Mercy Health St Vincent Medical Center
Mercy Health St Vincent Medical Center in Perrysburg, OH publishes cash prices for 128 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Ohio median for 111 of 127 procedures and below it for 15. By typical cash price it ranks #129 of 139 Ohio hospitals and #6 of 7 hospitals in the Toledo, OH area, cheapest first. Select a procedure to compare it with other hospitals nearby.
12623 Eckel Junction Road,Perrysburg,OH 43551 Collected Sep 23, 2026 Source price file Check a bill from this hospital (419) 251-3232
Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 360112 · CMS hospital register NPI 1467493551
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Mercy Health St Vincent Medical Center is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
State law
This state limits hospital bills for lower-income patients
Ohio's Hospital Care Assurance Program (HCAP): Ohio residents who are not on Medicaid and whose income is at or below 100% of the federal poverty level get basic, medically necessary hospital services free at hospitals in the program; physician bills are not included. Ask the hospital's billing office for an HCAP application. Other states' laws.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| CT angiography (CTA) of the head CPT 70496 HC Cta Head W & W/O Cont | $543.00 | $905.00 | — | 59% below | 40% |
| CT angiography (CTA) of the head inpatient CPT 70496 HC Cta Head W & W/O Cont | $3,126.60 | $5,211.00 | — | — | 40% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT Heart No Contrast Quant Eval Coronry Calcium | $128.00 | $128.00 | — | 54% below | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT Heart No Contrast Quant Eval Coronry Calcium | $128.00 | $128.00 | — | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI-Spine Lumbar WO & W Cont | $1,405.20 | $2,342.00 | — | 40% below | 40% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI-Spine Lumbar WO & W Cont | $4,807.80 | $8,013.00 | — | — | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US Pelvis Complete | $1,746.60 | $2,911.00 | — | — | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC Fetal Eval 1st Tri Sgl Gest | $214.20 | $357.00 | — | 61% below | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC Fetal Eval 1st Tri Sgl Gest | $141.00 | $235.00 | — | — | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US Fetal Evaluation-Limited | $375.00 | $625.00 | — | 21% below | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US Fetal Evaluation-Limited | $375.00 | $625.00 | — | — | 40% |
| Screening mammogram, both breasts CPT 77067 HC Mammo Screening Incl Cad if Perf | $202.80 | $338.00 | — | 6% above | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 HC Mammo Screening Incl Cad if Perf | $202.80 | $338.00 | — | — | 40% |
| Transvaginal pelvic ultrasound CPT 76830 HC US Transvaginal, Non OB | $1,409.40 | $2,349.00 | — | 150% above | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US Transvaginal, Non OB | $1,409.40 | $2,349.00 | — | — | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC Soft Tissue Neck US | $1,447.80 | $2,413.00 | — | 153% above | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC Soft Tissue Neck US | $1,447.80 | $2,413.00 | — | — | 40% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Collection Venous Blood Venipuncture | $13.80 | $23.00 | — | 13% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Collection Venous Blood Venipuncture | $21.60 | $36.00 | — | — | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 Arthrd Ant Interbody Decompress Cervical Belw C2 | $64,574.99 | $107,624.98 | $12,472.20–$12,721.65 | 18% above | 40% |
| Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 Arthrs Aided Ant Cruciate Ligm Rpr/Agmntj/Rcnstj|RIGHT SIDE | $50,522.49 | $84,204.15 | $7,049.09–$7,190.07 | 36% above | 40% |
| Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 Arthrs Aided Ant Cruciate Ligm Rpr/Agmntj/Rcnstj|LEFT SIDE | $68,138.08 | $113,563.47 | $7,049.09–$7,190.07 | 83% above | 40% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 Surgical Arthroscopy Shoulder W/Rotator Cuff Rpr | $36,888.14 | $61,480.23 | $7,049.09–$7,190.07 | 32% above | 40% |
| Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 Surgical Arthroscopy Shoulder W/Rotator Cuff Rpr|LEFT SIDE | $44,248.77 | $73,747.95 | $7,049.09–$7,190.07 | 58% above | 40% |
| Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 Surgical Arthroscopy Shoulder W/Rotator Cuff Rpr|RIGHT SIDE | $46,221.73 | $77,036.22 | $7,049.09–$7,190.07 | 65% above | 40% |
| Bunion correction with a bone cut near the head of the first metatarsal one side CPT 28296 Corrj Hallux Valgus W/Sesmdc W/Dist Metar Osteot|LEFT SIDE | $33,458.95 | $55,764.92 | $3,178.60–$3,242.17 | 39% above | 40% |
| Bunion correction with a bone cut near the head of the first metatarsal one side CPT 28296 Corrj Hallux Valgus W/Sesmdc W/Dist Metar Osteot|RIGHT SIDE | $40,492.17 | $67,486.95 | $3,178.60–$3,242.17 | 68% above | 40% |
| Cardiac catheterization with coronary angiogram CPT 93458 HC L Heart W Lv & Coronary | $11,468.40 | $19,114.00 | — | 5% below | 40% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC L Heart W Lv & Coronary | $11,468.40 | $19,114.00 | — | — | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion | $2,190.60 | $3,651.00 | — | 6% above | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC Cardioversion | $2,190.60 | $3,651.00 | — | — | 40% |
| Carpal tunnel release, open surgery one side CPT 64721 Neuroplasty &/Transpos Median Nrv Carpal Tunne|LEFT SIDE | $8,732.30 | $14,553.83 | $1,896.98–$1,934.92 | 6% above | 40% |
| Carpal tunnel release, open surgery one side CPT 64721 Neuroplasty &/Transpos Median Nrv Carpal Tunne|RIGHT SIDE | $8,829.90 | $14,716.50 | $1,896.98–$1,934.92 | 7% above | 40% |
| Catheter ablation for atrial fibrillation CPT 93656 HC Ep Tx Atrial Fib Pul Vn Isolat | $34,657.80 | $57,763.00 | — | 2% above | 40% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 HC Ep Tx Atrial Fib Pul Vn Isolat | $34,657.80 | $57,763.00 | — | — | 40% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HC Circumcision Age>28 Days | $15,460.56 | $25,767.60 | $2,030.71–$2,071.33 | 152% above | 40% |
| Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq | $9,967.68 | $16,612.80 | $1,162.48–$1,185.73 | 198% above | 40% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple | $9,230.34 | $15,383.90 | $1,162.48–$1,185.73 | 177% above | 40% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd | $7,441.68 | $12,402.80 | $903.41–$921.48 | 173% above | 40% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC Colposcopy W/Biopsy | $14,714.64 | $24,524.40 | $296.03–$301.95 | 1518% above | 40% |
| Coronary stent placement, one artery CPT 92928 HC Perq Tcat Plmt Ntrac St 1 Les 1+C Segments | $24,028.20 | $40,047.00 | — | 86% above | 40% |
| Coronary stent placement, one artery inpatient CPT 92928 HC Perq Tcat Plmt Ntrac St 1 Les 1+C Segments | $24,028.20 | $40,047.00 | — | — | 40% |
| Cystoscopy with ureteral stent placement CPT 52332 Cysto W/Insert Ureteral Stent | $17,132.92 | $28,554.87 | $3,424.36–$3,492.85 | 72% above | 40% |
| Cystoscopy with ureteral stent placement one side CPT 52332 Cysto W/Insert Ureteral Stent|LEFT SIDE | $12,434.40 | $20,724.00 | $3,424.36 | 25% above | 40% |
| Cystoscopy with ureteral stent placement one side CPT 52332 Cysto W/Insert Ureteral Stent|RIGHT SIDE | $16,491.97 | $27,486.62 | $3,424.36–$3,492.85 | 66% above | 40% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC Cystourethroscopy | $9,465.78 | $15,776.30 | $677.39–$690.94 | 374% above | 40% |
| Earwax removal with instruments, one ear one side CPT 69210 HC Removal Impacted Cerumen Unilateral | $311.40 | $519.00 | — | 101% above | 40% |
| Earwax removal with instruments, one ear one side CPT 69210 HC Removal Impacted Cerumen Unilateral|RIGHT SIDE | $311.40 | $519.00 | — | 101% above | 40% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 HC Removal Impacted Cerumen Unilateral | $38.40 | $64.00 | — | — | 40% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC Njx Interlaminar Crv/Thrc | $457.20 | $762.00 | — | 80% below | 40% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC Njx Interlaminar Crv/Thrc | $457.20 | $762.00 | — | — | 40% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr Aa Hernia 1st 3-10 Cm Reducible | $69,658.95 | $116,098.25 | $6,289.03–$6,414.81 | 176% above | 40% |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 Rpr Aa Hernia 1st > 10 Cm Reducible | $75,334.33 | $125,557.22 | $6,289.03–$6,414.81 | 179% above | 40% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr Aa Hernia 1st < 3 Cm Reducible | $66,595.75 | $110,992.92 | $3,478.20–$3,547.76 | 306% above | 40% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd | $7,164.42 | $11,940.70 | $903.41–$921.48 | 179% above | 40% |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy | $61,712.77 | $102,854.62 | $5,872.96–$5,990.42 | 254% above | 40% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laps Surg Cholecystectomy W/Cholangiography | $56,537.29 | $94,228.82 | $5,872.96 | 224% above | 40% |
| Hammertoe correction surgery one side CPT 28285 Correction Hammertoe|RIGHT SIDE | $14,576.76 | $24,294.60 | $3,178.60–$3,242.17 | 50% above | 40% |
| Hammertoe correction surgery one side CPT 28285 Correction Hammertoe|LEFT SIDE | $20,284.82 | $33,808.03 | $3,178.60–$3,242.17 | 109% above | 40% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HC Ligation of Hemorrhoids | $11,956.72 | $19,927.87 | $903.41–$921.48 | 525% above | 40% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group | $23,577.56 | $39,295.93 | $2,696.43–$2,750.36 | 152% above | 40% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC Cath/Intro Sal Cont Hyst | $7,702.17 | $12,836.95 | $8.61–$8.78 | 1918% above | 40% |
| Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy Endometrial Ablation | $31,909.99 | $53,183.32 | $5,872.96–$5,990.42 | 177% above | 40% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy Bx Endometrium&/Polypc W/WO D&C | $17,866.12 | $29,776.87 | $3,144.72–$3,207.62 | 88% above | 40% |
| IUD insertion (the device itself billed separately) CPT 58300 HC Insert Intrauterine Device | $14,733.12 | $24,555.20 | $3,144.72–$3,207.62 | 2825% above | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC I & D Simple | $10,707.06 | $17,845.10 | $194.91–$198.81 | 2664% above | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthrocent/Aspiration Maj Jnt | $1,492.68 | $2,487.80 | $298.19–$304.15 | 114% above | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC Arthrocent/Aspiration Maj Jnt|RIGHT SIDE | $1,519.56 | $2,532.60 | $298.19–$304.15 | 118% above | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC Arthrocent/Aspiration Maj Jnt|LEFT SIDE | $1,526.46 | $2,544.10 | $298.19–$304.15 | 119% above | 40% |
| Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 Arthroscopy Knee W/Meniscus Rpr Medial/Lateral|LEFT SIDE | $39,467.58 | $65,779.30 | $7,049.09–$7,190.07 | 55% above | 40% |
| Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 Arthroscopy Knee W/Meniscus Rpr Medial/Lateral|RIGHT SIDE | $40,147.22 | $66,912.03 | $3,178.60–$3,242.17 | 58% above | 40% |
| Knee arthroscopy with meniscus trim one side CPT 29881 Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg|RIGHT SIDE | $18,361.32 | $30,602.20 | $3,178.60–$3,242.17 | 45% above | 40% |
| Knee arthroscopy with meniscus trim one side CPT 29881 Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg|LEFT SIDE | $19,072.77 | $31,787.95 | $3,178.60–$3,242.17 | 51% above | 40% |
| Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 Arthrs Knee W/Meniscectomy Med&Lat W/Shaving|RIGHT SIDE | $17,622.30 | $29,370.50 | $3,178.60–$3,242.17 | 35% above | 40% |
| Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 Arthrs Knee W/Meniscectomy Med&Lat W/Shaving|LEFT SIDE | $23,509.92 | $39,183.20 | $3,178.60–$3,242.17 | 80% above | 40% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) one side CPT 29877 Arthrs Knee Debridement/Shaving Artclr Crtlg|RIGHT SIDE | $14,710.38 | $24,517.30 | $3,178.60–$3,242.17 | 8% above | 40% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) one side CPT 29877 Arthrs Knee Debridement/Shaving Artclr Crtlg|LEFT SIDE | $17,850.18 | $29,750.30 | $3,178.60–$3,242.17 | 31% above | 40% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Laparoscopy W Total Hysterectomy Uterus 250 Gm/< | $46,174.30 | $76,957.17 | $10,326.41–$10,532.93 | 18% above | 40% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary | $78,585.13 | $130,975.22 | $10,326.41–$10,532.93 | 107% above | 40% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia|RIGHT SIDE | $68,531.89 | $114,219.82 | $5,872.96–$5,990.42 | 187% above | 40% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia|LEFT SIDE | $74,958.38 | $124,930.63 | $5,872.96 | 214% above | 40% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia one side CPT 49651 Laps Surg Rpr Recurrent Inguinal Hernia|LEFT SIDE | $67,905.19 | $113,175.32 | $5,872.96–$5,990.42 | 152% above | 40% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy W/Rmvl Adnexal Structures | $36,271.61 | $60,452.68 | $5,872.96–$5,990.42 | 119% above | 40% |
| Laparoscopic removal of fallopian tubes and/or ovaries one side CPT 58661 Laparoscopy W/Rmvl Adnexal Structures|LEFT SIDE | $27,394.76 | $45,657.93 | $5,872.96–$5,990.42 | 66% above | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Lyr Clos Sc Tk Ext <2.5 Cm | $9,372.12 | $15,620.20 | $394.91–$402.81 | 1657% above | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs one side CPT 12031 HC Lyr Clos Sc Tk Ext <2.5 Cm|LEFT SIDE | $9,938.28 | $16,563.80 | $394.91 | 1763% above | 40% |
| Left heart catheterization, diagnostic CPT 93452 HC L Heart W Lvgram | $12,617.40 | $21,029.00 | — | 36% above | 40% |
| Left heart catheterization, diagnostic inpatient CPT 93452 HC L Heart W Lvgram | $12,617.40 | $21,029.00 | — | — | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC Njx Interlaminar Lmbr/Sac | $457.20 | $762.00 | — | 78% below | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Njx Interlaminar Lmbr/Sac | $457.20 | $762.00 | — | — | 40% |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Lamnotmy Incl W/Dcmprsn Nrv Root 1 Intrspc Lumbr | $37,219.43 | $62,032.38 | $7,049.09–$7,190.07 | 48% above | 40% |
| Lumbar discectomy or laminotomy to free a nerve root, one level one side CPT 63030 Lamnotmy Incl W/Dcmprsn Nrv Root 1 Intrspc Lumbr|RIGHT SIDE | $33,263.40 | $55,439.00 | $7,049.09–$7,190.07 | 32% above | 40% |
| Lumbar discectomy or laminotomy to free a nerve root, one level one side CPT 63030 Lamnotmy Incl W/Dcmprsn Nrv Root 1 Intrspc Lumbr|LEFT SIDE | $45,376.66 | $75,627.77 | $7,049.09–$7,190.07 | 80% above | 40% |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 Arthrodesis Combined Tq 1ntrspc Lumbar | $83,379.32 | $138,965.53 | $26,359.48–$26,886.67 | 18% below | 40% |
| Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 Arthrodesis Posterior Interbody 1 Ntrspc Lumbar | $103,643.89 | $172,739.82 | $26,359.48–$26,886.67 | 13% above | 40% |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 Laminec/Facetect/Foramin,Lumbar | $44,774.70 | $74,624.50 | $7,049.09–$7,190.07 | 35% above | 40% |
| Lumbar laminectomy (spinal decompression), one level one side CPT 63047 Laminec/Facetect/Foramin,Lumbar|LEFT SIDE | $33,142.80 | $55,238.00 | $7,049.09–$7,190.07 | at median | 40% |
| Miscarriage treatment with D&C, first trimester CPT 59820 Tx Missed Abortion First Trimester Surgical | $14,592.42 | $24,320.70 | $3,144.72–$3,207.62 | 106% above | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC Excis Benign Les to 0.5 Cm; Trunk/Arms/Legs | $11,069.22 | $18,448.70 | $687.92–$701.68 | 722% above | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm one side CPT 11400 HC Excis Benign Les to 0.5 Cm; Trunk/Arms/Legs|LEFT SIDE | $12,755.46 | $21,259.10 | $687.92–$701.68 | 847% above | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm one side CPT 11400 HC Excis Benign Les to 0.5 Cm; Trunk/Arms/Legs|RIGHT SIDE | $26,283.90 | $43,806.50 | $687.92–$701.68 | 1851% above | 40% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC Exc Skin Benig <5mm Face Facial | $8,783.46 | $14,639.10 | $687.92–$701.68 | 540% above | 40% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm one side CPT 11440 HC Exc Skin Benig <5mm Face Facial|LEFT SIDE | $7,758.42 | $12,930.70 | $687.92 | 465% above | 40% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm one side CPT 11440 HC Exc Skin Benig <5mm Face Facial|RIGHT SIDE | $11,179.74 | $18,632.90 | $687.92 | 715% above | 40% |
| Pacemaker implant (dual chamber) CPT 33208 HC Ins/Repl of Dual Cham Ppm Lead | $16,911.00 | $28,185.00 | — | 8% above | 40% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HC Ins/Repl of Dual Cham Ppm Lead | $16,911.00 | $28,185.00 | — | — | 40% |
| Paracentesis with imaging guidance CPT 49083 HC Abd Paracentesis W Guide | $2,788.80 | $4,648.00 | — | 61% above | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC Abd Paracentesis W Guide | $2,788.80 | $4,648.00 | — | — | 40% |
| Partial knee replacement (one compartment) one side CPT 27446 Arthrp Knee Condyle&Plateau Medial/Lat Cmprt|LEFT SIDE | $59,778.41 | $99,630.68 | $12,472.20 | 92% above | 40% |
| Partial knee replacement (one compartment) one side CPT 27446 Arthrp Knee Condyle&Plateau Medial/Lat Cmprt|RIGHT SIDE | $61,374.98 | $102,291.63 | $12,472.20–$12,721.65 | 97% above | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Removal of Nail Bed | $5,740.38 | $9,567.30 | $394.91–$402.81 | 639% above | 40% |
| Prostate biopsy CPT 55700 HC Biopsy Prostate Needle or Punc | $9,141.60 | $15,236.00 | $122.09–$124.53 | 354% above | 40% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 Laps Surg Prst8ect Rpbic Rad W/Nrv Sparing Robot | $116,548.91 | $194,248.18 | $10,326.41–$10,532.93 | 119% above | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 HC Removal FB Skin | $4,945.92 | $8,243.20 | $394.91–$402.81 | 638% above | 40% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon Ca Scrn Not Hi Rsk Ind | $7,372.86 | $12,288.10 | $903.41–$921.48 | 183% above | 40% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal Scrn; Hi Risk Ind | $7,344.60 | $12,241.00 | $903.41–$921.48 | 182% above | 40% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 HC Lithotripsy|LEFT SIDE | $14,420.88 | $24,034.80 | $3,424.36–$3,492.85 | 45% above | 40% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 HC Lithotripsy|RIGHT SIDE | $18,471.18 | $30,785.30 | $3,424.36 | 85% above | 40% |
| Short arm splint (forearm and hand) CPT 29125 HC Splint - Short Arm | $655.20 | $1,092.00 | — | 125% above | 40% |
| Short arm splint (forearm and hand) CPT 29125 HC Splint App Short Arm Stat | $655.20 | $1,092.00 | — | 125% above | 40% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC Splint - Short Arm | $655.20 | $1,092.00 | — | — | 40% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC Splint App Short Arm Stat | $655.20 | $1,092.00 | — | — | 40% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Surgical Arthroscopy Shoulder Dstl Claviculc | $43,464.19 | $72,440.32 | $7,049.09–$7,190.07 | 63% above | 40% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) one side CPT 29824 Surgical Arthroscopy Shoulder Dstl Claviculc|RIGHT SIDE | $41,572.54 | $69,287.57 | $7,049.09–$7,190.07 | 56% above | 40% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls|LEFT SIDE | $36,888.14 | $61,480.23 | $7,049.09–$7,190.07 | 63% above | 40% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls|RIGHT SIDE | $48,665.45 | $81,109.08 | $7,049.09–$7,190.07 | 115% above | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Rep Lac Smp Not Face <2.5cm | $7,426.56 | $12,377.60 | $194.91–$198.81 | 2150% above | 40% |
| Skin biopsy, punch, one lesion CPT 11104 HC Punch Biopsy Skin Single Lesion | $2,194.80 | $3,658.00 | $394.91–$402.81 | 393% above | 40% |
| Skin tag removal, up to 15 tags CPT 11200 HC Excision Up to 15 Skin Tags | $16,261.02 | $27,101.70 | $1,604.45 | 5459% above | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spinal Puncture, Lumbar, Diagnostic | $1,333.80 | $2,223.00 | — | 25% above | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Spinal Puncture, Lumbar, Diagnostic | $1,333.80 | $2,223.00 | — | — | 40% |
| TURP (transurethral resection of the prostate) CPT 52601 Trurl Electrosurg Rescj Prostate Bleed Complete | $29,214.08 | $48,690.13 | $5,208.74–$5,312.92 | 65% above | 40% |
| Thoracentesis with imaging guidance CPT 32555 HC Sp Thora for Aspiration | $1,994.40 | $3,324.00 | — | 15% above | 40% |
| Thoracentesis with imaging guidance one side CPT 32555 HC Sp Thora for Aspiration|RIGHT SIDE | $1,994.40 | $3,324.00 | — | 15% above | 40% |
| Thoracentesis with imaging guidance one side CPT 32555 HC Sp Thora for Aspiration|LEFT SIDE | $1,994.40 | $3,324.00 | — | 15% above | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC Sp Thora for Aspiration | $1,994.40 | $3,324.00 | — | — | 40% |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 HC Sp Thora for Aspiration|LEFT SIDE | $1,994.40 | $3,324.00 | — | — | 40% |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 HC Sp Thora for Aspiration|RIGHT SIDE | $1,994.40 | $3,324.00 | — | — | 40% |
| Total hip replacement CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft | $52,664.35 | $87,773.92 | $12,472.20–$12,721.65 | 19% above | 40% |
| Total hip replacement one side CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft|RIGHT SIDE | $57,354.50 | $95,590.83 | $12,472.20–$12,721.65 | 29% above | 40% |
| Total hip replacement one side CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft|LEFT SIDE | $59,684.66 | $99,474.43 | $12,472.20–$12,721.65 | 35% above | 40% |
| Total knee replacement CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments | $46,721.37 | $77,868.95 | $12,472.20 | 9% above | 40% |
| Total knee replacement one side CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments|RIGHT SIDE | $54,367.67 | $90,612.78 | $12,472.20–$12,721.65 | 27% above | 40% |
| Total knee replacement one side CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments|LEFT SIDE | $56,171.29 | $93,618.82 | $12,472.20–$12,721.65 | 31% above | 40% |
| Total shoulder replacement CPT 23472 Arthroplasty Glenohumeral Joint Total Shoulder | $55,421.22 | $92,368.70 | $17,033.32–$17,373.98 | 2% above | 40% |
| Total shoulder replacement one side CPT 23472 Arthroplasty Glenohumeral Joint Total Shoulder|LEFT SIDE | $63,911.17 | $106,518.62 | $17,033.32–$17,373.98 | 17% above | 40% |
| Total shoulder replacement one side CPT 23472 Arthroplasty Glenohumeral Joint Total Shoulder|RIGHT SIDE | $64,029.90 | $106,716.50 | $17,033.32–$17,373.98 | 17% above | 40% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Egd Balloon Dilation Esophagus <30 Mm Diam | $10,214.12 | $17,023.53 | $1,864.13–$1,901.42 | 192% above | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple | $8,421.90 | $14,036.50 | $881.10–$898.72 | 200% above | 40% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd Removal Tumor Polyp/Other Lesion Snare Tech | $14,511.86 | $24,186.43 | $1,864.13–$1,901.42 | 348% above | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC Egd Diagnostic Brush Wash | $7,556.70 | $12,594.50 | $881.10–$898.72 | 191% above | 40% |
| Ureteroscopy with laser stone breaking (lithotripsy) one side CPT 52353 Cysto W/Ureteroscopy W/Lithotripsy|RIGHT SIDE | $11,961.04 | $19,935.07 | $5,208.74 | 1% above | 40% |
| Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt|LEFT SIDE | $17,930.47 | $29,884.12 | $5,208.74–$5,312.92 | 18% above | 40% |
| Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt|RIGHT SIDE | $21,679.30 | $36,132.17 | $5,208.74–$5,312.92 | 43% above | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debride Subq First 20 Sq Cm | $1,731.00 | $2,885.00 | $394.91–$402.81 | 122% above | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Debride Subq First 20 Sq Cm | $696.60 | $1,161.00 | — | — | 40% |
| Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 Optx Dstl Radl X-Artic Fx/Epiphysl Sep|RIGHT SIDE | $26,185.45 | $43,642.42 | $7,049.09–$7,190.07 | 57% above | 40% |
| Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 Optx Dstl Radl X-Artic Fx/Epiphysl Sep|LEFT SIDE | $40,310.30 | $67,183.83 | $7,049.09–$7,190.07 | 142% above | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Chemotherapy IV infusion, first hour CPT 96413 HC Chemo Infusion 1st Hour Chemo | $1,396.80 | $2,328.00 | — | 82% above | 40% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC Chemo Infusion 1st Hour Chemo | $1,396.80 | $2,328.00 | — | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC Inf 1st Hour Hyd | $936.00 | $1,560.00 | — | 124% above | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC Inf 1st Hour Hyd | $936.00 | $1,560.00 | — | — | 40% |
| IV infusion of a medicine, first hour CPT 96365 HC IV 1st Hour Init Drug | $924.00 | $1,540.00 | — | 113% above | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV 1st Hour Init Drug | $924.00 | $1,540.00 | — | — | 40% |
| IV push of a medicine, first drug CPT 96374 HC IV Push Initial Drug | $420.60 | $701.00 | — | 64% above | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 HC IV Push Initial Drug | $420.60 | $701.00 | — | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection Im Sub Q | $208.80 | $348.00 | — | 48% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Injection Im Sub Q | $208.80 | $348.00 | — | — | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Pt Neuro Facilitation Ea 15 Min | $170.40 | $284.00 | — | 55% above | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Neuromuscular Re-Education, Ot | $170.40 | $284.00 | — | 55% above | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Neuromuscular Re-Education, Ot | $170.40 | $284.00 | — | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Pt Neuro Facilitation Ea 15 Min | $170.40 | $284.00 | — | — | 40% |
| New patient office visit, about 30 minutes CPT 99203 HC New Pt, E/M Level 3 | $208.20 | $347.00 | — | 90% above | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC New Pt, E/M Level 3 | $208.20 | $347.00 | — | — | 40% |
| New patient office visit, about 45 minutes CPT 99204 HC New Pt, E/M Level 4 | $238.80 | $398.00 | — | 97% above | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC New Pt, E/M Level 4 | $238.80 | $398.00 | — | — | 40% |
| New patient office visit, about 60 minutes CPT 99205 HC New Pt, E/M Level 5 | $274.20 | $457.00 | — | 59% above | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC New Pt, E/M Level 5 | $274.20 | $457.00 | — | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC New Pt, E/M Level 2 | $180.60 | $301.00 | — | 78% above | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC New Pt, E/M Level 2 | $165.60 | $276.00 | — | — | 40% |
| Occupational therapy evaluation, low complexity CPT 97165 HC Ot Eval Low Complex | $263.40 | $439.00 | — | 1% above | 40% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Ot Eval Low Complex | $263.40 | $439.00 | — | — | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Eval High Complex | $356.40 | $594.00 | — | 18% above | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Pt Eval High Complex | $356.40 | $594.00 | — | — | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Eval Low Complex | $263.40 | $439.00 | — | 1% above | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Pt Eval Low Complex | $263.40 | $439.00 | — | — | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Eval Mod Complex | $309.60 | $516.00 | — | 11% above | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Pt Eval Mod Complex | $309.60 | $516.00 | — | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Ot Manual Therapy per 15 Min. | $142.80 | $238.00 | — | 29% above | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Pt Manual Therapy Ea 15 | $142.80 | $238.00 | — | 29% above | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Pt Manual Therapy Ea 15 | $143.40 | $239.00 | — | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Ot Manual Therapy per 15 Min. | $143.40 | $239.00 | — | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Exercise,Ea 15 Min | $227.40 | $379.00 | — | 92% above | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Ther Ex per 15 Min | $227.40 | $379.00 | — | 92% above | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pt Therapeutic Exercise,Ea 15 Min | $227.40 | $379.00 | — | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Ot Ther Ex per 15 Min | $227.40 | $379.00 | — | — | 40% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC Prev Visit New Age18-39 | $83.40 | $139.00 | — | 30% below | 40% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC Prev Visit New Age18-39 | $83.40 | $139.00 | — | — | 40% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC Prev Visit New Age40-64 | $126.60 | $211.00 | — | 13% below | 40% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC Prev Visit New Age40-64 | $83.40 | $139.00 | — | — | 40% |
| Preventive checkup, new patient aged 65 or older CPT 99387 HC Prev Visit New 65 & Over | $83.40 | $139.00 | — | 47% below | 40% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC Prev Visit New 65 & Over | $83.40 | $139.00 | — | — | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC Smoke/Tobac Counsel 3-10 | $49.20 | $82.00 | — | 12% above | 40% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC Smoke/Tobac Counsel 3-10 | $49.20 | $82.00 | — | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Est Pt, E/M Level 5 | $235.80 | $393.00 | — | 40% above | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Est Pt, Outpt Visit Level 5 | $364.20 | $607.00 | — | 116% above | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC Est Pt, E/M Level 5 | $235.80 | $393.00 | — | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC Est Pt, Outpt Visit Level 5 | $235.80 | $393.00 | — | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Est Pt, E/M Level 3 | $177.60 | $296.00 | — | 53% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Est Pt, Outpt Visit Level 3 | $177.60 | $296.00 | — | 53% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC Est Pt, Outpt Visit Level 3 | $177.60 | $296.00 | — | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC Est Pt, E/M Level 3 | $177.60 | $296.00 | — | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Est Pt, E/M Level 4 | $205.20 | $342.00 | — | 50% above | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Est Pt, Outpt Visit Level 4 | $280.20 | $467.00 | — | 105% above | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC Est Pt, E/M Level 4 | $205.20 | $342.00 | — | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC Est Pt, Outpt Visit Level 4 | $205.20 | $342.00 | — | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Est Pt, Outpt Visit Level 2 | $155.40 | $259.00 | — | 54% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Est Pt, E/M Level 2 | $155.40 | $259.00 | — | 54% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Est Pt, E/M Level 2 | $155.40 | $259.00 | — | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Est Pt, Outpt Visit Level 2 | $155.40 | $259.00 | — | — | 40% |
| Speech and language evaluation CPT 92523 HC Eval Speech Sound Lang Comprhension | $1,482.60 | $2,471.00 | — | 335% above | 40% |
| Speech and language evaluation inpatient CPT 92523 HC Eval Speech Sound Lang Comprhension | $1,482.60 | $2,471.00 | — | — | 40% |
| Speech therapy session, individual CPT 92507 HC Speech/Language Therapy | $189.00 | $315.00 | — | 14% below | 40% |
| Speech therapy session, individual inpatient CPT 92507 HC Speech/Language Therapy | $189.00 | $315.00 | — | — | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Pt Therapeutic Activities 15 Min | $148.20 | $247.00 | — | 21% above | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Ot Therapeutic Activities 15 Min | $174.00 | $290.00 | — | 42% above | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Pt Therapeutic Activities 15 Min | $148.20 | $247.00 | — | — | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Ot Therapeutic Activities 15 Min | $174.00 | $290.00 | — | — | 40% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR | $461.10 | $768.50 | — | 24% above | 40% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR | $461.10 | $768.50 | — | — | 40% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML IM SUSP | $75.54 | $125.90 | — | 8% above | 40% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML IM SUSP | $75.54 | $125.90 | — | — | 40% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR | $235.20 | $392.00 | — | 13% above | 40% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR | $235.20 | $392.00 | — | — | 40% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLR | $400.20 | $667.00 | — | 26% above | 40% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLR | $400.20 | $667.00 | — | — | 40% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY | $569.16 | $948.60 | — | 3% above | 40% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY | $569.16 | $948.60 | — | — | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP | $101.40 | $169.00 | — | 13% above | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP | $101.40 | $169.00 | — | — | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY | $117.00 | $195.00 | — | 6% above | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY | $117.00 | $195.00 | — | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Immunization Administration | $54.60 | $91.00 | — | 34% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Immunization Administration | $54.60 | $91.00 | — | — | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Subsequent Immun Admin | $26.40 | $44.00 | — | 24% below | 40% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Subsequent Immun Admin | $26.40 | $44.00 | — | — | 40% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.