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 |
|---|---|---|---|---|
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $27,000.00 | $36,000.00 | not published | 0 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $1,687.50 | $2,250.00 | not published | 0 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $7,380.00 | $9,840.00 | not published | 0 |
| Cath access del ds spyscop 2.0 HCPCS C1748 | $4,500.00 | $6,000.00 | not published | 0 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $64,496.25 | $85,995.00 | not published | 0 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $7,951.50 | $10,602.00 | not published | 0 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $27,000.00 | $36,000.00 | not published | 0 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $7,256.82 | $9,675.75 | not published | 0 |
| Cath bi-dir df smarttouch HCPCS C1732 | $8,813.25 | $11,751.00 | not published | 0 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $5,062.50 | $6,750.00 | not published | 0 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $9,202.50 | $12,270.00 | $3,144.03 – $5,659.25 | 16 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $6,738.75 | $8,985.00 | not published | 0 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $2,463.75 | $3,285.00 | not published | 0 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $2,295.00 | $3,060.00 | not published | 0 |
| Catheter declot mechanical CPT 36596 | $1,523.25 | $2,031.00 | $1,526.62 – $2,747.91 | 16 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $33.75 | $45.00 | $3.39 – $16.81 | 17 |
| Catheter stripping venous CPT 36595 | $2,877.75 | $3,837.00 | $3,062.12 – $5,511.82 | 16 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $5,309.87 | $7,079.82 | not published | 0 |
| Cath hawkone s directional HCPCS C1714 | $7,076.25 | $9,435.00 | not published | 0 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $6,378.75 | $8,505.00 | not published | 0 |
| Cath intrdsc spnecth 8 pin HCPCS C1754 | $2,463.75 | $3,285.00 | not published | 0 |
| Cath left heart/lv gram CPT 93452 | $8,518.50 | $11,358.00 | $3,144.03 – $5,659.25 | 16 |
| Cath left heart transseptal punc CPT 93462 | $7,291.50 | $9,722.00 | $199.33 – $358.79 | 16 |
| Cath lt/rt pulm art CPT 36014 | $1,504.50 | $2,006.00 | $695.59 – $1,252.07 | 16 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $6,845.92 | $9,127.89 | not published | 0 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $38,250.00 | $51,000.00 | not published | 0 |
| Cath place 1st order venous 36011 CPT 36011 | $2,137.50 | $2,850.00 | $724.49 – $1,304.09 | 16 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $11,483.25 | $15,311.00 | $3,144.03 – $5,659.25 | 16 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $8,979.00 | $11,972.00 | $3,144.03 – $5,659.25 | 16 |
| Cath plc art/grft/angio right hrt CPT 93457 | $8,859.00 | $11,812.00 | $3,144.03 – $5,659.25 | 16 |
| Cath ptca pcltxl agent 3x20mm HCPCS C9610 | $12,732.75 | $16,977.00 | not published | 0 |
| Cath right heart w/o2 sat & card CPT 93451 | $3,668.25 | $4,891.00 | $3,144.03 – $5,659.25 | 16 |
| Cath right hrt mnpul art CPT 36013 | $1,174.50 | $1,566.00 | $716.21 – $1,289.17 | 16 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $358.50 | $478.00 | $219.15 – $394.48 | 16 |
| Cath segmntl pulm art CPT 36015 | $1,250.25 | $1,667.00 | $736.66 – $1,326.00 | 16 |
| Cath steerable flex adv 12f HCPCS C1766 | $2,925.00 | $3,900.00 | not published | 0 |
| Cath stripping venous s&i CPT 75901 | $1,578.00 | $2,104.00 | $209.56 – $377.21 | 16 |
| Cath symplicity spyral HCPCS C1735 | $36,000.00 | $48,000.00 | not published | 0 |
| Cath temp pace flo bipol 5fr electrd HCPCS C1779 | $1,408.39 | $1,877.85 | not published | 0 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $32,626.80 | $43,502.40 | not published | 0 |
| Cauterization chemical granulation tissue CPT 17250 | $375.75 | $501.00 | $194.58 – $350.24 | 16 |
| #cbg+cort-cbg CPT 84449 | $141.00 | $188.00 | $18.00 – $32.40 | 17 |
| Cciiv4 vacc abx free im CPT 90756 | not published | not published | $78.79 – $78.79 | 1 |
| Cciiv4 vac no prsv 0.5 ml im CPT 90674 | not published | not published | $83.17 – $83.17 | 1 |
| Cdna analysis for variants CPT 81403 | $1,540.50 | $2,054.00 | $185.20 – $333.36 | 17 |
| Cebpa gene full sequence CPT 81218 | $328.50 | $438.00 | $241.90 – $435.42 | 17 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $7.78 | $10.37 | $2.02 – $6.84 | 2 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $39.95 | $53.26 | $2.99 – $11.34 | 2 |
| Cefotaxime sodium injection HCPCS J0698 | $43.10 | $57.46 | $54.36 – $54.36 | 1 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $94.59 | $126.11 | $12.49 – $45.72 | 2 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $738.72 | $984.96 | $4.25 – $10.32 | 17 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $107.85 | $143.80 | $3.99 – $15.21 | 2 |
| Ceftazidime and avibactam HCPCS J0714 | $1,418.10 | $1,890.79 | $104.75 – $255.45 | 17 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $123.72 | $164.96 | $1.17 – $4.41 | 2 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $18.04 | $24.05 | $5.57 – $18.27 | 2 |
| #celiac hla-dq8 CPT 81383 | $126.00 | $168.00 | $109.13 – $196.43 | 17 |
| Cell count body fluid CPT 89050 | $65.25 | $87.00 | $4.72 – $8.50 | 17 |
| Cell count w differential body fluid CPT 89051 | $106.50 | $142.00 | $5.60 – $10.08 | 17 |
| Cellesta or duo per sq cm HCPCS Q4184 | not published | not published | $194.82 – $194.82 | 1 |
| Cell function assay w/stim CPT 86352 | $949.50 | $1,266.00 | $135.86 – $244.55 | 17 |
| Cell marker study CPT 88182 | $1,170.00 | $1,560.00 | $50.54 – $90.97 | 16 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $40,395.06 | $53,860.07 | $29.76 – $69.83 | 17 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | $2,596.50 | $3,462.00 | $3,139.36 – $5,650.86 | 16 |
| Cerebrospinal fld flw imag CPT 78645 | $612.00 | $816.00 | $526.57 – $947.83 | 17 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $22,182.90 | $29,577.19 | $3.79 – $10.90 | 17 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | $123.75 | $165.00 | $98.52 – $177.34 | 16 |
| Cesarean section delivery only 59514 CPT 59514 | $1,705.50 | $2,274.00 | $814.78 – $1,466.60 | 16 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $5,734.83 | $7,646.43 | $80.46 – $190.97 | 17 |
| #cf-97variants CPT 81220 | $1,046.25 | $1,395.00 | $556.60 – $1,001.88 | 17 |
| Cftr gene dup/delet variants CPT 81222 | $918.00 | $1,224.00 | $435.07 – $783.13 | 17 |
| Cftr gene intron poly t CPT 81224 | $285.75 | $381.00 | $168.75 – $303.75 | 17 |
| Change cystostomy tube simple CPT 51705 | $303.00 | $404.00 | $242.30 – $436.15 | 16 |
| Change g-tube to g-j perc CPT 49446 | $1,122.00 | $1,496.00 | $1,860.96 – $3,349.72 | 16 |
| Change nephroureteral cath CPT 50387 | $2,247.75 | $2,997.00 | $2,027.25 – $3,649.06 | 16 |
| Change of windpipe airway 31502 CPT 31502 | $225.75 | $301.00 | $229.70 – $413.45 | 16 |
| Change ureter stent percut CPT 50382 | $4,067.25 | $5,423.00 | $2,027.25 – $3,649.06 | 16 |
| Chemo adm cns w/lmbr punct CPT 96450 | $1,323.75 | $1,765.00 | $320.33 – $576.59 | 16 |
| Chemodener muscle larynx emg CPT 64617 | $668.25 | $891.00 | $684.56 – $1,232.21 | 16 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $843.00 | $1,124.00 | $297.68 – $535.83 | 16 |
| Chemodenerv musc migraine 64615 CPT 64615 | $762.75 | $1,017.00 | $297.68 – $535.83 | 16 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $825.75 | $1,101.00 | $297.68 – $535.83 | 16 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | $484.50 | $646.00 | $297.68 – $535.83 | 16 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $787.50 | $1,050.00 | $684.56 – $1,232.21 | 16 |
| Chemo ia push tecnique CPT 96420 | $540.75 | $721.00 | $320.33 – $576.59 | 16 |
| Chemo intralesional over 7 CPT 96406 | $246.75 | $329.00 | $206.28 – $371.30 | 16 |
| Chemo intralesional up to 7 96405 CPT 96405 | $83.25 | $111.00 | $69.83 – $125.69 | 16 |
| Chemotherapy injection 96542 CPT 96542 | $665.25 | $887.00 | $320.33 – $576.59 | 16 |
| Chemotx admn pertl cav impl CPT 96446 | $642.75 | $857.00 | $320.33 – $576.59 | 16 |
| Chest 2 vws w oblique CPT 71048 | $357.00 | $476.00 | $101.39 – $182.50 | 17 |
| Chest apical lordotic proj CPT 71047 | $347.25 | $463.00 | $84.40 – $151.91 | 17 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,241.75 | $2,989.00 | $170.10 – $306.19 | 16 |
| Chest CT scan (with contrast) CPT 71260 | $1,730.25 | $2,307.00 | $170.10 – $306.19 | 16 |
| Chest CT scan (without contrast) CPT 71250 | $1,557.00 | $2,076.00 | $101.39 – $182.50 | 16 |
| Chest Physiotherapy (first session) CPT 94667 | $113.25 | $151.00 | $129.03 – $232.25 | 16 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $216.75 | $289.00 | $129.03 – $232.25 | 16 |
| Chest Ultrasound CPT 76604 | $362.25 | $483.00 | $101.39 – $182.50 | 17 |
| Chest X-ray CPT 71046 | $309.00 | $412.00 | $84.40 – $151.91 | 17 |
| Chest X-ray (single view) CPT 71045 | $246.00 | $328.00 | $84.40 – $151.91 | 17 |
| Chg pr pul rehab for copd patients CPT 94626 | $134.25 | $179.00 | $57.21 – $102.98 | 16 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $759.00 | $1,012.00 | $170.10 – $306.19 | 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.