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 |
|---|---|---|---|---|
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $50.25 | $67.00 | $178.66 – $660.60 | 2 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $63.00 | $84.00 | $49.50 – $89.67 | 17 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $26.58 – $26.58 | 1 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $569.67 | $759.56 | $2,242.35 – $2,242.35 | 1 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $545.45 | $727.26 | $1,636.11 – $1,636.11 | 1 |
| Vaccine mmr live subcutaneous CPT 90707 | $311.03 | $414.70 | $994.86 – $994.86 | 1 |
| Vaccine mmrv live subcutaneous CPT 90710 | $957.30 | $1,276.39 | $1,194.21 – $1,194.21 | 1 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $401.34 | $535.11 | $133.47 – $324.87 | 17 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $793.01 | $1,057.34 | $257.99 – $627.92 | 17 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $239.25 | $319.00 | $269.31 – $635.61 | 17 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $761.60 – $761.60 | 1 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $1,529.59 | $2,039.45 | $459.18 – $459.18 | 1 |
| Vaccine rabies im CPT 90675 | $1,514.28 | $2,019.04 | $315.22 – $759.48 | 17 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $372.30 | $496.40 | $998.01 – $998.01 | 1 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $291.89 | $389.18 | $1,035.00 – $1,035.00 | 1 |
| Vaccine tdap >=7 years im CPT 90715 | $131.22 | $174.95 | $96.63 – $344.79 | 2 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $145.19 | $193.58 | $88.50 – $273.06 | 2 |
| Vaccine varicella live subcutaneous CPT 90716 | $642.96 | $857.28 | $1,881.36 – $1,881.36 | 1 |
| Vaccine yellow fever live subcutaneous CPT 90717 | $632.19 | $842.91 | $1,436.49 – $1,436.49 | 1 |
| Vacuum drain bottle/tube kit HCPCS A7048 | $33.75 | $45.00 | $71.85 – $129.33 | 16 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | $2,592.00 | $3,456.00 | $686.78 – $1,236.20 | 16 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $16,971.75 | $22,629.00 | $6,127.93 – $11,030.27 | 16 |
| Vaginal bx CPT 58999 | $192.00 | $256.00 | $196.07 – $352.92 | 16 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $22.29 | $29.71 | not published | 0 |
| Valproic acid total therapeutic drug level CPT 80164 | $117.00 | $156.00 | $13.54 – $24.37 | 17 |
| Valrubicin injection HCPCS J9357 | $6,841.31 | $9,121.74 | $1,270.52 – $3,351.08 | 17 |
| Valvuloplasty pulmonary CPT 92990 | $12,754.50 | $17,006.00 | $11,195.55 – $20,152.00 | 16 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $366.03 | $488.03 | not published | 0 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $303.13 | $404.17 | not published | 0 |
| Vancomycin peak therapeutic drug level CPT 80202 | $110.25 | $147.00 | $13.54 – $24.37 | 17 |
| Varicella zoster antibody igg CPT 86787 | $99.00 | $132.00 | $12.88 – $23.18 | 17 |
| Varicella-zoster immue globin im CPT 90396 | $8,070.06 | $10,760.07 | $2,363.25 – $4,253.85 | 16 |
| Vasc emb/occ w/prs cath HCPCS C9797 | $17,508.00 | $23,344.00 | $17,778.02 – $32,000.44 | 16 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $103.53 | $138.04 | $16.38 – $16.38 | 1 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $34,608.27 | $46,144.36 | $20.98 – $53.69 | 17 |
| Veeg cont 2-12 hrs CPT 95713 | $2,361.75 | $3,149.00 | $361.89 – $651.40 | 16 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $4,640.25 | $6,187.00 | $832.81 – $1,499.05 | 16 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $1,329.00 | $1,772.00 | $361.89 – $651.40 | 16 |
| Veeg unmon 12-26 hrs CPT 95714 | $1,527.75 | $2,037.00 | $361.89 – $651.40 | 16 |
| Veeg unmon 2-12 hrs CPT 95711 | $728.25 | $971.00 | $209.40 – $376.92 | 16 |
| Vein x-ray adrenal gland CPT 75840 | $3,696.00 | $4,928.00 | $3,062.12 – $5,511.82 | 17 |
| Vein x-ray eye socket CPT 75880 | $1,141.50 | $1,522.00 | $608.36 – $1,095.05 | 17 |
| Vein x-ray kidney CPT 75831 | $1,925.25 | $2,567.00 | $3,062.12 – $5,511.82 | 17 |
| Vein x-ray liver CPT 75891 | $2,163.75 | $2,885.00 | $3,062.12 – $5,511.82 | 17 |
| Vein x-ray liver w/hemodynam CPT 75885 | $2,943.75 | $3,925.00 | $3,062.12 – $5,511.82 | 17 |
| Vein x-ray liver w/hemodynam CPT 75889 | $3,125.25 | $4,167.00 | $3,062.12 – $5,511.82 | 17 |
| Vein x-ray liver without hemodyn CPT 75887 | $3,975.00 | $5,300.00 | $1,384.84 – $5,511.82 | 17 |
| Vein x-ray skull CPT 75870 | $3,549.00 | $4,732.00 | $863.01 – $5,511.82 | 17 |
| Vein x-ray skull epidural CPT 75872 | $797.25 | $1,063.00 | $608.36 – $1,095.05 | 17 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | $5,564.78 | $7,419.70 | $388.16 – $925.36 | 17 |
| Ven-artl shunt det mbubb njx CPT 93898 | $701.25 | $935.00 | $242.36 – $436.24 | 16 |
| Vendaje, per square centimet HCPCS Q4252 | not published | not published | $129.00 – $129.00 | 1 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $99.75 | $133.00 | $17.97 – $32.34 | 16 |
| Venogram ext bil s&i CPT 75822 | $1,189.50 | $1,586.00 | $1,384.84 – $2,747.91 | 17 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,140.00 | $1,520.00 | $863.01 – $2,747.91 | 17 |
| Venous mech thrombectomy CPT 37187 | $17,892.75 | $23,857.00 | $11,195.55 – $20,152.00 | 16 |
| Venous m-thrombectomy add-on CPT 37188 | $4,024.50 | $5,366.00 | $3,062.12 – $5,511.82 | 16 |
| Venous sampling s&i CPT 75893 | $8,633.25 | $11,511.00 | $5,396.44 – $9,713.59 | 17 |
| Ven thrombosis images bilat CPT 78458 | $498.00 | $664.00 | $387.70 – $697.86 | 17 |
| Ventilator each subsequent day CPT 94003 | $532.50 | $710.00 | $599.13 – $1,078.44 | 16 |
| Ventilator Management (first day) CPT 94002 | $864.00 | $1,152.00 | $599.13 – $1,078.44 | 16 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | $693.75 | $925.00 | $857.76 – $1,543.97 | 16 |
| Version cephalic external CPT 59412 | $83.25 | $111.00 | $3,139.36 – $5,650.86 | 16 |
| Verteporfin injection HCPCS J3396 | not published | not published | $28.11 – $28.11 | 1 |
| Very long chain fatty acids CPT 82726 | $342.75 | $457.00 | $19.75 – $35.55 | 17 |
| Vest large holster HCPCS Q0498 | $1,012.50 | $1,350.00 | $753.56 – $1,356.41 | 16 |
| Video Swallow Study (Modified Barium Swallow) CPT 74230 | $241.50 | $322.00 | $161.25 – $306.19 | 17 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $177.38 | $236.50 | $12.88 – $37.98 | 2 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $111.30 | $148.40 | $19.13 – $69.57 | 2 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $177.04 | $236.05 | $4.75 – $66.78 | 2 |
| Vital capacity test CPT 94150 | $119.25 | $159.00 | $124.79 – $224.62 | 16 |
| Vitamin b-12 CPT 82607 | $54.75 | $73.00 | $15.08 – $27.14 | 17 |
| Vitamin D Test CPT 82306 | $174.75 | $233.00 | $29.60 – $53.28 | 17 |
| Voice amplifier HCPCS L8510 | $1,327.69 | $1,770.24 | $370.62 – $667.12 | 16 |
| Voiding pressure study/intra-abd 51797 CPT 51797 | $605.25 | $807.00 | $143.99 – $259.17 | 16 |
| Vol reduction of blood/prod CPT 86960 | $301.50 | $402.00 | $165.22 – $297.40 | 16 |
| Volume measurement urine timed CPT 81050 | $23.25 | $31.00 | $3.64 – $6.55 | 17 |
| Vonvendi inj 1 iu vwf:rco HCPCS J7179 | not published | not published | $4.48 – $4.48 | 1 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $221.85 | $295.80 | $1.87 – $10.44 | 2 |
| Vsrctv std tcd icr art compl CPT 93896 | $697.50 | $930.00 | $173.63 – $312.53 | 16 |
| Walking (Gait) Training (each 15 minutes) CPT 97116 | $105.75 | $141.00 | $27.87 – $50.17 | 16 |
| Warde 1003990 aldosterone CPT 82088 | $193.50 | $258.00 | $40.75 – $73.35 | 17 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $162.75 | $217.00 | $27.80 – $50.04 | 17 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $98.25 | $131.00 | $12.90 – $23.22 | 17 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $87.00 | $116.00 | $25.25 – $45.45 | 17 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $104.25 | $139.00 | $15.50 – $27.90 | 17 |
| Warde 1015200 kappa light chain free CPT 83521 | $115.50 | $154.00 | $17.27 – $31.09 | 16 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $159.00 | $212.00 | $8.02 – $14.44 | 17 |
| Warde 3008005 oligoclonal bands CPT 83916 | $78.00 | $104.00 | $27.39 – $49.30 | 17 |
| Warde 3016000 west nile virus antibody CPT 86788 | $150.00 | $200.00 | $16.85 – $30.33 | 17 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $150.00 | $200.00 | $14.39 – $25.90 | 17 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $44.25 | $59.00 | $12.25 – $22.05 | 17 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $36.00 | $48.00 | $8.90 – $16.02 | 17 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $36.00 | $48.00 | $17.98 – $32.36 | 17 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | $400.50 | $534.00 | $142.63 – $256.73 | 16 |
| Warde 3400852 arsenic CPT 82175 | $170.25 | $227.00 | $18.97 – $34.15 | 17 |
| Warde 3708165 mercury urine CPT 83825 | $99.00 | $132.00 | $16.26 – $29.27 | 17 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | $357.75 | $477.00 | $18.40 – $33.12 | 16 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $135.00 | $180.00 | $12.05 – $21.69 | 16 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $249.75 | $333.00 | $8.10 – $14.58 | 17 |
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.