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 |
|---|---|---|---|---|
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $113,672.22 | $151,562.95 | $3,824.52 – $8,856.99 | 17 |
| Pelvic control pelvic sling HCPCS L2580 | $299.25 | $399.00 | $711.09 – $1,279.96 | 16 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,305.50 | $3,074.00 | $170.10 – $306.19 | 16 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,602.75 | $2,137.00 | $170.10 – $306.19 | 16 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,505.25 | $2,007.00 | $101.39 – $182.50 | 16 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,919.75 | $3,893.00 | $338.34 – $609.01 | 16 |
| Pelvic MRI (with contrast) CPT 72196 | $2,909.25 | $3,879.00 | $338.34 – $609.01 | 16 |
| Pelvic MRI (without contrast) CPT 72195 | $2,682.75 | $3,577.00 | $231.40 – $416.51 | 16 |
| Pelvic Ultrasound (complete) CPT 76856 | $736.50 | $982.00 | $101.39 – $182.50 | 17 |
| Pelvic Ultrasound (limited) CPT 76857 | $590.25 | $787.00 | $101.39 – $182.50 | 17 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $184.50 | $246.00 | $101.39 – $182.50 | 17 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $351.75 | $469.00 | $101.39 – $182.50 | 17 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $21,806.82 | $29,075.76 | $61.25 – $142.54 | 17 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $13,859.24 | $18,478.98 | $4.04 – $9.08 | 17 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $42.25 – $42.25 | 1 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $2,592.13 | $3,456.17 | $31.47 – $71.32 | 17 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $203.37 | $271.15 | $2.12 – $6.93 | 2 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $105.56 – $105.56 | 1 |
| Penile injection CPT 54235 | $345.00 | $460.00 | $242.30 – $436.15 | 16 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $26,765.44 | $35,687.25 | not published | 0 |
| Penile vascular study CPT 93980 | $948.75 | $1,265.00 | $101.39 – $182.50 | 16 |
| Penile vascular study CPT 93981 | $435.00 | $580.00 | $101.39 – $182.50 | 16 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | $572.10 | $762.79 | not published | 0 |
| Pentamidine non-comp unit HCPCS J2545 | $396.65 | $528.86 | $200.49 – $469.98 | 2 |
| Pentobarbital sodium inj HCPCS J2515 | $3,170.80 | $4,227.73 | $36.84 – $66.31 | 17 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $8,715.64 | $11,620.85 | $2,626.33 – $6,191.83 | 17 |
| Perc cryo ablate renal tum CPT 50593 | $8,862.75 | $11,817.00 | $10,308.81 – $18,555.86 | 16 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $23,011.50 | $30,682.00 | not published | 0 |
| Perc d-e cor stent ather br HCPCS C9603 | $16,909.50 | $22,546.00 | not published | 0 |
| Perc d-e cor stent ather s HCPCS C9602 | $23,085.00 | $30,780.00 | $17,778.02 – $32,000.44 | 16 |
| Perc drug-el cor stent bran HCPCS C9601 | $11,075.25 | $14,767.00 | not published | 0 |
| Perc drug-el cor stent sing HCPCS C9600 | $11,380.50 | $15,174.00 | $11,195.55 – $20,152.00 | 16 |
| Perc rf ablate renal tumor CPT 50592 | $5,871.75 | $7,829.00 | $5,862.95 – $10,553.31 | 16 |
| Percut ablate liver rf CPT 47382 | $9,437.25 | $12,583.00 | $5,862.95 – $10,553.31 | 16 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $321.71 | $428.94 | $100.28 – $379.44 | 2 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $2,676.75 | $3,569.00 | $177.52 – $319.54 | 16 |
| Peripheral vascular rehab CPT 93668 | $139.50 | $186.00 | $57.21 – $102.98 | 16 |
| Peri-proc device eval icd CPT 93287 | $378.00 | $504.00 | $48.64 – $87.55 | 16 |
| Peri-proc device eval pm CPT 93286 | $202.50 | $270.00 | $41.46 – $74.64 | 16 |
| Permanent tear duct plug HCPCS A4263 | $217.51 | $290.00 | not published | 0 |
| Perq art m-thrombect &/nfs CPT 61645 | $9,473.25 | $12,631.00 | $746.29 – $1,343.32 | 16 |
| Perq clsr tcat l atr apndge CPT 33340 | $7,520.25 | $10,027.00 | $601.25 – $1,082.26 | 16 |
| Perq dev breast 1st mr guide CPT 19287 | $4,495.50 | $5,994.00 | $686.75 – $1,236.14 | 16 |
| Perq dev breast 1st strtctc CPT 19283 | $2,148.75 | $2,865.00 | $686.75 – $1,236.14 | 16 |
| Perq p-art revsc 1 abnor bi CPT 33903 | $27,235.50 | $36,314.00 | $11,195.55 – $20,152.00 | 16 |
| Perq p-art revsc 1 abnor uni CPT 33902 | $44,278.50 | $59,038.00 | $17,778.02 – $32,000.44 | 16 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | $27,235.50 | $36,314.00 | $11,195.55 – $20,152.00 | 16 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | $27,235.50 | $36,314.00 | $11,195.55 – $20,152.00 | 16 |
| Perq p-art revsc each addl CPT 33904 | $13,844.25 | $18,459.00 | $254.60 – $458.28 | 16 |
| Perq plmt bile duct stent CPT 47538 | $12,221.25 | $16,295.00 | $5,862.95 – $10,553.31 | 16 |
| Perq plmt bile duct stent CPT 47539 | $9,694.50 | $12,926.00 | $5,862.95 – $10,553.31 | 16 |
| Perq plmt bile duct stent CPT 47540 | $12,561.75 | $16,749.00 | $5,862.95 – $10,553.31 | 16 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $591.75 | $789.00 | $242.30 – $436.15 | 16 |
| Perq transcath closure each CPT 93592 | $10,098.75 | $13,465.00 | $322.93 – $581.27 | 16 |
| Perq transcath septal reduxn CPT 93583 | $8,844.00 | $11,792.00 | $634.32 – $1,141.78 | 16 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $25,218.78 | $33,625.03 | $17.02 – $41.11 | 17 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $51,456.39 | $68,608.52 | $60.23 – $154.27 | 17 |
| Pet CT skull-mid thgh initial CPT 78815 | $2,581.50 | $3,442.00 | $1,386.76 – $2,496.17 | 16 |
| Pet CT whole body initial CPT 78816 | $2,999.25 | $3,999.00 | $1,386.76 – $2,496.17 | 16 |
| Pet fdg brain metoblic eval sb CPT 78608 | $3,126.75 | $4,169.00 | $1,386.76 – $2,496.17 | 16 |
| Pet image ltd area CPT 78811 | $2,478.75 | $3,305.00 | $1,255.55 – $2,259.99 | 16 |
| Pet image w/ct lmtd CPT 78814 | $2,528.25 | $3,371.00 | $1,386.76 – $2,496.17 | 16 |
| Pet scan brain perf study CPT 78609 | $2,343.00 | $3,124.00 | $69.63 – $125.33 | 16 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $1,024,537.50 | $1,366,050.00 | not published | 0 |
| Ph body fluid CPT 83986 | $85.50 | $114.00 | $3.58 – $6.44 | 17 |
| Phencyclidine (pcp) CPT 83992 | $402.75 | $537.00 | not published | 0 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $203.37 | $271.15 | $66.59 – $282.87 | 2 |
| Phenobarbital therapeutic drug level CPT 80184 | $105.00 | $140.00 | $15.30 – $27.54 | 17 |
| Phentolaine mesylate inj HCPCS J2760 | $1,028.40 | $1,371.19 | $257.45 – $1,062.44 | 17 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $58.80 | $78.39 | $0.09 – $0.09 | 1 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $299.92 – $299.92 | 1 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $7.71 | $10.28 | $1.58 – $5.67 | 2 |
| Phenytoin total therapeutic drug level CPT 80185 | $102.00 | $136.00 | $13.25 – $23.85 | 17 |
| Phlebotomy therapeutic CPT 99195 | $324.00 | $432.00 | $129.03 – $232.25 | 16 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $3,068.25 | $4,091.00 | $3,062.12 – $5,511.82 | 16 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $3,024.00 | $4,032.00 | $3,062.12 – $5,511.82 | 16 |
| Phosphorus CPT 84100 | $45.00 | $60.00 | $4.74 – $8.53 | 17 |
| Phosphorus 24 hour urine CPT 84105 | $97.50 | $130.00 | $5.78 – $10.40 | 17 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $273.00 | $364.00 | $93.86 – $168.94 | 16 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $276.00 | $368.00 | $93.86 – $168.94 | 16 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $276.00 | $368.00 | $93.86 – $168.94 | 16 |
| Physical Therapy Re-Evaluation CPT 97164 | $186.00 | $248.00 | $64.42 – $115.96 | 16 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $158.14 | $210.85 | $6.91 – $26.10 | 2 |
| Pin caspar distraction 12mm HCPCS C1821 | $53,100.00 | $70,800.00 | not published | 0 |
| Pinworm exam CPT 87172 | $24.75 | $33.00 | $4.27 – $7.69 | 17 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $407.95 | $543.93 | $2.68 – $10.62 | 2 |
| Place cath intracranial art CPT 36228 | $6,437.25 | $8,583.00 | $1,423.61 – $2,562.49 | 16 |
| Place cath xtrnl carotid CPT 36227 | $5,439.00 | $7,252.00 | $257.74 – $463.94 | 16 |
| Place duod/jej tube perc CPT 49441 | $1,695.00 | $2,260.00 | $1,860.96 – $3,349.72 | 16 |
| Place gastrostomy tube perc CPT 49440 | $1,547.25 | $2,063.00 | $1,860.96 – $3,349.72 | 16 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,562.25 | $2,083.00 | $1,601.72 – $2,883.09 | 16 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $1,417.50 | $1,890.00 | $153.44 – $276.20 | 16 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,795.50 | $2,394.00 | $686.75 – $1,236.14 | 16 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $3,433.50 | $4,578.00 | $2,027.25 – $3,649.06 | 16 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $1,051.50 | $1,402.00 | not published | 0 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $9,402.75 | $12,537.00 | $11,195.55 – $20,152.00 | 16 |
| Place ndl musc/tis for right CPT 20555 | $3,220.50 | $4,294.00 | $3,173.19 – $5,711.73 | 16 |
| Place slctv cath carotd art uni CPT 36224 | $8,814.75 | $11,753.00 | $5,396.44 – $9,713.59 | 16 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $5,230.50 | $6,974.00 | $3,062.12 – $5,511.82 | 16 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $8,200.50 | $10,934.00 | $5,396.44 – $9,713.59 | 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.