Supplies, drugs & other prices at The University of Toledo Medical Center

Toledo, OH · every code in this section with a posted price and a Medicare benchmark.

87 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,579.20 $2,632 2.1×
2d tte w or w/o fol w/con,co (C8923) $2,124.60 $3,541 2.9×
2d tte w or w/o fol w/con,fu (C8924) $1,215.60 $2,026 3.7×
Adm of soc dtr assess 5-15 m (G0136) $36 $60 1.0×
Admin hepatitis b vaccine (G0010) $66 $110 1.5×
Admin influenza virus vac (G0008) $85.20 $142 1.9×
Admin pneumococcal vaccine (G0009) $85.20 $142 1.9×
Annual alcohol screen 15 min (G0442) $42.60 $71 1.2×
Behavior counsel obesity 15m (G0447) $132.60 $221 1.4×
Brief alcohol misuse counsel (G0443) $132.60 $221 1.4×
Ca screen;flexi sigmoidscope (G0104) $2,809.80 $4,683 3.2×
Ca screen;pelvic/breast exam (G0101) $101.40 $169 1.1×
Colon ca scrn not hi rsk ind (G0121) $2,809.80 $4,683 3.2×
Colorectal scrn; hi risk ind (G0105) $2,809.80 $4,683 3.2×
Cysto impl 4 or more (C9740) $13,242.60 $22,071 1.5×
Cystoscopy prostatic imp 1-3 (C9739) $7,279.80 $12,133 1.4×
Demonstrate use home inr mon (G0248) $184.80 $308 1.5×
Depression screen annual (G0444) $34.80 $58 1.0×
Direct refer hospital observ (G0379) $499.80 $833 0.9×
Drug test def 1-7 classes (G0480) $154.80 $258 1.4×
Ekg tracing for initial prev (G0404) $144 $240 5.2×
Elec stim other than wound (G0283) $105 $175 8.3×
Endo defect closure gi tract (C9901) $13,419 $22,365 1.3×
Extracorporeal shock wave muscskel sys nos (0101T) $2,926.20 $4,877 12.5×
Fecal microbiota prep instil (G0455) $2,199 $3,665 2.5×
Hbot, full body chamber, 30m (G0277) $633.60 $1,056 4.8×
Hep c screen high risk/other (G0472) $85.20 $142 1.8×
Home sleep test/type 3 porta (G0399) $705 $1,175 3.4×
Hospital outpt clinic visit (G0463)
range across 24 matching MRF lines
$62.40–$195.60 $104–$326 varies
Initial preventive exam (G0402) $181.20 $302 1.4×
Inj for sacroiliac jt anesth (G0260) $1,880.40 $3,134 2.8×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $42,164.40 $70,274 1.4×
Intens behave ther cardio dx (G0446) $42.60 $71 1.2×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $302.40 $504 2.5×
Mra w/cont, pelvis (C8918) $1,839 $3,065 5.5×
Mra w/o cont, abd (C8901) $2,343 $3,905 10.3×
Mra w/o cont, chest (C8910) $2,086.20 $3,477 9.2×
Mra w/o cont, lwr ext (C8913) $766.80 $1,278 3.4×
Mra w/o cont, pelvis (C8919) $772.20 $1,287 3.4×
Mra w/o fol w/cont, abd (C8902) $2,355 $3,925 7.1×
Mra w/o fol w/cont, chest (C8911) $2,861.40 $4,769 8.6×
Mra w/o fol w/cont, lwr ext (C8914) $1,581 $2,635 4.8×
Mra w/o fol w/cont, pelvis (C8920) $2,942.40 $4,904 8.9×
Mra, w/o&w/dye, spinal canal (C8933) $1,315.20 $2,192 4.0×
Mra, w/o&w/dye, upper extr (C8936) $1,381.20 $2,302 4.2×
Mri w/o fol w/cont, breast, (C8908) $3,023.40 $5,039 9.1×
Mri w/o fol w/cont, brst, un (C8905) $2,275.20 $3,792 6.9×
N-invas augmnt arrhyt alys (0897T) $874.20 $1,457 1.1×
Ncntc R-T Fluor Wnd Img 1st (0598T) $401.40 $669 2.0×
Njx platelet plasma (0232T) $752.40 $1,254 1.8×
Obtaining screen pap smear (Q0091) $52.20 $87 1.9×
Oth resp proc, group (G0239) $89.40 $149 2.5×
Oth resp proc, indiv (G0238) $85.20 $142 3.1×
Pelvic ring fracture uni/bil (G0413) $10,230 $17,050 1.5×
Perc d-e cor revasc chro sin (C9607) $25,714.80 $42,858 1.5×
Perc d-e cor revasc t cabg s (C9604) $20,446.20 $34,077 1.9×
Perc d-e cor stent ather s (C9602) $25,714.80 $42,858 1.5×
Perc drug-el cor stent sing (C9600) $22,027.20 $36,712 2.0×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
unusually low: confirm this is the full procedure
$4,899 $8,165 0.4×
Ppps, initial visit (G0438) $169.20 $282 1.0×
Ppps, subseq visit (G0439) $139.20 $232 1.0×
Pre 3d mdl w/ccta and/or mri (C9793) $1,456.80 $2,428 1.8×
Prostate biopsy, any mthd (G0416) $1,585.80 $2,643 4.7×
Psa screening (G0103) $55.20 $92 2.9×
Revasc intra lithotrip-ather (C9766) $19,800 $33,000 1.1×
Revasc intra lithotrip-stent (C9765) $18,363 $30,605 1.1×
Revasc intravasc lithotripsy (C9764) $9,063 $15,105 0.8×
Revasc lithotrip tibi/perone (C9772) $18,363 $30,605 1.7×
Revasc lithotrip-stent-ather (C9767) $25,241.40 $42,069 1.4×
Scr c/v cyto,thinlayer,rescr (G0143) $122.40 $204 4.5×
Screen cerv/vag thin layer (G0123) $68.40 $114 3.4×
Screen pap by tech w md supv (P3000) $108.60 $181 5.9×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $6,856.20 $11,427 1.3×
Tee w or w/o fol w/cont,cong (C8926) $1,410 $2,350 1.9×
Therapeutic procd strg endur (G0237) $82.20 $137 3.0×
Tomosynthesis, mammo (G0279) $61.20 $102 4.8×
Transcatheter Renal Sympath Denervation Bilat (0339T) $8,164.80 $13,608 1.5×
Transcatheter renal sympath denervation unilat (0338T) $8,164.80 $13,608 1.5×
Trauma respons w/hosp criti (G0390) $7,749 $12,915 6.1×
Trim nail(s) (G0127) $85.20 $142 1.5×
Trluml Perip Athrc Iliac Art (0238T) $25,714.80 $42,858 1.5×
Tte w or w/o fol w/con,stres (C8928) $1,425 $2,375 1.9×
Tte w or w/o fol w/cont, com (C8921) $1,750.20 $2,917 2.4×
Tte w or w/o fol w/cont, f/u (C8922) $1,513.20 $2,522 2.0×
Tte w or wo fol wcon,doppler (C8929) $2,497.80 $4,163 3.4×
Visit to determ ldct elig (G0296) $132.60 $221 1.4×
Wet mounts/ w preparations (Q0111) $31.80 $53 1.7×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.