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 |
|---|---|---|---|---|
| Aep thrshld est mlt freq i&r CPT 92652 | $867.00 | $1,156.00 | $209.40 – $376.92 | 16 |
| _afb id by dna probe rflx ast CPT 87149 | $108.00 | $144.00 | $20.05 – $36.09 | 17 |
| Aflibercept injection HCPCS J0178 | not published | not published | $1,922.93 – $1,922.93 | 1 |
| After cataract laser surgery CPT 66821 | $1,459.50 | $1,946.00 | $533.39 – $960.10 | 16 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $28,942.08 | $38,589.43 | $227.58 – $560.45 | 17 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $425.25 | $567.00 | $124.79 – $224.62 | 16 |
| Albumin body fluid quantitative each specimen CPT 82042 | $29.25 | $39.00 | $7.78 – $14.00 | 17 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $295.80 | $394.40 | $53.08 – $129.17 | 17 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $51.67 – $51.67 | 1 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $295.80 | $394.40 | $53.08 – $129.17 | 17 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $25.82 – $25.82 | 1 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $47.25 | $63.00 | $5.78 – $10.40 | 17 |
| Albumin serum plasma or whole blood CPT 82040 | $35.25 | $47.00 | $4.95 – $8.91 | 17 |
| Albuterol ipratrop non-comp HCPCS J7620 | $2.43 | $3.23 | $0.49 – $1.53 | 2 |
| Albuterol non-comp con HCPCS J7611 | $44.56 | $59.41 | $0.39 – $1.35 | 2 |
| Albuterol non-comp unit HCPCS J7613 | $2.43 | $3.23 | $0.17 – $0.36 | 2 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $60.75 | $81.00 | $17.27 – $31.09 | 16 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $12,083.86 – $12,083.86 | 1 |
| Aldosterone suppression eval CPT 80408 | $621.00 | $828.00 | $125.50 – $225.90 | 17 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $112,036.08 | $149,381.43 | $2,440.42 – $5,940.66 | 17 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | $59.44 | $79.25 | $23.44 – $42.19 | 16 |
| Alginate drsg wound filler HCPCS A6199 | $23.50 | $31.33 | $7.52 – $13.54 | 16 |
| Alkaline phosphatase CPT 84075 | $38.25 | $51.00 | $5.18 – $9.32 | 17 |
| Allergen alpha lactalbumin ige CPT 86008 | $113.25 | $151.00 | $17.93 – $32.27 | 17 |
| Allergen egg white ige CPT 86003 | $82.50 | $110.00 | $5.22 – $9.40 | 17 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | not published | not published | $41.50 – $41.50 | 1 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $13,768.09 | $18,357.45 | $120.69 – $217.24 | 17 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $13,478.20 | $17,970.93 | $120.69 – $245.13 | 17 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $911.25 | $1,215.00 | not published | 0 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $9,702.00 | $12,936.00 | $120.69 – $217.24 | 16 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $30,615.48 | $40,820.64 | $74.70 – $217.24 | 17 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $10,046.28 | $13,395.03 | $120.69 – $365.90 | 17 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $6,367.50 | $8,490.00 | $120.69 – $217.24 | 16 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $1,887.75 | $2,517.00 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $6,075.00 | $8,100.00 | $120.69 – $306.83 | 17 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $4,038.75 | $5,385.00 | $120.69 – $588.69 | 17 |
| Alloskin HCPCS Q4115 | not published | not published | $35.22 – $35.22 | 1 |
| Alloskin ac, 1 cm HCPCS Q4141 | not published | not published | $157.58 – $157.58 | 1 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $12.61 – $12.61 | 1 |
| Alpha-fetoprotein amniotic CPT 82106 | $36.00 | $48.00 | $17.00 – $30.60 | 17 |
| Alpha-fetoprotein tumor marker CPT 82105 | $138.75 | $185.00 | $16.77 – $30.19 | 17 |
| Alprostadil for injection HCPCS J0270 | $800.48 | $1,067.30 | $3.96 – $3.96 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $31,563.16 | $42,084.21 | $95.09 – $229.16 | 17 |
| Alt/sgpt CPT 84460 | $48.00 | $64.00 | $5.30 – $9.54 | 17 |
| Aluminum - quest CPT 82108 | $150.00 | $200.00 | $25.48 – $45.86 | 17 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $932.25 | $1,243.00 | $92.20 – $165.96 | 16 |
| Amantadine (symmetrel)-sendout CPT 80375 | $174.75 | $233.00 | not published | 0 |
| Ambl bp mntr w/sw a/r CPT 93788 | $199.50 | $266.00 | $129.03 – $232.25 | 16 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $79.87 | $106.49 | $1.48 – $7.47 | 2 |
| Amino acids quant 2-5 CPT 82136 | $239.25 | $319.00 | $19.61 – $35.30 | 17 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $35.21 | $46.94 | not published | 0 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $4.41 – $4.41 | 1 |
| Aminolevulinic acid delta CPT 82135 | $511.50 | $682.00 | $16.45 – $29.61 | 17 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $958.68 – $958.68 | 1 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $65.64 | $87.51 | $20.18 – $46.17 | 2 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $119.07 | $158.75 | $58.23 – $58.23 | 1 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $50.85 | $67.80 | $1.22 – $7.38 | 2 |
| Amitriptyline (elavil) -sendout CPT 80335 | $234.75 | $313.00 | not published | 0 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $14,075.19 | $18,766.92 | $22.63 – $54.03 | 17 |
| Ammonia CPT 82140 | $123.00 | $164.00 | $14.57 – $26.23 | 17 |
| Amnioarmor 1 sq cm HCPCS Q4188 | not published | not published | $1,186.77 – $1,186.77 | 1 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $423.00 | $564.00 | $893.23 – $1,607.82 | 16 |
| Amniocentesis therapeutic CPT 59001 | $747.75 | $997.00 | $295.53 – $531.95 | 16 |
| Amniocore per sq cm HCPCS Q4227 | not published | not published | $2,836.53 – $2,836.53 | 1 |
| Amnio-maxx or lite per sq cm HCPCS Q4239 | not published | not published | $4,961.71 – $4,961.71 | 1 |
| Amniowrap2 per sq cm HCPCS Q4221 | not published | not published | $4,773.07 – $4,773.07 | 1 |
| Amphetamine confirm urine -sendout CPT 80324 | $79.50 | $106.00 | not published | 0 |
| Amphetamines 5 or more CPT 80326 | $414.75 | $553.00 | not published | 0 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $130.08 | $173.44 | $83.05 – $85.86 | 2 |
| Amphotericin b lipid complex HCPCS J0287 | $360.00 | $479.99 | $25.05 – $100.17 | 2 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $434.39 | $579.18 | $22.81 – $55.03 | 17 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $114.78 | $153.03 | $1.17 – $9.09 | 2 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $18.87 | $25.16 | $3.63 – $15.93 | 2 |
| Amylase CPT 82150 | $120.75 | $161.00 | $6.48 – $11.66 | 17 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $70.50 | $94.00 | not published | 0 |
| Anal/urinary muscle study CPT 51784 | $1,095.75 | $1,461.00 | $124.79 – $224.62 | 16 |
| Anal/urinary muscle study CPT 51785 | $981.00 | $1,308.00 | $242.30 – $436.15 | 16 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $1,124.25 | $1,499.00 | $92.20 – $165.96 | 16 |
| Analysis gene f2 20210g>a variant CPT 81240 | $333.75 | $445.00 | $65.69 – $118.24 | 17 |
| Analysis gene f5 leiden variant CPT 81241 | $426.00 | $568.00 | $73.37 – $132.07 | 17 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $1,058.25 | $1,411.00 | $36.19 – $65.15 | 16 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $1,263.75 | $1,685.00 | $92.20 – $165.96 | 16 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $105.00 | $140.00 | $35.09 – $63.16 | 16 |
| Anca screen with reflex to titer -quest CPT 86021 | $202.50 | $270.00 | $15.05 – $27.09 | 17 |
| An cholangiogram percutaneous compl CPT 47531 | $5,156.25 | $6,875.00 | $3,472.27 – $6,250.09 | 16 |
| An fluoro guide for cvp CPT 77001 | $808.50 | $1,078.00 | $91.19 – $164.15 | 16 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $1,703.25 | $2,271.00 | $538.12 – $968.61 | 16 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $59,352.27 | $79,136.36 | not published | 0 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $1,617.00 | $2,156.00 | $558.96 – $1,006.12 | 16 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $4,995.00 | $6,660.00 | $5,519.68 – $9,935.42 | 16 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $4,024.50 | $5,366.00 | $400.48 – $720.86 | 16 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $4,485.75 | $5,981.00 | $5,519.68 – $9,935.42 | 16 |
| Anidulafungin injection HCPCS J0348 | $116.22 | $154.95 | $1.17 – $4.14 | 2 |
| Ankle X-ray CPT 73610 | $236.25 | $315.00 | $84.40 – $151.91 | 17 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $213.75 | $285.00 | $84.40 – $151.91 | 17 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | $429.00 | $572.00 | $297.86 – $536.15 | 16 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $64.50 | $86.00 | $116.44 – $209.59 | 16 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $70.50 | $94.00 | $123.61 – $222.50 | 16 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $167.25 | $223.00 | $128.85 – $231.94 | 16 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $148.50 | $198.00 | $149.35 – $268.84 | 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.