ProMedica Toledo Hospital — price list
← Hospital overviewVerified from ProMedica Toledo Hospital’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
230 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Pbb 17 alpha hydroxyprogesterone caproate Inpatient | J3490 HCPCS | $180 | $117 | $70.20 – $180 | — | |
| Pbb 17 alpha hydroxyprogesterone caproate Outpatient | J3490 HCPCS | $180 | $117 | $41.40 – $180 | — | |
| Pbb 5 pct dextrose water Inpatient | J7060 HCPCS | $7.00 | $4.55 | $2.73 – $553 | — | |
| Pbb 5 pct dextrose water Outpatient | J7060 HCPCS | $7.00 | $4.55 | $1.61 – $7.00 | — | |
| Pbb admin flu vaccine mcare phc Inpatient | G0008 HCPCS | $59.00 | $38.35 | $23.01 – $59.00 | — | |
| Pbb admin flu vaccine mcare phc Outpatient | G0008 HCPCS | $59.00 | $38.35 | $13.57 – $59.00 | — | |
| Pbb admin pneum vaccine mcare phc Inpatient | G0009 HCPCS | $74.00 | $48.10 | $28.86 – $74.00 | — | |
| Pbb admin pneum vaccine mcare phc Outpatient | G0009 HCPCS | $74.00 | $48.10 | $17.02 – $74.00 | — | |
| Pbb annual depression screening 15 minutes Inpatient | G0444 HCPCS | $31.00 | $20.15 | $12.09 – $31.00 | — | |
| Pbb annual depression screening 15 minutes Outpatient | G0444 HCPCS | $31.00 | $20.15 | $7.13 – $31.00 | — | |
| Pbb boniva ibandronate sodium 1 mg Inpatient | J1740 HCPCS | $398 | $259 | $155 – $553 | — | |
| Pbb boniva ibandronate sodium 1 mg Outpatient | J1740 HCPCS | $398 | $259 | $91.54 – $398 | — | |
| Pbb capsaicin 8 patch Inpatient | J7336 HCPCS | $6.00 | $3.90 | $2.34 – $553 | — | |
| Pbb capsaicin 8 patch Outpatient | J7336 HCPCS | $6.00 | $3.90 | $1.38 – $6.00 | — | |
| Pbb care coordination Inpatient | H1002 HCPCS | $24.00 | $15.60 | $9.36 – $24.00 | — | |
| Pbb care coordination Outpatient | H1002 HCPCS | $24.00 | $15.60 | $3.74 – $24.00 | — | |
| Pbb depo provera 1 mg Inpatient | J1050 HCPCS | $1.00 | $0.65 | $0.39 – $553 | — | |
| Pbb depo provera 1 mg Outpatient | J1050 HCPCS | $1.00 | $0.65 | $0.23 – $1.00 | — | |
| Pbb dexamethasone sodium phos Inpatient | J1100 HCPCS | $9.00 | $5.85 | $3.51 – $553 | — | |
| Pbb dexamethasone sodium phos Outpatient | J1100 HCPCS | $9.00 | $5.85 | $2.07 – $9.00 | — | |
| Pbb diab manage trn indgroup Inpatient | G0109 HCPCS | $154 | $100 | $60.06 – $154 | — | |
| Pbb diab manage trn indgroup Outpatient | G0109 HCPCS | $154 | $100 | $8.25 – $154 | — | |
| Pbb diab manage trn per indiv Inpatient | G0108 HCPCS | $197 | $128 | $76.83 – $197 | — | |
| Pbb diab manage trn per indiv Outpatient | G0108 HCPCS | $197 | $128 | $28.77 – $197 | — | |
| Pbb diphenhydramine hcl injectio Inpatient | J1200 HCPCS | $9.00 | $5.85 | $3.51 – $553 | — | |
| Pbb diphenhydramine hcl injectio Outpatient | J1200 HCPCS | $9.00 | $5.85 | $2.07 – $9.00 | — | |
| Pbb EKG for initial prevent exam Inpatient | G0403 HCPCS | $3.00 | $1.95 | $1.17 – $3.00 | — | |
| Pbb EKG for initial prevent exam Outpatient | G0403 HCPCS | $3.00 | $1.95 | $0.47 – $3.00 | — | |
| Pbb ep mcare age 1839 includes q0091 and g0101 Inpatient | 99395 CPT | $154 | $100 | $60.06 – $154 | — | |
| Pbb ep mcare age 1839 includes q0091 and g0101 Outpatient | 99395 CPT | $154 | $100 | $24.02 – $154 | — |