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 |
|---|---|---|---|---|
| Cltx mndblr fx w/mnpj CPT 21451 | $1,463.25 | $1,951.00 | $1,504.73 – $2,708.51 | 16 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $3,600.75 | $4,801.00 | $3,215.33 – $5,787.60 | 16 |
| Cltx palatal/max fx wire fix CPT 21421 | $3,162.00 | $4,216.00 | $3,215.33 – $5,787.60 | 16 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $1,815.75 | $2,421.00 | $1,559.43 – $2,806.97 | 16 |
| C motor evoked lwr limbs CPT 95929 | $480.75 | $641.00 | $361.89 – $651.40 | 16 |
| C motor evoked uppr limbs CPT 95928 | $4,662.75 | $6,217.00 | $832.81 – $1,499.05 | 16 |
| C motor evoked upr&lwr limbs CPT 95939 | $849.75 | $1,133.00 | $832.81 – $1,499.05 | 16 |
| Cmptr ophth img optic nerve CPT 92133 | $130.50 | $174.00 | $57.21 – $102.98 | 16 |
| #cms hgb-sulfhemoglobin CPT 83060 | $132.75 | $177.00 | $8.80 – $15.84 | 17 |
| #cmvcul-virus inoculation shell CPT 87254 | $48.00 | $64.00 | $19.56 – $35.21 | 17 |
| Cmv pcr-sendout CPT 87496 | $501.00 | $668.00 | $35.09 – $63.16 | 17 |
| Cnbp gene detc abnor allele CPT 81187 | $2,587.50 | $3,450.00 | $137.00 – $246.60 | 16 |
| Co2 monitor per day CPT 94681 | $337.50 | $450.00 | $361.89 – $651.40 | 16 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $16,994.46 | $22,659.27 | $2.64 – $6.43 | 17 |
| Coagulation time activated teg CPT 85347 | $63.75 | $85.00 | $4.28 – $7.70 | 17 |
| Coch implant tran cable repl HCPCS L8618 | $1,012.50 | $1,350.00 | $38.46 – $69.23 | 16 |
| Cogenex amnio memb per sq cm HCPCS Q4229 | not published | not published | $803.97 – $803.97 | 1 |
| Cold agglutinin titer CPT 86157 | $119.25 | $159.00 | $8.06 – $14.51 | 17 |
| Colistimethate sodium inj HCPCS J0770 | $39.42 | $52.56 | $27.70 – $125.28 | 2 |
| Collagenase, clost hist inj HCPCS J0775 | $26,281.91 | $35,042.54 | $78.35 – $178.07 | 17 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $267.75 | $357.00 | $84.40 – $151.91 | 17 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $29.25 | $38.99 | $98.08 – $176.54 | 16 |
| Collar cerv ascend 172 reg HCPCS L0172 | $318.51 | $424.68 | $194.52 – $350.14 | 16 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $131.25 | $175.00 | $129.03 – $232.25 | 16 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $255.00 | $340.00 | $129.03 – $232.25 | 16 |
| Coll-e-derm 1 sq cm HCPCS Q4193 | not published | not published | $4,169.88 – $4,169.88 | 1 |
| Collj & interpj data ea 30 d CPT 99091 | $175.50 | $234.00 | $54.04 – $97.27 | 16 |
| Colonoscopy (diagnostic) CPT 45378 | $2,029.50 | $2,706.00 | $901.87 – $1,623.37 | 16 |
| Colonoscopy flex with decompression 45393 CPT 45393 | $1,946.25 | $2,595.00 | $1,160.50 – $2,088.91 | 16 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $2,568.00 | $3,424.00 | $1,160.50 – $2,088.91 | 16 |
| Colonoscopy for foreign body CPT 44390 | $1,861.50 | $2,482.00 | $901.87 – $1,623.37 | 16 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | $1,139.25 | $1,519.00 | $1,160.50 – $2,088.91 | 16 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $1,139.25 | $1,519.00 | $1,160.50 – $2,088.91 | 16 |
| Colonoscopy submucous njx CPT 45381 | $1,865.25 | $2,487.00 | $1,160.50 – $2,088.91 | 16 |
| Colonoscopy thru stoma spx CPT 44388 | $883.50 | $1,178.00 | $901.87 – $1,623.37 | 16 |
| Colonoscopy w/ablation CPT 45388 | $2,571.00 | $3,428.00 | $1,160.50 – $2,088.91 | 16 |
| Colonoscopy w/balloon dilat CPT 45386 | $1,146.75 | $1,529.00 | $1,160.50 – $2,088.91 | 16 |
| Colonoscopy w/band ligation CPT 45398 | $1,946.25 | $2,595.00 | $1,160.50 – $2,088.91 | 16 |
| Colonoscopy w/control bleed CPT 45382 | $1,909.50 | $2,546.00 | $1,160.50 – $2,088.91 | 16 |
| Colonoscopy w/dilation CPT 44405 | $1,439.25 | $1,919.00 | $1,160.50 – $2,088.91 | 16 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | $2,496.00 | $3,328.00 | $1,160.50 – $2,088.91 | 16 |
| Colonoscopy w/endoscopic fnb CPT 45392 | $2,496.00 | $3,328.00 | $1,160.50 – $2,088.91 | 16 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | $6,714.00 | $8,952.00 | $5,887.56 – $10,597.60 | 16 |
| Colonoscopy w/fb removal CPT 45379 | $2,370.75 | $3,161.00 | $1,160.50 – $2,088.91 | 16 |
| Colonoscopy w/injection CPT 44404 | $1,439.25 | $1,919.00 | $1,160.50 – $2,088.91 | 16 |
| Colonoscopy with ablation CPT 44401 | $1,617.00 | $2,156.00 | $1,160.50 – $2,088.91 | 16 |
| Colonoscopy (with biopsy) CPT 45380 | $1,800.75 | $2,401.00 | $1,160.50 – $2,088.91 | 16 |
| Colonoscopy with biopsy CPT 44389 | $1,139.25 | $1,519.00 | $1,160.50 – $2,088.91 | 16 |
| Colonoscopy (with polyp removal) CPT 45385 | $1,875.00 | $2,500.00 | $1,160.50 – $2,088.91 | 16 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | $1,439.25 | $1,919.00 | $1,160.50 – $2,088.91 | 16 |
| Colonoscopy w/resection CPT 45390 | $2,712.75 | $3,617.00 | $2,691.84 – $4,845.30 | 16 |
| Colonoscopy w/stent plcmt CPT 44402 | $1,439.25 | $1,919.00 | $5,887.56 – $10,597.60 | 16 |
| Colonoscopy w/ultrasound CPT 44406 | $1,439.25 | $1,919.00 | $1,160.50 – $2,088.91 | 16 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | $1,446.00 | $1,928.00 | $893.23 – $1,607.82 | 16 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | $4,866.75 | $6,489.00 | $3,139.36 – $5,650.86 | 16 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $851.25 | $1,135.00 | $196.07 – $352.92 | 16 |
| Colposcopy vulva 56820 CPT 56820 | $489.00 | $652.00 | $196.07 – $352.92 | 16 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | $1,147.50 | $1,530.00 | $295.53 – $531.95 | 16 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $125.25 | $167.00 | $165.22 – $297.40 | 16 |
| Compatibility test each unit electronic CPT 86923 | $317.25 | $423.00 | $165.22 – $297.40 | 16 |
| Compatibility test each unit immediate spin technique CPT 86920 | $293.25 | $391.00 | $165.22 – $297.40 | 16 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | $668.25 | $891.00 | $676.24 – $1,217.23 | 16 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | $1,216.50 | $1,622.00 | $676.24 – $1,217.23 | 16 |
| Complement antigen each component c3 CPT 86160 | $489.00 | $652.00 | $12.00 – $21.60 | 17 |
| Complex cystometrogram 51726 CPT 51726 | $239.25 | $319.00 | $242.30 – $436.15 | 16 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $468.00 | $624.00 | $209.40 – $376.92 | 16 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $3,168.00 | $4,224.00 | $716.75 – $1,290.15 | 16 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $3,255.75 | $4,341.00 | $716.75 – $1,290.15 | 16 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $424.50 | $566.00 | $180.49 – $324.87 | 16 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $357.75 | $477.00 | $394.24 – $709.63 | 16 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $884.25 | $1,179.00 | $394.24 – $709.63 | 16 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $282.00 | $376.00 | $160.47 – $288.84 | 16 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $2,126.25 | $2,835.00 | $121.84 – $219.30 | 16 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $1,899.75 | $2,533.00 | $338.34 – $609.01 | 16 |
| Concentration infection agents any type CPT 87015 | $27.75 | $37.00 | $6.68 – $12.02 | 17 |
| Conditioning play audiometry 92582 CPT 92582 | $123.00 | $164.00 | $124.79 – $224.62 | 16 |
| Condylomata destruction 56420 CPT 56420 | $1,000.50 | $1,334.00 | $196.07 – $352.92 | 16 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $4,198.50 | $5,598.00 | $3,139.36 – $5,650.86 | 16 |
| Conization of cervix CPT 57520 | $9,071.25 | $12,095.00 | $3,139.36 – $5,650.86 | 16 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $1,291.95 | $1,722.60 | $391.72 – $951.06 | 17 |
| Connect omega .5mm HCPCS L8613 | $1,185.42 | $1,580.55 | $419.73 – $755.51 | 16 |
| Connector tis 2x10mm HCPCS C9352 | $7,960.44 | $10,613.91 | not published | 0 |
| Consultation pathology during surgery CPT 88329 | $141.75 | $189.00 | $57.21 – $102.98 | 16 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $1,059.75 | $1,413.00 | $781.35 – $1,406.43 | 16 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $122.25 | $163.00 | $50.54 – $90.97 | 16 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $126.00 | $168.00 | $165.22 – $297.40 | 16 |
| Cont intraop neuro monitor HCPCS G0453 | $335.25 | $447.00 | $26.91 – $48.43 | 16 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $3,006.75 | $4,009.00 | $3,062.12 – $5,511.82 | 17 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $8,066.25 | $10,755.00 | $5,396.44 – $9,713.59 | 17 |
| Contrast x-ray of ankle CPT 73615 | $1,136.25 | $1,515.00 | $338.34 – $642.95 | 17 |
| Contrast x-ray of elbow CPT 73085 | $1,155.00 | $1,540.00 | $338.34 – $642.95 | 17 |
| Contrast x-ray of hip CPT 73525 | $506.25 | $675.00 | $338.34 – $642.95 | 17 |
| Contrast x-ray of knee joint CPT 73580 | $686.25 | $915.00 | $338.34 – $642.95 | 17 |
| Contrast x-ray of wrist CPT 73115 | $417.75 | $557.00 | $338.34 – $609.01 | 17 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | $13,218.75 | $17,625.00 | $21,317.37 – $38,371.27 | 16 |
| Controller infinity pt dbs HCPCS C1787 | $10,901.25 | $14,535.00 | not published | 0 |
| Control nosebleed pack+caut 30905 CPT 30905 | $473.25 | $631.00 | $129.03 – $232.25 | 16 |
| Control of nosebleed ant comp 30903 CPT 30903 | $162.00 | $216.00 | $129.03 – $232.25 | 16 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $150.75 | $201.00 | $129.03 – $232.25 | 16 |
| Conversion ext bil drg cath CPT 47535 | $8,671.50 | $11,562.00 | $3,472.27 – $6,250.09 | 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.