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 |
|---|---|---|---|---|
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $4,050.00 | $5,400.00 | not published | 0 |
| Sialolithotomy 42330 CPT 42330 | $8,793.00 | $11,724.00 | $3,215.33 – $5,787.60 | 16 |
| Sickling rbc CPT 85660 | $102.75 | $137.00 | $5.51 – $9.92 | 17 |
| Sigmoidoscopy and biopsy CPT 45331 | $1,265.25 | $1,687.00 | $901.87 – $1,623.37 | 16 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $882.75 | $1,177.00 | $901.87 – $1,623.37 | 16 |
| Sigmoidoscopy for bleeding CPT 45334 | $1,594.50 | $2,126.00 | $1,160.50 – $2,088.91 | 16 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $1,365.75 | $1,821.00 | $901.87 – $1,623.37 | 16 |
| Sigmoidoscopy w/ablation CPT 45346 | $2,029.50 | $2,706.00 | $1,160.50 – $2,088.91 | 16 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $1,370.25 | $1,827.00 | $1,160.50 – $2,088.91 | 16 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | $5,678.25 | $7,571.00 | $5,887.56 – $10,597.60 | 16 |
| Sigmoidoscopy w/resection CPT 45349 | $2,712.75 | $3,617.00 | $2,691.84 – $4,845.30 | 16 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $1,848.75 | $2,465.00 | $1,160.50 – $2,088.91 | 16 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $1,746.00 | $2,328.00 | $901.87 – $1,623.37 | 16 |
| Sigmoidoscopy w/us guide bx CPT 45342 | $2,314.50 | $3,086.00 | $1,160.50 – $2,088.91 | 16 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $1,976.25 | $2,635.00 | $901.87 – $1,623.37 | 16 |
| Sig w/tndsc balloon dilation CPT 45340 | $2,136.00 | $2,848.00 | $1,160.50 – $2,088.91 | 16 |
| Simple cystometrogram 51725 CPT 51725 | $1,056.00 | $1,408.00 | $242.30 – $436.15 | 16 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $456.17 | $608.22 | $330.95 – $1,197.90 | 2 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,931.25 | $2,575.00 | $170.10 – $306.19 | 16 |
| Sinus CT scan (with contrast) CPT 70487 | $1,689.75 | $2,253.00 | $170.10 – $306.19 | 16 |
| Sinus CT scan (without contrast) CPT 70486 | $1,650.00 | $2,200.00 | $101.39 – $182.50 | 16 |
| Sinus/juglr venogram s&i CPT 75860 | $1,914.75 | $2,553.00 | $3,062.12 – $5,511.82 | 17 |
| Sinus X-ray (complete) CPT 70220 | $377.25 | $503.00 | $84.40 – $151.91 | 17 |
| Sinus X-ray (limited) CPT 70210 | $267.00 | $356.00 | $84.40 – $151.91 | 17 |
| Sipuleucel-t - su HCPCS Q2043 | $95,750.46 | $127,667.28 | $56,269.19 – $136,172.49 | 17 |
| Sirolimus, oral HCPCS J7520 | $12,667.27 | $16,889.69 | $2.31 – $24.03 | 2 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $375.75 | $501.00 | not published | 0 |
| Skel musc relaxant 3 or more CPT 80370 | $27.75 | $37.00 | not published | 0 |
| Skin Biopsy CPT 11102 | $303.75 | $405.00 | $394.24 – $709.63 | 16 |
| Skull X-ray (1 to 3 views) CPT 70250 | $262.50 | $350.00 | $101.39 – $182.50 | 17 |
| Skull X-ray (complete) CPT 70260 | $410.25 | $547.00 | $101.39 – $182.50 | 17 |
| Skyla, 13.5 mg HCPCS J7301 | $3,739.59 | $4,986.11 | $10,402.74 – $10,402.74 | 1 |
| Sleep study attended CPT 95807 | $316.50 | $422.00 | $361.89 – $651.40 | 16 |
| Sleep Study (Polysomnography) CPT 95810 | $6,070.50 | $8,094.00 | $832.81 – $1,499.05 | 16 |
| Sleep study unattended CPT 95806 | $303.75 | $405.00 | $209.40 – $376.92 | 16 |
| Sleeve fing rolyan med HCPCS L3933 | $32.25 | $43.00 | $284.23 – $511.61 | 16 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $30.35 | $40.46 | $10.98 – $19.76 | 16 |
| Sling suprapubic suburetheral HCPCS C1771 | $21,217.50 | $28,290.00 | not published | 0 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $551.25 | $735.00 | $161.25 – $306.19 | 17 |
| Small bowel endoscopy CPT 44360 | $1,497.75 | $1,997.00 | $1,860.96 – $3,349.72 | 16 |
| Small bowel endoscopy CPT 44364 | $2,108.25 | $2,811.00 | $1,860.96 – $3,349.72 | 16 |
| Small bowel endoscopy CPT 44366 | $2,289.75 | $3,053.00 | $1,860.96 – $3,349.72 | 16 |
| Small bowel endoscopy CPT 44369 | $1,830.75 | $2,441.00 | $1,860.96 – $3,349.72 | 16 |
| Small bowel endoscopy CPT 44376 | $1,757.25 | $2,343.00 | $1,860.96 – $3,349.72 | 16 |
| Small bowel endoscopy CPT 44378 | $2,350.50 | $3,134.00 | $1,860.96 – $3,349.72 | 16 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | $1,785.75 | $2,381.00 | $1,860.96 – $3,349.72 | 16 |
| Small bowel endoscopy 44365 CPT 44365 | $2,040.75 | $2,721.00 | $1,860.96 – $3,349.72 | 16 |
| Small bowel endoscopy/biopsy CPT 44361 | $2,400.00 | $3,200.00 | $1,860.96 – $3,349.72 | 16 |
| Small bowel endoscopy/biopsy CPT 44377 | $1,838.25 | $2,451.00 | $1,860.96 – $3,349.72 | 16 |
| Small bowel endoscopy br/wa CPT 44380 | $1,249.50 | $1,666.00 | $879.59 – $1,583.27 | 16 |
| Small bowel endoscopy br/wa CPT 44381 | $1,848.75 | $2,465.00 | $1,860.96 – $3,349.72 | 16 |
| Small bowel endoscopy/stent 44370 CPT 44370 | $5,506.50 | $7,342.00 | $5,887.56 – $10,597.60 | 16 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $83.25 | $111.00 | $5.39 – $9.70 | 17 |
| Smear gram stain CPT 87205 | $60.75 | $81.00 | $4.27 – $7.69 | 17 |
| Smear nasal eosinophil CPT 89190 | $37.50 | $50.00 | $5.79 – $10.42 | 17 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $42.75 | $57.00 | $5.99 – $10.78 | 17 |
| Smear wet mount CPT 87210 | $77.25 | $103.00 | $5.82 – $10.48 | 17 |
| Snrpn/ube3a gene CPT 81331 | $376.50 | $502.00 | $51.07 – $91.93 | 17 |
| Sodium 24 hour urine CPT 84300 | $47.25 | $63.00 | $5.06 – $9.11 | 17 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $33.28 | $44.37 | $5.53 – $24.21 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $20.34 | $27.12 | $3.33 – $12.15 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $19.42 | $25.89 | $1.73 – $6.03 | 2 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $11.10 | $14.79 | $0.63 – $0.63 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $28.46 | $37.94 | $5.28 – $21.33 | 2 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $651.32 | $868.42 | $178.61 – $657.90 | 2 |
| Sodium serum/plasma/whole blood CPT 84295 | $44.25 | $59.00 | $4.81 – $8.66 | 17 |
| So gsap cll fr dna/dna&rna CPT 81462 | $2,242.50 | $2,990.00 | $1,195.83 – $2,152.49 | 16 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | $1,137.00 | $1,516.00 | $1,046.35 – $1,883.43 | 16 |
| Somatosensory testing CPT 95927 | $1,130.25 | $1,507.00 | $209.40 – $376.92 | 16 |
| Somatropin injection HCPCS J2941 | $2,600.83 | $3,467.77 | $1,471.95 – $1,471.95 | 1 |
| Sotalol hydrochloride IV HCPCS C9482 | $13,396.05 | $17,861.39 | $186.39 – $186.39 | 1 |
| Special casting material HCPCS A4590 | $357.75 | $477.00 | not published | 0 |
| Specimen fat stain CPT 89125 | $39.75 | $53.00 | $5.88 – $10.58 | 17 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $351.00 | $468.00 | $217.95 – $392.30 | 16 |
| Speech evaluation complex CPT 70371 | $691.50 | $922.00 | $231.40 – $416.51 | 17 |
| Speech Therapy Session (one-on-one) CPT 92507 | $288.00 | $384.00 | $73.34 – $132.01 | 16 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,416.00 | $1,888.00 | $684.56 – $1,232.21 | 16 |
| Spine X-ray (single view, one level) CPT 72020 | $254.25 | $339.00 | $84.40 – $151.91 | 17 |
| Spirometry up to 2 yrs old CPT 94011 | $1,005.75 | $1,341.00 | $124.79 – $224.62 | 16 |
| Spleen imaging CPT 78185 | $390.75 | $521.00 | $387.70 – $697.86 | 17 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $48.75 | $65.00 | $592.42 – $1,066.36 | 16 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $93.00 | $124.00 | $74.01 – $133.22 | 16 |
| Splint finger frog med HCPCS L3927 | $73.50 | $98.00 | $46.60 – $83.88 | 16 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $35.25 | $47.00 | $130.42 – $234.76 | 16 |
| Split blood or products CPT 86985 | $471.75 | $629.00 | $165.22 – $297.40 | 16 |
| Sputum specimen collection CPT 89220 | $337.50 | $450.00 | $165.22 – $297.40 | 16 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $318.75 | $425.00 | $105.70 – $190.26 | 16 |
| Staph a dna amp probe CPT 87640 | $135.00 | $180.00 | $35.09 – $63.16 | 17 |
| Static or dynami afo pre ots HCPCS L4397 | $87.09 | $116.12 | $245.21 – $441.38 | 16 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $279.00 | $372.00 | $98.99 – $178.18 | 16 |
| Stem cells total count CPT 86367 | $102.75 | $137.00 | $77.78 – $140.00 | 17 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $47,137.50 | $62,850.00 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $5,076.00 | $6,768.00 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $38,815.81 | $51,754.41 | not published | 0 |
| Sterile water/saline, 500 ml HCPCS A4217 | $28.11 | $37.47 | $4.47 – $8.05 | 16 |
| St evaluate speech sound production CPT 92522 | $273.00 | $364.00 | $107.86 – $194.16 | 16 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $480.00 | $640.00 | $87.52 – $157.54 | 16 |
| Stimulants synthetic CPT 80371 | $62.25 | $83.00 | not published | 0 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $616.50 | $822.00 | $387.70 – $697.86 | 17 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $145.50 | $194.00 | $157.59 – $283.67 | 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.