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 |
|---|---|---|---|---|
| Mayo dihydrotestosterone CPT 82642 | $122.25 | $163.00 | $29.28 – $52.70 | 16 |
| Mayo efpo chloride stool CPT 82438 | $90.75 | $121.00 | $5.00 – $9.00 | 17 |
| Mayo estriol CPT 82677 | $138.00 | $184.00 | $24.18 – $43.52 | 17 |
| Mayo estrone CPT 82679 | $110.25 | $147.00 | $24.95 – $44.91 | 17 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $123.75 | $165.00 | $16.34 – $29.41 | 17 |
| Mayo everolimus therapeutic drug level CPT 80169 | $245.25 | $327.00 | $13.73 – $24.71 | 17 |
| Mayo factor ii CPT 85210 | $171.00 | $228.00 | $12.98 – $23.36 | 17 |
| Mayo factor v CPT 85220 | $189.00 | $252.00 | $17.65 – $31.77 | 17 |
| Mayo factor vii CPT 85230 | $150.00 | $200.00 | $17.90 – $32.22 | 17 |
| Mayo factor viii vw factor antigen CPT 85246 | $114.75 | $153.00 | $22.94 – $41.29 | 17 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $378.75 | $505.00 | $22.94 – $41.29 | 17 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $305.25 | $407.00 | $22.94 – $41.29 | 17 |
| Mayo factor x CPT 85260 | $191.25 | $255.00 | $17.90 – $32.22 | 17 |
| Mayo factor xi CPT 85270 | $201.00 | $268.00 | $17.90 – $32.22 | 17 |
| Mayo fat/lipids feces quantitative CPT 82710 | $33.75 | $45.00 | $16.80 – $30.24 | 17 |
| Mayo fbl culture fungi blood CPT 87103 | $128.25 | $171.00 | $20.46 – $36.83 | 17 |
| Mayo ffspg allergen clam igg CPT 86001 | $45.00 | $60.00 | $7.82 – $14.08 | 17 |
| Mayo fibrinogen antigen CPT 85385 | $168.75 | $225.00 | $14.46 – $26.03 | 17 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $109.50 | $146.00 | $21.67 – $39.01 | 17 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $7,125.00 | $9,500.00 | not published | 0 |
| Mayo hemosiderin qualitative urine CPT 83070 | $45.00 | $60.00 | $4.75 – $8.55 | 17 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $202.50 | $270.00 | $35.09 – $63.16 | 17 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $161.25 | $215.00 | $13.79 – $24.82 | 17 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $274.50 | $366.00 | $8.89 – $16.00 | 17 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $117.75 | $157.00 | $27.17 – $48.91 | 17 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $1,192.50 | $1,590.00 | $17.27 – $31.09 | 17 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $108.75 | $145.00 | $14.99 – $26.98 | 17 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $65.25 | $87.00 | $20.81 – $37.46 | 17 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $175.50 | $234.00 | $20.81 – $37.46 | 17 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $153.75 | $205.00 | $16.07 – $28.93 | 17 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $252.75 | $337.00 | $11.98 – $21.56 | 17 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $500.25 | $667.00 | $35.09 – $63.16 | 17 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $98.25 | $131.00 | $35.09 – $63.16 | 16 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $535.50 | $714.00 | $35.09 – $63.16 | 17 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $292.50 | $390.00 | $35.09 – $63.16 | 16 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $433.50 | $578.00 | $42.84 – $77.11 | 17 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $258.75 | $345.00 | $72.19 – $129.94 | 16 |
| Mayo infliximab therapeutic drug level CPT 80230 | $2,965.50 | $3,954.00 | $38.57 – $69.43 | 16 |
| Mayo inhab inhibin a CPT 86336 | $267.75 | $357.00 | $15.59 – $28.06 | 17 |
| Mayo insft insulin free CPT 83527 | $39.00 | $52.00 | $12.95 – $23.31 | 17 |
| Mayo insulin antibodies CPT 86337 | $77.25 | $103.00 | $21.41 – $38.54 | 17 |
| Mayo iodine CPT 83789 | $411.75 | $549.00 | $24.11 – $43.40 | 17 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $120.75 | $161.00 | $27.11 – $48.80 | 16 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $183.00 | $244.00 | $27.11 – $48.80 | 16 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $125.25 | $167.00 | $13.25 – $23.85 | 17 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $93.75 | $125.00 | $12.79 – $23.02 | 17 |
| Mayo legionella antibody CPT 86713 | $73.50 | $98.00 | $15.30 – $27.54 | 17 |
| Mayo leptospira antibody igm CPT 86720 | $60.75 | $81.00 | $16.20 – $29.16 | 17 |
| Mayo lipoprotein electrophoresis CPT 83700 | $45.75 | $61.00 | $11.26 – $20.27 | 17 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $148.50 | $198.00 | $15.49 – $27.88 | 17 |
| Mayo manganese CPT 83785 | $117.00 | $156.00 | $26.65 – $47.97 | 17 |
| Mayo metanephrines plasma CPT 83835 | $556.50 | $742.00 | $16.94 – $30.49 | 17 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $114.00 | $152.00 | not published | 0 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $365.25 | $487.00 | $12.05 – $21.69 | 16 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $122.25 | $163.00 | $14.55 – $26.19 | 17 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $476.25 | $635.00 | $18.64 – $33.55 | 17 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $886.50 | $1,182.00 | $137.00 – $246.60 | 17 |
| Mayo muramidase CPT 85549 | $69.00 | $92.00 | $18.75 – $33.75 | 17 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $1,833.00 | $2,444.00 | $18.40 – $33.12 | 16 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $418.50 | $558.00 | $18.05 – $32.49 | 17 |
| Mayo myoglobin CPT 83874 | $129.75 | $173.00 | $12.92 – $23.26 | 17 |
| Mayo nickel CPT 83885 | $57.75 | $77.00 | $24.51 – $44.12 | 17 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $87.00 | $116.00 | not published | 0 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $62.25 | $83.00 | not published | 0 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $98.25 | $131.00 | not published | 0 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $375.75 | $501.00 | $21.21 – $38.18 | 17 |
| Mayo oxalate 24 hour urine CPT 83945 | $163.50 | $218.00 | $14.45 – $26.01 | 17 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $123.00 | $164.00 | $15.03 – $27.05 | 17 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $1,833.00 | $2,444.00 | $12.05 – $21.69 | 17 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $660.75 | $881.00 | $35.09 – $63.16 | 17 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $195.00 | $260.00 | $17.98 – $32.36 | 17 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $92.25 | $123.00 | $13.76 – $24.77 | 17 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $118.50 | $158.00 | $8.44 – $15.19 | 17 |
| Mayo pregnenolone CPT 84140 | $101.25 | $135.00 | $20.67 – $37.21 | 17 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $108.75 | $145.00 | $16.59 – $29.86 | 17 |
| Mayo proinsulin CPT 84206 | $147.75 | $197.00 | $26.69 – $48.04 | 17 |
| Mayo psaft prostate specific antigen free CPT 84154 | $90.75 | $121.00 | $18.39 – $33.10 | 17 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $1,768.50 | $2,358.00 | $18.40 – $33.12 | 17 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $277.50 | $370.00 | $13.36 – $24.05 | 17 |
| Mayo receptor assay transferrin soluble CPT 84238 | $114.00 | $152.00 | $36.57 – $65.83 | 17 |
| Mayo renin CPT 84244 | $117.00 | $156.00 | $21.99 – $39.58 | 17 |
| Mayo repu protein electrophoresis urine CPT 84166 | $69.00 | $92.00 | $17.83 – $32.09 | 17 |
| Mayo selenium CPT 84255 | $122.25 | $163.00 | $25.53 – $45.95 | 17 |
| Mayo serotonin CPT 84260 | $209.25 | $279.00 | $30.98 – $55.76 | 17 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $109.50 | $146.00 | $19.35 – $34.83 | 17 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $173.25 | $231.00 | $13.73 – $24.71 | 17 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $137.25 | $183.00 | $92.03 – $165.65 | 16 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $51.75 | $69.00 | $4.27 – $7.69 | 17 |
| Mayo tau phosphorylated 217 each CPT 84393 | $504.00 | $672.00 | $128.92 – $232.06 | 16 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $501.75 | $669.00 | $208.92 – $376.06 | 17 |
| Mayo tgrp testosterone free CPT 84402 | $93.75 | $125.00 | $25.47 – $45.85 | 17 |
| Mayo tgrp testosterone total CPT 84403 | $175.50 | $234.00 | $25.81 – $46.46 | 17 |
| Mayo thyroglobulin CPT 84432 | $665.25 | $887.00 | $16.06 – $28.91 | 17 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $131.25 | $175.00 | $10.18 – $18.32 | 17 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $126.00 | $168.00 | $12.39 – $22.30 | 17 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $47.25 | $63.00 | not published | 0 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $47.25 | $63.00 | $14.16 – $25.49 | 17 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $126.00 | $168.00 | $13.54 – $24.37 | 17 |
| Mayo vasoactive intestinal peptide CPT 84586 | $234.75 | $313.00 | $35.33 – $63.59 | 17 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $77.25 | $103.00 | $20.24 – $36.43 | 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.