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 |
|---|---|---|---|---|
| Release of eye fluid CPT 67015 | $2,223.00 | $2,964.00 | $2,238.13 – $4,028.63 | 16 |
| Relocation skin pocket pm CPT 33222 | $1,749.00 | $2,332.00 | $2,000.97 – $3,601.74 | 16 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $2,406.04 | $3,208.05 | $6.90 – $16.36 | 17 |
| Rem endovas vena cava filter CPT 37193 | $4,993.50 | $6,658.00 | $3,062.12 – $5,511.82 | 16 |
| Rem interrog dev eval icpms CPT 93297 | $109.50 | $146.00 | $36.19 – $65.15 | 16 |
| Rem interrog dev eval scrms CPT 93298 | $109.50 | $146.00 | $36.19 – $65.15 | 16 |
| Rem interrog evl pm/ids CPT 93296 | $138.75 | $185.00 | $36.19 – $65.15 | 16 |
| Rem mntr physiol 1st dev supply ea 30 days CPT 99454 | $84.00 | $112.00 | $36.19 – $65.15 | 16 |
| Rem mntr physiol 1st set up pt educaj eqp CPT 99453 | $295.50 | $394.00 | $129.12 – $232.41 | 16 |
| Removal anal seton other marker 46030 CPT 46030 | $1,139.25 | $1,519.00 | $1,160.50 – $2,088.91 | 16 |
| Removal biliary drg cath CPT 47537 | $1,042.50 | $1,390.00 | $879.59 – $1,583.27 | 16 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $1,311.00 | $1,748.00 | $608.36 – $1,095.05 | 16 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $2,118.00 | $2,824.00 | $1,526.62 – $2,747.91 | 16 |
| Removal cerclage w/anes CPT 59871 | $279.75 | $373.00 | $3,139.36 – $5,650.86 | 16 |
| Removal cerumen impacted (both sides) CPT 69210 | $161.25 | $215.00 | $57.21 – $102.98 | 16 |
| Removal clot in graft oth/thn 35875 CPT 35875 | $6,324.75 | $8,433.00 | $5,396.44 – $9,713.59 | 16 |
| Removal clot in graft xcp 35876 CPT 35876 | $6,324.75 | $8,433.00 | $5,396.44 – $9,713.59 | 16 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $343.50 | $458.00 | $194.58 – $350.24 | 16 |
| Removal duct glbldr calculi CPT 47544 | $2,007.75 | $2,677.00 | $734.12 – $1,321.42 | 16 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $1,051.50 | $1,402.00 | $879.59 – $1,583.27 | 16 |
| Removal foreign body foot cmplx CPT 28193 | $1,957.50 | $2,610.00 | $1,601.72 – $2,883.09 | 16 |
| Removal foreign body foot subcutaneous right CPT 28190 | $873.00 | $1,164.00 | $686.75 – $1,236.14 | 16 |
| Removal of anal tags CPT 46230 | $3,208.50 | $4,278.00 | $2,691.84 – $4,845.30 | 16 |
| Removal of shunt CPT 49429 | $4,862.25 | $6,483.00 | $3,062.12 – $5,511.82 | 16 |
| Removal of skin tags each add'l 10 CPT 11201 | $384.00 | $512.00 | $17.68 – $31.83 | 16 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $8,001.75 | $10,669.00 | $10,136.35 – $18,245.42 | 16 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $153.75 | $205.00 | $194.58 – $350.24 | 16 |
| Removal sutr or stapl no anes CPT 15853 | $273.00 | $364.00 | $12.23 – $22.01 | 16 |
| Removal tunnled intprtnl cath CPT 49422 | $3,859.50 | $5,146.00 | $3,062.12 – $5,511.82 | 16 |
| Removal w/reinsrt nonbiogrdble CPT 11983 | $2,805.00 | $3,740.00 | $433.23 – $779.82 | 16 |
| Remove anal fist subq CPT 46270 | $7,293.00 | $9,724.00 | $2,691.84 – $4,845.30 | 16 |
| Remove bladder stone CPT 52317 | $5,094.00 | $6,792.00 | $3,418.53 – $6,153.35 | 16 |
| Remove bladder stone CPT 52318 | $3,368.25 | $4,491.00 | $3,418.53 – $6,153.35 | 16 |
| Remove cva lumen obstruct CPT 75902 | $1,578.00 | $2,104.00 | $79.94 – $143.89 | 16 |
| Remove hip foreign body 27086 CPT 27086 | $348.00 | $464.00 | $2,816.99 – $5,070.59 | 16 |
| Remove hip/pelvis lesion 27047 CPT 27047 | $2,790.00 | $3,720.00 | $2,816.99 – $5,070.59 | 16 |
| Remove renal tube w/fluoro CPT 50389 | $1,281.75 | $1,709.00 | $676.24 – $1,217.23 | 16 |
| Remove shoulder foreign body subq 23330 CPT 23330 | $1,566.00 | $2,088.00 | $1,601.72 – $2,883.09 | 16 |
| Remove spine eltrd perq aray CPT 63661 | $1,866.00 | $2,488.00 | $1,893.75 – $3,408.76 | 16 |
| Remove ureter stent percut CPT 50384 | $2,451.00 | $3,268.00 | $2,027.25 – $3,649.06 | 16 |
| Remove vaginal foreign body 57415 CPT 57415 | $2,774.25 | $3,699.00 | $3,139.36 – $5,650.86 | 16 |
| Renal function panel CPT 80069 | $135.00 | $180.00 | $8.68 – $15.62 | 17 |
| Renal venogram bil s&i CPT 75833 | $2,628.75 | $3,505.00 | $3,062.12 – $5,511.82 | 17 |
| Renin stimulation panel CPT 80417 | $89.25 | $119.00 | $43.99 – $79.18 | 17 |
| Repair blood vessel dir upper extr CPT 35206 | $3,068.25 | $4,091.00 | $3,062.12 – $5,511.82 | 16 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $969.00 | $1,292.00 | $394.24 – $709.63 | 16 |
| Repair detached retina CPT 67110 | $2,250.75 | $3,001.00 | $2,238.13 – $4,028.63 | 16 |
| Repair detached retina pc CPT 67105 | $666.75 | $889.00 | $533.39 – $960.10 | 16 |
| Repair eyelid wound CPT 67930 | $2,745.75 | $3,661.00 | $2,305.69 – $4,150.23 | 16 |
| Repair eyelid wound CPT 67935 | $3,552.00 | $4,736.00 | $2,305.69 – $4,150.23 | 16 |
| Repair finger tendon CPT 26433 | $3,126.75 | $4,169.00 | $3,173.19 – $5,711.73 | 16 |
| Repair lip full thkns =<one-half vert height CPT 40652 | $1,080.75 | $1,441.00 | $523.04 – $941.47 | 16 |
| Repair lip full thkns >one-half vert height/cmplx CPT 40654 | $3,512.25 | $4,683.00 | $1,504.73 – $2,708.51 | 16 |
| Repair of toe dislocation CPT 28675 | $3,126.75 | $4,169.00 | $3,173.19 – $5,711.73 | 16 |
| Repair pm/icd lead dual CPT 33220 | $3,691.50 | $4,922.00 | $3,624.10 – $6,523.39 | 16 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $217.50 | $290.00 | $229.70 – $413.45 | 16 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $837.75 | $1,117.00 | $523.04 – $941.47 | 16 |
| Repair stomach opening CPT 43870 | $3,709.50 | $4,946.00 | $3,739.04 – $6,730.27 | 16 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $3,126.75 | $4,169.00 | $3,173.19 – $5,711.73 | 16 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | $217.50 | $290.00 | $229.70 – $413.45 | 16 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | $6,911.25 | $9,215.00 | $7,037.08 – $12,666.74 | 16 |
| Replace aortic valve open femoral 33362 CPT 33362 | $18,614.25 | $24,819.00 | $1,161.00 – $2,089.80 | 16 |
| Replace aortic valve open iliac 33364 CPT 33364 | $18,614.25 | $24,819.00 | $1,247.68 – $2,245.83 | 16 |
| Replace aortic valve w/byp prq aprch 33367 CPT 33367 | $18,614.25 | $24,819.00 | $552.28 – $994.11 | 16 |
| Replace duod/jej tube perc CPT 49451 | $746.25 | $995.00 | $879.59 – $1,583.27 | 16 |
| Replace g/c tube perc CPT 49450 | $777.75 | $1,037.00 | $879.59 – $1,583.27 | 16 |
| Replace g-j tube perc CPT 49452 | $1,056.75 | $1,409.00 | $879.59 – $1,583.27 | 16 |
| Replace tunneled cv cath CPT 36578 | $4,001.25 | $5,335.00 | $3,062.12 – $5,511.82 | 16 |
| Reposg phrnc nrv stim trnsvn CPT 33281 | $3,353.25 | $4,471.00 | $3,390.52 – $6,102.94 | 16 |
| Reposition pm/icd lead CPT 33215 | $2,432.25 | $3,243.00 | $3,062.12 – $5,511.82 | 16 |
| Repriza, 1cm HCPCS Q4143 | not published | not published | $82.56 – $82.56 | 1 |
| Reptilase test CPT 85635 | $81.75 | $109.00 | $9.85 – $17.73 | 17 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | $4,119.02 | $5,492.02 | $11.53 – $25.73 | 17 |
| Resp virus 6-11 targets CPT 87632 | $844.50 | $1,126.00 | $218.06 – $392.51 | 17 |
| Restorigin 1 sq cm HCPCS Q4191 | not published | not published | $1,777.87 – $1,777.87 | 1 |
| Resuscitation delivery/birthing room CPT 99465 | $393.00 | $524.00 | $640.98 – $1,153.77 | 16 |
| Reticulated platelet assay CPT 85055 | $57.75 | $77.00 | $35.74 – $64.33 | 17 |
| Reticulocyte automated CPT 85045 | $28.50 | $38.00 | $3.99 – $7.18 | 17 |
| Revasc evasc fpvt angio cplx 1st CPT 37265 | $6,573.75 | $8,765.00 | $5,519.68 – $9,935.42 | 16 |
| Revasc evasc fpvt angio sf 1st CPT 37263 | $6,573.75 | $8,765.00 | $5,519.68 – $9,935.42 | 16 |
| Revasc evasc fpvt athrec cplx 1st CPT 37273 | $9,198.00 | $12,264.00 | $17,778.02 – $32,000.44 | 16 |
| Revasc evasc fpvt athrec sf 1st CPT 37271 | $9,198.00 | $12,264.00 | $17,778.02 – $32,000.44 | 16 |
| Revasc evasc fpvt st athrec sf 1st CPT 37275 | $17,082.75 | $22,777.00 | $17,778.02 – $32,000.44 | 16 |
| Revasc evasc fpvt stent cplx 1st CPT 37269 | $16,699.50 | $22,266.00 | $11,195.55 – $20,152.00 | 16 |
| Revasc evasc fpvt stent sf 1st CPT 37267 | $16,699.50 | $22,266.00 | $11,195.55 – $20,152.00 | 16 |
| Revasc evasc imvt angio cplx 1st CPT 37298 | $9,255.00 | $12,340.00 | $11,195.55 – $20,152.00 | 16 |
| Revasc evasc imvt angio sf 1st CPT 37296 | $9,255.00 | $12,340.00 | $11,195.55 – $20,152.00 | 16 |
| Revasc evasc ivt angio cplx 1st CPT 37256 | $8,049.00 | $10,732.00 | $5,519.68 – $9,935.42 | 16 |
| Revasc evasc ivt stent cplx 1st CPT 37260 | $17,457.00 | $23,276.00 | $11,195.55 – $20,152.00 | 16 |
| Revasc evasc ivt stent sf 1st CPT 37258 | $17,457.00 | $23,276.00 | $11,195.55 – $20,152.00 | 16 |
| Revasc evasc tpvt angio cplx 1st CPT 37282 | $8,235.00 | $10,980.00 | $11,195.55 – $20,152.00 | 16 |
| Revasc evasc tpvt angio sf 1st CPT 37280 | $8,235.00 | $10,980.00 | $11,195.55 – $20,152.00 | 16 |
| Revasc evasc tpvt athrec cplx 1st CPT 37290 | $12,046.50 | $16,062.00 | $17,778.02 – $32,000.44 | 16 |
| Revasc evasc tpvt athrec sf 1st CPT 37288 | $12,046.50 | $16,062.00 | $17,778.02 – $32,000.44 | 16 |
| Revasc intra lithotrip-ather HCPCS C9766 | $16,941.00 | $22,588.00 | $17,778.02 – $32,000.44 | 16 |
| Revasc intra lithotrip-stent HCPCS C9765 | $16,941.00 | $22,588.00 | $17,778.02 – $32,000.44 | 16 |
| Revasc intravasc lithotripsy HCPCS C9764 | $10,628.25 | $14,171.00 | $11,195.55 – $20,152.00 | 16 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $16,941.00 | $22,588.00 | $17,778.02 – $32,000.44 | 16 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $16,941.00 | $22,588.00 | $17,778.02 – $32,000.44 | 16 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $10,628.25 | $14,171.00 | $11,195.55 – $20,152.00 | 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.