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 |
|---|---|---|---|---|
| Ghs cricothyroidotomy CPT 31605 | $226.50 | $302.00 | $229.70 – $413.45 | 16 |
| Ghs dislocation elbow closed treatment CPT 24600 | $525.75 | $701.00 | $239.22 – $430.59 | 16 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $2,061.75 | $2,749.00 | $879.59 – $1,583.27 | 16 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $843.75 | $1,125.00 | $209.40 – $376.92 | 16 |
| Ghs excision ingrown nail CPT 11765 | $1,468.50 | $1,958.00 | $394.24 – $709.63 | 16 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $291.75 | $389.00 | $307.82 – $554.08 | 16 |
| Ghs fat & muscle CPT 89160 | $33.00 | $44.00 | $4.85 – $8.73 | 17 |
| Ghs fb removal foot - deep - left CPT 28192 | $2,347.50 | $3,130.00 | $1,601.72 – $2,883.09 | 16 |
| Ghs fb removal - incisional CPT 10121 | $3,480.00 | $4,640.00 | $1,601.72 – $2,883.09 | 16 |
| Ghs fb removal - non-incisional CPT 20520 | $1,551.00 | $2,068.00 | $1,601.72 – $2,883.09 | 16 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $76.50 | $102.00 | $6.98 – $12.56 | 17 |
| Ghs fish cytogen CPT 88271 | $1,133.25 | $1,511.00 | $21.42 – $38.56 | 17 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $566.25 | $755.00 | $51.19 – $92.14 | 17 |
| Ghs flow volume loop CPT 94375 | $303.75 | $405.00 | $209.40 – $376.92 | 16 |
| Ghs gastric intub aspiration lavage CPT 43753 | $209.25 | $279.00 | $209.40 – $376.92 | 16 |
| Ghs hcv amplificaiton CPT 87521 | $254.25 | $339.00 | $35.09 – $63.16 | 17 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $596.25 | $795.00 | $15.49 – $27.88 | 17 |
| Ghs hgb stability-thal CPT 83068 | $252.75 | $337.00 | $9.47 – $17.05 | 17 |
| Ghs histoplasma antigen CPT 87385 | $354.00 | $472.00 | $13.25 – $23.85 | 17 |
| Ghs HIV antibody CPT 86703 | $99.75 | $133.00 | $13.71 – $24.68 | 17 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $4,134.00 | $5,512.00 | $2,027.25 – $3,649.06 | 16 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $873.00 | $1,164.00 | $1,160.50 – $2,088.91 | 16 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $2,337.75 | $3,117.00 | $686.75 – $1,236.14 | 16 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $825.00 | $1,100.00 | $686.75 – $1,236.14 | 16 |
| Ghs immun0electrophoresis CPT 86320 | $178.50 | $238.00 | $29.92 – $53.86 | 17 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $526.50 | $702.00 | $242.30 – $436.15 | 16 |
| Ghs inf midline insertion CPT 36140 | $1,638.00 | $2,184.00 | $462.38 – $832.28 | 16 |
| Ghs inhibitor screen CPT 85335 | $405.75 | $541.00 | $12.87 – $23.17 | 17 |
| Ghs init tx 1st degree burn CPT 16000 | $485.25 | $647.00 | $194.58 – $350.24 | 16 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $3,021.75 | $4,029.00 | $857.76 – $1,543.97 | 16 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $2,224.50 | $2,966.00 | $857.76 – $1,543.97 | 16 |
| Ghs inj tendon origin/insertion CPT 20551 | $291.00 | $388.00 | $297.68 – $535.83 | 16 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $1,319.25 | $1,759.00 | $134.27 – $241.68 | 16 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $1,636.50 | $2,182.00 | $857.76 – $1,543.97 | 16 |
| Ghs insertion of needle - bone CPT 36680 | $780.75 | $1,041.00 | $433.23 – $779.82 | 16 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $876.00 | $1,168.00 | $394.24 – $709.63 | 16 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $876.00 | $1,168.00 | $716.75 – $1,290.15 | 16 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $5,194.50 | $6,926.00 | $2,000.97 – $3,601.74 | 16 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $186.00 | $248.00 | $29.25 – $52.65 | 16 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $238.50 | $318.00 | $242.30 – $436.15 | 16 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $151.50 | $202.00 | $45.41 – $81.74 | 16 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $784.50 | $1,046.00 | not published | 0 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $784.50 | $1,046.00 | not published | 0 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $784.50 | $1,046.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $333.75 | $445.00 | $320.33 – $576.59 | 16 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $397.50 | $530.00 | $433.23 – $779.82 | 16 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $368.25 | $491.00 | $394.24 – $709.63 | 16 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $1,428.75 | $1,905.00 | $394.24 – $709.63 | 16 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $288.00 | $384.00 | $394.24 – $709.63 | 16 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $1,967.25 | $2,623.00 | $394.24 – $709.63 | 16 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $2,092.50 | $2,790.00 | $394.24 – $709.63 | 16 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $2,133.00 | $2,844.00 | $394.24 – $709.63 | 16 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $876.00 | $1,168.00 | $394.24 – $709.63 | 16 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $2,151.00 | $2,868.00 | $716.75 – $1,290.15 | 16 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $393.00 | $524.00 | $394.24 – $709.63 | 16 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $2,315.25 | $3,087.00 | $394.24 – $709.63 | 16 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $2,315.25 | $3,087.00 | $394.24 – $709.63 | 16 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $471.75 | $629.00 | $394.24 – $709.63 | 16 |
| Ghs mbp CPT 83873 | $96.75 | $129.00 | $17.20 – $30.96 | 17 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $816.00 | $1,088.00 | $58.27 – $104.88 | 16 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $654.00 | $872.00 | $80.69 – $145.24 | 16 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $640.50 | $854.00 | $70.35 – $126.63 | 16 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $67.50 | $90.00 | $53.48 – $96.26 | 16 |
| Ghs musc test done w/n test comp CPT 95886 | $435.00 | $580.00 | $93.72 – $168.69 | 16 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $340.50 | $454.00 | $59.88 – $107.78 | 16 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $305.25 | $407.00 | $82.61 – $148.69 | 16 |
| Ghs myocardial strain img spckl track CPT 93356 | $81.75 | $109.00 | $34.28 – $61.70 | 16 |
| Ghs nailbed repair/nail removal CPT 11760 | $2,355.75 | $3,141.00 | $716.75 – $1,290.15 | 16 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,741.50 | $2,322.00 | $857.76 – $1,543.97 | 16 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,470.75 | $1,961.00 | $684.56 – $1,232.21 | 16 |
| Ghs nerve block axillary nerve CPT 64417 | $1,271.25 | $1,695.00 | $857.76 – $1,543.97 | 16 |
| Ghs nerve block brachial plexus CPT 64415 | $1,368.00 | $1,824.00 | $857.76 – $1,543.97 | 16 |
| Ghs nerve block celiac plexus CPT 64530 | $2,299.50 | $3,066.00 | $857.76 – $1,543.97 | 16 |
| Ghs nerve block interscaline CPT 64510 | $1,926.00 | $2,568.00 | $857.76 – $1,543.97 | 16 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $2,299.50 | $3,066.00 | $857.76 – $1,543.97 | 16 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,214.25 | $1,619.00 | $684.56 – $1,232.21 | 16 |
| Ghs nerve block suprascapular CPT 64418 | $1,131.00 | $1,508.00 | $684.56 – $1,232.21 | 16 |
| Ghs ng placement w fluoro guidance CPT 43752 | $507.00 | $676.00 | $433.23 – $779.82 | 16 |
| Ghs o2 saturation CPT 82810 | $106.50 | $142.00 | $9.77 – $17.59 | 17 |
| Ghs o2 uptake rest & indirect CPT 94690 | $433.50 | $578.00 | $57.21 – $102.98 | 16 |
| Ghs opcc repair cvp without subq port CPT 36575 | $1,521.00 | $2,028.00 | $608.36 – $1,095.05 | 16 |
| Ghs opcc repair cvp w subq port CPT 36576 | $4,080.00 | $5,440.00 | $1,526.62 – $2,747.91 | 16 |
| Ghs ot prosthetic training/15 min CPT 97761 | $106.50 | $142.00 | $38.38 – $69.09 | 16 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $119.25 | $159.00 | $56.93 – $102.47 | 16 |
| Ghs pacing - transcutaneous CPT 92953 | $940.50 | $1,254.00 | $640.98 – $1,153.77 | 16 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $1,791.00 | $2,388.00 | $96.88 – $174.39 | 16 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,525.50 | $2,034.00 | $93.37 – $168.06 | 16 |
| Ghs peritonsillar abscess i andd CPT 42700 | $1,080.75 | $1,441.00 | $229.70 – $413.45 | 16 |
| Ghs phenylketonurid CPT 84030 | $128.25 | $171.00 | $5.50 – $9.90 | 17 |
| Ghs picc line insert < 5 CPT 36568 | $4,977.75 | $6,637.00 | $1,526.62 – $2,747.91 | 16 |
| Ghs plngl fx pm cl CPT 26725 | $308.25 | $411.00 | $239.22 – $430.59 | 16 |
| Ghs ppd (tb intradermal) CPT 86580 | $57.75 | $77.00 | $28.05 – $50.49 | 16 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $75.75 | $101.00 | $9.66 – $17.39 | 17 |
| Ghs protoporphyrins fract CPT 84202 | $51.75 | $69.00 | $14.35 – $25.83 | 17 |
| Ghs pr without cont pulse ox CPT 94625 | $134.25 | $179.00 | $57.21 – $102.98 | 16 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $122.25 | $163.00 | $12.25 – $22.05 | 17 |
| Ghs refill of implantable pump CPT 95990 | $774.00 | $1,032.00 | $320.33 – $576.59 | 16 |
| Ghs removal intranasal foreign body CPT 30300 | $473.25 | $631.00 | $129.03 – $232.25 | 16 |
| Ghs removal pharyngeal foreign body CPT 42809 | $397.50 | $530.00 | $433.23 – $779.82 | 16 |
| Ghs sensitivity (per antimicro) CPT 87184 | $60.75 | $81.00 | $7.48 – $13.46 | 17 |
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.