University Hospitals Samaritan Medical Center
1025 Center St, Ashland, OH · University Hospitals · · NPI 1902882939
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Convert nephrostomy catheter CPT 50434 | $5,360.25 | $7,147.00 | $2,027.25 – $3,649.06 | 16 |
| Conv gtube to jtube CPT 44373 | $2,011.50 | $2,682.00 | $1,860.96 – $3,349.72 | 16 |
| Coombs direct CPT 86880 | $97.50 | $130.00 | $7.51 – $102.98 | 17 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $214.50 | $286.00 | $7.99 – $297.40 | 17 |
| Coombs indirect titer reference CPT 86886 | $186.75 | $249.00 | $7.22 – $297.40 | 17 |
| Copper intrauterine device HCPCS J7300 | $4,211.46 | $5,615.27 | $11,718.00 – $11,718.00 | 1 |
| Core ndl bx lng/med perq CPT 32408 | $1,428.00 | $1,904.00 | $1,601.72 – $2,883.09 | 16 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $9,900.00 | $13,200.00 | not published | 0 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $10,920.00 | $14,560.00 | $3,144.03 – $5,659.25 | 16 |
| Coronary angio/lv gram/lt heart CPT 93458 | $8,016.75 | $10,689.00 | $3,144.03 – $5,659.25 | 16 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $9,322.50 | $12,430.00 | $3,144.03 – $5,659.25 | 16 |
| Coronary art/grft angio s&i CPT 93455 | $8,006.25 | $10,675.00 | $3,144.03 – $5,659.25 | 16 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $6,600.00 | $8,800.00 | $3,144.03 – $5,659.25 | 16 |
| Correct skin color 6.0 cm/< CPT 11920 | $876.00 | $1,168.00 | $716.75 – $1,290.15 | 16 |
| Corticorelin ovine triflutal HCPCS J0795 | not published | not published | $23.54 – $23.54 | 1 |
| Cortisol acth stimulation test - sendout CPT 80400 | $66.00 | $88.00 | $32.62 – $58.72 | 17 |
| Cortisol total am CPT 82533 | $162.00 | $216.00 | $16.30 – $29.34 | 17 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $296.55 | $395.39 | $68.20 – $243.99 | 2 |
| Co-treatment - group 15 mins, st CPT 92508 | $108.00 | $144.00 | $22.95 – $41.30 | 16 |
| Counseling smoke cess interm >10mins CPT 99407 | $174.75 | $233.00 | $36.34 – $65.41 | 16 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $8,100.00 | $10,800.00 | not published | 0 |
| #covid19rsv-rsv CPT 87634 | $60.00 | $80.00 | $70.20 – $126.36 | 17 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $178.50 | $238.00 | $13.03 – $23.45 | 17 |
| CPAP or BiPAP Setup (first day) CPT 94660 | $306.75 | $409.00 | $212.36 – $382.26 | 16 |
| C-peptide CPT 84681 | $101.25 | $135.00 | $20.81 – $37.46 | 17 |
| CPR (Cardiopulmonary Resuscitation) CPT 92950 | $741.75 | $989.00 | $209.40 – $376.92 | 16 |
| Crbrospnl fld flw imag cistern CPT 78630 | $904.50 | $1,206.00 | $526.57 – $947.83 | 17 |
| C-reactive protein CPT 86140 | $126.00 | $168.00 | $5.18 – $9.32 | 17 |
| C-reactive protein high sensitivity CPT 86141 | $99.00 | $132.00 | $12.95 – $23.31 | 17 |
| C-reactive protein, quantitative CPT 86406 | $147.00 | $196.00 | $10.64 – $19.15 | 17 |
| Creatine kinase CPT 82550 | $60.75 | $81.00 | $6.51 – $11.72 | 17 |
| Creatine kinase isoenzymes CPT 82552 | $47.25 | $63.00 | $13.39 – $24.10 | 17 |
| Creatine kinase mb CPT 82553 | $93.75 | $125.00 | $11.55 – $20.79 | 17 |
| Creatine - sendout CPT 82540 | $52.50 | $70.00 | $4.64 – $8.35 | 17 |
| Creatinine CPT 82565 | $44.25 | $59.00 | $5.12 – $9.22 | 17 |
| Creatinine 24 hour urine CPT 82570 | $51.75 | $69.00 | $5.18 – $9.32 | 17 |
| Creatinine clearance urine CPT 82575 | $151.50 | $202.00 | $9.46 – $17.03 | 17 |
| #creutz-prot.,western blot CPT 84182 | $676.50 | $902.00 | $29.21 – $52.58 | 17 |
| Critical care each additional 30 minutes CPT 99292 | $357.75 | $477.00 | $129.55 – $233.20 | 16 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $1,246.50 | $1,662.00 | $801.08 – $1,441.95 | 16 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | $9,069.75 | $12,093.00 | $129.94 – $315.37 | 17 |
| Cromolyn sodium noncomp unit HCPCS J7631 | $48.14 | $64.18 | $0.68 – $9.27 | 2 |
| Crotalidae poly immune fab HCPCS J0840 | not published | not published | $4,529.99 – $4,529.99 | 1 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | $4,747.50 | $6,330.00 | $723.26 – $1,301.87 | 16 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $40.50 | $54.00 | $14.14 – $25.45 | 17 |
| Cryoprecipitate each unit HCPCS P9012 | $182.25 | $243.00 | $71.95 – $129.51 | 16 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | $192.00 | $256.00 | $194.58 – $350.24 | 16 |
| Cryptococcus abs qn - sendout CPT 86641 | $184.50 | $246.00 | $14.41 – $25.94 | 17 |
| Crystal identification light microscopy CPT 89060 | $39.75 | $53.00 | $7.33 – $13.19 | 17 |
| Csf leakage imaging CPT 78650 | $1,371.75 | $1,829.00 | $1,255.55 – $2,259.99 | 17 |
| CT 3d report other modality w/workstation CPT 76377 | $775.50 | $1,034.00 | $74.43 – $133.97 | 16 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,899.75 | $2,533.00 | $170.10 – $306.19 | 16 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $3,652.50 | $4,870.00 | $338.34 – $609.01 | 16 |
| CT Angiogram of the Abdomen CPT 74175 | $1,899.75 | $2,533.00 | $170.10 – $306.19 | 16 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $1,899.75 | $2,533.00 | $170.10 – $306.19 | 16 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,899.75 | $2,533.00 | $170.10 – $306.19 | 16 |
| CT Angiogram of the Head CPT 70496 | $1,899.75 | $2,533.00 | $170.10 – $306.19 | 16 |
| CT Angiogram of the Neck CPT 70498 | $1,899.75 | $2,533.00 | $170.10 – $306.19 | 16 |
| CT angio hrt w/3d image CPT 75574 | $2,749.50 | $3,666.00 | $338.34 – $609.01 | 16 |
| CT angio pelvis CPT 72191 | $2,965.50 | $3,954.00 | $170.10 – $306.19 | 16 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,025.75 | $2,701.00 | $170.10 – $306.19 | 16 |
| CT cerebral perf w cont & prcssng CPT 70473 | $775.50 | $1,034.00 | $170.10 – $306.19 | 16 |
| CT colonography dx CPT 74261 | $2,616.00 | $3,488.00 | $101.39 – $182.50 | 16 |
| CT guidance for needle placement CPT 77012 | $1,476.00 | $1,968.00 | $116.78 – $210.21 | 16 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,377.75 | $1,837.00 | $106.42 – $191.56 | 16 |
| CT guid cryo ablat intramuscular CPT 20999 | $879.75 | $1,173.00 | $239.22 – $430.59 | 16 |
| CT guid parench tis ablat CPT 77013 | $1,573.50 | $2,098.00 | not published | 0 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $2,514.75 | $3,353.00 | $84.40 – $151.91 | 16 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $2,965.50 | $3,954.00 | $338.34 – $609.01 | 16 |
| CT hrt w/3d image CPT 75572 | $3,534.00 | $4,712.00 | $338.34 – $609.01 | 16 |
| CT limited or localized follow-up study CPT 76380 | $787.50 | $1,050.00 | $84.40 – $151.91 | 16 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,983.75 | $2,645.00 | $170.10 – $306.19 | 16 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $226.50 | $302.00 | $229.70 – $413.45 | 16 |
| CT scan for localization CPT 77011 | $1,661.25 | $2,215.00 | $205.86 – $370.56 | 16 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $3,610.50 | $4,814.00 | $338.34 – $609.01 | 16 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $3,180.75 | $4,241.00 | $338.34 – $609.01 | 16 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,865.75 | $3,821.00 | $231.40 – $416.51 | 16 |
| CT t-spine w /wo contrast CPT 72130 | $2,228.25 | $2,971.00 | $170.10 – $306.19 | 16 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,726.25 | $3,635.00 | $170.10 – $306.19 | 16 |
| Culture aerobic additional method definitive id each CPT 87077 | $81.00 | $108.00 | $8.08 – $14.54 | 17 |
| Culture afb any source CPT 87116 | $159.00 | $212.00 | $10.80 – $19.44 | 17 |
| Culture anaerobic except blood CPT 87075 | $182.25 | $243.00 | $9.47 – $17.05 | 17 |
| Culture body fluid CPT 87070 | $126.00 | $168.00 | $8.62 – $15.52 | 17 |
| Culture fungi definitive id mold CPT 87107 | $66.00 | $88.00 | $10.32 – $18.58 | 17 |
| Culture fungi definitive id yeast CPT 87106 | $46.50 | $62.00 | $10.32 – $18.58 | 17 |
| Culture fungi other (except blood) CPT 87102 | $130.50 | $174.00 | $8.41 – $15.14 | 17 |
| Culture fungi skin/hair/nail CPT 87101 | $90.75 | $121.00 | $7.71 – $13.88 | 17 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $84.75 | $113.00 | $14.61 – $26.30 | 17 |
| Culture mycoplasma any source CPT 87109 | $130.50 | $174.00 | $15.39 – $27.70 | 17 |
| Culture quantitative aerobic other source CPT 87071 | $82.50 | $110.00 | $9.89 – $17.80 | 17 |
| Culture screening strep group a CPT 87081 | $108.00 | $144.00 | $6.63 – $11.93 | 17 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $408.75 | $545.00 | $218.06 – $392.51 | 16 |
| Cutter lead HCPCS C1773 | $22,020.89 | $29,361.18 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $1,629.75 | $2,173.00 | $1,526.62 – $2,747.91 | 16 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $60.75 | $81.00 | $14.32 – $25.78 | 17 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $25.86 | $34.47 | $2.29 – $12.96 | 2 |
| Cyclic citrullinated peptide antibody CPT 86200 | $178.50 | $238.00 | $12.95 – $23.31 | 17 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $4,143.90 | $5,525.20 | $0.77 – $1.39 | 16 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $2,769.06 | $3,692.08 | $4.82 – $5.58 | 2 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $243.99 | $325.31 | $176.90 – $555.21 | 2 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.