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 vitamin b3 (niacin) CPT 84591 | $210.75 | $281.00 | $17.06 – $30.71 | 17 |
| Mayo vitamin k CPT 84597 | $317.25 | $423.00 | $13.72 – $24.70 | 17 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $207.75 | $277.00 | $13.25 – $23.85 | 17 |
| Measurement post void urine by ultrasound CPT 51798 | $140.25 | $187.00 | $57.21 – $102.98 | 16 |
| #mec-opiates CPT 80356 | $27.75 | $37.00 | not published | 0 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | $189.75 | $253.00 | $50.44 – $90.80 | 16 |
| Med physic dos eval rad exps CPT 76145 | $621.00 | $828.00 | $361.89 – $651.40 | 16 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $252.10 | $336.13 | $1.39 – $4.77 | 2 |
| Melphalan oral 2 mg HCPCS J8600 | $1,342.94 | $1,790.58 | $116.10 – $116.10 | 1 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $3,037.50 | $4,050.00 | $120.69 – $572.40 | 17 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $333.92 – $333.92 | 1 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | $4,218.75 | $5,625.00 | $66.47 – $306.90 | 2 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $443.43 – $443.43 | 1 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | $235,134.00 | $313,512.00 | $606,646.80 – $606,646.80 | 1 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $401.20 – $401.20 | 1 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $200.59 – $200.59 | 1 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $145.58 – $145.58 | 1 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $23.88 | $31.84 | $38.19 – $65.70 | 2 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $11,523.04 | $15,364.05 | $31.82 – $76.23 | 17 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $102.84 | $137.11 | $1.05 – $4.05 | 2 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $73.95 | $98.60 | $3.24 – $12.33 | 2 |
| Metabolic Blood Panel (Basic) CPT 80048 | $62.25 | $83.00 | $8.46 – $15.23 | 17 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $90.75 | $121.00 | $10.56 – $19.01 | 17 |
| Metabolic panel ionized ca CPT 80047 | $132.75 | $177.00 | $13.73 – $24.71 | 17 |
| Metatarsal joint implant HCPCS L8641 | $1,641.94 | $2,189.25 | $571.40 – $1,028.52 | 16 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $2,776.62 | $3,702.15 | $4.19 – $7.74 | 2 |
| Methadone injection HCPCS J1230 | $725.09 | $966.78 | $55.76 – $177.03 | 2 |
| Methadone oral 5mg HCPCS S0109 | $162.69 | $216.92 | not published | 0 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $38.39 | $51.18 | $11.63 – $50.94 | 2 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $466.63 | $622.17 | $0.46 – $2.43 | 2 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $215.83 | $287.77 | $5.50 – $27.27 | 2 |
| Methotrexate therapeutic drug level CPT 80204 | $54.75 | $73.00 | $38.57 – $69.43 | 16 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $103.20 – $103.20 | 1 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $4,037.33 | $5,383.10 | $10.29 – $18.52 | 16 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $76.59 | $102.12 | $53.67 – $176.40 | 2 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $582.48 | $776.63 | $10.80 – $10.80 | 1 |
| Methylphenidate CPT 80360 | $174.75 | $233.00 | not published | 0 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $685.89 | $914.52 | $0.56 – $2.07 | 2 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $67.62 | $90.15 | not published | 0 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $306.72 | $408.95 | not published | 0 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $12.40 | $16.53 | $2.41 – $9.81 | 2 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $7.59 | $10.11 | not published | 0 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $11.84 | $15.78 | $0.18 – $0.18 | 1 |
| Mgmt promoter methylation analysis CPT 81287 | $189.00 | $252.00 | $124.64 – $224.35 | 17 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $691.44 | $921.91 | $0.73 – $6.84 | 2 |
| Microdissection manual CPT 88381 | $222.75 | $297.00 | $173.05 – $311.49 | 16 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $298.50 | $398.00 | $84.40 – $151.91 | 17 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $97.25 | $129.66 | $0.37 – $1.26 | 2 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $102.80 | $137.06 | $2.52 – $2.52 | 1 |
| Middle cerebral artery echo CPT 76821 | $645.75 | $861.00 | $101.39 – $182.50 | 17 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $58.43 | $77.90 | $3.41 – $14.04 | 2 |
| Minocycline hydrochloride HCPCS J2265 | $884.76 | $1,179.68 | $2.66 – $4.80 | 16 |
| Miroderm HCPCS Q4175 | not published | not published | $164.81 – $164.81 | 1 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $4,332.81 | $5,777.08 | $28.46 – $68.81 | 17 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $772.60 – $772.60 | 1 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $437.16 | $582.88 | $38.61 – $72.05 | 17 |
| Mlh1 gene CPT 81288 | $292.50 | $390.00 | $192.32 – $346.18 | 17 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $665.25 | $887.00 | $37.73 – $67.91 | 16 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $27.60 – $27.60 | 1 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $10,575.00 | $14,100.00 | not published | 0 |
| Monovisc inj per dose HCPCS J7327 | $2,155.28 | $2,873.70 | $655.34 – $1,286.54 | 17 |
| Mopath procedure level 1 CPT 81400 | $873.75 | $1,165.00 | $63.96 – $115.13 | 17 |
| Mopath procedure level 5 CPT 81404 | $1,825.50 | $2,434.00 | $274.83 – $494.69 | 17 |
| Mopath procedure level 6 CPT 81405 | $2,340.75 | $3,121.00 | $301.35 – $542.43 | 17 |
| Mopath procedure level 7 CPT 81406 | $2,340.75 | $3,121.00 | $282.88 – $509.18 | 17 |
| Mopath procedure level 8 CPT 81407 | $1,587.00 | $2,116.00 | $846.27 – $1,523.29 | 17 |
| Mopath procedure level 9 CPT 81408 | $2,250.00 | $3,000.00 | $2,000.00 – $3,600.00 | 17 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $46.08 | $61.43 | $11.05 – $42.03 | 2 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $8.37 | $11.16 | $66.87 – $66.87 | 1 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $1,132.55 | $1,510.06 | $26.26 – $101.16 | 2 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $398.25 | $531.00 | $347.62 – $625.72 | 16 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $398.25 | $531.00 | $165.22 – $297.40 | 16 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $435.00 | $580.00 | $165.22 – $297.40 | 16 |
| MRA abdomen post contrast CPT 74185 | $2,733.00 | $3,644.00 | $312.07 – $561.72 | 16 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $2,600.25 | $3,467.00 | $310.78 – $559.41 | 16 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $2,733.00 | $3,644.00 | $313.31 – $563.97 | 16 |
| MRA pelvis CPT 72198 | $2,733.00 | $3,644.00 | $312.31 – $562.15 | 16 |
| MRA spinal canal CPT 72159 | $1,618.50 | $2,158.00 | $313.53 – $564.35 | 16 |
| MRA upper extremity post contrast-bil CPT 73225 | $1,929.00 | $2,572.00 | $300.88 – $541.59 | 16 |
| Mra, w/dye, upper extremity HCPCS C8934 | $2,424.00 | $3,232.00 | $338.34 – $609.01 | 16 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | $348.00 | $464.00 | $338.34 – $609.01 | 16 |
| MRI brain without dye CPT 70557 | $1,714.50 | $2,286.00 | $529.91 – $953.84 | 16 |
| MRI brain without & w/dye CPT 70559 | $3,198.00 | $4,264.00 | $170.10 – $306.19 | 16 |
| MRI breast c-+ w/cad uni CPT 77048 | $351.00 | $468.00 | $311.38 – $560.49 | 16 |
| MRI breast without cont bi CPT 77047 | $262.50 | $350.00 | $231.40 – $416.51 | 16 |
| MRI breast w IV cont bi CPT 77049 | $351.00 | $468.00 | $317.15 – $570.87 | 16 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $2,917.50 | $3,890.00 | $231.40 – $416.51 | 16 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $3,611.25 | $4,815.00 | $338.34 – $609.01 | 16 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $4,758.75 | $6,345.00 | $760.25 – $1,368.44 | 16 |
| MRI chest without contrast CPT 71550 | $2,439.75 | $3,253.00 | $231.40 – $416.51 | 16 |
| MRI chest without & w/contrast CPT 71552 | $2,919.75 | $3,893.00 | $338.34 – $609.01 | 16 |
| MRI chest w IV cont CPT 71551 | $2,580.00 | $3,440.00 | $760.25 – $1,368.44 | 16 |
| MRI guid ndl plc s&i CPT 77021 | $1,781.25 | $2,375.00 | $394.22 – $709.60 | 16 |
| MRI loex nonjt w IV cont CPT 73719 | $2,769.75 | $3,693.00 | $338.34 – $609.01 | 16 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,439.75 | $3,253.00 | $231.40 – $416.51 | 16 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,854.50 | $3,806.00 | $338.34 – $609.01 | 16 |
| MRI orbit fac&nck w IV cont CPT 70542 | $3,403.50 | $4,538.00 | $338.34 – $609.01 | 16 |
| MRI tmj CPT 70336 | $2,280.75 | $3,041.00 | $231.40 – $416.51 | 16 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,682.75 | $3,577.00 | $231.40 – $416.51 | 16 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,854.50 | $3,806.00 | $338.34 – $609.01 | 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.