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 |
|---|---|---|---|---|
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $1,475.86 – $1,475.86 | 1 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | $2,588.63 | $3,451.50 | $16.56 – $16.56 | 1 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | $1,713.99 | $2,285.31 | $27.11 – $48.80 | 16 |
| Inj givosiran 0.5 mg HCPCS J0223 | $162,298.07 | $216,397.42 | $120.98 – $285.24 | 17 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | $8.22 | $10.96 | not published | 0 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $12.07 – $12.07 | 1 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $182.21 – $182.21 | 1 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | $17,286.71 | $23,048.94 | $59.91 – $153.27 | 17 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $188.61 – $188.61 | 1 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $930.75 | $1,241.00 | $44.85 – $80.73 | 16 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $1,038.00 | $1,384.00 | $49.40 – $88.93 | 16 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | $666.75 | $889.00 | $52.43 – $94.37 | 16 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $693.75 | $925.00 | $25.90 – $46.61 | 16 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $648.00 | $864.00 | $24.85 – $44.74 | 16 |
| Inj human fibrinogen con nos HCPCS J7178 | $4,326.08 | $5,768.10 | $1.52 – $3.68 | 17 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $193.21 – $193.21 | 1 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | $1,083.72 | $1,444.95 | $6.35 – $22.14 | 2 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $188.05 – $188.05 | 1 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | $172,856.28 | $230,475.04 | $495.55 – $1,203.44 | 17 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | $2,231.25 | $2,975.00 | $857.76 – $1,543.97 | 16 |
| Inj. infugem, 100 mg HCPCS J9198 | not published | not published | $98.04 – $98.04 | 1 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $427.50 | $570.00 | $194.58 – $350.24 | 16 |
| Inj intralesional > 7 lsns CPT 11901 | $222.75 | $297.00 | $194.58 – $350.24 | 16 |
| Inj ivig privigen 500 mg HCPCS J1459 | $4,194.45 | $5,592.60 | $49.53 – $122.75 | 17 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $6.45 – $6.45 | 1 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $3.85 – $3.85 | 1 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $211.61 – $211.61 | 1 |
| Inj lefamulin 1 mg HCPCS J0691 | not published | not published | $1.75 – $1.75 | 1 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $122.28 | $163.04 | $59.12 – $317.88 | 2 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | $76.51 | $102.01 | $0.07 – $0.63 | 2 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $244.63 | $326.17 | $6.96 – $12.53 | 16 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $37.17 | $49.55 | not published | 0 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $801.03 – $801.03 | 1 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $56.93 – $56.93 | 1 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $1,471.50 | $1,962.00 | $127.08 – $228.75 | 16 |
| Inj. meloxicam 1 mg HCPCS J1738 | not published | not published | $8.08 – $8.08 | 1 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | $1,713.99 | $2,285.31 | $120.67 – $262.95 | 17 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $28.41 | $37.87 | $9.30 – $29.61 | 2 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $759.87 | $1,013.15 | $2.17 – $3.91 | 16 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | $17,682.90 | $23,577.19 | $253.47 – $604.82 | 17 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | not published | not published | $21.20 – $21.20 | 1 |
| Inj multihance HCPCS A9577 | $166.47 | $221.95 | $4.24 – $16.56 | 2 |
| Inj multihance multipack HCPCS A9578 | not published | not published | $4.16 – $4.16 | 1 |
| Inj. mycophenolate mofetil HCPCS J7519 | $387.27 | $516.36 | $6.57 – $6.57 | 1 |
| Inj. naxitamab-gqgk, 1 mg HCPCS J9348 | $96,378.67 | $128,504.89 | $686.09 – $1,669.48 | 17 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $441.00 | $588.00 | $676.24 – $1,217.23 | 16 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | $1,976.25 | $2,635.00 | $2,000.97 – $3,601.74 | 16 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | $340.18 | $453.57 | $100.28 – $379.44 | 2 |
| Inj ogivri 10 mg HCPCS Q5114 | $8,661.59 | $11,548.78 | $35.78 – $108.53 | 17 |
| Inj, omacetaxine mep, 0.01mg HCPCS J9262 | $4,831.38 | $6,441.84 | $9.61 – $35.64 | 2 |
| Inj., omadacycline, 1 mg HCPCS J0121 | not published | not published | $9.76 – $9.76 | 1 |
| Inj ontruzant 10 mg HCPCS Q5112 | not published | not published | $53.50 – $53.50 | 1 |
| Inj, pasireotide long acting HCPCS J2502 | not published | not published | $1,372.26 – $1,372.26 | 1 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | $36,180.04 | $48,240.05 | $100.90 – $242.94 | 17 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $12,400.57 | $16,534.09 | $68.10 – $215.35 | 17 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | not published | not published | $128.37 – $128.37 | 1 |
| Inj., perseris, 0.5 mg HCPCS J2798 | not published | not published | $29.52 – $29.52 | 1 |
| Inj., plazomicin, 5 mg HCPCS J0291 | not published | not published | $8.69 – $8.69 | 1 |
| Inj proc ankle arthr CPT 27648 | $159.00 | $212.00 | $191.94 – $345.49 | 16 |
| Inj proc elbow arthro CPT 24220 | $108.75 | $145.00 | $174.29 – $313.73 | 16 |
| Inj proc lumbr disk ea lvl CPT 62290 | $2,326.50 | $3,102.00 | $347.22 – $625.00 | 16 |
| Inj proc myelogram lumbar CPT 62284 | $1,300.50 | $1,734.00 | $169.23 – $304.62 | 16 |
| Inj progesterone per 50 mg HCPCS J2675 | $123.09 | $164.12 | $1.51 – $8.19 | 2 |
| Inj prohance multipack HCPCS A9576 | not published | not published | $3.43 – $3.43 | 1 |
| Inj recombin esperoct per iu HCPCS J7204 | not published | not published | $5.50 – $5.50 | 1 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | not published | not published | $1.83 – $1.83 | 1 |
| Inj retro urethrocysto CPT 51610 | $391.50 | $522.00 | $120.45 – $216.80 | 16 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | $2,348.22 | $3,130.95 | $13.28 – $32.47 | 17 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | not published | not published | $69.39 – $69.39 | 1 |
| Inj scleros sol mult veins CPT 36471 | $454.50 | $606.00 | $394.24 – $709.63 | 16 |
| Inj scleros sol sgl vein CPT 36470 | $454.50 | $606.00 | $394.24 – $709.63 | 16 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | not published | not published | $1,317.11 – $1,317.11 | 1 |
| Inj secretin synthetic human HCPCS J2850 | $2,444.05 | $3,258.73 | $40.23 – $72.41 | 17 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | $389.25 | $519.00 | $394.24 – $709.63 | 16 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | $336.56 | $448.74 | $45.25 – $170.19 | 2 |
| Inj. tagraxofusp-erzs 10 mcg HCPCS J9269 | $124,816.51 | $166,422.01 | $357.28 – $848.52 | 17 |
| Inj, taliglucerace alfa 10 u HCPCS J3060 | not published | not published | $99.94 – $99.94 | 1 |
| Inj tedizolid phosphate HCPCS J3090 | not published | not published | $4.65 – $4.65 | 1 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $66,625.08 | $88,833.43 | $367.91 – $874.00 | 17 |
| Inj testostero enanthate 1mg HCPCS J3121 | not published | not published | $0.12 – $0.12 | 1 |
| Inj testosterone cypionate HCPCS J1071 | $473.66 | $631.54 | $0.07 – $0.27 | 2 |
| Inj thiotepa nos 1 mg HCPCS J9342 | $8,689.13 | $11,585.50 | $5.74 – $10.33 | 16 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | $2,207.25 | $2,943.00 | $155.25 – $279.45 | 16 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | $1,471.50 | $1,962.00 | $134.29 – $241.72 | 16 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | not published | not published | $307.24 – $307.24 | 1 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | not published | not published | $44.30 – $44.30 | 1 |
| Inj., triluron, 1 mg HCPCS J7332 | not published | not published | $24.73 – $24.73 | 1 |
| Inj., triptorelin X-ray 3.75 mg HCPCS J3316 | not published | not published | $9,183.12 – $9,183.12 | 1 |
| Inj, trivisc 1 mg HCPCS J7329 | not published | not published | $13.24 – $13.24 | 1 |
| Inj vancomycin (xellia) 10mg HCPCS J3375 | $93.18 | $124.24 | not published | 0 |
| Inj vocal cord bulking agent HCPCS L8607 | $1,653.75 | $2,205.00 | $62.92 – $113.26 | 16 |
| Inj w/fluor eval cv device CPT 36598 | $711.00 | $948.00 | $206.28 – $371.30 | 16 |
| Inj. xembify, 100 mg HCPCS J1558 | not published | not published | $36.29 – $36.29 | 1 |
| Inj., yutiq, 0.01 mg HCPCS J7314 | not published | not published | $1,296.30 – $1,296.30 | 1 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | $88,429.23 | $117,905.64 | $2,816.77 – $6,567.05 | 17 |
| Ins cath ren art 1st bi CPT 36252 | $4,677.00 | $6,236.00 | $3,062.12 – $5,511.82 | 16 |
| Ins cath ren art 1st uni CPT 36251 | $4,084.50 | $5,446.00 | $3,062.12 – $5,511.82 | 16 |
| Ins cath ren art 2nd+ bi CPT 36254 | $6,376.50 | $8,502.00 | $3,062.12 – $5,511.82 | 16 |
| Ins cath ren art 2nd+ uni CPT 36253 | $4,172.25 | $5,563.00 | $5,396.44 – $9,713.59 | 16 |
| Insert abdomen-venous drain CPT 49425 | $5,264.25 | $7,019.00 | $726.26 – $1,307.27 | 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.