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 |
|---|---|---|---|---|
| X-ray knee 1-2 views (both sides) CPT 73560 | $387.40 | $596.00 | $89.36 – $91.15 | 3 |
| X-ray knee 3 views (both sides) CPT 73562 | $527.80 | $812.00 | $89.36 – $91.15 | 3 |
| X-ray knee ap standing bilateral CPT 73565 | $193.70 | $298.00 | $89.36 – $91.15 | 3 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $416.00 | $640.00 | $89.36 – $91.15 | 3 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $356.85 | $549.00 | $107.35 – $109.50 | 3 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $356.85 | $549.00 | $107.35 – $109.50 | 3 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $431.60 | $664.00 | $107.35 – $109.50 | 3 |
| X-ray male genital tract CPT 74440 | not published | not published | $245.01 – $249.91 | 3 |
| X-ray mandible complete > 4 views CPT 70110 | $356.85 | $549.00 | $107.35 – $109.50 | 3 |
| X-ray mandible ltd <4 views CPT 70100 | $193.70 | $298.00 | $89.36 – $91.15 | 3 |
| X-ray nasal bones complete > 3 views CPT 70160 | $230.75 | $355.00 | $89.36 – $91.15 | 3 |
| X-ray neck soft tissue CPT 70360 | $205.40 | $316.00 | $89.36 – $91.15 | 3 |
| X-ray nose to rectum for foreign body child CPT 76010 | $186.55 | $287.00 | $89.36 – $91.15 | 3 |
| X-ray of mammary ducts CPT 77054 | $577.85 | $889.00 | $245.01 – $249.91 | 3 |
| X-ray optic foramina CPT 70190 | $551.20 | $848.00 | $89.36 – $91.15 | 3 |
| X-ray pelvis 1-2 views CPT 72170 | $356.85 | $549.00 | $107.35 – $109.50 | 3 |
| X-ray pelvis complete > 3 views CPT 72190 | $410.80 | $632.00 | $107.35 – $109.50 | 3 |
| Xray place dist ext thor ao CPT 75959 | $18,585.45 | $28,593.00 | not published | 0 |
| Xray place prox ext thor ao CPT 75958 | $14,173.90 | $21,806.00 | not published | 0 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,372.15 | $2,111.00 | $358.25 – $365.41 | 3 |
| X-ray ribs 2 views left CPT 71100 | $193.70 | $298.00 | $89.36 – $91.15 | 3 |
| X-ray ribs 3 views bilateral CPT 71110 | $391.30 | $602.00 | $107.35 – $109.50 | 3 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $356.85 | $549.00 | $107.35 – $109.50 | 3 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $431.60 | $664.00 | $107.35 – $109.50 | 3 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $356.85 | $549.00 | $107.35 – $109.50 | 3 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $339.30 | $522.00 | $89.36 – $91.15 | 3 |
| X-ray scapula complete (both sides) CPT 73010 | $755.30 | $1,162.00 | $107.35 – $109.50 | 3 |
| X-ray sella turcica CPT 70240 | $193.70 | $298.00 | $89.36 – $91.15 | 3 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $387.40 | $596.00 | $89.36 – $91.15 | 3 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $271.05 | $417.00 | $89.36 – $91.15 | 3 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $697.45 | $1,073.00 | $561.10 – $572.32 | 3 |
| X-ray skull < 4 views CPT 70250 | $356.85 | $549.00 | $107.35 – $109.50 | 3 |
| X-ray skull > 4 views complete CPT 70260 | $391.30 | $602.00 | $107.35 – $109.50 | 3 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $344.50 | $530.00 | $107.35 – $109.50 | 3 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $396.50 | $610.00 | $180.11 – $183.72 | 3 |
| X-ray small intestine follow-through study CPT 74248 | $477.75 | $735.00 | not published | 0 |
| X-ray spine single view CPT 72020 | $193.70 | $298.00 | $89.36 – $91.15 | 3 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $193.70 | $298.00 | $89.36 – $91.15 | 3 |
| X-ray sternum > 2 views CPT 71120 | $193.70 | $298.00 | $89.36 – $91.15 | 3 |
| X-ray surgical specimen CPT 76098 | $1,211.60 | $1,864.00 | $561.10 – $572.32 | 3 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $344.50 | $530.00 | $180.11 – $183.72 | 3 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $251.55 | $387.00 | $89.36 – $91.15 | 3 |
| X-ray thoracic spine 2 views CPT 72070 | $321.10 | $494.00 | $107.35 – $109.50 | 3 |
| X-ray thoracic spine 3 views CPT 72072 | $356.85 | $549.00 | $107.35 – $109.50 | 3 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $193.70 | $298.00 | $89.36 – $91.15 | 3 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $247.00 | $380.00 | $89.36 – $91.15 | 3 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $356.85 | $549.00 | $107.35 – $109.50 | 3 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $548.60 | $844.00 | $89.36 – $91.15 | 3 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $387.40 | $596.00 | $89.36 – $91.15 | 3 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $885.30 | $1,362.00 | $180.11 – $183.72 | 3 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $759.85 | $1,169.00 | $180.11 – $183.72 | 3 |
| X-ray wrist 2 views (both sides) CPT 73100 | $468.00 | $720.00 | $89.36 – $91.15 | 3 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $180.11 – $183.72 | 3 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $127.79 – $130.34 | 3 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.91 – $13.17 | 2 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.67 – $1.71 | 3 |
| Yersinia antibody CPT 86793 | $89.70 | $138.00 | $13.19 – $13.45 | 2 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $56,824.55 – $57,961.04 | 3 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $127.79 – $130.34 | 3 |
| Ziconotide injection HCPCS J2278 | not published | not published | $10.14 – $10.34 | 3 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.51 – $1.54 | 3 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $9.82 – $9.82 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | $523.90 | $806.00 | $51.31 – $52.34 | 2 |
| Zika virus igm antibody CPT 86794 | $240.50 | $370.00 | $16.85 – $17.19 | 2 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $59.25 | $91.15 | $5.33 – $46.74 | 2 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $7.88 – $8.04 | 3 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $33.71 – $34.38 | 3 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $98.38 | $151.35 | $8.85 – $36.40 | 2 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $0.07 – $0.07 | 1 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $193.25 – $197.12 | 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.