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 |
|---|---|---|---|---|
| MRI upper extremity w/dye CPT 73219 | $3,126.75 | $4,169.00 | $338.34 – $609.01 | 16 |
| Mr safety determination physician/other qhp CPT 76016 | $85.50 | $114.00 | $84.40 – $151.91 | 16 |
| Mr safety implant elec prepj CPT 76018 | $90.00 | $120.00 | $92.20 – $165.96 | 16 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $21.75 | $29.00 | $48.68 – $87.62 | 16 |
| Mr safety implt pos&/immoblj CPT 76019 | $58.50 | $78.00 | $57.21 – $102.98 | 16 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $24.00 | $32.00 | $28.05 – $50.49 | 16 |
| Mr sfty med physics xm cstmz CPT 76017 | $235.50 | $314.00 | $231.40 – $416.51 | 16 |
| Mr spectroscopy CPT 76390 | $1,974.00 | $2,632.00 | $84.40 – $151.91 | 16 |
| Mthfr gene analy common variants CPT 81291 | $852.00 | $1,136.00 | $65.34 – $117.61 | 17 |
| Mucopolysaccharides CPT 83864 | $1,138.50 | $1,518.00 | $28.50 – $51.30 | 17 |
| Multi family grp psychotherapy CPT 90849 | $370.50 | $494.00 | $172.14 – $309.84 | 16 |
| Multiple sleep latency test CPT 95805 | $4,164.75 | $5,553.00 | $832.81 – $1,499.05 | 16 |
| Mumps antibody igg CPT 86735 | $147.00 | $196.00 | $13.05 – $23.49 | 17 |
| Muscle test cran nerv unilat CPT 95867 | $751.50 | $1,002.00 | $209.40 – $376.92 | 16 |
| Muscle test hemidiaphragm CPT 95866 | $735.00 | $980.00 | $124.79 – $224.62 | 16 |
| Muscle test larynx CPT 95865 | $768.00 | $1,024.00 | $129.03 – $232.25 | 16 |
| Muscle test one fiber CPT 95872 | $750.00 | $1,000.00 | $209.40 – $376.92 | 16 |
| Mycobacteria dna amp probe CPT 87551 | $444.75 | $593.00 | $48.24 – $86.83 | 17 |
| Mycobacteria dna quant CPT 87552 | $386.25 | $515.00 | $42.84 – $77.11 | 17 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $6,452.88 | $8,603.84 | $0.37 – $1.71 | 2 |
| Mycophenolic acid HCPCS J7518 | $6,135.49 | $8,180.65 | $0.88 – $5.67 | 2 |
| Mycoplasma antibody igm CPT 86738 | $112.50 | $150.00 | $13.24 – $23.83 | 17 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $370.50 | $494.00 | $175.40 – $315.72 | 16 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $3,226.50 | $4,302.00 | $760.25 – $1,368.44 | 16 |
| Myelography via inj w/s&i cervical CPT 62302 | $3,226.50 | $4,302.00 | $760.25 – $1,368.44 | 16 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $2,914.50 | $3,886.00 | $760.25 – $1,368.44 | 16 |
| Myelography via inj w/s&i thoracic CPT 62303 | $3,226.50 | $4,302.00 | $760.25 – $1,368.44 | 16 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $911.25 | $1,215.00 | $11.53 – $20.75 | 17 |
| Myocrd img pet 1std rst/strs CPT 78491 | $2,425.50 | $3,234.00 | $1,386.76 – $2,496.17 | 16 |
| Myocrd img pet 2rtracer CPT 78432 | $1,876.50 | $2,502.00 | $1,471.80 – $2,649.23 | 16 |
| Myown harv prep proc sq cm HCPCS Q4226 | not published | not published | $940.72 – $940.72 | 1 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $79.98 | $106.63 | not published | 0 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $178.93 | $238.57 | $8.54 – $25.29 | 2 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $116.48 | $155.30 | not published | 0 |
| Naltrexone, depot form HCPCS J2315 | $5,794.40 | $7,725.86 | $4.25 – $10.30 | 17 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $582.00 | $776.00 | $193.58 – $348.44 | 16 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | $236.25 | $315.00 | $229.70 – $413.45 | 16 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $303.75 | $405.00 | $193.58 – $348.44 | 16 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $32,830.92 | $43,774.56 | $24.32 – $58.71 | 17 |
| Natriuretic peptide CPT 83880 | $273.00 | $364.00 | $39.26 – $70.67 | 17 |
| Natural killer cells total count CPT 86357 | $262.50 | $350.00 | $37.73 – $67.91 | 17 |
| N block inj hypogas plxs CPT 64517 | $2,616.00 | $3,488.00 | $857.76 – $1,543.97 | 16 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $339.75 | $453.00 | $129.03 – $232.25 | 16 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $22.50 | $30.00 | $28.05 – $50.49 | 16 |
| Ndl insj without njx 3+ musc CPT 20561 | $34.50 | $46.00 | $28.05 – $50.49 | 16 |
| Nebulizer Breathing Treatment CPT 94640 | $429.75 | $573.00 | $212.36 – $382.26 | 16 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $228.00 | $304.00 | $84.40 – $151.91 | 17 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,125.50 | $2,834.00 | $338.34 – $609.01 | 16 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,345.50 | $1,794.00 | $101.39 – $182.50 | 16 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $2,919.75 | $3,893.00 | $338.34 – $609.01 | 16 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $2,439.75 | $3,253.00 | $338.34 – $609.01 | 16 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $2,854.50 | $3,806.00 | $231.40 – $416.51 | 16 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $332.25 | $443.00 | $84.40 – $151.91 | 17 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $468.00 | $624.00 | $101.39 – $182.50 | 17 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $488.25 | $651.00 | $101.39 – $182.50 | 17 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $2,733.00 | $3,644.00 | $338.34 – $609.01 | 16 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $2,449.50 | $3,266.00 | $338.34 – $609.01 | 16 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,451.00 | $3,268.00 | $231.40 – $416.51 | 16 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $2,149.50 | $2,866.00 | $170.10 – $306.19 | 16 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $1,953.00 | $2,604.00 | $170.10 – $306.19 | 16 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $1,689.75 | $2,253.00 | $101.39 – $182.50 | 16 |
| Needle emg guid w/chemodenervation add-on CPT 95874 | $192.00 | $256.00 | $74.57 – $134.23 | 16 |
| Neg pres wound ther drsg set HCPCS A6550 | $38.12 | $50.81 | $33.70 – $60.66 | 16 |
| Neisseria meningitidis CPT 86741 | $433.50 | $578.00 | $13.19 – $23.74 | 17 |
| Nelarabine injection HCPCS J9261 | $2,265.28 | $3,020.37 | $52.71 – $154.24 | 17 |
| Neopatch or therion, 1 sq cm HCPCS Q4176 | not published | not published | $160.42 – $160.42 | 1 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $99.51 | $132.67 | $17.19 – $17.19 | 1 |
| Neox 100 or clarix 100 HCPCS Q4156 | not published | not published | $161.47 – $161.47 | 1 |
| Nerobehav stas exam by psy/md f2f 1st hr CPT 96116 | $336.00 | $448.00 | $209.40 – $376.92 | 16 |
| Nerve conduction 7-8 studies CPT 95910 | $2,094.75 | $2,793.00 | $361.89 – $651.40 | 16 |
| Nerve conduction studies 11-12 CPT 95912 | $3,394.50 | $4,526.00 | $361.89 – $651.40 | 16 |
| Nerve conduction studies 1-2 CPT 95907 | $744.00 | $992.00 | $209.40 – $376.92 | 16 |
| Nerve conduction studies 13+ CPT 95913 | $4,359.00 | $5,812.00 | $361.89 – $651.40 | 16 |
| Nerve conduction studies 3-4 CPT 95908 | $1,488.00 | $1,984.00 | $209.40 – $376.92 | 16 |
| Nerve conduction studies 5-6 CPT 95909 | $1,732.50 | $2,310.00 | $209.40 – $376.92 | 16 |
| Nerve conduction studies 9-10 CPT 95911 | $2,871.75 | $3,829.00 | $361.89 – $651.40 | 16 |
| Neuroeltrd stim post tibial CPT 64566 | $510.75 | $681.00 | $297.68 – $535.83 | 16 |
| Neurolysis celiac plexus CPT 64680 | $3,786.75 | $5,049.00 | $857.76 – $1,543.97 | 16 |
| Neurolysis trigeminal nerve CPT 64600 | $880.50 | $1,174.00 | $857.76 – $1,543.97 | 16 |
| Neuromatrix nerve cuff, cm HCPCS C9355 | $5,021.06 | $6,694.74 | not published | 0 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $441.75 | $589.00 | $124.79 – $224.62 | 16 |
| Nintedanib 150 mg capsule HCPCS J8999 | $107,150.23 | $142,866.97 | not published | 0 |
| N-invas est c ffr sw aly cta CPT 75580 | $1,010.25 | $1,347.00 | $832.81 – $1,499.05 | 16 |
| Nitrogen n-13 ammonia HCPCS A9526 | $914.25 | $1,219.00 | $6,076.71 – $6,076.71 | 1 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $74.88 | $99.84 | $11.61 – $11.61 | 1 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $29,956.95 | $39,942.59 | $33.62 – $80.32 | 17 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | $668.25 | $891.00 | $684.56 – $1,232.21 | 16 |
| Njx aa&/strd vagus nrv CPT 64408 | $288.00 | $384.00 | $297.68 – $535.83 | 16 |
| Njx cath slct p angrph mapca CPT 93575 | $1,301.25 | $1,735.00 | $88.18 – $158.73 | 16 |
| Njx cath slct p-art angrp bi CPT 93573 | $1,951.50 | $2,602.00 | $59.75 – $107.55 | 16 |
| Njx cath slct pulm vn angrph CPT 93574 | $1,301.25 | $1,735.00 | $65.65 – $118.17 | 16 |
| Njx cth slct p-art angrp uni CPT 93569 | $1,301.25 | $1,735.00 | $36.25 – $65.25 | 16 |
| Njx interlaminar crv/thrc CPT 62324 | $1,843.50 | $2,458.00 | $857.76 – $1,543.97 | 16 |
| Njx interlaminar crv/thrc CPT 62325 | $2,067.00 | $2,756.00 | $857.76 – $1,543.97 | 16 |
| Njx interlaminar lmbr/sac CPT 62326 | $1,953.00 | $2,604.00 | $857.76 – $1,543.97 | 16 |
| Njx interlaminar lmbr/sac CPT 62327 | $1,970.25 | $2,627.00 | $857.76 – $1,543.97 | 16 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $423.00 | $564.00 | $676.24 – $1,217.23 | 16 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,031.25 | $1,375.00 | $387.70 – $697.86 | 17 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $873.00 | $1,164.00 | $387.70 – $697.86 | 17 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $722.25 | $963.00 | $526.57 – $947.83 | 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.