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 |
|---|---|---|---|---|
| Tigecycline injection HCPCS J3243 | $534.77 | $713.02 | $1.22 – $6.66 | 2 |
| Tilt table study CPT 93660 | $943.50 | $1,258.00 | $361.89 – $651.40 | 16 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | not published | not published | $8.32 – $8.32 | 1 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | $2,194,589.53 | $2,926,119.37 | $614,180.81 – $1,407,642.00 | 17 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $27,364.47 | $36,485.95 | $196.12 – $459.15 | 17 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $47.39 – $47.39 | 1 |
| Tissue culture placenta CPT 88235 | $6,844.50 | $9,126.00 | $150.30 – $270.54 | 17 |
| Tissue culture skin/biopsy CPT 88233 | $1,056.75 | $1,409.00 | $140.73 – $253.31 | 17 |
| Tissue culture tumor CPT 88239 | $773.25 | $1,031.00 | $147.52 – $265.54 | 17 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $2,516.07 | $3,354.75 | $120.69 – $217.24 | 16 |
| Tissue matrix xcm thk 20x30cm -cost per sq cm HCPCS Q4142 | $1,679.65 | $2,239.53 | $120.69 – $217.24 | 16 |
| Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm HCPCS C9358 | $6,114.24 | $8,152.32 | not published | 0 |
| Tissue transglutaminase iga CPT 86364 | $33.00 | $44.00 | $11.53 – $20.75 | 16 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $286.24 | $381.65 | $5.99 – $23.94 | 2 |
| Tobramycin non-comp unit HCPCS J7682 | $124.14 | $165.51 | $35.17 – $196.11 | 2 |
| Tobramycin peak therapeutic drug level CPT 80200 | $88.50 | $118.00 | $16.13 – $29.03 | 17 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | not published | not published | $14.07 – $14.07 | 1 |
| Toe X-ray (both feet) CPT 73660 | $186.75 | $249.00 | $84.40 – $151.91 | 17 |
| Tomosynthesis breast screen bilateral CPT 77063 | $84.75 | $113.00 | $48.47 – $87.24 | 16 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $517.65 | $690.20 | $3.26 – $7.02 | 2 |
| Topotecan oral HCPCS J8705 | not published | not published | $304.01 – $304.01 | 1 |
| Total tau CPT 84394 | $504.00 | $672.00 | $128.92 – $232.06 | 16 |
| Tot estradiol response panel CPT 80415 | $324.75 | $433.00 | $55.89 – $100.60 | 17 |
| Toxoplasma antibody igg CPT 86777 | $51.75 | $69.00 | $14.39 – $25.90 | 17 |
| Toxoplasma antibody igm CPT 86778 | $93.00 | $124.00 | $14.41 – $25.94 | 17 |
| Tpmt gene com vrnts CPT 81335 | $782.25 | $1,043.00 | $174.81 – $314.66 | 17 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $13,641.34 | $18,188.45 | $391.07 – $932.37 | 17 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $1,497.75 | $1,997.00 | $523.04 – $941.47 | 16 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $101.25 | $135.00 | $53.67 – $96.60 | 16 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $77.65 | $103.53 | not published | 0 |
| Transabdom amnioinfus w/us CPT 59070 | $338.25 | $451.00 | $295.53 – $531.95 | 16 |
| Transcath biopsy CPT 37200 | $8,130.75 | $10,841.00 | $5,396.44 – $9,713.59 | 16 |
| Transcath closure of asd CPT 93580 | $11,268.00 | $15,024.00 | $17,778.02 – $32,000.44 | 16 |
| Transcatheter bx s&i CPT 75970 | $3,087.75 | $4,117.00 | not published | 0 |
| Transcath mv repair init prosthesis CPT 33418 | $11,292.00 | $15,056.00 | $1,558.27 – $2,804.88 | 16 |
| Transcath occlusion cns CPT 61624 | $5,503.50 | $7,338.00 | $17,778.02 – $32,000.44 | 16 |
| Transcath occlusion non-cns CPT 61626 | $16,788.75 | $22,385.00 | $11,195.55 – $20,152.00 | 16 |
| Transferrin CPT 84466 | $98.25 | $131.00 | $12.76 – $22.97 | 17 |
| Transorl lwr esophgl myotomy CPT 43497 | $5,814.75 | $7,753.00 | $5,887.56 – $10,597.60 | 16 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $704.25 | $939.00 | $101.39 – $182.50 | 17 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $703.50 | $938.00 | $101.39 – $182.50 | 17 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $5,762.28 | $7,683.03 | $73.43 – $185.42 | 17 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $12,199.65 | $16,266.19 | $56.38 – $105.32 | 17 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | not published | not published | $69.64 – $69.64 | 1 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $1,094.25 | $1,459.00 | not published | 0 |
| Treat ankle dislocation CPT 27842 | $1,560.00 | $2,080.00 | $1,559.43 – $2,806.97 | 16 |
| Treat elbow dislocation CPT 24605 | $1,513.50 | $2,018.00 | $1,559.43 – $2,806.97 | 16 |
| Treat elbow fracture CPT 24620 | $1,513.50 | $2,018.00 | $1,559.43 – $2,806.97 | 16 |
| Treat finger fracture each CPT 26742 | $1,513.50 | $2,018.00 | $1,559.43 – $2,806.97 | 16 |
| Treat foot dislocation CPT 28570 | $261.75 | $349.00 | $239.22 – $430.59 | 16 |
| Treat fracture of radius CPT 25505 | $1,514.25 | $2,019.00 | $1,559.43 – $2,806.97 | 16 |
| Treat fracture of radius CPT 25520 | $1,815.75 | $2,421.00 | $1,559.43 – $2,806.97 | 16 |
| Treat fracture of ulna CPT 25535 | $2,169.75 | $2,893.00 | $239.22 – $430.59 | 16 |
| Treat hip dislocation CPT 27252 | $1,513.50 | $2,018.00 | $1,559.43 – $2,806.97 | 16 |
| Treat humerus fracture CPT 24535 | $1,815.75 | $2,421.00 | $1,559.43 – $2,806.97 | 16 |
| Treat humerus fracture CPT 24565 | $1,815.75 | $2,421.00 | $1,559.43 – $2,806.97 | 16 |
| Treat knee dislocation CPT 27552 | $1,815.75 | $2,421.00 | $1,559.43 – $2,806.97 | 16 |
| Treat knee fracture 27530 CPT 27530 | $296.25 | $395.00 | $239.22 – $430.59 | 16 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $1,886.25 | $2,515.00 | $3,139.36 – $5,650.86 | 16 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $176.25 | $235.00 | $129.03 – $232.25 | 16 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $141.00 | $188.00 | $15.28 – $27.50 | 16 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | $2,551.50 | $3,402.00 | $3,139.36 – $5,650.86 | 16 |
| Treatment of ankle fracture 27786 CPT 27786 | $284.25 | $379.00 | $239.22 – $430.59 | 16 |
| Treatment of foot infection CPT 28002 | $1,560.75 | $2,081.00 | $1,559.43 – $2,806.97 | 16 |
| Treatment of miscarriage CPT 59821 | $2,778.00 | $3,704.00 | $3,139.36 – $5,650.86 | 16 |
| Treatment of thigh fracture CPT 27501 | $732.75 | $977.00 | $239.22 – $430.59 | 16 |
| Treatment of thigh fracture CPT 27510 | $2,093.25 | $2,791.00 | $1,559.43 – $2,806.97 | 16 |
| Treatment of toe fracture 28510 CPT 28510 | $249.75 | $333.00 | $239.22 – $430.59 | 16 |
| Treatment x10sv retinopathy CPT 67228 | $561.75 | $749.00 | $533.39 – $960.10 | 16 |
| Treat thigh fracture CPT 27230 | $261.75 | $349.00 | $239.22 – $430.59 | 16 |
| Treat thigh fracture CPT 27240 | $1,411.50 | $1,882.00 | $1,559.43 – $2,806.97 | 16 |
| Treat thigh fx growth plate CPT 27517 | $1,815.75 | $2,421.00 | $1,559.43 – $2,806.97 | 16 |
| Treat ulnar fracture CPT 24675 | $2,730.00 | $3,640.00 | $1,559.43 – $2,806.97 | 16 |
| Treat vaginal bleeding CPT 57180 | $195.75 | $261.00 | $196.07 – $352.92 | 16 |
| Treat wrist bone fracture CPT 25635 | $1,513.50 | $2,018.00 | $1,559.43 – $2,806.97 | 16 |
| Treponema pallidum antibody CPT 86780 | $122.25 | $163.00 | $13.24 – $23.83 | 17 |
| Treprostinil injection HCPCS J3285 | $21,186.46 | $28,248.61 | $55.19 – $135.04 | 17 |
| Treprostinil, non-comp unit HCPCS J7686 | $12,632.52 | $16,843.36 | $1,947.57 – $6,572.88 | 2 |
| Trg gene rearrangement anal CPT 81342 | $732.00 | $976.00 | $201.50 – $362.70 | 17 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $162.88 | $217.17 | $2.09 – $8.55 | 2 |
| Triamcinolone a inj prs-free HCPCS J3300 | $3,235.98 | $4,314.64 | $18.78 – $59.63 | 17 |
| Trichinella antibody CPT 86784 | $125.25 | $167.00 | $12.56 – $22.61 | 17 |
| Triglycerides CPT 84478 | $59.25 | $79.00 | $5.74 – $10.33 | 17 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | not published | not published | $13.12 – $13.12 | 1 |
| Trimethobenzamide hcl inj HCPCS J3250 | $191.20 | $254.93 | $129.98 – $430.56 | 2 |
| Trim nail(s) HCPCS G0127 | $57.75 | $77.00 | $57.21 – $102.98 | 16 |
| Trim nondyst nails CPT 11719 | $295.50 | $394.00 | $57.21 – $102.98 | 16 |
| Triptorelin pamoate HCPCS J3315 | $16,454.18 | $21,938.90 | $469.38 – $1,197.26 | 17 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | $12,715.50 | $16,954.00 | $12,450.95 – $22,411.72 | 16 |
| Trml dstrj ios bvn ea addl CPT 64629 | $8,477.25 | $11,303.00 | $164.71 – $296.48 | 16 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $6,395.25 | $8,527.00 | $841.82 – $1,515.27 | 16 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $7,863.00 | $10,484.00 | $877.04 – $1,578.68 | 16 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $5,642.25 | $7,523.00 | $1,125.53 – $2,025.95 | 16 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $5,934.75 | $7,913.00 | $1,525.60 – $2,746.07 | 16 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $8,450.25 | $11,267.00 | $11,195.55 – $20,152.00 | 16 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $3,837.75 | $5,117.00 | $3,062.12 – $5,511.82 | 16 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $6,396.00 | $8,528.00 | $5,396.44 – $9,713.59 | 16 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $3,692.25 | $4,923.00 | $3,062.12 – $5,511.82 | 16 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $4,196.25 | $5,595.00 | $3,062.12 – $5,511.82 | 16 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $2,462.25 | $3,283.00 | $3,062.12 – $5,511.82 | 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.