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 |
|---|---|---|---|---|
| Bronchoscopy/lung bx addl 31632 CPT 31632 | $1,079.25 | $1,439.00 | $65.98 – $118.76 | 16 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $1,678.50 | $2,238.00 | $1,726.15 – $3,107.06 | 16 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $1,683.00 | $2,244.00 | $1,726.15 – $3,107.06 | 16 |
| Bronchoscopy w/markers CPT 31626 | $11,334.75 | $15,113.00 | $6,844.32 – $12,319.78 | 16 |
| Bronch thermoplsty 1 lobe CPT 31660 | $7,346.25 | $9,795.00 | $6,844.32 – $12,319.78 | 16 |
| Bronch thermoplsty 2/> lobes CPT 31661 | $7,765.50 | $10,354.00 | $6,844.32 – $12,319.78 | 16 |
| Bronch w/balloon occlusion CPT 31634 | $7,870.50 | $10,494.00 | $6,844.32 – $12,319.78 | 16 |
| Br punct aspir ea add, l CPT 19001 | $348.75 | $465.00 | $25.44 – $45.79 | 16 |
| Btk gene common variants CPT 81233 | $383.25 | $511.00 | $175.40 – $315.72 | 16 |
| Budesonide non-comp unit HCPCS J7626 | $32.78 | $43.70 | $3.09 – $9.09 | 2 |
| Bundled special stain group 1 microorganisms CPT 88312 | $81.00 | $108.00 | $50.54 – $90.97 | 16 |
| Bundled special stain group 2 CPT 88313 | $131.25 | $175.00 | $129.03 – $232.25 | 16 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $44.19 | $58.92 | $0.09 – $0.09 | 1 |
| Bupren/nal 3.1 to 6mg bupren HCPCS J0573 | $1,091.62 | $1,455.49 | $101.61 – $101.61 | 1 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $545.43 | $727.23 | $64.08 – $64.08 | 1 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $621.18 | $828.24 | $105.03 – $105.03 | 1 |
| Buprenorphine and metabolite - sendout CPT 80348 | $136.50 | $182.00 | not published | 0 |
| Buprenorphine hydrochloride HCPCS J0592 | $52.01 | $69.34 | $10.05 – $37.17 | 2 |
| Buprenorphine oral 1mg HCPCS J0571 | $715.66 | $954.21 | $12.60 – $12.60 | 1 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | $7,360.99 | $9,814.65 | $1,996.56 – $4,810.92 | 17 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | $7,360.99 | $9,814.65 | $1,996.56 – $4,810.92 | 17 |
| Bur rotalink 2.15mm HCPCS C1724 | $11,463.75 | $15,285.00 | not published | 0 |
| Busulfan injection HCPCS J0594 | $783.10 | $1,044.13 | $0.68 – $4.45 | 17 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $63.62 | $84.82 | $12.29 – $25.20 | 2 |
| Bx bone trocar/ndl deep CPT 20225 | $2,938.50 | $3,918.00 | $1,601.72 – $2,883.09 | 16 |
| Bx breast 1st lesion mr imag CPT 19085 | $4,323.75 | $5,765.00 | $1,601.72 – $2,883.09 | 16 |
| Bx breast 1st lesion strtctc CPT 19081 | $3,438.75 | $4,585.00 | $1,601.72 – $2,883.09 | 16 |
| Bx breast add lesion mr imag CPT 19086 | $4,135.50 | $5,514.00 | $510.68 – $919.22 | 16 |
| Bx breast add lesion strtctc CPT 19082 | $3,056.25 | $4,075.00 | $337.00 – $606.61 | 16 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $2,523.00 | $3,364.00 | $331.19 – $596.15 | 16 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | $885.75 | $1,181.00 | $295.53 – $531.95 | 16 |
| Bx liver with other CPT 47001 | $2,265.00 | $3,020.00 | $91.34 – $164.41 | 16 |
| Bx of cervix w/scope leep 57460 CPT 57460 | $4,245.75 | $5,661.00 | $3,139.36 – $5,650.86 | 16 |
| Bx pancreas pq ndl CPT 48102 | $1,900.50 | $2,534.00 | $1,601.72 – $2,883.09 | 16 |
| Bx perianal mass CPT 46999 | $882.75 | $1,177.00 | $901.87 – $1,623.37 | 16 |
| Bx pleura pq ndl CPT 32400 | $1,900.50 | $2,534.00 | $1,601.72 – $2,883.09 | 16 |
| Bx prostate trnsrctl u/s guid CPT 55707 | $3,375.75 | $4,501.00 | $3,418.53 – $6,153.35 | 16 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $336.00 | $448.00 | $66.38 – $119.48 | 16 |
| Bx skin punch ea sep/ addl les CPT 11105 | $255.75 | $341.00 | $56.70 – $102.05 | 16 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $259.50 | $346.00 | $45.72 – $82.30 | 16 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | $1,566.00 | $2,088.00 | $1,601.72 – $2,883.09 | 16 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $1,434.00 | $1,912.00 | $686.75 – $1,236.14 | 16 |
| Bx vag mucos smpl (sep proc) CPT 57100 | $1,729.50 | $2,306.00 | $893.23 – $1,607.82 | 16 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $2,765.25 | $3,687.00 | $893.23 – $1,607.82 | 16 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | $1,365.00 | $1,820.00 | $37.53 – $67.56 | 16 |
| Bypass temp external fem-fem CPT 37799 | $2,664.75 | $3,553.00 | $608.36 – $1,095.05 | 16 |
| C-1 esterase, berinert HCPCS J0597 | $13,165.77 | $17,554.35 | $76.05 – $184.64 | 17 |
| C-1 esterase, cinryze HCPCS J0598 | not published | not published | $159.96 – $159.96 | 1 |
| C1 esterase inhibitor func - sendout CPT 86161 | $132.75 | $177.00 | $12.00 – $21.60 | 17 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $53,887.78 | $71,850.37 | $231.05 – $552.76 | 17 |
| Cabergoline, oral 0.25mg HCPCS J8515 | $173.02 | $230.69 | $164.97 – $164.97 | 1 |
| Cable cath 22-pin diag HCPCS C1730 | $5,737.50 | $7,650.00 | not published | 0 |
| Cable centrimag pressure HCPCS Q0508 | $371.25 | $495.00 | not published | 0 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | not published | not published | $57.49 – $57.49 | 1 |
| Cacna1a gene full gene seq CPT 81185 | $635.25 | $847.00 | $846.27 – $1,523.29 | 16 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $106.71 | $142.28 | $4.50 – $20.16 | 2 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | not published | not published | $199.34 – $199.34 | 1 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $9,840.35 | $13,120.46 | $2,780.63 – $9,625.50 | 2 |
| Calcium 24 hour urine CPT 82340 | $63.00 | $84.00 | $6.03 – $10.85 | 17 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $71.82 | $95.75 | not published | 0 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $62.13 | $82.83 | $0.45 – $0.45 | 1 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $61.76 | $82.34 | $0.81 – $0.81 | 1 |
| Calcium ionized CPT 82330 | $75.75 | $101.00 | $13.68 – $24.62 | 17 |
| Calcium total CPT 82310 | $36.75 | $49.00 | $5.16 – $9.29 | 17 |
| Calprotectin fecal CPT 83993 | $261.00 | $348.00 | $19.63 – $35.33 | 17 |
| Canakinumab injection HCPCS J0638 | $79,068.64 | $105,424.85 | $149.57 – $343.17 | 17 |
| Cannabinoid synthetic 7/more CPT 80352 | $147.75 | $197.00 | not published | 0 |
| Cannula declotting 36861 CPT 36861 | $18,891.00 | $25,188.00 | $5,396.44 – $9,713.59 | 16 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $235,532.25 | $314,043.00 | not published | 0 |
| Canthotomy 67715 CPT 67715 | $2,256.75 | $3,009.00 | $2,305.69 – $4,150.23 | 16 |
| Capecitabine, oral, 50 mg HCPCS J8522 | $20,888.96 | $27,851.94 | $0.03 – $0.05 | 16 |
| Cap nerve 2x15mm HCPCS C1763 | $28,177.88 | $37,570.50 | not published | 0 |
| Capsaicin 8% patch HCPCS J7336 | not published | not published | $8.23 – $8.23 | 1 |
| Cap trach decann 15mm HCPCS C1750 | $5,400.00 | $7,200.00 | not published | 0 |
| Carbamazepine free CPT 80157 | $100.50 | $134.00 | $13.25 – $23.85 | 17 |
| Carbamazepine free -sendout CPT 80161 | $129.00 | $172.00 | $18.64 – $33.55 | 16 |
| Carbamazepine total therapeutic drug level CPT 80156 | $104.25 | $139.00 | $14.57 – $26.23 | 17 |
| Carbidopa levodopa ent 100ml HCPCS J7340 | not published | not published | $591.80 – $591.80 | 1 |
| Carbohydrate deficient transf - sendout CPT 82373 | $144.75 | $193.00 | $18.06 – $32.51 | 17 |
| Carbohydrate urine - sendout CPT 84377 | $936.00 | $1,248.00 | $5.50 – $9.90 | 17 |
| Carbon dioxide CPT 82374 | $104.25 | $139.00 | $4.88 – $8.78 | 17 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $45.78 | $61.04 | $5.14 – $32.40 | 2 |
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | $334.92 | $446.55 | $15.56 – $28.01 | 16 |
| Carboxyhemoglobin quantitative CPT 82375 | $77.25 | $103.00 | $12.32 – $22.18 | 17 |
| Carcinoembryonic ag (cea) CPT 82378 | $128.25 | $171.00 | $18.96 – $34.13 | 17 |
| Cardiac MRI w/stress img CPT 75559 | $5,208.00 | $6,944.00 | $529.91 – $953.84 | 16 |
| Cardiac perf planar mult/ef/wm CPT 78454 | $2,607.75 | $3,477.00 | $1,255.55 – $2,259.99 | 17 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $1,778.25 | $2,371.00 | $1,255.55 – $2,259.99 | 17 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $2,148.75 | $2,865.00 | $1,255.55 – $2,259.99 | 17 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $268.50 | $358.00 | $125.01 – $225.03 | 16 |
| Cardiolipin antibody iga CPT 86147 | $211.50 | $282.00 | $25.45 – $45.81 | 17 |
| Cardioversion (Scheduled Heart Rhythm Shock) CPT 92960 | $1,461.75 | $1,949.00 | $640.98 – $1,153.77 | 16 |
| Card MRI veloc flow mapping CPT 75565 | $1,801.50 | $2,402.00 | $42.20 – $75.96 | 16 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $13,992.87 | $18,657.15 | $56.24 – $134.09 | 17 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | $9,719.27 | $12,959.02 | $241.80 – $435.25 | 17 |
| Carotene CPT 82380 | $66.00 | $88.00 | $9.22 – $16.60 | 17 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $762.00 | $1,016.00 | $231.40 – $416.51 | 16 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | $1,296.00 | $1,728.00 | $901.87 – $1,623.37 | 16 |
| Caspofungin acetate HCPCS J0637 | $1,158.18 | $1,544.23 | $5.50 – $48.87 | 2 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $1,115.83 | $1,487.76 | not published | 0 |
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.