59 | $71.67 | not published | 0 |
| L/s ratio fetal lung CPT 83661 | $534.95 | $823.00 | $21.99 – $22.43 | 2 |
| Lumbar diskogram s&i CPT 72295 | $4,009.85 | $6,169.00 | $2,005.19 – $2,045.30 | 3 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $18,004.95 – $18,365.05 | 3 |
| Lumizyme injection HCPCS J0221 | not published | not published | $206.59 – $210.72 | 3 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $60.58 – $61.79 | 3 |
| Lung Function Test (Spirometry) CPT 94010 | $306.15 | $471.00 | $221.73 – $226.16 | 3 |
| Lung perfusion imaging CPT 78580 | $870.35 | $1,339.00 | $410.51 – $418.72 | 3 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $207.13 – $211.27 | 3 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $41.98 – $42.82 | 3 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $316.99 – $323.33 | 3 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $255.84 – $260.96 | 3 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $29.70 – $30.29 | 3 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $20.05 – $20.45 | 2 |
| Lymphatics/lymph node imaging CPT 78195 | $1,543.75 | $2,375.00 | $557.56 – $568.71 | 3 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $37.29 | 2 |
| Lymphocyte transformation mitogen CPT 86353 | $325.00 | $500.00 | $49.03 – $50.01 | 2 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $189.51 – $193.30 | 2 |
| Lymphocytotoxicity assay CPT 86806 | $1,396.20 | $2,148.00 | $47.59 – $48.54 | 2 |
| Lymph vessel x-ray arm/leg CPT 75801 | $3,183.70 | $4,898.00 | $644.16 – $657.04 | 3 |
| Lymph vessel x-ray arms/legs CPT 75803 | $9,553.70 | $14,698.00 | $1,616.45 – $1,648.78 | 3 |
| Lymph vessel x-ray trunk CPT 75805 | $12,056.20 | $18,548.00 | $3,242.32 – $3,307.17 | 3 |
| Lymph vessel x-ray trunk CPT 75807 | $12,056.20 | $18,548.00 | $3,242.32 – $3,307.17 | 3 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $553.82 – $564.90 | 3 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $3,324.11 – $3,390.59 | 3 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $2,146.55 – $2,189.48 | 3 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $25.96 – $100.62 | 2 |
| Macroscopic exam arthropod CPT 87168 | $54.60 | $84.00 | $4.27 – $4.36 | 2 |
| Macroscopic exam parasite CPT 87169 | $105.30 | $162.00 | $4.31 – $4.40 | 2 |
| Magnesium CPT 83735 | $37.70 | $58.00 | $6.70 – $6.83 | 2 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $46.93 | $72.20 | $0.85 – $3.19 | 2 |
| Magnetic image bone marrow CPT 77084 | $1,947.40 | $2,996.00 | $245.01 – $249.91 | 3 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $127.73 – $127.73 | 1 |
| Malaria antibody CPT 86750 | $29.90 | $46.00 | $13.19 – $13.45 | 2 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $1,651.20 – $1,684.22 | 3 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,651.20 – $1,684.22 | 3 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $209.30 | $322.00 | $136.62 – $139.36 | 3 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $209.30 | $322.00 | $136.62 – $139.36 | 3 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,651.20 – $1,684.22 | 3 |
| Manipulation of spine CPT 22505 | not published | not published | $1,651.20 – $1,684.22 | 3 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $253.30 – $258.36 | 3 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $3.80 – $16.51 | 2 |
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.