Mercy Health (Ohio) · Urbana, OH
36
In-network payers
448
Disclosed rate categories
35
Beds
5
Care quality
Mercy Health - Urbana Hospital is a 35-bed voluntary non-profit - private hospital in Urbana, OH, affiliated with Mercy Health (Ohio). Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 448 disclosed rate categories.
CCN (Medicare provider number)
361312
NPI
1144286352
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
35
Care Quality
5
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Mercy Health - Urbana Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Digestive procedures
CPT 45385
$3,550 - $9,575
from 4 insurers · median $5,623
Typical for a hospital with this service line
CT imaging
CPT 74177
$715 - $1,986
from 4 insurers · median $974
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$3,550 - $8,176
from 4 insurers · median $5,409
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$369 - $2,690
from 4 insurers · median $2,216
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$3,509 - $6,457
from 4 insurers · median $3,836
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$5,565 - $10,217
from 4 insurers · median $8,810
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$9,499 - $25,714
from 4 insurers · median $13,676
Typical for a hospital with this service line
CT imaging
CPT 70450
$240 - $701
from 4 insurers · median $459
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$2,529 - $5,654
from 3 insurers · median $3,550
Typical for a hospital with this service line
Gynecology
CPT 58571
$9,516 - $28,874
from 3 insurers · median $11,687
Typical for a hospital with this service line
CT imaging
CPT 74176
$525 - $1,000
from 4 insurers · median $616
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 470
$27,756 - $47,280
from 4 insurers · median $29,465
Hospital reports orthopedic surgery services to CMS
Nuclear imaging
CPT 78452
$1,038 - $5,724
from 4 insurers · median $2,551
Hospital reports nuclear medicine services to CMS
CT imaging
CPT 71275
$406 - $1,020
from 4 insurers · median $741
Typical for a hospital with this service line
Mammography
CPT 77067
$127 - $211
from 4 insurers · median $155
Typical for a hospital with this service line
Gynecology
CPT 58558
$5,565 - $11,645
from 3 insurers · median $8,241
Typical for a hospital with this service line
Gynecology
CPT 58661
$9,600 - $25,714
from 3 insurers · median $11,687
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$74 - $312
from 4 insurers · median $154
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$5,565 - $16,406
from 3 insurers · median $8,564
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 743
$17,666 - $30,411
from 4 insurers · median $20,349
Hospital reports inpatient surgical services to CMS
MRI imaging
CPT 70553
$829 - $1,986
from 4 insurers · median $974
Typical for a hospital with this service line
Gynecology
CPT 58662
$9,684 - $25,714
from 3 insurers · median $11,687
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$1,244 - $4,771
from 4 insurers · median $4,225
Typical for a hospital with this service line
Urology
CPT 50590
$10,691 - $14,272
from 3 insurers · median $11,687
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 416% | 8 | 10 |
| Insurer B* | 17 | 314% | 4 | 9 |
| Insurer C* | 24 | 227% | 3 | 9 |
| Insurer D* | 24 | 220% | 4 | 11 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Mercy Health - Urbana Hospital.
904 Scioto Street, Urbana, OH 43078
(937) 653-5231
The nearest hospitals of similar type and size. Their rates are compared with Mercy Health - Urbana Hospital for the same insurers and services above.
Hardin Memorial Hospital
▲ Rates typically 126% higher than Mercy Health - Urbana Hospital (18 services)
Fayette County Memorial Hospital
Rates about the same as Mercy Health - Urbana Hospital (15 services)
Greenfield Area Medical Center
▲ Rates typically 67% higher than Mercy Health - Urbana Hospital (15 services)
Wyandot Memorial Hospital
▼ Rates typically 76% lower than Mercy Health - Urbana Hospital (17 services)
Morrow County Hospital
▲ Rates typically 95% higher than Mercy Health - Urbana Hospital (13 services)
Highland District Hospital
▼ Rates typically 18% lower than Mercy Health - Urbana Hospital (24 services)
Mercy Health - Allen Hospital
Mercy Health - Willard Hospital
Parkview Montpelier Hospital
Uh Conneaut Medical Center
About Mercy Health - Urbana Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mercy Health - Urbana Hospital range from $829 to $1,986 across 4 insurers. Aetna's rate is $852. The median at nearby comparable hospitals is $2,793. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mercy Health - Urbana Hospital range from $715 to $1,986 across 4 insurers. Cigna's rate is $1,120. The median at nearby comparable hospitals is $2,937. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Mercy Health - Urbana Hospital range from $3,550 to $9,575 across 4 insurers. Blue Cross Blue Shield's rate is $5,592. The median at nearby comparable hospitals is $4,460. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mercy Health - Urbana Hospital range from $127 to $211 across 4 insurers. Cigna's rate is $180. The median at nearby comparable hospitals is $201. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Mercy Health - Urbana Hospital range from $27,756 to $47,280 across 4 insurers. Aetna's rate is $27,756. What a patient pays depends on their plan's deductible, coinsurance and network status.
Mercy Health - Urbana Hospital has 35 beds. Facility type: Critical Access Hospital.
Mercy Health - Urbana Hospital is located at 904 Scioto Street, Urbana, OH 43078. Its main phone number is (937) 653-5231.
Mercy Health - Urbana Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 361312.
The National Provider Identifier (NPI) on file for Mercy Health - Urbana Hospital is 1144286352.
Mercy Health - Urbana Hospital is affiliated with Mercy Health (Ohio).
Mercy Health - Urbana Hospital lists 36 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
448 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers