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 |
|---|---|---|---|---|
| Hemoglobin plasma CPT 83051 | $187.50 | $250.00 | $7.31 – $13.16 | 17 |
| Hepagam b im injection HCPCS J1571 | $2,543.59 | $3,391.45 | $70.23 – $174.42 | 17 |
| Hepagam b intravenous, inj HCPCS J1573 | not published | not published | $174.42 – $174.42 | 1 |
| Heparin assay CPT 85520 | $134.25 | $179.00 | $13.09 – $23.56 | 17 |
| Heparin bolus from bag HCPCS J1644 | $57.46 | $76.61 | $0.51 – $2.43 | 2 |
| Heparin neutralization CPT 85525 | $187.50 | $250.00 | $11.84 – $21.31 | 17 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $6.20 | $8.26 | $0.02 – $0.18 | 2 |
| Hepatitis a antibody igm CPT 86709 | $82.50 | $110.00 | $11.26 – $20.27 | 17 |
| Hepatitis b core antibody igm CPT 86705 | $131.25 | $175.00 | $11.77 – $21.19 | 17 |
| Hepatitis b core antibody total CPT 86704 | $78.75 | $105.00 | $12.05 – $21.69 | 17 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $1,890.21 | $2,520.27 | $140.21 – $318.03 | 17 |
| Hepatitis b surface antibody CPT 86706 | $81.00 | $108.00 | $10.74 – $19.33 | 17 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | not published | not published | $342.59 – $342.59 | 1 |
| Hepatitis c antibody CPT 86803 | $105.75 | $141.00 | $14.27 – $25.69 | 17 |
| Hepatitis d quantification CPT 87523 | $1,161.75 | $1,549.00 | $42.84 – $77.11 | 16 |
| Hep b vac 3ag 10mcg 3 dos im CPT 90759 | not published | not published | $179.65 – $179.65 | 1 |
| Hepb vacc 3 dose immunsup im CPT 90740 | $388.58 | $518.10 | $164.42 – $400.20 | 17 |
| Herpes simplex type 1 antibody igg CPT 86695 | $102.75 | $137.00 | $13.19 – $23.74 | 17 |
| Herpes simplex type 2 antibody igg CPT 86696 | $66.00 | $88.00 | $19.35 – $34.83 | 17 |
| Herpes simplex virus isolation CPT 87255 | $54.75 | $73.00 | $33.86 – $60.95 | 17 |
| Heterophile antibodies screening CPT 86308 | $99.75 | $133.00 | $5.18 – $9.32 | 17 |
| Hfo nontorsion jnts pre cst HCPCS L3929 | $40.50 | $54.00 | $117.20 – $210.96 | 16 |
| Hhv-6 dna quant CPT 87533 | $469.50 | $626.00 | $41.76 – $75.17 | 17 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $445.50 | $594.00 | $101.39 – $182.50 | 17 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $493.50 | $658.00 | $101.39 – $182.50 | 17 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $270.75 | $361.00 | $84.40 – $151.91 | 17 |
| Hip X-ray CPT 73502 | $319.50 | $426.00 | $84.40 – $151.91 | 17 |
| Histamine CPT 83088 | $140.25 | $187.00 | $29.53 – $53.15 | 17 |
| Hizentra injection HCPCS J1559 | $4,991.26 | $6,655.01 | $14.52 – $34.37 | 17 |
| Hla class i high defin qual CPT 86832 | $551.25 | $735.00 | $323.75 – $582.75 | 17 |
| Hla class ii high defin qual CPT 86833 | $471.00 | $628.00 | $325.80 – $586.44 | 17 |
| Hla class i/ii antibody qual CPT 86829 | $435.00 | $580.00 | $64.19 – $115.54 | 17 |
| Hla class ii semiquant panel CPT 86835 | $534.00 | $712.00 | $322.96 – $581.33 | 17 |
| Hla class i semiquant panel CPT 86834 | $502.50 | $670.00 | $357.56 – $643.61 | 17 |
| Hla i & ii type verify lr CPT 81371 | $365.25 | $487.00 | $404.52 – $728.14 | 17 |
| Hla ii typing 1 loc hr CPT 81382 | $637.50 | $850.00 | $123.68 – $222.62 | 17 |
| Hla ii typing ag equiv lr CPT 81375 | $186.75 | $249.00 | $220.74 – $397.33 | 17 |
| Hla i low res one antigen equiv ea CPT 81374 | $197.25 | $263.00 | $74.33 – $133.79 | 17 |
| Hla i typing 1 locus hr CPT 81380 | $150.00 | $200.00 | $177.25 – $319.05 | 17 |
| Hla i typing complete hr CPT 81379 | $386.25 | $515.00 | $335.38 – $603.68 | 17 |
| Hla i typing complete lr CPT 81372 | $488.25 | $651.00 | $403.59 – $726.46 | 17 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $201.75 | $269.00 | $169.90 – $305.82 | 17 |
| Hla x-match noncytotoxc addl CPT 86826 | $145.50 | $194.00 | $36.53 – $65.75 | 17 |
| Hla x-math non-cytotoxic CPT 86825 | $342.75 | $457.00 | $109.49 – $197.08 | 17 |
| Hlth bhv assmt/reassessment CPT 96156 | $144.75 | $193.00 | $98.52 – $177.34 | 16 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | $115.50 | $154.00 | $36.34 – $65.41 | 16 |
| Hlth bhv ivntj fam without pt ea CPT 96171 | $87.00 | $116.00 | $26.37 – $47.46 | 16 |
| Hlth bhv ivntj fam wo pt 1st CPT 96170 | $87.00 | $116.00 | $72.92 – $131.26 | 16 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | $117.00 | $156.00 | $36.34 – $65.41 | 16 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | $115.50 | $154.00 | $172.14 – $309.84 | 16 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | $52.51 | $70.01 | $0.68 – $2.52 | 2 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | not published | not published | $0.51 – $0.51 | 1 |
| Homocysteine CPT 83090 | $72.00 | $96.00 | $17.92 – $32.26 | 17 |
| Homovanillic acid (hva) CPT 83150 | $166.50 | $222.00 | $22.41 – $40.34 | 17 |
| Hpa-15 genotyping CPT 81112 | $165.00 | $220.00 | $122.22 – $220.00 | 17 |
| Hpa-1 genotyping CPT 81105 | $165.00 | $220.00 | $122.22 – $220.00 | 17 |
| Hpa-2 genotyping CPT 81106 | $165.00 | $220.00 | $122.22 – $220.00 | 17 |
| Hpa-3 genotyping CPT 81107 | $165.00 | $220.00 | $122.22 – $220.00 | 17 |
| Hpa-4 genotyping CPT 81108 | $165.00 | $220.00 | $122.22 – $220.00 | 17 |
| Hpa-5 genotyping CPT 81109 | $165.00 | $220.00 | $122.22 – $220.00 | 17 |
| Hpa-6 genotyping CPT 81110 | $165.00 | $220.00 | $122.22 – $220.00 | 17 |
| Hpa-9 genotyping CPT 81111 | $165.00 | $220.00 | $122.22 – $220.00 | 17 |
| H pylori (c-13) breath CPT 83013 | $342.00 | $456.00 | $67.36 – $121.25 | 17 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $1,755.00 | $2,340.00 | $947.31 – $2,347.11 | 17 |
| Htt gene detc abnor alleles CPT 81271 | $345.75 | $461.00 | $137.00 – $246.60 | 16 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | not published | not published | $76.79 – $76.79 | 1 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | $414.18 | $552.24 | $1.19 – $4.50 | 2 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | not published | not published | $0.88 – $0.88 | 1 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $51.42 | $68.56 | $12.61 – $50.31 | 2 |
| Hydrocolld drg >16<=48 w/bdr HCPCS A6238 | $25.70 | $34.26 | $32.50 – $58.50 | 16 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $569.91 | $759.87 | $51.60 – $160.65 | 2 |
| Hydrogel drsg gel filler HCPCS A6248 | $34.37 | $45.82 | $23.15 – $41.67 | 16 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $72.63 | $96.83 | not published | 0 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $277.32 | $369.75 | not published | 0 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | $83.64 | $111.52 | $0.09 – $0.09 | 1 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $87.60 | $116.79 | $41.18 – $89.19 | 2 |
| Hymovis injection 1 mg HCPCS J7322 | $2,459.97 | $3,279.95 | $18.13 – $42.45 | 17 |
| Hyoscyamine sulfate inj HCPCS J1980 | $308.52 | $411.36 | $86.31 – $319.14 | 2 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $44.74 – $44.74 | 1 |
| Hysterosalpingography s&i CPT 74740 | $682.50 | $910.00 | $231.40 – $416.51 | 17 |
| Hysteroscopy ablation CPT 58563 | $4,888.50 | $6,518.00 | $4,851.38 – $8,732.48 | 16 |
| Hysteroscopy biopsy CPT 58558 | $5,110.50 | $6,814.00 | $3,139.36 – $5,650.86 | 16 |
| Hysteroscopy dx sep proc CPT 58555 | $3,568.50 | $4,758.00 | $3,139.36 – $5,650.86 | 16 |
| Hysteroscopy remove fb CPT 58562 | $5,843.25 | $7,791.00 | $3,139.36 – $5,650.86 | 16 |
| Hysteroscopy remove myoma CPT 58561 | $4,302.75 | $5,737.00 | $4,851.38 – $8,732.48 | 16 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $650.11 | $866.81 | not published | 0 |
| I-123 iobenguane diag HCPCS A9582 | $17,222.25 | $22,963.00 | $2,317.50 – $4,171.50 | 16 |
| I-123 ioflupane diag HCPCS A9584 | $9,058.88 | $12,078.50 | $1,387.74 – $2,497.93 | 16 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $236.25 | $315.00 | $35.09 – $63.16 | 17 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $48.00 | $64.00 | $18.09 – $32.56 | 17 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $839.85 | $1,119.80 | $74.97 – $230.40 | 2 |
| Ibuprofen injection HCPCS J1741 | $86.20 | $114.93 | $7.40 – $33.12 | 2 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $1,022.55 | $1,363.40 | $219.22 – $394.59 | 16 |
| Icatibant injection HCPCS J1744 | $3,697.02 | $4,929.36 | $305.00 – $1,537.65 | 2 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $48,847.50 | $65,130.00 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $44,003.25 | $58,671.00 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $15,759.00 | $21,012.00 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $6,463.81 | $8,618.40 | not published | 0 |
| Idarubicin hcl injection HCPCS J9211 | $249.51 | $332.68 | $90.16 – $386.37 | 2 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $1,317,427.91 – $1,317,427.91 | 1 |
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.