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 |
|---|---|---|---|---|
| Proph rta dtchmnt pc CPT 67145 | $534.75 | $713.00 | $533.39 – $960.10 | 16 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $35.88 | $47.83 | $0.22 – $1.17 | 2 |
| _propoxygc/msur CPT 80367 | $173.25 | $231.00 | not published | 0 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $16.46 | $21.94 | $87.12 – $87.12 | 1 |
| Prostate biopsy, any mthd HCPCS G0416 | $525.00 | $700.00 | $347.62 – $625.72 | 16 |
| Prostatectomy (turp) CPT 52601 | $4,998.00 | $6,664.00 | $5,199.87 – $9,359.77 | 16 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $1,329.00 | $1,772.00 | $160.17 – $288.31 | 16 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $112.23 | $149.63 | $3.97 – $14.94 | 2 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $5,366.25 | $7,155.00 | not published | 0 |
| Protein c activity CPT 85303 | $90.00 | $120.00 | $13.84 – $24.91 | 17 |
| Protein c concentrate HCPCS J2724 | not published | not published | $3.65 – $3.65 | 1 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $60.75 | $81.00 | $10.74 – $19.33 | 17 |
| Protein s total CPT 85305 | $156.00 | $208.00 | $11.61 – $20.90 | 17 |
| Protein total 24 hour urine CPT 84156 | $51.75 | $69.00 | $3.67 – $6.61 | 17 |
| Protein total body fluid CPT 84157 | $81.75 | $109.00 | $4.00 – $7.20 | 17 |
| Protein total serum plasma whole blood CPT 84155 | $35.25 | $47.00 | $3.67 – $6.61 | 17 |
| Prothrombin complex kcentra HCPCS J7168 | $7,912.65 | $10,550.20 | $2.05 – $3.70 | 16 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $50.25 | $67.00 | $3.94 – $7.09 | 17 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $143.25 | $191.00 | $98.52 – $177.34 | 16 |
| Prq card revasc mi 1 vsl CPT 92941 | $21,910.50 | $29,214.00 | $583.47 – $1,050.25 | 16 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $28,167.00 | $37,556.00 | not published | 0 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $20,522.25 | $27,363.00 | $11,195.55 – $20,152.00 | 16 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $9,687.75 | $12,917.00 | $11,195.55 – $20,152.00 | 16 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | $3,865.50 | $5,154.00 | $17,778.02 – $32,000.44 | 16 |
| Prq trlml c athrc st angiop1 CPT 92933 | $20,522.25 | $27,363.00 | $17,778.02 – $32,000.44 | 16 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | $14,048.25 | $18,731.00 | $11,195.55 – $20,152.00 | 16 |
| Prq trluml c angiop 1art&/br CPT 92920 | $7,578.00 | $10,104.00 | $5,519.68 – $9,935.42 | 16 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $12,754.50 | $17,006.00 | $11,195.55 – $20,152.00 | 16 |
| Prq trluml revsc ch occ ant CPT 92943 | $20,522.25 | $27,363.00 | $11,195.55 – $20,152.00 | 16 |
| Pr removal drug delivery implant CPT 11982 | $738.75 | $985.00 | $433.23 – $779.82 | 16 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $134.25 | $179.00 | $129.03 – $232.25 | 16 |
| Pr removal intrauterine device CPT 58301 | $222.00 | $296.00 | $295.53 – $531.95 | 16 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $807.00 | $1,076.00 | $394.24 – $709.63 | 16 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $127.50 | $170.00 | $194.58 – $350.24 | 16 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $135.00 | $180.00 | $194.58 – $350.24 | 16 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $141.00 | $188.00 | $194.58 – $350.24 | 16 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $141.75 | $189.00 | $194.58 – $350.24 | 16 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,682.00 | $3,576.00 | $1,526.62 – $2,747.91 | 16 |
| PSA (Prostate) Test CPT 84153 | $168.75 | $225.00 | $18.39 – $33.10 | 17 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $206.25 | $275.00 | $172.14 – $309.84 | 16 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $266.25 | $355.00 | $172.14 – $309.84 | 16 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $328.50 | $438.00 | $172.14 – $309.84 | 16 |
| Psycl/nrpsyc tech 1st CPT 96138 | $210.75 | $281.00 | $433.23 – $779.82 | 16 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | $102.00 | $136.00 | $32.32 – $58.18 | 16 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $20.25 | $27.00 | $6.31 – $11.35 | 16 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $115.50 | $154.00 | $18.17 – $32.70 | 16 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $99.00 | $132.00 | $13.75 – $24.76 | 16 |
| Pt application of modality traction mechanical CPT 97012 | $119.25 | $159.00 | $13.84 – $24.92 | 16 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $130.50 | $174.00 | $39.39 – $70.90 | 16 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $100.50 | $134.00 | $28.19 – $50.74 | 16 |
| Pt wheelchair management each 15 minutes CPT 97542 | $72.75 | $97.00 | $29.79 – $53.62 | 16 |
| Pul art balloon repr percut CPT 92997 | $10,756.50 | $14,342.00 | $11,195.55 – $20,152.00 | 16 |
| Pul art balloon repr percut CPT 92998 | $4,956.00 | $6,608.00 | $272.10 – $489.78 | 16 |
| Pulmonary vent imaging CPT 78579 | $398.25 | $531.00 | $387.70 – $697.86 | 17 |
| Pulse ox continuous overnight monitoring CPT 94762 | $119.25 | $159.00 | $124.79 – $224.62 | 16 |
| Pulse ox multiple CPT 94761 | $112.50 | $150.00 | $4.00 – $7.19 | 16 |
| Pulse ox single CPT 94760 | $50.25 | $67.00 | $3.69 – $6.64 | 16 |
| Punc of shunt for asp or inj CPT 61070 | $668.25 | $891.00 | $684.56 – $1,232.21 | 16 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $117.00 | $156.00 | $129.03 – $232.25 | 16 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $382.50 | $510.00 | $394.24 – $709.63 | 16 |
| Puncture spinal lumbar diagnostic CPT 62270 | $867.75 | $1,157.00 | $684.56 – $1,232.21 | 16 |
| Puraply 1 sq cm HCPCS Q4195 | $18,720.00 | $24,960.00 | $120.69 – $262.65 | 17 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $172.89 – $172.89 | 1 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $543.75 | $725.00 | $74.72 – $134.50 | 16 |
| Pvb thoracic single inj site CPT 64461 | $668.25 | $891.00 | $684.56 – $1,232.21 | 16 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $29.11 | $38.81 | $31.13 – $133.47 | 2 |
| Pyruvate CPT 84210 | $97.50 | $130.00 | $14.48 – $26.06 | 17 |
| Pyruvate kinase CPT 84220 | $252.75 | $337.00 | $9.44 – $16.99 | 17 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,161.75 | $1,549.00 | $526.57 – $947.83 | 17 |
| Quant diff pulm perf w/imaging CPT 78597 | $805.50 | $1,074.00 | $387.70 – $697.86 | 17 |
| Quest t3 uptake CPT 84479 | $81.75 | $109.00 | $6.47 – $11.65 | 17 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $1,202.32 – $1,202.32 | 1 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | $3,103.43 | $4,137.90 | $352.44 – $1,167.61 | 17 |
| Rabies ig ht&sol human im/sc CPT 90377 | $8,111.40 | $10,815.19 | $242.18 – $577.10 | 17 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $11,649.94 | $15,533.25 | $275.18 – $648.49 | 17 |
| Racepinephrine hcl soln nebu 2.25% (base equivalent) HCPCS J7699 | $7.40 | $9.86 | not published | 0 |
| Radiation therapy dose plan CPT 77300 | $340.50 | $454.00 | $130.35 – $234.63 | 17 |
| Radiofq trsmtr for implt neu HCPCS L8683 | $6,750.00 | $9,000.00 | $7,785.65 – $14,014.17 | 16 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,333.50 | $1,778.00 | $526.57 – $1,694.37 | 17 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,455.00 | $1,940.00 | $526.57 – $1,694.37 | 17 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,187.25 | $1,583.00 | $526.57 – $947.83 | 17 |
| Radphm quant measure sgl area add-on CPT 78835 | $46.50 | $62.00 | $83.46 – $150.23 | 16 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | not published | not published | $181.21 – $181.21 | 1 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $221.76 – $221.76 | 1 |
| Rapid Strep Test CPT 87880 | $150.00 | $200.00 | $16.53 – $29.75 | 17 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $20,465.52 | $27,287.36 | $382.19 – $916.35 | 17 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $88,558.68 | $118,078.24 | $223.68 – $548.11 | 17 |
| Rbc count only automated CPT 85041 | $33.00 | $44.00 | $3.02 – $5.44 | 17 |
| Rbc deglycerolized each unit HCPCS P9039 | $1,011.00 | $1,348.00 | $313.00 – $563.40 | 16 |
| Rbc irradiated each unit HCPCS P9038 | $693.75 | $925.00 | $145.22 – $261.40 | 16 |
| Rbc mechanical fragility CPT 85547 | $277.50 | $370.00 | $8.60 – $15.48 | 17 |
| Rbc osmotic fragility CPT 85555 | $147.75 | $197.00 | $7.47 – $13.45 | 17 |
| Red blood cells each unit HCPCS P9021 | $1,056.75 | $1,409.00 | $150.57 – $271.03 | 16 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $602.25 | $803.00 | $184.91 – $332.84 | 16 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $693.75 | $925.00 | $265.41 – $477.74 | 16 |
| Red blood cells washed each unit HCPCS P9022 | $847.50 | $1,130.00 | $368.58 – $663.44 | 16 |
| Reduction of procidentia 45900 CPT 45900 | $889.50 | $1,186.00 | $901.87 – $1,623.37 | 16 |
| Refill maint impl spine pump CPT 95991 | $294.00 | $392.00 | $297.68 – $535.83 | 16 |
| Refill/maint pump/resvr syst CPT 96522 | $630.00 | $840.00 | $206.28 – $371.30 | 16 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $698.06 | $930.74 | $7.03 – $128.52 | 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.