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 |
|---|---|---|---|---|
| Erwinaze injection HCPCS J9019 | not published | not published | $1,039.95 – $1,039.95 | 1 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $209.75 | $279.66 | $182.67 – $727.02 | 2 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $240.34 | $320.45 | $2.34 – $2.34 | 1 |
| Esophageal dilat s&i CPT 74360 | $798.00 | $1,064.00 | not published | 0 |
| Esophagosc dilate balloon 30 CPT 43214 | $1,638.75 | $2,185.00 | $1,860.96 – $3,349.72 | 16 |
| Esophagosc flex trnsn biopsy CPT 43198 | $1,739.25 | $2,319.00 | $879.59 – $1,583.27 | 16 |
| Esophagoscop mucosal resect CPT 43211 | $2,992.50 | $3,990.00 | $1,860.96 – $3,349.72 | 16 |
| Esophagoscop stent placement CPT 43212 | $5,814.75 | $7,753.00 | $5,887.56 – $10,597.60 | 16 |
| Esophagoscop ultrasound exam CPT 43231 | $3,069.75 | $4,093.00 | $1,860.96 – $3,349.72 | 16 |
| Esophagoscopy balloon <30mm CPT 43220 | $2,598.75 | $3,465.00 | $1,860.96 – $3,349.72 | 16 |
| Esophagoscopy control bleed CPT 43227 | $2,598.75 | $3,465.00 | $1,860.96 – $3,349.72 | 16 |
| Esophagoscopy flex biopsy CPT 43202 | $1,968.75 | $2,625.00 | $1,860.96 – $3,349.72 | 16 |
| Esophagoscopy flex dx brush CPT 43197 | $1,239.75 | $1,653.00 | $879.59 – $1,583.27 | 16 |
| Esophagoscopy flex remove fb CPT 43215 | $231.75 | $309.00 | $1,860.96 – $3,349.72 | 16 |
| Esophagoscopy lesion ablate CPT 43229 | $2,301.00 | $3,068.00 | $3,739.04 – $6,730.27 | 16 |
| Esophagoscopy lesion removal CPT 43216 | $2,946.75 | $3,929.00 | $1,860.96 – $3,349.72 | 16 |
| Esophagoscopy retro balloon CPT 43213 | $1,638.75 | $2,185.00 | $1,860.96 – $3,349.72 | 16 |
| Esophagoscopy snare les remv CPT 43217 | $2,680.50 | $3,574.00 | $1,860.96 – $3,349.72 | 16 |
| Esophagoscopy w/us needle bx CPT 43232 | $3,261.75 | $4,349.00 | $1,860.96 – $3,349.72 | 16 |
| Esophagus endoscopy/ligation CPT 43205 | $2,640.00 | $3,520.00 | $1,860.96 – $3,349.72 | 16 |
| Esophagus motility study CPT 91010 | $817.50 | $1,090.00 | $361.89 – $651.40 | 16 |
| Esoph balloon distension tst CPT 91040 | $519.00 | $692.00 | $361.89 – $651.40 | 16 |
| Esoph egd dilation <30 mm CPT 43249 | $1,914.75 | $2,553.00 | $1,860.96 – $3,349.72 | 16 |
| Esoph endoscopy dilation CPT 43226 | $1,838.25 | $2,451.00 | $1,860.96 – $3,349.72 | 16 |
| Esophgl motil w/stim/perfus CPT 91013 | $872.25 | $1,163.00 | $26.48 – $47.66 | 16 |
| Esoph imped function test CPT 91037 | $1,190.25 | $1,587.00 | $209.40 – $376.92 | 16 |
| Esoph imped funct test > 1hr CPT 91038 | $817.50 | $1,090.00 | $361.89 – $651.40 | 16 |
| Esoph scope w/sclerosis inj CPT 43204 | $1,536.00 | $2,048.00 | $1,860.96 – $3,349.72 | 16 |
| Esoph scope w/submucous inj CPT 43201 | $2,550.00 | $3,400.00 | $1,860.96 – $3,349.72 | 16 |
| Establish access to aorta CPT 36160 | $969.75 | $1,293.00 | $506.27 – $911.29 | 16 |
| Establish access to artery CPT 36100 | $1,155.75 | $1,541.00 | $481.91 – $867.44 | 16 |
| Established Patient Office Visit (level 1) CPT 99211 | $108.00 | $144.00 | $22.82 – $41.07 | 16 |
| Established Patient Office Visit (level 2) CPT 99212 | $168.75 | $225.00 | $56.51 – $101.71 | 16 |
| Established Patient Office Visit (level 3) CPT 99213 | $210.75 | $281.00 | $90.97 – $163.75 | 16 |
| Established Patient Office Visit (level 4) CPT 99214 | $231.75 | $309.00 | $129.83 – $233.70 | 16 |
| Established Patient Office Visit (level 5) CPT 99215 | $247.50 | $330.00 | $184.45 – $332.02 | 16 |
| Estradiol total CPT 82670 | $162.00 | $216.00 | $27.94 – $50.29 | 17 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $18.77 – $18.77 | 1 |
| Etanercept injection HCPCS J1438 | $7,314.47 | $9,752.62 | $7,117.02 – $7,117.02 | 1 |
| Ethanolamine oleate 100 mg HCPCS J1430 | $1,622.73 | $2,163.63 | $518.63 – $1,264.49 | 17 |
| Ethylene glycol -sendout CPT 82693 | $63.75 | $85.00 | $14.90 – $26.82 | 17 |
| Etonogestrel implant system HCPCS J7307 | $4,715.65 | $6,287.53 | $12,487.86 – $12,487.86 | 1 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $213.17 | $284.22 | $3.16 – $8.91 | 2 |
| Etoposide 50 mg cap HCPCS J8560 | $5,934.05 | $7,912.06 | $86.84 – $184.40 | 17 |
| Euflexxa inj per dose HCPCS J7323 | $1,186.77 | $1,582.36 | $105.58 – $278.64 | 17 |
| Evacuate mole of uterus CPT 59870 | $5,835.00 | $7,780.00 | $3,139.36 – $5,650.86 | 16 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $431.25 | $575.00 | $117.02 – $210.63 | 16 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $83.25 | $111.00 | $98.11 – $176.60 | 17 |
| Evaluation heart device CPT 93640 | $2,001.00 | $2,668.00 | not published | 0 |
| Evaluation of speech fluency 92521 CPT 92521 | $274.50 | $366.00 | $128.22 – $230.79 | 16 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $1,467.75 | $1,957.00 | $516.31 – $929.36 | 16 |
| Evasc prlng admn rx agnt add CPT 61651 | $187.50 | $250.00 | $220.69 – $397.25 | 16 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $14,656.50 | $19,542.00 | $1,102.48 – $1,984.46 | 16 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $1,723.50 | $2,298.00 | $1,104.36 – $1,987.85 | 16 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $1,723.50 | $2,298.00 | $1,616.54 – $2,909.78 | 16 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $8,535.75 | $11,381.00 | $2,035.06 – $3,663.11 | 16 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $14,656.50 | $19,542.00 | $394.81 – $710.65 | 16 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $1,723.50 | $2,298.00 | $1,225.88 – $2,206.59 | 16 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $6,066.00 | $8,088.00 | $2,006.94 – $3,612.49 | 16 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $1,020.00 | $1,360.00 | $1,039.72 – $1,871.49 | 16 |
| Evasc rpr ilio-iliac rpt CPT 34708 | $1,020.00 | $1,360.00 | $1,638.20 – $2,948.77 | 16 |
| Event monitor CPT 93270 | $279.00 | $372.00 | $36.19 – $65.15 | 16 |
| Evoked oa emissions ltd CPT 92587 | $63.00 | $84.00 | $209.40 – $376.92 | 16 |
| Evoked potentials upper limbs CPT 95925 | $1,692.00 | $2,256.00 | $209.40 – $376.92 | 16 |
| Evoked potential visual not glaucoma CPT 95930 | $1,685.25 | $2,247.00 | $209.40 – $376.92 | 16 |
| Exam of vagina w/scope 57420 CPT 57420 | $1,230.00 | $1,640.00 | $295.53 – $531.95 | 16 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $2,910.75 | $3,881.00 | $1,601.72 – $2,883.09 | 16 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $1,488.00 | $1,984.00 | $686.75 – $1,236.14 | 16 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $522.00 | $696.00 | $686.75 – $1,236.14 | 16 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $2,901.00 | $3,868.00 | $2,816.99 – $5,070.59 | 16 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $1,501.50 | $2,002.00 | $394.24 – $709.63 | 16 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $1,743.00 | $2,324.00 | $686.75 – $1,236.14 | 16 |
| Exc forearm les sc 3 cm/> CPT 25071 | $3,778.50 | $5,038.00 | $1,601.72 – $2,883.09 | 16 |
| Exchange biliary drg cath CPT 47536 | $7,521.75 | $10,029.00 | $3,472.27 – $6,250.09 | 16 |
| Exchange drainage catheter CPT 49423 | $2,516.25 | $3,355.00 | $1,860.96 – $3,349.72 | 16 |
| Exchange nephrostomy cath CPT 50435 | $1,725.00 | $2,300.00 | $2,027.25 – $3,649.06 | 16 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | $2,745.00 | $3,660.00 | $2,816.99 – $5,070.59 | 16 |
| Excise lip or cheek fold CPT 40819 | $687.00 | $916.00 | $1,504.73 – $2,708.51 | 16 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $4,858.50 | $6,478.00 | $1,601.72 – $2,883.09 | 16 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $561.00 | $748.00 | $686.75 – $1,236.14 | 16 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $3,510.75 | $4,681.00 | $1,601.72 – $2,883.09 | 16 |
| Excision of anal lesion(s) CPT 46922 | $2,658.75 | $3,545.00 | $2,691.84 – $4,845.30 | 16 |
| Excision of penis lesion(s) 54060 CPT 54060 | $1,976.25 | $2,635.00 | $2,000.97 – $3,601.74 | 16 |
| Exc malig tal <0.5cm 11600 CPT 11600 | $1,407.75 | $1,877.00 | $686.75 – $1,236.14 | 16 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | $1,407.75 | $1,877.00 | $686.75 – $1,236.14 | 16 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $1,521.75 | $2,029.00 | $394.24 – $709.63 | 16 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $1,521.75 | $2,029.00 | $686.75 – $1,236.14 | 16 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $1,891.50 | $2,522.00 | $686.75 – $1,236.14 | 16 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $9,215.25 | $12,287.00 | $2,816.99 – $5,070.59 | 16 |
| Exc prtl bn phlnx toe CPT 28124 | $3,126.75 | $4,169.00 | $3,173.19 – $5,711.73 | 16 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | $4,101.00 | $5,468.00 | $1,601.72 – $2,883.09 | 16 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $1,533.75 | $2,045.00 | $1,160.50 – $2,088.91 | 16 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $2,577.75 | $3,437.00 | $1,601.72 – $2,883.09 | 16 |
| Exercise tst brncspsm w/ecg CPT 94617 | $484.50 | $646.00 | $129.03 – $232.25 | 16 |
| Exercise w/hemodynamic meas CPT 93464 | $1,791.00 | $2,388.00 | $209.04 – $376.28 | 16 |
| Exome sequence analysis CPT 81415 | $7,002.00 | $9,336.00 | $4,780.00 – $8,604.00 | 17 |
| Exome sequence analysis CPT 81416 | $7,002.00 | $9,336.00 | $12,000.00 – $21,600.00 | 17 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $4,848.75 | $6,465.00 | $1,019.30 – $1,834.74 | 16 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $7,852.50 | $10,470.00 | not published | 0 |
| Explore/treat knee joint CPT 27331 | $3,918.75 | $5,225.00 | $3,173.19 – $5,711.73 | 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.