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 |
|---|---|---|---|---|
| Place slctv cath subclavian art CPT 36225 | $4,298.25 | $5,731.00 | $3,062.12 – $5,511.82 | 16 |
| Place slctv cath vertebral art uni CPT 36226 | $7,640.25 | $10,187.00 | $5,396.44 – $9,713.59 | 16 |
| Platelet aggregation each agent teg CPT 85576 | $171.00 | $228.00 | $24.91 – $44.84 | 17 |
| Platelet automated CPT 85049 | $25.50 | $34.00 | $4.48 – $8.06 | 17 |
| Platelet pheresis each unit HCPCS P9034 | $842.25 | $1,123.00 | $308.96 – $556.13 | 16 |
| Platelet pheresis irr ea HCPCS P9036 | $1,659.00 | $2,212.00 | $949.13 – $1,708.43 | 16 |
| Platelets each unit HCPCS P9019 | $1,555.50 | $2,074.00 | $53.17 – $95.71 | 16 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,642.50 | $2,190.00 | $511.59 – $920.86 | 16 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,648.50 | $2,198.00 | $680.61 – $1,225.10 | 16 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $2,487.00 | $3,316.00 | $607.43 – $1,093.37 | 16 |
| Plcg2 gene common variants CPT 81320 | $972.00 | $1,296.00 | $291.36 – $524.45 | 16 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $8,288.25 | $11,051.00 | $3,472.27 – $6,250.09 | 16 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $14,461.50 | $19,282.00 | $1,284.34 – $2,311.81 | 16 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $8,547.00 | $11,396.00 | $3,418.53 – $6,153.35 | 16 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $10,283.25 | $13,711.00 | $3,418.53 – $6,153.35 | 16 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $4,002.00 | $5,336.00 | $713.70 – $1,284.66 | 16 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $776.25 | $1,035.00 | $686.75 – $1,236.14 | 16 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $385.50 | $514.00 | $268.07 – $482.52 | 16 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $4,002.00 | $5,336.00 | $286.95 – $516.50 | 16 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $4,300.50 | $5,734.00 | $421.19 – $758.13 | 16 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $1,640.25 | $2,187.00 | $264.34 – $475.82 | 16 |
| Plerixafor injection HCPCS J2562 | $36,856.95 | $49,142.59 | $32.74 – $290.77 | 17 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $368.25 | $491.00 | $361.89 – $651.40 | 16 |
| Plmt biliary drainage cath CPT 47534 | $8,671.50 | $11,562.00 | $3,472.27 – $6,250.09 | 16 |
| Plmt nephroureteral catheter CPT 50433 | $7,859.25 | $10,479.00 | $3,418.53 – $6,153.35 | 16 |
| Plmt ureteral stent prq CPT 50694 | $2,015.25 | $2,687.00 | $3,418.53 – $6,153.35 | 16 |
| Pm device progr eval dual CPT 93280 | $287.25 | $383.00 | $36.19 – $65.15 | 16 |
| Pm device progr eval multi CPT 93281 | $214.50 | $286.00 | $36.19 – $65.15 | 16 |
| Pmp22 gene dup/delet CPT 81324 | $1,054.50 | $1,406.00 | $758.36 – $1,365.05 | 17 |
| Pm phone r-strip device eval CPT 93293 | $124.50 | $166.00 | $36.19 – $65.15 | 16 |
| #pnh-flow cytometry interp CPT 88187 | $181.50 | $242.00 | $34.21 – $61.57 | 16 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $161.25 | $215.00 | $26.07 – $46.93 | 17 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $68,815.70 | $91,754.26 | $137.23 – $331.58 | 17 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $5,448.75 | $7,265.00 | $832.81 – $1,499.05 | 16 |
| Porfimer sodium injection HCPCS J9600 | $75,528.84 | $100,705.11 | $54,284.04 – $205,453.44 | 2 |
| Postpartum Care Only CPT 59430 | $888.00 | $1,184.00 | $250.75 – $451.35 | 16 |
| Potassium 24 hour urine CPT 84133 | $76.50 | $102.00 | $4.73 – $8.51 | 17 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $137.19 | $182.91 | $0.39 – $1.08 | 2 |
| Potassium serum/plasma/whole blood CPT 84132 | $73.50 | $98.00 | $4.76 – $8.57 | 17 |
| Pq biliary strict dil s&i CPT 74363 | $1,305.75 | $1,741.00 | not published | 0 |
| Pq dr cath chg w cont s&i CPT 75984 | $912.00 | $1,216.00 | $88.27 – $158.88 | 16 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $9,571.50 | $12,762.00 | $7,037.08 – $12,666.74 | 16 |
| Pq thr inj ext pse CPT 36002 | $554.25 | $739.00 | $608.36 – $1,095.05 | 16 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $2,154.00 | $2,872.00 | $689.08 – $1,240.35 | 16 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $2,694.75 | $3,593.00 | $3,173.19 – $5,711.73 | 16 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $2,961.00 | $3,948.00 | $3,173.19 – $5,711.73 | 16 |
| Pralatrexate injection HCPCS J9307 | $46,709.38 | $62,279.17 | $392.72 – $946.39 | 17 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $297.18 | $396.23 | $223.68 – $936.36 | 2 |
| Pr application of long arm splint CPT 29105 | $402.00 | $536.00 | $157.59 – $283.67 | 16 |
| Pr application splint static short arm CPT 29125 | $113.25 | $151.00 | $129.03 – $232.25 | 16 |
| Pr biopsy skin punch single lesion CPT 11104 | $307.50 | $410.00 | $394.24 – $709.63 | 16 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $72.75 | $97.00 | $36.34 – $65.41 | 16 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $2,577.00 | $3,436.00 | $3,418.53 – $6,153.35 | 16 |
| Prealbumin CPT 84134 | $114.00 | $152.00 | $14.59 – $26.26 | 17 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $3,856.50 | $5,141.99 | $0.66 – $3.78 | 2 |
| Prednisone 1 mg tablet HCPCS J7512 | $398.89 | $531.85 | $0.09 – $0.09 | 1 |
| Pregabalin - sendout CPT 80366 | $39.00 | $52.00 | not published | 0 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $2,492.25 | $3,323.00 | $1,860.96 – $3,349.72 | 16 |
| Pregnancy associated plasma protein-a CPT 84163 | $216.00 | $288.00 | $15.05 – $27.09 | 17 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $703.50 | $938.00 | $101.39 – $182.50 | 17 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $610.50 | $814.00 | $101.39 – $182.50 | 17 |
| Pregnancy Ultrasound (limited) CPT 76815 | $527.25 | $703.00 | $101.39 – $182.50 | 17 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $122.25 | $163.00 | $132.75 – $238.94 | 16 |
| Prepare sperm duct x-ray CPT 55300 | $1,261.50 | $1,682.00 | $161.92 – $291.45 | 16 |
| Prep skin to 100cm2 other CPT 15004 | $1,401.75 | $1,869.00 | $394.24 – $709.63 | 16 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $1,174.50 | $1,566.00 | $716.75 – $1,290.15 | 16 |
| Pressure max expiratory/inspiratory CPT 94799 | $116.25 | $155.00 | $124.79 – $224.62 | 16 |
| Pressure treatment esophagus CPT 43460 | $1,212.00 | $1,616.00 | $183.47 – $330.24 | 16 |
| Pressure velocity wire add ves CPT 93572 | $1,649.25 | $2,199.00 | not published | 0 |
| Pretreat rbc absorption reference CPT 86978 | $128.25 | $171.00 | $57.21 – $102.98 | 16 |
| Pretreat rbc w enzyme reference CPT 86971 | $312.00 | $416.00 | $165.22 – $297.40 | 16 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $216.00 | $288.00 | $62.20 – $111.96 | 16 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $2,569.50 | $3,426.00 | $1,601.72 – $2,883.09 | 16 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,092.75 | $1,457.00 | $394.24 – $709.63 | 16 |
| Prgrmg dev eval impltbl sys CPT 93260 | $420.75 | $561.00 | $36.19 – $65.15 | 16 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $141.75 | $189.00 | $36.19 – $65.15 | 16 |
| Prgrmg dev eval scrms ip CPT 93285 | $186.75 | $249.00 | $36.19 – $65.15 | 16 |
| Prgrmg eval implantable dfb CPT 93282 | $170.25 | $227.00 | $36.19 – $65.15 | 16 |
| Prgrmg eval implantable dfb CPT 93283 | $287.25 | $383.00 | $36.19 – $65.15 | 16 |
| Prgrmg eval implantable dfb CPT 93284 | $363.75 | $485.00 | $36.19 – $65.15 | 16 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $20,329.50 | $27,106.00 | $17,778.02 – $32,000.44 | 16 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $3,966.75 | $5,289.00 | $430.17 – $774.31 | 16 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $382.50 | $510.00 | $394.24 – $709.63 | 16 |
| Pr incision & drainage abscess simple/single CPT 10060 | $314.25 | $419.00 | $194.58 – $350.24 | 16 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $504.75 | $673.00 | $295.53 – $531.95 | 16 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $1,857.75 | $2,477.00 | $394.24 – $709.63 | 16 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $578.25 | $771.00 | $47.78 – $86.01 | 16 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $5,175.00 | $6,900.00 | not published | 0 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $1,611.15 | $2,148.19 | $214.81 – $472.95 | 17 |
| Procalcitonin CPT 84145 | $79.50 | $106.00 | $27.22 – $49.00 | 17 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $63.42 | $84.56 | $6.13 – $30.87 | 2 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $1.07 – $1.07 | 1 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | $5,358.75 | $7,145.00 | $1,160.50 – $2,088.91 | 16 |
| Proctosigmoidoscopy removal CPT 45308 | $2,967.75 | $3,957.00 | $2,691.84 – $4,845.30 | 16 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $3,251.25 | $4,335.00 | $2,691.84 – $4,845.30 | 16 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $310.43 – $310.43 | 1 |
| Progesterone CPT 84144 | $75.00 | $100.00 | $20.86 – $37.55 | 17 |
| Prolactin CPT 84146 | $127.50 | $170.00 | $19.38 – $34.88 | 17 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $45.00 | $60.00 | $31.17 – $56.11 | 16 |
| Promethazine hcl injection HCPCS J2550 | $10.99 | $14.65 | $6.96 – $32.31 | 2 |
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.