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 |
|---|---|---|---|---|
| Egd Ultrasound transmural injxn/mark CPT 43253 | $3,127.50 | $4,170.00 | $1,860.96 – $3,349.72 | 16 |
| Egd varices ligation CPT 43244 | $2,376.75 | $3,169.00 | $1,860.96 – $3,349.72 | 16 |
| Egd w/thrml txmnt gerd CPT 43257 | $5,043.00 | $6,724.00 | $3,739.04 – $6,730.27 | 16 |
| Egd w/transmural drain cyst CPT 43240 | $5,831.25 | $7,775.00 | $5,887.56 – $10,597.60 | 16 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $105.00 | $140.00 | $35.09 – $63.16 | 16 |
| EKG (Tracing Only) CPT 93005 | $167.25 | $223.00 | $57.21 – $102.98 | 16 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $259.50 | $346.00 | $84.40 – $151.91 | 17 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $283.50 | $378.00 | $84.40 – $151.91 | 17 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $300.00 | $400.00 | $297.86 – $536.15 | 16 |
| Elect analysis of infusion pump 62367 CPT 62367 | $508.50 | $678.00 | $297.86 – $536.15 | 16 |
| Electrd sq emblem s-icd HCPCS C1896 | $12,127.50 | $16,170.00 | not published | 0 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $114.75 | $153.00 | $14.18 – $25.52 | 16 |
| Electrical stimulation/unattended 97014 CPT 97014 | $109.50 | $146.00 | $12.14 – $21.86 | 16 |
| Electrocorticography durng sx CPT 95829 | $1,450.50 | $1,934.00 | $1,820.56 – $3,277.01 | 16 |
| Electrode stimulation brain CPT 95961 | $1,605.75 | $2,141.00 | $832.81 – $1,499.05 | 16 |
| Electrolyte panel CPT 80051 | $61.50 | $82.00 | $7.01 – $12.62 | 17 |
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | $513.00 | $684.00 | $43.72 – $78.69 | 16 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | $990.75 | $1,321.00 | $92.20 – $165.96 | 16 |
| Electron microscopy diagnostic CPT 88348 | $2,127.75 | $2,837.00 | $781.35 – $1,406.43 | 16 |
| Electrophysiology evaluation CPT 93620 | $16,433.25 | $21,911.00 | $7,564.11 – $13,615.41 | 16 |
| Electrophysiology evaluation CPT 93641 | $2,056.50 | $2,742.00 | not published | 0 |
| Elliotts b solution per ml HCPCS J9175 | not published | not published | $20.37 – $20.37 | 1 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $746.73 – $746.73 | 1 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $11,443.25 | $15,257.66 | $8.04 – $19.16 | 17 |
| Emboli detcj wo IV mbubb njx CPT 93897 | $701.25 | $935.00 | $219.14 – $394.45 | 16 |
| Embolization s&i CPT 75894 | $4,145.25 | $5,527.00 | $297.07 – $534.73 | 16 |
| Embo or occlude vascular arterial s&i CPT 37242 | $25,183.50 | $33,578.00 | $17,778.02 – $32,000.44 | 16 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $9,402.75 | $12,537.00 | $11,195.55 – $20,152.00 | 16 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $9,811.50 | $13,082.00 | $11,195.55 – $20,152.00 | 16 |
| Embo or occlude vascular venous s&i CPT 37241 | $8,421.00 | $11,228.00 | $11,195.55 – $20,152.00 | 16 |
| Emb w/colposcopy 58110 CPT 58110 | $1,077.00 | $1,436.00 | $49.28 – $88.71 | 16 |
| Emb without cervical dilation 58100 CPT 58100 | $2,115.00 | $2,820.00 | $196.07 – $352.92 | 16 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $687.75 | $917.00 | $129.03 – $232.25 | 16 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $913.50 | $1,218.00 | $124.79 – $224.62 | 16 |
| Emg cranial nerve bilateral CPT 95868 | $768.00 | $1,024.00 | $209.40 – $376.92 | 16 |
| Emg needle test 1-extremity CPT 95860 | $362.25 | $483.00 | $129.03 – $232.25 | 16 |
| Emg needle test 4-extremities CPT 95864 | $1,110.00 | $1,480.00 | $124.79 – $224.62 | 16 |
| Emg thor paraspinal without t1/t2 CPT 95869 | $397.50 | $530.00 | $209.40 – $376.92 | 16 |
| Emr pwr cbl elec vad, rep HCPCS Q0492 | $1,012.50 | $1,350.00 | $130.65 – $235.17 | 16 |
| Encephalitis, california igg/igm CPT 86651 | $122.25 | $163.00 | $13.19 – $23.74 | 17 |
| Encephalitis, st louis igg/igm CPT 86653 | $122.25 | $163.00 | $13.19 – $23.74 | 17 |
| Encephalitis, western equine igg/igm CPT 86654 | $122.25 | $163.00 | $13.19 – $23.74 | 17 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $3,891.00 | $5,188.00 | $3,062.12 – $5,511.82 | 16 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $4,779.00 | $6,372.00 | $3,062.12 – $5,511.82 | 16 |
| Endo cath bile duct s&i CPT 74328 | $857.25 | $1,143.00 | not published | 0 |
| Endo cath panc duct s&i CPT 74329 | $810.75 | $1,081.00 | not published | 0 |
| Endocerv curettage w/scope 57456 CPT 57456 | $585.00 | $780.00 | $295.53 – $531.95 | 16 |
| Endocervical curettage 57505 CPT 57505 | $956.25 | $1,275.00 | $893.23 – $1,607.82 | 16 |
| Endo cholangiopancreatograph CPT 43261 | $2,763.75 | $3,685.00 | $3,739.04 – $6,730.27 | 16 |
| Endo cholangiopancreatograph CPT 43262 | $3,171.75 | $4,229.00 | $3,739.04 – $6,730.27 | 16 |
| Endoluminal bx urtr rnl plvs CPT 50606 | $1,202.25 | $1,603.00 | $444.47 – $800.04 | 16 |
| Endoluminl ivus oct c 1st CPT 92978 | $4,050.00 | $5,400.00 | not published | 0 |
| Endoluminl ivus oct c ea CPT 92979 | $4,043.25 | $5,391.00 | not published | 0 |
| Endoscopic Ultrasound exam esoph CPT 43237 | $2,517.00 | $3,356.00 | $1,860.96 – $3,349.72 | 16 |
| Endoscopy of bowel pouch 44385 CPT 44385 | $1,319.25 | $1,759.00 | $901.87 – $1,623.37 | 16 |
| Endoscopy swallow (fees) vid CPT 92612 | $551.25 | $735.00 | $186.12 – $335.02 | 16 |
| Endo, single, pulmonary HCPCS C1601 | $6,975.00 | $9,300.00 | not published | 0 |
| Endovasc tempory vessel occl CPT 61623 | $15,514.50 | $20,686.00 | $11,195.55 – $20,152.00 | 16 |
| Endovenous laser vein addon 36479 CPT 36479 | $1,836.00 | $2,448.00 | $292.51 – $526.52 | 16 |
| Endovenous rf abl vein addl CPT 36476 | $3,603.00 | $4,804.00 | $263.94 – $475.09 | 16 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | $3,375.75 | $4,501.00 | $135.23 – $243.42 | 16 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $15,579.42 | $20,772.56 | $36.71 – $89.23 | 17 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $109.71 | $146.28 | $1.36 – $6.12 | 2 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $89.25 | $119.00 | $11.98 – $21.56 | 17 |
| Enzyme cell activity ra CPT 82658 | $752.25 | $1,003.00 | $44.03 – $79.25 | 17 |
| Enzyme histochemistry CPT 88319 | $772.50 | $1,030.00 | $781.35 – $1,406.43 | 16 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $1,711.50 | $2,282.00 | $110.44 – $198.80 | 16 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $831.94 | $1,109.25 | not published | 0 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $424.18 | $565.57 | not published | 0 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $46.16 | $61.54 | not published | 0 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $161.59 | $215.45 | $3.85 – $12.42 | 2 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $2,952.75 | $3,937.00 | $3,139.36 – $5,650.86 | 16 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $336.66 | $448.88 | $7.88 – $18.40 | 17 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $379.58 | $506.10 | $7.31 – $18.67 | 17 |
| Epoetin beta esrd use HCPCS J0887 | not published | not published | $3.43 – $3.43 | 1 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $3.43 – $3.43 | 1 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $208.65 | $278.20 | $39.43 – $143.64 | 2 |
| Epstein barr early antigen antibody CPT 86663 | $105.00 | $140.00 | $13.12 – $23.62 | 17 |
| Epstein barr nuclear antigen antibody CPT 86664 | $124.50 | $166.00 | $15.29 – $27.52 | 17 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $106.50 | $142.00 | $18.14 – $32.65 | 17 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $924.38 | $1,232.50 | $3.26 – $60.61 | 17 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $7,173.42 | $9,564.55 | $20.55 – $48.29 | 17 |
| Ercp biliary & pancreas CPT 74330 | $975.00 | $1,300.00 | not published | 0 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $3,624.75 | $4,833.00 | $5,887.56 – $10,597.60 | 16 |
| Ercp ea duct/ampulla dilate CPT 43277 | $3,276.00 | $4,368.00 | $3,739.04 – $6,730.27 | 16 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | $4,640.25 | $6,187.00 | $3,739.04 – $6,730.27 | 16 |
| Ercp lithotripsy calculi CPT 43265 | $9,178.50 | $12,238.00 | $5,887.56 – $10,597.60 | 16 |
| Ercp remove duct calculi 43264 CPT 43264 | $3,084.00 | $4,112.00 | $3,739.04 – $6,730.27 | 16 |
| Ercp remove forgn body duct 43275 CPT 43275 | $2,906.25 | $3,875.00 | $1,860.96 – $3,349.72 | 16 |
| Ercp sphincter pressure meas CPT 43263 | $2,771.25 | $3,695.00 | $1,860.96 – $3,349.72 | 16 |
| Ercp stent exchange w/dilate CPT 43276 | $3,507.75 | $4,677.00 | $5,887.56 – $10,597.60 | 16 |
| Ercp w/specimen collection CPT 43260 | $3,335.25 | $4,447.00 | $3,739.04 – $6,730.27 | 16 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $10.08 – $10.08 | 1 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $5,213.48 | $6,951.30 | $76.76 – $254.55 | 17 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $107.31 | $143.08 | $21.95 – $116.73 | 2 |
| ER Visit (level 1, minor) CPT 99281 | $126.00 | $168.00 | $81.78 – $147.20 | 16 |
| ER Visit (level 2) CPT 99282 | $216.75 | $289.00 | $148.91 – $268.03 | 16 |
| ER Visit (level 3) CPT 99283 | $362.25 | $483.00 | $264.73 – $476.52 | 16 |
| ER Visit (level 4) CPT 99284 | $567.00 | $756.00 | $404.66 – $728.39 | 16 |
| ER Visit (level 5, high severity) CPT 99285 | $890.25 | $1,187.00 | $577.55 – $1,039.58 | 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.