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 |
|---|---|---|---|---|
| X-ray surgical specimen CPT 76098 | $195.00 | $260.00 | $529.91 – $953.84 | 17 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $291.00 | $388.00 | $84.40 – $151.91 | 17 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $9,187.79 – $9,187.79 | 1 |
| Xyntha inj HCPCS J7185 | not published | not published | $3.75 – $3.75 | 1 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $202.44 – $202.44 | 1 |
| Ziconotide injection HCPCS J2278 | $4,530.00 | $6,039.99 | $10.46 – $24.63 | 17 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $100.06 | $133.41 | $1.51 – $3.68 | 17 |
| Zika virus dna/rna amp probe CPT 87662 | $197.25 | $263.00 | $51.31 – $92.36 | 17 |
| Zika virus igm antibody CPT 86794 | $114.75 | $153.00 | $16.85 – $30.33 | 17 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | $26.68 | $35.57 | $1.79 – $3.22 | 16 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $32.46 | $43.27 | $7.62 – $87.84 | 2 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $19.40 – $19.40 | 1 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $146.06 | $194.74 | $12.66 – $64.89 | 2 |
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.