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 |
|---|---|---|---|---|
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $129.75 | $173.00 | $38.62 – $69.52 | 17 |
| Warde aldolase CPT 82085 | $55.50 | $74.00 | $9.71 – $17.48 | 17 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $399.00 | $532.00 | $16.87 – $30.37 | 17 |
| Warde amiodarone therapeutic drug level CPT 80151 | $72.75 | $97.00 | $18.64 – $33.55 | 16 |
| Warde analysis gene hfe common variants CPT 81256 | $153.75 | $205.00 | $65.36 – $117.65 | 17 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $239.25 | $319.00 | $163.96 – $295.13 | 17 |
| Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites CPT 80339 | $92.25 | $123.00 | not published | 0 |
| Warde anti-mullerian hormone CPT 82166 | $198.75 | $265.00 | $38.62 – $69.52 | 16 |
| Warde apolipoprotein b CPT 82172 | $115.50 | $154.00 | $21.09 – $37.96 | 17 |
| Warde bile acids CPT 82239 | $111.00 | $148.00 | $17.12 – $30.82 | 17 |
| Warde cadmium blood CPT 82300 | $50.25 | $67.00 | $23.64 – $42.55 | 17 |
| Warde calcitonin CPT 82308 | $77.25 | $103.00 | $26.79 – $48.22 | 17 |
| Warde calculus (stone) infrared CPT 82365 | $64.50 | $86.00 | $12.90 – $23.22 | 17 |
| Warde clozapine therapeutic drug level CPT 80159 | $64.50 | $86.00 | $20.15 – $36.27 | 17 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $248.25 | $331.00 | $21.96 – $39.53 | 17 |
| Warde collagen cross links c-telopeptide CPT 82523 | $148.50 | $198.00 | $18.68 – $33.62 | 17 |
| Warde complement total hemolytic CPT 86162 | $171.75 | $229.00 | $20.32 – $36.58 | 17 |
| Warde copper CPT 82525 | $174.75 | $233.00 | $12.41 – $22.34 | 17 |
| Warde cryoglobulin CPT 82595 | $120.00 | $160.00 | $6.47 – $11.65 | 17 |
| Warde erythropoietin CPT 82668 | $99.75 | $133.00 | $18.79 – $33.82 | 17 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | $230.25 | $307.00 | $12.09 – $21.76 | 16 |
| Warde folic acid rbc CPT 82747 | $52.50 | $70.00 | $17.65 – $31.77 | 17 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $252.75 | $337.00 | $9.70 – $17.46 | 17 |
| Warde gastrin CPT 82941 | $99.75 | $133.00 | $17.63 – $31.73 | 17 |
| Warde growth hormone (hgh) CPT 83003 | $114.00 | $152.00 | $16.67 – $30.01 | 17 |
| Warde haloperidol therapeutic drug level CPT 80173 | $72.75 | $97.00 | $15.78 – $28.40 | 17 |
| Warde helminth antibody strongyloides igg CPT 86682 | $120.75 | $161.00 | $13.01 – $23.42 | 17 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $506.25 | $675.00 | $12.87 – $23.17 | 17 |
| Warde hepatitis a antibody CPT 86708 | $90.00 | $120.00 | $12.39 – $22.30 | 17 |
| Warde hepatitis be antibody CPT 86707 | $67.50 | $90.00 | $11.57 – $20.83 | 17 |
| Warde hepatitis delta agent antibody CPT 86692 | $177.00 | $236.00 | $17.16 – $30.89 | 17 |
| Warde immunofixation electrophoresis urine CPT 86335 | $345.00 | $460.00 | $29.35 – $52.83 | 17 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $60.75 | $81.00 | $11.53 – $20.75 | 17 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $900.75 | $1,201.00 | $257.45 – $463.41 | 17 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $615.75 | $821.00 | $23.57 – $42.43 | 17 |
| Warde lipoprotein (a) CPT 83695 | $132.75 | $177.00 | $14.32 – $25.78 | 17 |
| Warde mitochondrial antibody each CPT 86381 | $123.00 | $164.00 | $25.45 – $45.81 | 16 |
| Warde neutralization rabies CPT 86382 | $105.00 | $140.00 | $16.91 – $30.44 | 17 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $151.50 | $202.00 | $13.25 – $23.85 | 17 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $104.25 | $139.00 | $22.97 – $41.35 | 16 |
| Warde protein c antigen CPT 85302 | $122.25 | $163.00 | $12.01 – $21.62 | 17 |
| Warde sex hormone binding globulin CPT 84270 | $111.00 | $148.00 | $21.73 – $39.11 | 17 |
| Warde somatomedin CPT 84305 | $100.50 | $134.00 | $21.26 – $38.27 | 17 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $39.75 | $53.00 | $5.50 – $9.90 | 17 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $46.50 | $62.00 | $15.76 – $28.37 | 17 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $279.00 | $372.00 | $50.86 – $91.55 | 17 |
| Warde topiramate therapeutic drug level CPT 80201 | $267.00 | $356.00 | $11.92 – $21.46 | 17 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $113.25 | $151.00 | $26.07 – $46.93 | 17 |
| Warde viscosity CPT 85810 | $112.50 | $150.00 | $11.67 – $21.01 | 17 |
| Warde vitamin a CPT 84590 | $69.00 | $92.00 | $11.61 – $20.90 | 17 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $75.75 | $101.00 | $21.23 – $38.21 | 17 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $81.75 | $109.00 | $28.10 – $50.58 | 17 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $26.25 | $35.00 | $9.89 – $17.80 | 17 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $153.00 | $204.00 | $38.50 – $69.30 | 17 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $34.50 | $46.00 | $14.18 – $25.52 | 17 |
| Warde zinc CPT 84630 | $90.00 | $120.00 | $11.39 – $20.50 | 17 |
| Wbc automated CPT 85048 | $38.25 | $51.00 | $2.54 – $4.57 | 17 |
| Wcd device interrogate CPT 93292 | $170.25 | $227.00 | $36.19 – $65.15 | 16 |
| Western blot test CPT 84181 | $542.25 | $723.00 | $17.03 – $30.65 | 17 |
| Whfo w/joint(s) custom fab HCPCS L3806 | $428.25 | $571.00 | $605.15 – $1,089.27 | 16 |
| Whole-Body Bone Scan (Nuclear Medicine) CPT 78306 | $773.25 | $1,031.00 | $387.70 – $697.86 | 17 |
| Whole Skeleton X-ray Survey CPT 77075 | $267.75 | $357.00 | $101.39 – $182.50 | 17 |
| Wilate injection HCPCS J7183 | not published | not published | $3.09 – $3.09 | 1 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | $319.50 | $426.00 | $194.58 – $350.24 | 16 |
| Woundfix biowound plus xplus HCPCS Q4217 | not published | not published | $774.01 – $774.01 | 1 |
| Wound pouch each HCPCS A6154 | $40.48 | $53.97 | $20.49 – $36.88 | 16 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $471.75 | $629.00 | $394.24 – $709.63 | 16 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $509.25 | $679.00 | $394.24 – $709.63 | 16 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $166.50 | $222.00 | $194.58 – $350.24 | 16 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $807.00 | $1,076.00 | $394.24 – $709.63 | 16 |
| Wrist X-ray CPT 73110 | $236.25 | $315.00 | $84.40 – $151.91 | 17 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $213.75 | $285.00 | $84.40 – $151.91 | 17 |
| Xm archive tissue molec anal CPT 88363 | $40.50 | $54.00 | $28.05 – $50.49 | 16 |
| X-ray abdomen >=3 views CPT 74021 | $305.25 | $407.00 | $101.39 – $182.50 | 17 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $576.75 | $769.00 | $338.34 – $642.95 | 17 |
| X-ray bone length studies CPT 77073 | $283.50 | $378.00 | $101.39 – $182.50 | 17 |
| X-ray bone survey infant CPT 77076 | $240.75 | $321.00 | $101.39 – $182.50 | 17 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $330.00 | $440.00 | $101.39 – $182.50 | 17 |
| X-ray exam entire spi 6/> vw CPT 72084 | $333.75 | $445.00 | $101.39 – $182.50 | 17 |
| X-ray exam of arm infant CPT 73092 | $237.75 | $317.00 | $101.39 – $182.50 | 17 |
| X-ray exam of femur 1 CPT 73551 | $176.25 | $235.00 | $84.40 – $151.91 | 17 |
| X-ray exam of jaw joint CPT 70328 | $257.25 | $343.00 | $84.40 – $151.91 | 17 |
| X-ray exam of mastoids CPT 70120 | $258.00 | $344.00 | $101.39 – $182.50 | 17 |
| X-ray exam thorac spine4/>vw CPT 72074 | $309.00 | $412.00 | $101.39 – $182.50 | 17 |
| X-ray fallopian tube CPT 74742 | $682.50 | $910.00 | not published | 0 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $374.25 | $499.00 | $101.39 – $182.50 | 17 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $507.75 | $677.00 | $101.39 – $182.50 | 17 |
| X-ray joint survey 1 view CPT 77077 | $256.50 | $342.00 | $101.39 – $182.50 | 17 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $183.75 | $245.00 | $84.40 – $151.91 | 17 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $385.50 | $514.00 | $101.39 – $182.50 | 17 |
| X-ray mandible ltd <4 views CPT 70100 | $191.25 | $255.00 | $84.40 – $151.91 | 17 |
| X-ray nose to rectum for foreign body child CPT 76010 | $246.00 | $328.00 | $84.40 – $151.91 | 17 |
| X-ray of mammary ducts CPT 77054 | $438.00 | $584.00 | $231.40 – $416.51 | 16 |
| X-ray optic foramina CPT 70190 | $338.25 | $451.00 | $84.40 – $151.91 | 17 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $774.75 | $1,033.00 | $338.34 – $642.95 | 17 |
| X-ray ribs 2 views left CPT 71100 | $287.25 | $383.00 | $84.40 – $151.91 | 17 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $779.25 | $1,039.00 | $327.29 – $953.84 | 17 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $711.00 | $948.00 | $101.39 – $182.50 | 17 |
| X-ray small intestine follow-through study CPT 74248 | $422.25 | $563.00 | $74.71 – $134.48 | 16 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $288.75 | $385.00 | $84.40 – $151.91 | 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.