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 |
|---|---|---|---|---|
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $530.83 | $707.76 | $28.48 – $217.24 | 17 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $983.03 | $1,310.70 | $6.04 – $217.24 | 17 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | $639.00 | $852.00 | not published | 0 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $41.16 – $41.16 | 1 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $26,932.05 | $35,909.40 | $120.69 – $217.24 | 17 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $22,027.50 | $29,370.00 | $120.69 – $217.24 | 16 |
| Drug admin & hemodynmic meas CPT 93463 | $1,843.50 | $2,458.00 | $93.63 – $168.54 | 16 |
| Drug assay caffeine CPT 80155 | $42.00 | $56.00 | $38.57 – $69.43 | 17 |
| Drug assay posaconazole CPT 80187 | $186.00 | $248.00 | $27.11 – $48.80 | 16 |
| Drug assay rufinamide CPT 80210 | $135.75 | $181.00 | $27.11 – $48.80 | 16 |
| Drug assay vedolizumab CPT 80280 | $949.50 | $1,266.00 | $38.57 – $69.43 | 16 |
| Drug assay voriconazole CPT 80285 | $186.00 | $248.00 | $27.11 – $48.80 | 16 |
| Drug asy hydroxychloroquine CPT 80220 | $531.75 | $709.00 | $18.64 – $33.55 | 16 |
| Drug of abuse screen urine CPT 80305 | $45.00 | $60.00 | $12.60 – $22.68 | 17 |
| Drug screening tapentadol CPT 80372 | $44.25 | $59.00 | not published | 0 |
| Drug screen quant tiagabine CPT 80199 | $188.25 | $251.00 | $27.11 – $48.80 | 17 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $539.25 | $719.00 | $62.14 – $111.85 | 17 |
| Drvvt confirm - quest CPT 85597 | $195.00 | $260.00 | $17.98 – $32.36 | 17 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $1,746.75 | $2,329.00 | $1,893.75 – $3,408.76 | 16 |
| Ductogram sgl duct CPT 77053 | $691.50 | $922.00 | $231.40 – $416.51 | 16 |
| Duodenal motility study CPT 91022 | $1,347.75 | $1,797.00 | $361.89 – $651.40 | 16 |
| Duplex scan unilateral study 93986 CPT 93986 | $103.50 | $138.00 | $101.39 – $182.50 | 16 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $747.75 | $997.00 | $101.39 – $182.50 | 16 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $1,150.50 | $1,534.00 | $209.40 – $376.92 | 16 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $576.75 | $769.00 | $231.40 – $416.51 | 16 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | $23,482.80 | $31,310.40 | $120.69 – $217.24 | 16 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $207.50 – $207.50 | 1 |
| Dxa bone density axl vrt fx CPT 77085 | $510.00 | $680.00 | $101.39 – $182.50 | 17 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | $153.00 | $204.00 | $124.79 – $224.62 | 16 |
| Dx aly aud oi snd prcsr each CPT 92623 | $38.25 | $51.00 | $19.26 – $34.66 | 16 |
| Dx bronchoscope/brush 31623 CPT 31623 | $1,329.00 | $1,772.00 | $1,726.15 – $3,107.06 | 16 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $1,663.50 | $2,218.00 | $1,726.15 – $3,107.06 | 16 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,028.75 | $2,705.00 | $1,726.15 – $3,107.06 | 16 |
| Ear irrigation 69209 CPT 69209 | $126.00 | $168.00 | $57.21 – $102.98 | 16 |
| Ecallantide injection HCPCS J1290 | not published | not published | $1,411.67 – $1,411.67 | 1 |
| Ecg < 30 days transmission & analysis CPT 93271 | $581.25 | $775.00 | $92.20 – $165.96 | 16 |
| Ecg external < 48 hours recording CPT 93225 | $280.50 | $374.00 | $129.03 – $232.25 | 16 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $459.00 | $612.00 | $57.21 – $102.98 | 16 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $238.50 | $318.00 | $36.22 – $65.20 | 16 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $238.50 | $318.00 | $36.22 – $65.20 | 16 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,691.25 | $2,255.00 | $529.91 – $953.84 | 16 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $512.25 | $683.00 | $231.40 – $416.51 | 16 |
| Echocardiography doppler color flow mapping CPT 93325 | $485.25 | $647.00 | $21.85 – $39.34 | 16 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,691.25 | $2,255.00 | $760.25 – $1,368.44 | 16 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $512.25 | $683.00 | $338.34 – $609.01 | 16 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $204.00 | $272.00 | $23.64 – $42.56 | 16 |
| Echo exam of fetal heart CPT 76825 | $532.50 | $710.00 | $529.91 – $953.84 | 17 |
| Echo exam of fetal heart CPT 76826 | $398.25 | $531.00 | $231.40 – $416.51 | 17 |
| Echo exam of fetal heart CPT 76827 | $479.25 | $639.00 | $101.39 – $182.50 | 17 |
| Echo exam of fetal heart CPT 76828 | $250.50 | $334.00 | $101.39 – $182.50 | 17 |
| Echo exam uterus 76831- CPT 76831 | $595.50 | $794.00 | $231.40 – $416.51 | 17 |
| Echo guide for amniocentesis CPT 76946 | $564.75 | $753.00 | $32.28 – $58.10 | 16 |
| Echo guide for artery repair CPT 76936 | $1,208.25 | $1,611.00 | $209.40 – $376.92 | 17 |
| Echo guide for transfusion CPT 76941 | $303.00 | $404.00 | not published | 0 |
| Echo guide villus sampling CPT 76945 | $574.50 | $766.00 | not published | 0 |
| Echo stress CPT 93350 | $1,369.50 | $1,826.00 | $529.91 – $953.84 | 16 |
| Echo tee guidance CPT 93355 | $2,007.00 | $2,676.00 | $189.62 – $341.31 | 16 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,724.25 | $2,299.00 | $529.91 – $953.84 | 16 |
| Echo transesophageal CPT 93315 | $1,626.00 | $2,168.00 | $529.91 – $953.84 | 16 |
| Echo transesophageal intraop CPT 93318 | $523.50 | $698.00 | $529.91 – $953.84 | 16 |
| Echo transthoracic CPT 93303 | $1,142.25 | $1,523.00 | $529.91 – $953.84 | 16 |
| Echo transthoracic CPT 93304 | $693.75 | $925.00 | $529.91 – $953.84 | 16 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,137.75 | $1,517.00 | $231.40 – $416.51 | 16 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | $1,790.25 | $2,387.00 | $206.33 – $371.39 | 16 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | $4,324.50 | $5,766.00 | $214.18 – $385.53 | 16 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $1,826.25 | $2,435.00 | $304.72 – $548.49 | 16 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $3,767.25 | $5,023.00 | $276.24 – $497.23 | 16 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $9,378.75 | $12,505.00 | $380.18 – $684.32 | 16 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $22,430.49 | $29,907.31 | $44.70 – $80.46 | 16 |
| Edetate calcium disodium inj HCPCS J0600 | $20,833.61 | $27,778.14 | $6,102.87 – $15,710.40 | 17 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $1,081.50 | $1,442.00 | $209.40 – $376.92 | 16 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $1,605.75 | $2,141.00 | $361.89 – $651.40 | 16 |
| Eeg during surgery CPT 95955 | $1,488.75 | $1,985.00 | $183.54 – $330.37 | 16 |
| Eeg monitoring/function test CPT 95958 | $2,440.50 | $3,254.00 | $832.81 – $1,499.05 | 16 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $1,283.25 | $1,711.00 | $209.40 – $376.92 | 16 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $1,440.75 | $1,921.00 | $209.40 – $376.92 | 16 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $1,283.25 | $1,711.00 | $209.40 – $376.92 | 16 |
| Eeg recording awake and asleep CPT 95819 | $1,283.25 | $1,711.00 | $209.40 – $376.92 | 16 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | $2,025.00 | $2,700.00 | $209.40 – $376.92 | 16 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $303.75 | $405.00 | $209.40 – $376.92 | 16 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $4,050.00 | $5,400.00 | $361.89 – $651.40 | 16 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | $2,361.75 | $3,149.00 | $361.89 – $651.40 | 16 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $1,181.25 | $1,575.00 | $209.40 – $376.92 | 16 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $303.75 | $405.00 | $361.89 – $651.40 | 16 |
| E equine encephalitis igg CPT 86652 | $122.25 | $163.00 | $13.19 – $23.74 | 17 |
| Egd balloon dil esoph30 mm/> CPT 43233 | $1,903.50 | $2,538.00 | $1,860.96 – $3,349.72 | 16 |
| Egd control bleeding any CPT 43255 | $1,987.50 | $2,650.00 | $1,860.96 – $3,349.72 | 16 |
| Egd dilate stricture CPT 43245 | $2,455.50 | $3,274.00 | $1,860.96 – $3,349.72 | 16 |
| Egd endoscopic stent place CPT 43266 | $3,395.25 | $4,527.00 | $5,887.56 – $10,597.60 | 16 |
| Egd esophagogastrc fndoplsty CPT 43210 | $9,945.00 | $13,260.00 | $10,308.81 – $18,555.86 | 16 |
| Egd flx trnsorl rmvl balo CPT 43291 | $876.00 | $1,168.00 | $879.59 – $1,583.27 | 16 |
| Egd guide wire insertion CPT 43248 | $2,250.00 | $3,000.00 | $879.59 – $1,583.27 | 16 |
| Egd injection varices CPT 43243 | $2,004.75 | $2,673.00 | $1,860.96 – $3,349.72 | 16 |
| Egd lesion ablation CPT 43270 | $2,865.00 | $3,820.00 | $1,860.96 – $3,349.72 | 16 |
| Egd remove foreign body CPT 43247 | $2,046.00 | $2,728.00 | $879.59 – $1,583.27 | 16 |
| Egd remove lesion snare CPT 43251 | $1,914.75 | $2,553.00 | $1,860.96 – $3,349.72 | 16 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | $2,198.25 | $2,931.00 | $1,860.96 – $3,349.72 | 16 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | $2,562.75 | $3,417.00 | $1,860.96 – $3,349.72 | 16 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | $3,322.50 | $4,430.00 | $1,860.96 – $3,349.72 | 16 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | $3,033.00 | $4,044.00 | $1,860.96 – $3,349.72 | 16 |
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.