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 |
|---|---|---|---|---|
| Strapping of hand or finger CPT 29280 | $272.25 | $363.00 | $57.21 – $102.98 | 16 |
| Strapping of knee CPT 29530 | $198.75 | $265.00 | $129.03 – $232.25 | 16 |
| Strapping of toes 29550 CPT 29550 | $131.25 | $175.00 | $57.21 – $102.98 | 16 |
| Streptomycin injection HCPCS J3000 | not published | not published | $76.31 – $76.31 | 1 |
| Streptozocin injection HCPCS J9320 | $1,286.99 | $1,715.98 | $901.02 – $3,331.62 | 2 |
| Stress test pulmonary CPT 94618 | $309.00 | $412.00 | $129.03 – $232.25 | 16 |
| Str markers specimen anal CPT 81265 | $1,270.50 | $1,694.00 | $233.07 – $419.53 | 17 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $22.19 | $29.58 | $15.66 – $15.66 | 1 |
| Sulfonylurea screen qn-sendout CPT 80377 | $270.00 | $360.00 | not published | 0 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $167.98 | $223.97 | $1,469.61 – $1,469.61 | 1 |
| Support clav 29.6-40.5in med HCPCS L3650 | $105.75 | $141.00 | $88.92 – $160.06 | 16 |
| Supprelin la implant HCPCS J9226 | $185,546.55 | $247,395.39 | $41,173.43 – $110,893.99 | 17 |
| Surgical pathology level 1 gross examination only CPT 88300 | $96.75 | $129.00 | $28.05 – $50.49 | 16 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $168.75 | $225.00 | $36.22 – $65.20 | 16 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $182.25 | $243.00 | $50.54 – $90.97 | 16 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $184.50 | $246.00 | $50.54 – $90.97 | 16 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $472.50 | $630.00 | $347.62 – $625.72 | 16 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $996.75 | $1,329.00 | $781.35 – $1,406.43 | 16 |
| Susceptibility agar dilution per agent CPT 87181 | $134.25 | $179.00 | $4.75 – $8.55 | 17 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $22.50 | $30.00 | $4.75 – $8.55 | 17 |
| Susceptibility mic per plate CPT 87186 | $81.75 | $109.00 | $8.65 – $15.57 | 17 |
| Svc venogram s&i CPT 75827 | $2,241.75 | $2,989.00 | $863.01 – $2,747.91 | 17 |
| Swallowing Evaluation (Bedside) CPT 92610 | $383.25 | $511.00 | $81.27 – $146.28 | 16 |
| Swallowing Therapy Session CPT 92526 | $288.00 | $384.00 | $80.77 – $145.39 | 16 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $13.65 – $13.65 | 1 |
| Synvisc or synvisc-one HCPCS J7325 | $1,696.83 | $2,262.43 | $6.96 – $22.13 | 17 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $70.50 | $94.00 | $4.40 – $7.92 | 17 |
| System cardiomems hosp electronics HCPCS C2624 | $53,437.50 | $71,250.00 | not published | 0 |
| System pacing micra av HCPCS C1786 | $33,750.00 | $45,000.00 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $11,441.25 | $15,255.00 | not published | 0 |
| System sealant biosentry tract HCPCS C2613 | $900.00 | $1,200.00 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $46.50 | $62.00 | $16.94 – $30.49 | 17 |
| T3 (triiodothyronine) total CPT 84480 | $46.50 | $62.00 | $14.18 – $25.52 | 17 |
| T4 (thyroxine) free CPT 84439 | $78.00 | $104.00 | $9.02 – $16.24 | 17 |
| T4 (thyroxine) total CPT 84436 | $81.00 | $108.00 | $6.87 – $12.37 | 17 |
| Tacrol astagraf ex rel oral HCPCS J7508 | $2,970.47 | $3,960.62 | $1.41 – $4.95 | 2 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $8,369.30 | $11,159.06 | $4.45 – $15.57 | 2 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $12,682.80 | $16,910.40 | $0.37 – $2.16 | 2 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $874.23 | $1,165.63 | $259.96 – $638.27 | 17 |
| Tacrolimus therapeutic drug level CPT 80197 | $128.25 | $171.00 | $13.73 – $24.71 | 17 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $5,161.23 | $6,881.64 | $14.17 – $34.25 | 17 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $262.50 | $350.00 | $84.40 – $151.91 | 17 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | $25,827.38 | $34,436.50 | $73.94 – $179.00 | 17 |
| Talymed HCPCS Q4127 | not published | not published | $166.68 – $166.68 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,708.50 | $2,278.00 | $759.53 – $1,367.15 | 17 |
| Target gsa panel organ neop CPT 81445 | $1,182.75 | $1,577.00 | $597.91 – $1,076.24 | 17 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | $931.50 | $1,242.00 | $716.75 – $1,290.15 | 16 |
| Tavr perq femoral CPT 33361 | $14,986.50 | $19,982.00 | $1,065.65 – $1,918.17 | 16 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $959.55 | $1,279.39 | $0.25 – $0.71 | 17 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $357.75 | $477.00 | $100.00 – $180.00 | 17 |
| Tc-99m mebrofenin HCPCS A9537 | $1,248.75 | $1,664.99 | $1,021.14 – $1,021.14 | 1 |
| Tc-99m mertiatide HCPCS A9562 | $4,717.50 | $6,289.99 | $6,999.03 – $6,999.03 | 1 |
| Tc-99m pentetate dtpa HCPCS A9539 | $975.00 | $1,300.00 | $268.20 – $268.20 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $6,044.97 | $8,059.96 | $4,055.22 – $4,055.22 | 1 |
| Tc-99m sulfur colloid HCPCS A9541 | $3,734.48 | $4,979.30 | $3,191.58 – $3,191.58 | 1 |
| Tcd emboli detect w/inj CPT 93893 | $585.00 | $780.00 | $101.39 – $182.50 | 16 |
| Tcd emboli detect without inj CPT 93892 | $697.50 | $930.00 | $101.39 – $182.50 | 16 |
| T cells total count CPT 86359 | $108.00 | $144.00 | $37.73 – $67.91 | 17 |
| Tee w or without fol w/cont,cong HCPCS C8926 | $1,626.00 | $2,168.00 | $760.25 – $1,368.44 | 16 |
| Tee w or without fol w/cont, mon HCPCS C8927 | $900.00 | $1,200.00 | $760.25 – $1,368.44 | 16 |
| Telavancin injection HCPCS J3095 | $2,428.05 | $3,237.39 | $7.03 – $18.16 | 17 |
| Telehealth original site facility fee HCPCS Q3014 | $151.50 | $202.00 | not published | 0 |
| Temozolomide HCPCS J8700 | $1,918.68 | $2,558.23 | $0.88 – $2.52 | 2 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $3,438.61 | $4,584.81 | $10.40 – $25.29 | 17 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $78.57 – $78.57 | 1 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $29,758.74 | $39,678.32 | $197.44 – $418.48 | 17 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $6,439.63 – $6,439.63 | 1 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $68.57 | $91.42 | $6.67 – $70.11 | 2 |
| Tert gene targeted seq alys CPT 81345 | $347.25 | $463.00 | $185.20 – $333.36 | 16 |
| Test for chlorohydrocarbons CPT 82441 | $225.00 | $300.00 | $6.01 – $10.82 | 17 |
| Testicular imaging w/vasc flow CPT 78761 | $544.50 | $726.00 | $387.70 – $697.86 | 17 |
| Testosterone response panel CPT 80414 | $306.00 | $408.00 | $51.64 – $92.95 | 17 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $4.84 – $4.84 | 1 |
| Test stress cardiovascular tracing only CPT 93017 | $715.50 | $954.00 | $209.40 – $376.92 | 16 |
| Tetanus immune globulin inj HCPCS J1670 | $1,939.05 | $2,585.40 | $558.12 – $1,404.52 | 17 |
| Theophylline therapeutic drug level CPT 80198 | $96.00 | $128.00 | $14.14 – $25.45 | 17 |
| Therapy activation ipnss CPT 93150 | $90.00 | $120.00 | $92.20 – $165.96 | 16 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $114.75 | $153.00 | $33.33 – $59.99 | 16 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $117.00 | $156.00 | $27.87 – $50.17 | 16 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $50.25 | $67.00 | $35.12 – $63.21 | 16 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $48.00 | $64.00 | $30.31 – $54.56 | 16 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $208.50 | $278.00 | $170.10 – $356.07 | 17 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $23.67 | $31.56 | $4.33 – $22.14 | 2 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $244.50 | $326.00 | $84.40 – $151.91 | 17 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,287.00 | $1,716.00 | $608.36 – $1,095.05 | 16 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $1,161.00 | $1,548.00 | $387.70 – $697.86 | 17 |
| Thrombectmy crnry perq mechanical CPT 92973 | $3,142.50 | $4,190.00 | $80.65 – $145.16 | 16 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $4,995.00 | $6,660.00 | $5,519.68 – $9,935.42 | 16 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $8,133.75 | $10,845.00 | $11,195.55 – $20,152.00 | 16 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $12,329.25 | $16,439.00 | $17,778.02 – $32,000.44 | 16 |
| Thrombin time CPT 85670 | $88.50 | $118.00 | $5.77 – $10.39 | 17 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $58.50 | $78.00 | $6.47 – $11.65 | 17 |
| Thyroglobulin antibody CPT 86800 | $168.75 | $225.00 | $15.91 – $28.64 | 17 |
| Thyroid mets imag whole body CPT 78018 | $1,128.00 | $1,504.00 | $526.57 – $947.83 | 17 |
| Thyroid (TSH) Test CPT 84443 | $155.25 | $207.00 | $16.80 – $30.24 | 17 |
| Thyroid Ultrasound CPT 76536 | $736.50 | $982.00 | $101.39 – $182.50 | 17 |
| Thyroid uptake measurement CPT 78012 | $396.00 | $528.00 | $387.70 – $697.86 | 17 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $7,476.81 | $9,969.08 | $2,125.34 – $5,143.60 | 17 |
| Thyroxine binding globulin (tbg) CPT 84442 | $46.50 | $62.00 | $14.78 – $26.60 | 17 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $17,629.50 | $23,506.00 | not published | 0 |
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.