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 |
|---|---|---|---|---|
| Anoscopy ablation lesion 46615 CPT 46615 | $1,365.00 | $1,820.00 | $2,691.84 – $4,845.30 | 16 |
| Anoscopy control bleeding 46614 CPT 46614 | $1,982.25 | $2,643.00 | $1,160.50 – $2,088.91 | 16 |
| Anoscopy remove fb 46608 CPT 46608 | $1,611.75 | $2,149.00 | $901.87 – $1,623.37 | 16 |
| Anoscopy remove lesion 46610 CPT 46610 | $2,770.50 | $3,694.00 | $2,691.84 – $4,845.30 | 16 |
| Ans parasymp & symp w/tilt CPT 95924 | $1,104.75 | $1,473.00 | $209.40 – $376.92 | 16 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $118.50 | $158.00 | $12.88 – $23.18 | 17 |
| Antibody elution rbc reference CPT 86860 | $147.75 | $197.00 | $165.22 – $297.40 | 16 |
| Antibody htlv/hiv confirm test CPT 86689 | $289.50 | $386.00 | $19.35 – $34.83 | 17 |
| Antibody htlv-i CPT 86687 | $210.75 | $281.00 | $9.09 – $16.36 | 17 |
| Antibody htlv-ii CPT 86688 | $210.75 | $281.00 | $14.00 – $25.20 | 17 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $694.50 | $926.00 | $18.37 – $33.07 | 17 |
| Antibody id rbc panel CPT 86870 | $277.50 | $370.00 | $347.62 – $625.72 | 16 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $159.00 | $212.00 | $12.87 – $23.17 | 17 |
| Antibody screen rbc CPT 86850 | $102.75 | $137.00 | $11.04 – $90.97 | 17 |
| Antidepressant not specified CPT 80338 | $198.75 | $265.00 | not published | 0 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $5,102.55 | $6,803.40 | $1.49 – $3.60 | 17 |
| Antihemophilic viii/vwf comp HCPCS J7186 | not published | not published | $2.97 – $2.97 | 1 |
| Anti-inhibitor HCPCS J7198 | $18,764.82 | $25,019.75 | $2.42 – $5.96 | 17 |
| Anti mog serum - sendout CPT 86362 | $355.50 | $474.00 | $12.05 – $21.69 | 16 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $117.00 | $156.00 | $12.05 – $21.69 | 16 |
| Antinuclear antibodies CPT 86038 | $97.50 | $130.00 | $12.09 – $21.76 | 17 |
| Antinuclear antibodies titer CPT 86039 | $81.75 | $109.00 | $11.16 – $20.09 | 17 |
| Antiphosphatidylserine antibody CPT 86148 | $62.25 | $83.00 | $16.07 – $28.93 | 17 |
| Antipsychotics nos 1-3 CPT 80342 | $240.75 | $321.00 | not published | 0 |
| Antistreptolysin o titer CPT 86060 | $84.75 | $113.00 | $7.30 – $13.14 | 17 |
| Antithrombin iii activity CPT 85300 | $222.75 | $297.00 | $11.85 – $21.33 | 17 |
| Antithrombin iii injection HCPCS J7197 | $6,858.87 | $9,145.15 | $4.10 – $9.93 | 17 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $17,349.88 | $23,133.17 | $5,292.43 – $12,201.91 | 17 |
| Antithymocyte globuln rabbit HCPCS J7511 | $4,139.25 | $5,518.99 | $1,023.12 – $2,425.21 | 17 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $548.25 | $731.00 | $101.39 – $182.50 | 17 |
| Apl(pml-rara) quant - sendout CPT 81315 | $1,187.25 | $1,583.00 | $207.31 – $373.16 | 17 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $1,990.50 | $2,654.00 | $2,000.97 – $3,601.74 | 16 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $1,130.25 | $1,507.00 | $95.88 – $172.59 | 16 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $557.25 | $743.00 | $32.45 – $58.40 | 16 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $2,133.75 | $2,845.00 | $2,000.97 – $3,601.74 | 16 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $1,417.50 | $1,890.00 | $82.09 – $147.77 | 16 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $545.25 | $727.00 | $24.57 – $44.23 | 16 |
| Application finger splntstatic 29130 CPT 29130 | $153.75 | $205.00 | $129.03 – $232.25 | 16 |
| Application long leg splint 29505 CPT 29505 | $129.75 | $173.00 | $157.59 – $283.67 | 16 |
| Application lower leg splint 29515 CPT 29515 | $112.50 | $150.00 | $157.59 – $283.67 | 16 |
| Application multi layer compression below knee (both sides) CPT 29581 | $377.25 | $503.00 | $157.59 – $283.67 | 16 |
| Application of forearm cast 29075 CPT 29075 | $300.75 | $401.00 | $271.25 – $488.24 | 16 |
| Application of long arm cast 29065 CPT 29065 | $342.00 | $456.00 | $271.25 – $488.24 | 16 |
| Application of long leg cast CPT 29355 | $480.75 | $641.00 | $271.25 – $488.24 | 16 |
| Application of long leg cast 29345 CPT 29345 | $420.75 | $561.00 | $271.25 – $488.24 | 16 |
| Application of paste boot 29580 CPT 29580 | $199.50 | $266.00 | $157.59 – $283.67 | 16 |
| Application short leg cast 29405 CPT 29405 | $359.25 | $479.00 | $271.25 – $488.24 | 16 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $1,682.25 | $2,243.00 | $716.75 – $1,290.15 | 16 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $1,441.50 | $1,922.00 | $716.75 – $1,290.15 | 16 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $470.25 | $627.00 | not published | 0 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $84.75 | $113.00 | $5.70 – $10.25 | 16 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $106.50 | $142.00 | $11.53 – $20.76 | 16 |
| Appl multlay comprs arm/hand CPT 29584 | $378.75 | $505.00 | $157.59 – $283.67 | 16 |
| Apply hand/wrist cast 29085 CPT 29085 | $249.00 | $332.00 | $157.59 – $283.67 | 16 |
| Apply rigid leg cast 29445 CPT 29445 | $270.75 | $361.00 | $271.25 – $488.24 | 16 |
| Apply short leg castambul type 29425 CPT 29425 | $323.25 | $431.00 | $271.25 – $488.24 | 16 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | not published | not published | $4.31 – $4.31 | 1 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $405.75 | $541.00 | $37.73 – $67.91 | 16 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $122.25 | $163.00 | $35.28 – $63.50 | 16 |
| Aquatic exercise - group charge CPT 97150 | $96.00 | $128.00 | $17.34 – $31.22 | 16 |
| Architect ecm px fx 1 sq cm HCPCS Q4147 | not published | not published | $358.33 – $358.33 | 1 |
| Arformoterol non-comp unit HCPCS J7605 | not published | not published | $1.92 – $1.92 | 1 |
| Argatroban esrd dialysis 1mg HCPCS J0884 | not published | not published | $1.78 – $1.78 | 1 |
| Argatroban nonesrd (auromed) HCPCS J0898 | $668.52 | $891.35 | $37.17 – $37.17 | 1 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $881.10 | $1,174.79 | $1.01 – $1.82 | 17 |
| Ar gene charac alleles CPT 81204 | $402.00 | $536.00 | $137.00 – $246.60 | 16 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | $11,842.72 | $15,790.29 | $3.32 – $8.11 | 17 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $1,536.75 | $2,049.00 | $338.34 – $609.01 | 16 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $1,476.00 | $1,968.00 | $101.39 – $182.50 | 16 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $752.25 | $1,003.00 | $101.39 – $182.50 | 17 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $4,375.05 | $5,833.39 | $14.24 – $142.02 | 2 |
| Artacent ac 1 sq cm HCPCS Q4190 | not published | not published | $314.98 – $314.98 | 1 |
| Artacent wound, per sq cm HCPCS Q4169 | not published | not published | $5,404.87 – $5,404.87 | 1 |
| Arterial blood draw/perc 36620 CPT 36620 | $350.25 | $467.00 | $40.31 – $72.55 | 16 |
| Artery-vein nonautograft CPT 36830 | $5,272.50 | $7,030.00 | $5,396.44 – $9,713.59 | 16 |
| Artery xray each vessel 7577426 CPT 75774 | $2,130.00 | $2,840.00 | $90.01 – $162.02 | 16 |
| Artery xray of abdomen 75726-26 CPT 75726 | $3,710.25 | $4,947.00 | $5,396.44 – $9,713.59 | 17 |
| Artery x-rays adrenal gland CPT 75731 | $2,823.75 | $3,765.00 | $863.01 – $5,511.82 | 17 |
| Artery x-rays adrenals CPT 75733 | $2,965.50 | $3,954.00 | $3,062.12 – $5,511.82 | 17 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $3,217.50 | $4,290.00 | $3,062.12 – $5,511.82 | 17 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $3,619.50 | $4,826.00 | $3,062.12 – $5,511.82 | 17 |
| Artery x-rays chest CPT 75756 | $7,113.00 | $9,484.00 | $3,062.12 – $5,511.82 | 17 |
| Artery x-rays lung CPT 75741 | $2,046.75 | $2,729.00 | $3,062.12 – $5,511.82 | 17 |
| Artery x-rays lungs CPT 75743 | $2,846.25 | $3,795.00 | $3,062.12 – $5,511.82 | 17 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $3,333.00 | $4,444.00 | $5,396.44 – $9,713.59 | 17 |
| Artery x-rays spine CPT 75705 | $10,069.50 | $13,426.00 | $5,396.44 – $9,713.59 | 17 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $624.00 | $832.00 | $297.68 – $535.83 | 16 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $486.75 | $649.00 | $684.56 – $1,232.21 | 16 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $564.75 | $753.00 | $297.68 – $535.83 | 16 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $543.75 | $725.00 | $297.68 – $535.83 | 16 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $501.00 | $668.00 | $297.68 – $535.83 | 16 |
| Artiss fibrin sealant HCPCS C9250 | $3,217.53 | $4,290.04 | $143.70 – $258.66 | 16 |
| Ascenda two piece catheter HCPCS C1772 | $32,280.75 | $43,041.00 | not published | 0 |
| Asp & inj w/heparin pleurx cath CPT 32999 | $1,135.50 | $1,514.00 | $608.36 – $1,095.05 | 16 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $2,259.75 | $3,013.00 | $2,027.25 – $3,649.06 | 16 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $485.25 | $647.00 | $297.68 – $535.83 | 16 |
| Aspirate pleura without imaging 32554 CPT 32554 | $914.25 | $1,219.00 | $608.36 – $1,095.05 | 16 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $840.75 | $1,121.00 | $686.75 – $1,236.14 | 16 |
| Aspiration peritonsillar abscess CPT 42999 | $236.25 | $315.00 | $229.70 – $413.45 | 16 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $680.25 | $907.00 | $686.75 – $1,236.14 | 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.