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 |
|---|---|---|---|---|
| Biopsy of ovary(s) 58900 CPT 58900 | $2,203.50 | $2,938.00 | $3,139.36 – $5,650.86 | 16 |
| Biopsy of salivary gland 42400 CPT 42400 | $1,057.50 | $1,410.00 | $686.75 – $1,236.14 | 16 |
| Biopsy/removal lymph nodes CPT 38525 | $5,625.00 | $7,500.00 | $3,797.19 – $6,834.94 | 16 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $2,666.25 | $3,555.00 | $1,601.72 – $2,883.09 | 16 |
| Biopsy skin incisional single lesion CPT 11106 | $2,979.00 | $3,972.00 | $716.75 – $1,290.15 | 16 |
| Biotinidase - quest CPT 82261 | $298.50 | $398.00 | $16.87 – $30.37 | 17 |
| Biovance 1 square cm HCPCS Q4154 | not published | not published | $347.70 – $347.70 | 1 |
| Bis xtracell fluid analysis CPT 93702 | $123.00 | $164.00 | $124.79 – $224.62 | 16 |
| Bivalirudin HCPCS J0583 | $18,344.51 | $24,459.34 | $0.39 – $1.89 | 2 |
| Bladder Catheter Insertion (simple) CPT 51702 | $221.25 | $295.00 | $129.03 – $232.25 | 16 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $384.00 | $512.00 | $242.30 – $436.15 | 16 |
| Bld prd mix CPT 86965 | $130.50 | $174.00 | $165.22 – $297.40 | 16 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $172.13 | $229.50 | $50.85 – $189.18 | 2 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $20,544.09 | $27,392.12 | $163.96 – $397.23 | 17 |
| Blink reflex test CPT 95933 | $441.75 | $589.00 | $57.21 – $102.98 | 16 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $10,575.00 | $14,100.00 | not published | 0 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $10,800.00 | $14,400.00 | not published | 0 |
| Bln dil 900ml preperitnl HCPCS C1727 | $1,241.51 | $1,655.34 | not published | 0 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $38,250.00 | $51,000.00 | not published | 0 |
| Bln press regulation 71-80cm HCPCS C1815 | $17,775.00 | $23,700.00 | not published | 0 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $5,175.00 | $6,900.00 | not published | 0 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $774.75 | $1,033.00 | $857.76 – $1,543.97 | 16 |
| Block paracervical nrv CPT 64435 | $1,021.50 | $1,362.00 | $684.56 – $1,232.21 | 16 |
| Block tap inj(s) w/wo img uni CPT 64486 | $1,095.00 | $1,460.00 | $118.35 – $213.02 | 16 |
| Blood Clotting (PT/INR) Test CPT 85610 | $36.75 | $49.00 | $4.29 – $7.72 | 17 |
| Blood Clotting (PTT) Test CPT 85730 | $58.50 | $78.00 | $6.01 – $10.82 | 17 |
| Blood Count (CBC) Test CPT 85025 | $66.75 | $89.00 | $7.77 – $13.99 | 17 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $66.75 | $89.00 | $6.47 – $11.65 | 17 |
| Blood Culture Test CPT 87040 | $135.75 | $181.00 | $10.32 – $18.58 | 17 |
| Blood draw capillary 36416 CPT 36416 | $23.25 | $31.00 | not published | 0 |
| Blood Draw (Venipuncture) CPT 36415 | $24.75 | $33.00 | $3.39 – $16.81 | 17 |
| Blood gases o2 saturation direct measurement CPT 82805 | $161.25 | $215.00 | $78.77 – $141.79 | 17 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $46.50 | $62.00 | $15.92 – $28.66 | 17 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $26.25 | $35.00 | $4.38 – $7.88 | 17 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $16.50 | $22.00 | $5.32 – $9.58 | 17 |
| Blood smear interpretation CPT 85060 | $252.75 | $337.00 | $18.72 – $33.70 | 16 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $129.75 | $173.00 | $3.80 – $6.84 | 17 |
| Blood split unit HCPCS P9011 | $595.50 | $794.00 | $155.84 – $280.51 | 16 |
| Blood Transfusion CPT 36430 | $684.75 | $913.00 | $427.85 – $770.13 | 16 |
| Blood typing abo CPT 86900 | $186.75 | $249.00 | $4.17 – $232.25 | 17 |
| Blood typing ag donor ea ag CPT 86902 | $322.50 | $430.00 | $7.18 – $625.72 | 17 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $328.50 | $438.00 | $5.34 – $625.72 | 17 |
| Blood typing rh (d) CPT 86901 | $126.00 | $168.00 | $4.17 – $65.20 | 17 |
| Blood typing rh phenotype complete reference CPT 86906 | $53.25 | $71.00 | $10.81 – $65.20 | 17 |
| Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm HCPCS Q4433 | $19,830.72 | $26,440.95 | $120.69 – $217.24 | 16 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $196.50 | $262.00 | $101.39 – $182.50 | 17 |
| Bone Density Scan (DEXA) CPT 77080 | $277.50 | $370.00 | $101.39 – $182.50 | 17 |
| Bone filler cerament 10cc HCPCS C1602 | $5,163.75 | $6,885.00 | not published | 0 |
| Bone marrow;aspiration only 38220 CPT 38220 | $4,220.25 | $5,627.00 | $1,601.72 – $2,883.09 | 16 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,200.00 | $1,600.00 | $1,601.72 – $2,883.09 | 16 |
| Bone marrow harvest allogen CPT 38230 | $91,568.25 | $122,091.00 | $1,510.39 – $2,718.71 | 16 |
| Bone survey-lead poisoning CPT 77074 | $259.50 | $346.00 | $101.39 – $182.50 | 17 |
| Bone tendon board add on HCPCS C9356 | $9,547.14 | $12,729.51 | not published | 0 |
| Boot mlti podous univ xlg HCPCS L4396 | $318.36 | $424.47 | $245.21 – $441.38 | 16 |
| Boot softgait shrt m HCPCS L4387 | $113.72 | $151.61 | $232.08 – $417.74 | 16 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $179.82 | $239.76 | $424.24 – $763.63 | 16 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $308.33 | $411.10 | $424.24 – $763.63 | 16 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $102.75 | $137.00 | $17.03 – $30.65 | 17 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | not published | not published | $3.85 – $3.85 | 1 |
| (both sides) smear without diff wbc count CPT 85008 | $170.25 | $227.00 | $3.43 – $6.17 | 17 |
| Bowel imaging CPT 78290 | $610.50 | $814.00 | $387.70 – $697.86 | 17 |
| Brace afo lg left 6607 HCPCS L1930 | $70.65 | $94.19 | $362.45 – $652.41 | 16 |
| Brace ank air stirrup univ HCPCS L4350 | $55.92 | $74.56 | $136.95 – $246.51 | 16 |
| Brace ankle stablizing lg HCPCS L1902 | $35.15 | $46.86 | $122.31 – $220.16 | 16 |
| Brace back epic lso 637 HCPCS L0650 | $608.40 | $811.19 | $1,257.43 – $2,263.37 | 16 |
| Brace cust back lso HCPCS L0631 | $417.67 | $556.89 | $1,503.10 – $2,705.58 | 16 |
| Brace knee extender plus 22-30in HCPCS L1832 | $257.51 | $343.34 | $931.51 – $1,676.72 | 16 |
| Brace knee hing pat open med HCPCS L1820 | $433.29 | $577.71 | $198.66 – $357.59 | 16 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $188.51 | $251.34 | $701.41 – $1,262.54 | 16 |
| Brace m arm board HCPCS L3809 | $110.54 | $147.38 | $333.11 – $599.60 | 16 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $108.00 | $144.00 | $43.57 – $78.42 | 16 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $82.50 | $110.00 | $333.11 – $599.60 | 16 |
| Brace wrist classic lft sm HCPCS L3908 | $99.75 | $133.00 | $89.82 – $161.68 | 16 |
| Brach/thor cath 1st CPT 36215 | $1,533.75 | $2,045.00 | $985.37 – $1,773.66 | 16 |
| Brach/thor cath 2nd CPT 36216 | $1,425.00 | $1,900.00 | $1,005.04 – $1,809.06 | 16 |
| Brach/thor cath 3rd CPT 36217 | $1,777.50 | $2,370.00 | $1,826.75 – $3,288.16 | 16 |
| Brach/thor cath addl CPT 36218 | $1,083.00 | $1,444.00 | $213.32 – $383.98 | 16 |
| Braf gene CPT 81210 | $189.00 | $252.00 | $175.40 – $315.72 | 17 |
| Brain flow imaging only CPT 78610 | $627.00 | $836.00 | $526.57 – $947.83 | 17 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,919.75 | $3,893.00 | $338.34 – $609.01 | 16 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,449.50 | $3,266.00 | $338.34 – $609.01 | 16 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,682.75 | $3,577.00 | $231.40 – $416.51 | 16 |
| Brain MRI (with and without contrast) CPT 70553 | $2,919.75 | $3,893.00 | $338.34 – $609.01 | 16 |
| Brain MRI (with contrast) CPT 70552 | $2,854.50 | $3,806.00 | $338.34 – $609.01 | 16 |
| Brain MRI (without contrast) CPT 70551 | $2,682.00 | $3,576.00 | $231.40 – $416.51 | 16 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $1,984.50 | $2,646.00 | $1,601.72 – $2,883.09 | 16 |
| Breastbone (Sternum) X-ray CPT 71120 | $283.50 | $378.00 | $84.40 – $151.91 | 17 |
| Breast punct aspir cyst, bil CPT 19000 | $1,611.00 | $2,148.00 | $686.75 – $1,236.14 | 16 |
| Breath hydrogen test 91065 CPT 91065 | $333.00 | $444.00 | $209.40 – $376.92 | 16 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $46,868.78 | $62,491.70 | $268.73 – $629.21 | 17 |
| Brexucabtagene car pos t HCPCS Q2053 | $1,475,302.50 | $1,967,070.00 | $489,290.60 – $1,191,978.48 | 17 |
| Bronch ebus samplng 1/2 node CPT 31652 | $3,189.00 | $4,252.00 | $3,615.75 – $6,508.35 | 16 |
| Bronch ebus samplng 3/> node CPT 31653 | $3,189.00 | $4,252.00 | $3,615.75 – $6,508.35 | 16 |
| Bronchial allergy tests CPT 95070 | $320.25 | $427.00 | $361.89 – $651.40 | 16 |
| Bronchial challenge CPT 94070 | $697.50 | $930.00 | $361.89 – $651.40 | 16 |
| Bronchial valve addl insert CPT 31651 | $7,346.25 | $9,795.00 | $76.00 – $136.81 | 16 |
| Bronchial valve remov addl CPT 31649 | $1,639.50 | $2,186.00 | $1,726.15 – $3,107.06 | 16 |
| Bronchial valve remov init CPT 31648 | $3,618.00 | $4,824.00 | $3,615.75 – $6,508.35 | 16 |
| Bronchoscopy clear airways 31645 CPT 31645 | $1,812.00 | $2,416.00 | $1,726.15 – $3,107.06 | 16 |
| Bronchoscopy dilate w/stent CPT 31631 | $10,329.00 | $13,772.00 | $6,844.32 – $12,319.78 | 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.