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 |
|---|---|---|---|---|
| Assay acid phosphatase CPT 84060 | $62.25 | $83.00 | $7.64 – $13.75 | 17 |
| Assay alkaline phosphatase CPT 84078 | $63.00 | $84.00 | $8.26 – $14.87 | 17 |
| Assay dir meas fr estradiol CPT 82681 | $281.25 | $375.00 | $27.94 – $50.29 | 16 |
| Assay duodenal fluid trypsin CPT 84485 | $195.00 | $260.00 | $7.20 – $12.96 | 17 |
| Assay of adp & amp CPT 82030 | $246.75 | $329.00 | $25.80 – $46.44 | 17 |
| Assay of breath ethanol CPT 82075 | $105.00 | $140.00 | $30.00 – $54.00 | 17 |
| Assay of digoxin free CPT 80163 | $27.00 | $36.00 | $13.28 – $23.90 | 17 |
| Assay of fluoride CPT 82735 | $241.50 | $322.00 | $18.54 – $33.37 | 17 |
| Assay of galactose CPT 82760 | $307.50 | $410.00 | $11.20 – $20.16 | 17 |
| Assay of glucosidase CPT 82963 | $1,008.00 | $1,344.00 | $21.48 – $38.66 | 17 |
| Assay of glutathione CPT 82978 | $252.75 | $337.00 | $15.45 – $27.81 | 17 |
| Assay of interleukin-6 (il-6) CPT 83529 | $45.00 | $60.00 | $17.27 – $31.09 | 16 |
| Assay of leflunomide CPT 80193 | $153.00 | $204.00 | $38.57 – $69.43 | 16 |
| Assay of lrh hormone CPT 83727 | $602.25 | $803.00 | $17.19 – $30.94 | 17 |
| Assay of osteocalcin CPT 83937 | $117.00 | $156.00 | $29.85 – $53.73 | 17 |
| Assay of procainamide w/metab CPT 80192 | $63.00 | $84.00 | $16.75 – $30.15 | 17 |
| Assay of prostaglandin CPT 84150 | $93.75 | $125.00 | $41.77 – $75.19 | 17 |
| Assay of salicylate CPT 80179 | $175.50 | $234.00 | $18.64 – $33.55 | 16 |
| Assay of sialic acid CPT 84275 | $342.00 | $456.00 | $13.44 – $24.19 | 17 |
| Assay of somatostatin CPT 84307 | $450.00 | $600.00 | $18.28 – $32.90 | 17 |
| Assay of thiocyanate CPT 84430 | $239.25 | $319.00 | $11.63 – $20.93 | 17 |
| Assay of urine sulfate CPT 84392 | $44.25 | $59.00 | $5.49 – $9.88 | 17 |
| Assay phosphohexose enzymes CPT 84087 | $252.75 | $337.00 | $10.73 – $19.31 | 17 |
| Assay toxin or antitoxin CPT 87230 | $47.25 | $63.00 | $19.74 – $35.53 | 17 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $396.75 | $529.00 | $93.98 – $169.17 | 16 |
| Assess cyst contrast inject CPT 49424 | $315.00 | $420.00 | $158.51 – $285.31 | 16 |
| Ast/sgot CPT 84450 | $41.25 | $55.00 | $5.18 – $9.32 | 17 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $42,851.67 | $57,135.55 | $94.00 – $221.54 | 17 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $39.35 | $52.46 | $0.15 – $0.72 | 2 |
| Aud rehab postling hear loss CPT 92633 | $345.00 | $460.00 | not published | 0 |
| Aud rehab pre-ling hear loss CPT 92630 | $342.75 | $457.00 | not published | 0 |
| Augment injectable kit 3.0cc HCPCS C1734 | $8,645.34 | $11,527.11 | not published | 0 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $9,145.50 | $12,194.00 | $2,732.47 – $4,918.45 | 16 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $9,145.50 | $12,194.00 | $7,037.08 – $12,666.74 | 16 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | $802.50 | $1,070.00 | $840.65 – $1,513.17 | 17 |
| Autonomic nrv syst funj test CPT 95923 | $880.50 | $1,174.00 | $129.03 – $232.25 | 16 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $7,742.64 | $10,323.52 | $105.55 – $244.11 | 17 |
| Avul nail plate addl CPT 11732 | $295.50 | $394.00 | $30.75 – $55.35 | 16 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $236.25 | $315.00 | $194.58 – $350.24 | 16 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | $1,861,987.05 | $2,482,649.40 | $531,849.12 – $957,328.41 | 16 |
| Azacitidine injection HCPCS J9025 | $2,163.93 | $2,885.24 | $0.49 – $3.15 | 2 |
| Azathioprine 50 mg tablet HCPCS J7500 | $7,093.66 | $9,458.21 | $5.21 – $41.04 | 2 |
| Azathioprine parenteral HCPCS J7501 | $771.30 | $1,028.40 | $254.76 – $645.01 | 17 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $22.93 | $30.57 | $6.35 – $23.40 | 2 |
| Azithromycin dihydrate, oral HCPCS Q0144 | $607.32 | $809.76 | $114.93 – $114.93 | 1 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $203.80 | $271.73 | $22.86 – $22.86 | 1 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $427.92 – $427.92 | 1 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $163.56 – $163.56 | 1 |
| Baclofen eval charges CPT 97750 | $121.50 | $162.00 | $32.14 – $57.85 | 16 |
| Bacterial meningitis antigen CPT 86403 | $52.50 | $70.00 | $11.54 – $20.77 | 17 |
| Bacterial vaginosis pcr CPT 87801 | $1,973.25 | $2,631.00 | $70.20 – $126.36 | 17 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $117.00 | $156.00 | $31.37 – $56.47 | 16 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $1,115.25 | $1,487.00 | $170.10 – $356.07 | 17 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $690.75 | $921.00 | $170.10 – $356.07 | 17 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $561.00 | $748.00 | $170.10 – $356.07 | 17 |
| Bartonella dna pcr-sendout CPT 87471 | $1,113.00 | $1,484.00 | $35.09 – $63.16 | 17 |
| Basiliximab HCPCS J0480 | $15,941.19 | $21,254.91 | $4,812.31 – $11,372.77 | 17 |
| Bausch health Ultrasound surg HCPCS V2788 | $2,238.75 | $2,985.00 | not published | 0 |
| B cells total count CPT 86355 | $84.75 | $113.00 | $37.73 – $67.91 | 17 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | $605.43 | $807.24 | $3.39 – $7.59 | 17 |
| Bcg vaccine intravesical CPT 90586 | not published | not published | $380.09 – $380.09 | 1 |
| Bebtelovimab injection HCPCS M0222 | $591.00 | $788.00 | not published | 0 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $3,406.85 | $4,542.46 | $3.89 – $9.44 | 17 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $7,979.25 | $10,638.99 | $57.19 – $136.30 | 17 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | not published | not published | $4.50 – $4.50 | 1 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $29.18 – $29.18 | 1 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $6,784.08 | $9,045.43 | $12.90 – $31.93 | 17 |
| Benign lesion paring 2-4 CPT 11056 | $295.50 | $394.00 | $194.58 – $350.24 | 16 |
| Benign lesion paring 4+ CPT 11057 | $368.25 | $491.00 | $194.58 – $350.24 | 16 |
| #_benzodiazconfur CPT 80346 | $161.25 | $215.00 | not published | 0 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $102.90 | $137.19 | $42.01 – $147.96 | 2 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $133.50 | $178.00 | $25.45 – $45.81 | 17 |
| Beta-2 microglobulin CPT 82232 | $84.75 | $113.00 | $16.18 – $29.12 | 17 |
| Beta-amyloid 1-42 CPT 82234 | $504.00 | $672.00 | $128.92 – $232.06 | 16 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $149.68 | $199.57 | $16.75 – $61.38 | 2 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $2,946.69 | $3,928.92 | $74.36 – $177.78 | 17 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $10,009.76 | $13,346.34 | $23.74 – $70.20 | 17 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | not published | not published | $58.25 – $58.25 | 1 |
| B-hexosaminidase ea assay CPT 83080 | $104.25 | $139.00 | $16.87 – $30.37 | 17 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $1,726.50 | $2,302.00 | $857.76 – $1,543.97 | 16 |
| Bilateral n block inj occipital 64405 CPT 64405 | $1,176.75 | $1,569.00 | $297.68 – $535.83 | 16 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $885.75 | $1,181.00 | $297.68 – $535.83 | 16 |
| Biliary endo perq dx w/speci CPT 47552 | $6,068.25 | $8,091.00 | $6,278.31 – $11,300.96 | 16 |
| Biliary endoscopy thru skin CPT 47553 | $6,068.25 | $8,091.00 | $6,278.31 – $11,300.96 | 16 |
| Biliary endoscopy thru skin CPT 47555 | $6,887.25 | $9,183.00 | $6,278.31 – $11,300.96 | 16 |
| Biliary endoscopy thru skin CPT 47556 | $10,884.75 | $14,513.00 | $10,308.81 – $18,555.86 | 16 |
| Bilicheck CPT 88720 | $38.25 | $51.00 | $5.02 – $9.04 | 17 |
| Bilirubin direct CPT 82248 | $39.00 | $52.00 | $5.02 – $9.04 | 17 |
| Bilirubin total CPT 82247 | $36.75 | $49.00 | $5.02 – $9.04 | 17 |
| Bio-connekt per square cm HCPCS Q4161 | not published | not published | $4,025.37 – $4,025.37 | 1 |
| Biodfence dryflex, 1cm HCPCS Q4138 | not published | not published | $244.37 – $244.37 | 1 |
| Biofeedback, pt CPT 90901 | $189.00 | $252.00 | $38.73 – $69.72 | 16 |
| Biopsy abdominal mass CPT 49180 | $4,548.00 | $6,064.00 | $1,601.72 – $2,883.09 | 16 |
| Biopsy bone trocar/needle superficial CPT 20220 | $2,203.50 | $2,938.00 | $1,601.72 – $2,883.09 | 16 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $1,365.00 | $1,820.00 | $893.23 – $1,607.82 | 16 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $1,733.25 | $2,311.00 | $2,816.99 – $5,070.59 | 16 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,662.00 | $2,216.00 | $1,601.72 – $2,883.09 | 16 |
| Biopsy needle liver percutaneous CPT 47000 | $2,104.50 | $2,806.00 | $1,601.72 – $2,883.09 | 16 |
| Biopsy needle lymph node superficial CPT 38505 | $1,296.00 | $1,728.00 | $1,601.72 – $2,883.09 | 16 |
| Biopsy of heart lining CPT 93505 | $3,693.75 | $4,925.00 | $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.