Hospital price profile
MERCY ST VINCENT MEDICAL CENTER
2213 CHERRY STREET, Toledo, OH 43608 · (419) 251-3232 · Map and directions
CMS quality snapshot
Overall hospital rating3 of 5 stars
Safety measures vs. national result1 better · 7 same · 0 worse
PSI-90 patient safetyNo Different Than the National Value
The hospital star rating is overall, not procedure-specific. PSI-90 reflects qualifying Medicare inpatient stays, not every outpatient encounter. View CMS source.
| Procedure | Context | Published cash | Comparison | Source |
|---|---|---|---|---|
| Hip replacementCPT 27130 · Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft|LEFT SIDE | OUTPATIENT / 2 observed cash value(s) | $74,135.22MRF range $70,776.71–$77,493.74 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 680f31ab… |
| Knee replacementCPT 27447 · Arthrp Kne Condyle&Platu Medial&Lat Compartments|LEFT SIDE | OUTPATIENT / 2 observed cash value(s) | $58,096.30MRF range $56,979.14–$59,213.47 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 680f31ab… |
| Knee arthroscopyCPT 29881 · Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg|LEFT SIDE | OUTPATIENT / 2 observed cash value(s) | $30,991.44MRF range $30,590.22–$31,392.66 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 680f31ab… |
| Blood drawCPT 36415 · HC Collection Venous Blood Venipuncture|PBB CHARGE | OUTPATIENT / 1 observed cash value(s) | $13.80 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Blood drawCPT 36415 · HC Collection Venous Blood Venipuncture|PBB CHARGE | INPATIENT / 1 observed cash value(s) | $21.60 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Upper GI endoscopyCPT 43235 · HC Egd Diagnostic Brush Wash|UNUSUAL NON-OVERLAPPING SERVICE | BOTH / 1 observed cash value(s) | $1,345.80 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Upper GI endoscopyCPT 43235 · HC Egd Diagnostic Brush Wash|UNUSUAL NON-OVERLAPPING SERVICE | OUTPATIENT / 2 observed cash value(s) | $8,360.20MRF range $7,426.98–$9,293.42 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 680f31ab… |
| Upper GI endoscopy with biopsyCPT 43239 · HC Egd Biopsy Single/Multiple | BOTH / 1 observed cash value(s) | $1,531.20 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Upper GI endoscopy with biopsyCPT 43239 · HC Egd Biopsy Single/Multiple | OUTPATIENT / 3 observed cash value(s) | $17,382.39MRF range $9,397.92–$18,944.00 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 680f31ab… |
| ColonoscopyCPT 45378 · Colonoscopy Flx Dx W/Collj Spec When Pfrmd|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF ANESTHESIA | OUTPATIENT / 5 observed cash value(s) | $7,356.48MRF range $5,495.40–$12,874.68 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 680f31ab… |
| Colonoscopy with biopsyCPT 45380 · Colonoscopy W/Biopsy Single/Multiple|UNUSUAL NON-OVERLAPPING SERVICE | OUTPATIENT / 7 observed cash value(s) | $11,242.02MRF range $8,788.20–$13,681.50 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 680f31ab… |
| Colonoscopy with polyp removalCPT 45385 · Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq|COLORECTAL CANCER SCREEN | OUTPATIENT / 3 observed cash value(s) | $21,998.35MRF range $10,652.22–$29,268.63 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 680f31ab… |
| Gallbladder surgeryCPT 47562 · Laparoscopy Surg Cholecystectomy | OUTPATIENT / 2 observed cash value(s) | $38,019.16MRF range $38,019.16–$52,283.22 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 680f31ab… |
| Inguinal hernia repairCPT 49505 · Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible | OUTPATIENT / 1 observed cash value(s) | $59,789.43 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Carpal tunnel surgeryCPT 64721 · Neuroplasty &/Transpos Median Nrv Carpal Tunne|RIGHT SIDE | OUTPATIENT / 5 observed cash value(s) | $26,560.50MRF range $19,826.88–$33,671.16 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 680f31ab… |
| CT headCPT 70450 · HC CT Brain W/O Contrast | OUTPATIENT / 1 observed cash value(s) | $543.00 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| CT headCPT 70450 · HC CT Brain W/O Contrast | INPATIENT / 1 observed cash value(s) | $1,886.40 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| CT head with contrastCPT 70460 · HC CT Brain W/ Contrast | OUTPATIENT / 1 observed cash value(s) | $734.40 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| CT head with contrastCPT 70460 · HC CT Brain W/ Contrast | INPATIENT / 1 observed cash value(s) | $2,552.40 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| CT head with/without contrastCPT 70470 · HC CT Brain W/WO Contrast | OUTPATIENT / 1 observed cash value(s) | $845.40 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| CT head with/without contrastCPT 70470 · HC CT Brain W/WO Contrast | INPATIENT / 1 observed cash value(s) | $2,933.40 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Chest X-rayCPT 71046 · HC X-Ray Exam Chest 2 Views|ADJ | OUTPATIENT / 1 observed cash value(s) | $129.00 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Chest X-rayCPT 71046 · HC X-Ray Exam Chest 2 Views|ADJ | INPATIENT / 1 observed cash value(s) | $1,018.20 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| CT chest without contrastCPT 71250 · HC CT Chest W/O Contrast|UNUSUAL NON-OVERLAPPING SERVICE | OUTPATIENT / 1 observed cash value(s) | $543.00 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| CT chest without contrastCPT 71250 · HC CT Chest W/O Contrast|UNUSUAL NON-OVERLAPPING SERVICE | INPATIENT / 1 observed cash value(s) | $2,149.80 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| CT chestCPT 71260 · HC CT Chest W/ Contrast|UNUSUAL NON-OVERLAPPING SERVICE | OUTPATIENT / 1 observed cash value(s) | $1,027.80 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| CT chestCPT 71260 · HC CT Chest W/ Contrast|UNUSUAL NON-OVERLAPPING SERVICE | INPATIENT / 1 observed cash value(s) | $2,471.40 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| CT angiography chestCPT 71275 · HC CT Angio Chest W & W/O Cont | OUTPATIENT / 1 observed cash value(s) | $543.00 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| CT angiography chestCPT 71275 · HC CT Angio Chest W & W/O Cont | INPATIENT / 1 observed cash value(s) | $3,563.40 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Shoulder X-rayCPT 73030 · HC Shoulder Complete Min 2 Views|ADJ | OUTPATIENT / 1 observed cash value(s) | $420.00 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Shoulder X-rayCPT 73030 · HC Shoulder Complete Min 2 Views|ADJ | INPATIENT / 1 observed cash value(s) | $657.60 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Knee X-rayCPT 73562 · HC X-Ray Knee 3 Views|RIGHT SIDE|UNUSUAL NON-OVERLAPPING SERVICE | OUTPATIENT / 1 observed cash value(s) | $420.00 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Knee X-rayCPT 73562 · HC X-Ray Knee 3 Views|RIGHT SIDE|UNUSUAL NON-OVERLAPPING SERVICE | INPATIENT / 1 observed cash value(s) | $657.60 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Ankle X-rayCPT 73610 · HC X-Ray Ankle Rout 3 Views|ADJ | OUTPATIENT / 1 observed cash value(s) | $546.00 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Ankle X-rayCPT 73610 · HC X-Ray Ankle Rout 3 Views|ADJ | INPATIENT / 1 observed cash value(s) | $855.00 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| CT abdomen & pelvis without contrastCPT 74176 · HC CT Abd/Pelvis W/O Contrast | OUTPATIENT / 1 observed cash value(s) | $1,086.00 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| CT abdomen & pelvis without contrastCPT 74176 · HC CT Abd/Pelvis W/O Contrast | INPATIENT / 1 observed cash value(s) | $3,225.00 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| CT abdomen & pelvisCPT 74177 · HC CT Abd/Pel W Cont | OUTPATIENT / 1 observed cash value(s) | $1,470.60 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| CT abdomen & pelvisCPT 74177 · HC CT Abd/Pel W Cont | INPATIENT / 1 observed cash value(s) | $3,490.20 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| CT abdomen & pelvis with/without contrastCPT 74178 · HC CT Abd/Pelvis W W/O Contrast | OUTPATIENT / 1 observed cash value(s) | $2,400.60 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| CT abdomen & pelvis with/without contrastCPT 74178 · HC CT Abd/Pelvis W W/O Contrast | INPATIENT / 1 observed cash value(s) | $5,017.20 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Breast ultrasoundCPT 76641 · HC US Breast Comp | BOTH / 1 observed cash value(s) | $128.40 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Transvaginal ultrasoundCPT 76830 · HC US Transvaginal, Non OB | BOTH / 1 observed cash value(s) | $1,409.40 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Pelvic ultrasoundCPT 76856 · HC US Pelvis Complete|UNUSUAL NON-OVERLAPPING SERVICE | OUTPATIENT / 1 observed cash value(s) | $235.80 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Pelvic ultrasoundCPT 76856 · HC US Pelvis Complete|UNUSUAL NON-OVERLAPPING SERVICE | INPATIENT / 1 observed cash value(s) | $1,746.60 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Diagnostic mammogramCPT 77065 · HC Mammo Dgx Unilateral Incl Cad if Perf | BOTH / 1 observed cash value(s) | $165.60 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Screening mammogramCPT 77067 · HC Mammo Screening Incl Cad if Perf | OUTPATIENT / 1 observed cash value(s) | $202.80 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Screening mammogramCPT 77067 · HC Mammo Screening Incl Cad if Perf | INPATIENT / 1 observed cash value(s) | $769.20 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Nuclear stress imagingCPT 78452 · HC NM Sest. Rest Stress Mult|REDUCED SERVICES | BOTH / 1 observed cash value(s) | $5,314.20 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Comprehensive metabolic panelCPT 80053 · HC Comprehensive Metabolic Panel | OUTPATIENT / 1 observed cash value(s) | $35.40 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Comprehensive metabolic panelCPT 80053 · HC Comprehensive Metabolic Panel | INPATIENT / 1 observed cash value(s) | $264.60 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Lipid panelCPT 80061 · HC Lipid Panel|UNUSUAL NON-OVERLAPPING SERVICE | OUTPATIENT / 2 observed cash value(s) | $57.60MRF range $51.60–$63.60 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 680f31ab… |
| Lipid panelCPT 80061 · HC Lipid Panel|UNUSUAL NON-OVERLAPPING SERVICE | INPATIENT / 2 observed cash value(s) | $124.80MRF range $51.60–$198.00 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 680f31ab… |
| UrinalysisCPT 81001 · HC Urinalysis W/ Microscopy | OUTPATIENT / 1 observed cash value(s) | $27.00 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| UrinalysisCPT 81001 · HC Urinalysis W/ Microscopy | INPATIENT / 1 observed cash value(s) | $61.20 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Vitamin D testCPT 82306 · HC 25 Hydroxy Includes Fractions if Performed|NOT REASONABLE AND NECESSARY | BOTH / 1 observed cash value(s) | $74.40 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Vitamin D testCPT 82306 · HC 25 Hydroxy Includes Fractions if Performed|NOT REASONABLE AND NECESSARY | OUTPATIENT / 2 observed cash value(s) | $77.69MRF range $25.20–$130.19 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 680f31ab… |
| Vitamin D testCPT 82306 · HC 25 Hydroxy Includes Fractions if Performed|NOT REASONABLE AND NECESSARY | INPATIENT / 2 observed cash value(s) | $150.60MRF range $25.20–$276.00 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 680f31ab… |
| Ferritin testCPT 82728 · HC Assay of Ferritin | OUTPATIENT / 1 observed cash value(s) | $52.20 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Ferritin testCPT 82728 · HC Assay of Ferritin | INPATIENT / 1 observed cash value(s) | $141.00 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Hemoglobin A1cCPT 83036 · HC Hemoglobin Glycosylated A1c|NOT REASONABLE AND NECESSARY | OUTPATIENT / 1 observed cash value(s) | $45.60 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Hemoglobin A1cCPT 83036 · HC Hemoglobin Glycosylated A1c|NOT REASONABLE AND NECESSARY | BOTH / 1 observed cash value(s) | $71.40 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Hemoglobin A1cCPT 83036 · HC Hemoglobin Glycosylated A1c|NOT REASONABLE AND NECESSARY | INPATIENT / 1 observed cash value(s) | $87.00 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Iron testCPT 83540 · HC So Iron | OUTPATIENT / 1 observed cash value(s) | $61.20 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Iron testCPT 83540 · HC So Iron | BOTH / 1 observed cash value(s) | $205.80 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Iron testCPT 83540 · HC So Iron | INPATIENT / 1 observed cash value(s) | $250.80 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| TIBC testCPT 83550 · HC Iron Binding Capacity|NOT REASONABLE AND NECESSARY | BOTH / 1 observed cash value(s) | $117.00 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| PSA testCPT 84153 · HC Assay of Prostate Specific Antigen Total | BOTH / 1 observed cash value(s) | $36.60 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| PSA testCPT 84153 · HC Assay of Prostate Specific Antigen Total | OUTPATIENT / 1 observed cash value(s) | $44.40 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| PSA testCPT 84153 · HC Assay of Prostate Specific Antigen Total | INPATIENT / 1 observed cash value(s) | $96.00 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| TSH testCPT 84443 · HC Thyroid Stimulating Hormone|NOT REASONABLE AND NECESSARY | OUTPATIENT / 1 observed cash value(s) | $68.40 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| TSH testCPT 84443 · HC Thyroid Stimulating Hormone|NOT REASONABLE AND NECESSARY | INPATIENT / 1 observed cash value(s) | $235.80 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Pregnancy blood testCPT 84702 · HC So Hcg Quantitative | BOTH / 1 observed cash value(s) | $34.20 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Pregnancy blood testCPT 84702 · HC So Hcg Quantitative | OUTPATIENT / 1 observed cash value(s) | $93.60 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Pregnancy blood testCPT 84702 · HC So Hcg Quantitative | INPATIENT / 1 observed cash value(s) | $147.60 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| CBC with differentialCPT 85025 · HC Cbc | OUTPATIENT / 1 observed cash value(s) | $23.40 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| CBC with differentialCPT 85025 · HC Cbc | INPATIENT / 1 observed cash value(s) | $134.40 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Urine cultureCPT 87086 · HC Urine Cult./Colony Count | OUTPATIENT / 1 observed cash value(s) | $40.79 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Urine cultureCPT 87086 · HC Urine Cult./Colony Count | INPATIENT / 1 observed cash value(s) | $103.20 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Physical therapy exerciseCPT 97110 · HC Pt Therapeutic Exercise,Ea 15 Min|OP PT SERVICES|ANTHEM HABILITATIVE SERVICES | BOTH / 1 observed cash value(s) | $227.40 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Manual therapyCPT 97140 · HC Ot Manual Therapy per 15 Min.|OP OCCUPATIONAL THERAPY SERV|SERVICES PROVIDED IN WHOLE OR IN PARTY BY AN OTA FOR MEDICARE PATIENTS | BOTH / 1 observed cash value(s) | $142.80 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| PT evaluation, low complexityCPT 97161 · HC Pt Eval Low Complex|OP PT SERVICES|SERVICES PROVIDED IN WHOLE OR IN PART BY A PTA FOR MEDICARE PAIENTS|REHABILITATIVE SERVICES | BOTH / 1 observed cash value(s) | $263.39 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| PT evaluation, moderate complexityCPT 97162 · HC Pt Eval Mod Complex | BOTH / 1 observed cash value(s) | $309.60 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 85/100 · ingestion 680f31ab… |
| Therapeutic activitiesCPT 97530 · HC Ot Therapeutic Activities 15 Min|OP PT SERVICES|DISTINCT PROCEDURAL SERVICE|SERVICES PROVIDED IN WHOLE OR IN PART BY A PTA FOR MEDICARE PAIENTS|REHABILITATIVE SERVICES | BOTH / 2 observed cash value(s) | $161.10MRF range $148.19–$174.00 | Needs ReviewRequired source context is incomplete or inconsistent. | 2026-10-18Confidence 75/100 · ingestion 680f31ab… |
About these prices
Every amount on this page comes from the hospital’s machine-readable file and remains tied to its exact billing code, care setting, and billing class. Rows with multiple published amounts show the source range and are not ranked as a single comparable price.