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 |
|---|---|---|---|---|
| Chimerism anal no cell selec CPT 81267 | $951.75 | $1,269.00 | $207.46 – $373.43 | 17 |
| Chimerism anal w/cell select CPT 81268 | $524.25 | $699.00 | $260.79 – $469.42 | 17 |
| Chlamydia culture CPT 87110 | $90.75 | $121.00 | $19.60 – $35.28 | 17 |
| Chlnggrphy intraop addl s&i CPT 74301 | $402.75 | $537.00 | not published | 0 |
| Chloramphenicol sodium injec HCPCS J0720 | $143.40 | $191.20 | $122.33 – $525.42 | 2 |
| Chloride CPT 82435 | $30.00 | $40.00 | $4.60 – $8.28 | 17 |
| Chloride 24 hour urine CPT 82436 | $42.75 | $57.00 | $5.75 – $10.35 | 17 |
| Chloroprocaine hcl injection HCPCS J2401 | $69.08 | $92.10 | $0.36 – $0.36 | 1 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $221.85 | $295.80 | $98.28 – $1,092.15 | 2 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $91.92 | $122.55 | $65.89 – $268.11 | 2 |
| Cholangiogram percutaneous compl CPT 47532 | $7,869.75 | $10,493.00 | $3,472.27 – $6,250.09 | 16 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $629.25 | $839.00 | not published | 0 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $3,041.25 | $4,055.00 | $3,472.27 – $6,250.09 | 16 |
| Cholera vaccine live oral CPT 90625 | $814.20 | $1,085.59 | not published | 0 |
| Cholesterol CPT 82465 | $45.75 | $61.00 | $4.35 – $7.83 | 17 |
| Cholesterol (Lipid) Test CPT 80061 | $109.50 | $146.00 | $13.39 – $24.10 | 17 |
| Cholinesterase CPT 82480 | $94.50 | $126.00 | $7.87 – $14.17 | 17 |
| Chorionic gonadotropin/1000u HCPCS J0725 | $788.58 | $1,051.43 | $42.62 – $208.53 | 2 |
| Chrom analysis CPT 88273 | $330.75 | $441.00 | $34.81 – $62.66 | 17 |
| Chromatography CPT 83021 | $252.75 | $337.00 | $18.06 – $32.51 | 17 |
| Chromogenic substrate assay CPT 85130 | $382.50 | $510.00 | $11.89 – $21.40 | 17 |
| Chromo high res and frag x - sendout CPT 81243 | $264.75 | $353.00 | $57.04 – $102.67 | 17 |
| Chromosome analysis 100 CPT 88249 | $519.00 | $692.00 | $173.17 – $311.71 | 17 |
| Chromosome analysis 15-20 cell count CPT 88262 | $1,092.75 | $1,457.00 | $125.49 – $225.88 | 17 |
| Chromosome analysis 45 CPT 88263 | $1,692.75 | $2,257.00 | $150.29 – $270.52 | 17 |
| Chromosome analysis 5 CPT 88261 | $955.50 | $1,274.00 | $264.34 – $475.81 | 17 |
| Chromosome analysis 50-100 CPT 88248 | $519.00 | $692.00 | $173.17 – $311.71 | 17 |
| Chromosome analys placenta CPT 88267 | $642.00 | $856.00 | $188.57 – $339.43 | 17 |
| Chromosome count additional CPT 88285 | $105.75 | $141.00 | $26.91 – $48.44 | 17 |
| Chromosome karyotype study CPT 88280 | $210.75 | $281.00 | $33.47 – $60.25 | 17 |
| Chromosome study additional CPT 88289 | $140.25 | $187.00 | $34.43 – $61.97 | 17 |
| Chylomicron screen, bf - sendout CPT 82664 | $301.50 | $402.00 | $61.50 – $110.70 | 17 |
| Cidofovir injection HCPCS J0740 | $1,615.67 | $2,154.22 | $560.79 – $1,288.49 | 17 |
| Cilastatin sodium injection HCPCS J0743 | $36.62 | $48.82 | $16.96 – $72.90 | 2 |
| Cinacalcet 30 mg tablet HCPCS J0604 | $5,641.98 | $7,522.64 | $8.91 – $8.91 | 1 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $23.67 | $31.56 | $5.62 – $17.37 | 2 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $73.04 – $73.04 | 1 |
| Circumcision (newborn) CPT 54150 | $84.75 | $113.00 | $2,027.25 – $3,649.06 | 16 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | not published | not published | $4.72 – $4.72 | 1 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $355.41 | $473.88 | $8.73 – $23.66 | 17 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $19,012.50 | $25,350.00 | not published | 0 |
| Clearance of airways CPT 31720 | $166.50 | $222.00 | $212.36 – $382.26 | 16 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $49.74 | $66.31 | $17.10 – $17.10 | 1 |
| Clip ligating vesolock lg HCPCS C1760 | $38,250.00 | $51,000.00 | not published | 0 |
| Cllr miami j sm HCPCS L0174 | $112.39 | $149.85 | $420.89 – $757.60 | 16 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | $11,963.49 | $15,951.32 | $10.94 – $35.80 | 17 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $361.14 | $481.52 | $43.01 – $173.43 | 2 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $228.00 | $304.00 | $239.22 – $430.59 | 16 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $1,815.75 | $2,421.00 | $1,559.43 – $2,806.97 | 16 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $261.75 | $349.00 | $239.22 – $430.59 | 16 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $2,448.00 | $3,264.00 | $1,559.43 – $2,806.97 | 16 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,110.75 | $1,481.00 | $1,559.43 – $2,806.97 | 16 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $217.50 | $290.00 | $239.22 – $430.59 | 16 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $487.50 | $650.00 | $1,559.43 – $2,806.97 | 16 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $262.50 | $350.00 | $229.70 – $413.45 | 16 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $531.00 | $708.00 | $523.04 – $941.47 | 16 |
| Closure paravalvlr leak pq CPT 33999 | $18,614.25 | $24,819.00 | $608.36 – $1,095.05 | 16 |
| Clot factor fletcher fact CPT 85292 | $335.25 | $447.00 | $18.93 – $34.07 | 17 |
| Clot factor wght kininogen CPT 85293 | $335.25 | $447.00 | $18.93 – $34.07 | 17 |
| Clot factor xii hageman CPT 85280 | $220.50 | $294.00 | $19.35 – $34.83 | 17 |
| Clot factor xiii fibrin scrn CPT 85291 | $39.00 | $52.00 | $9.11 – $16.40 | 17 |
| Clot factor xiii fibrin stab CPT 85290 | $292.50 | $390.00 | $16.34 – $29.41 | 17 |
| Clozapine, 25 mg HCPCS S0136 | $242.19 | $322.92 | not published | 0 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $600.00 | $800.00 | $239.22 – $430.59 | 16 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $262.50 | $350.00 | $239.22 – $430.59 | 16 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $1,513.50 | $2,018.00 | $1,559.43 – $2,806.97 | 16 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $259.50 | $346.00 | $239.22 – $430.59 | 16 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $333.00 | $444.00 | $239.22 – $430.59 | 16 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $525.75 | $701.00 | $239.22 – $430.59 | 16 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $1,513.50 | $2,018.00 | $1,559.43 – $2,806.97 | 16 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $1,553.25 | $2,071.00 | $1,559.43 – $2,806.97 | 16 |
| Clsd tx fracture of radius 25500 CPT 25500 | $442.50 | $590.00 | $239.22 – $430.59 | 16 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $279.00 | $372.00 | $239.22 – $430.59 | 16 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $342.75 | $457.00 | $239.22 – $430.59 | 16 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $2,890.50 | $3,854.00 | $1,559.43 – $2,806.97 | 16 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $3,063.75 | $4,085.00 | $1,559.43 – $2,806.97 | 16 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $342.75 | $457.00 | $239.22 – $430.59 | 16 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $218.25 | $291.00 | $239.22 – $430.59 | 16 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $373.50 | $498.00 | $239.22 – $430.59 | 16 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $529.50 | $706.00 | $239.22 – $430.59 | 16 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $350.25 | $467.00 | $239.22 – $430.59 | 16 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $426.00 | $568.00 | $239.22 – $430.59 | 16 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $3,064.50 | $4,086.00 | $3,215.33 – $5,787.60 | 16 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $1,815.75 | $2,421.00 | $1,559.43 – $2,806.97 | 16 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $218.25 | $291.00 | $239.22 – $430.59 | 16 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $1,553.25 | $2,071.00 | $1,559.43 – $2,806.97 | 16 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $260.25 | $347.00 | $239.22 – $430.59 | 16 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,513.50 | $2,018.00 | $1,559.43 – $2,806.97 | 16 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,513.50 | $2,018.00 | $1,559.43 – $2,806.97 | 16 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,553.25 | $2,071.00 | $1,559.43 – $2,806.97 | 16 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,513.50 | $2,018.00 | $1,559.43 – $2,806.97 | 16 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $218.25 | $291.00 | $239.22 – $430.59 | 16 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $217.50 | $290.00 | $239.22 – $430.59 | 16 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $279.00 | $372.00 | $239.22 – $430.59 | 16 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,362.75 | $1,817.00 | $1,559.43 – $2,806.97 | 16 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $370.50 | $494.00 | $239.22 – $430.59 | 16 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $756.75 | $1,009.00 | $239.22 – $430.59 | 16 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $342.00 | $456.00 | $239.22 – $430.59 | 16 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $1,815.75 | $2,421.00 | $1,559.43 – $2,806.97 | 16 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | $5,658.00 | $7,544.00 | $5,741.05 – $10,333.89 | 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.