Southeastern Medical Center
1341 North Clark Street, Cambridge, OH · OhioHealth · · NPI 1053342816
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $75.40 | $116.00 | $29.28 – $30.45 | 2 |
| 17-hydroxypregnenolone CPT 84143 | $142.35 | $219.00 | $22.81 – $23.72 | 2 |
| 17-ketosteroids CPT 83586 | $110.50 | $170.00 | $12.80 – $13.31 | 2 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $125.96 – $131.00 | 3 |
| 2019-ncov diagnostic p HCPCS U0001 | $109.85 | $169.00 | $35.92 – $37.36 | 2 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $125.87 – $130.91 | 3 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $1,366.30 | $2,102.00 | $741.65 – $771.32 | 3 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $1,608.10 | $2,474.00 | $741.65 – $771.32 | 3 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $121.73 – $126.60 | 3 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $121.73 – $126.60 | 3 |
| 3d ech img cgen car anomal CPT 93319 | $427.05 | $657.00 | not published | 0 |
| 3-d radiotherapy plan CPT 77295 | $2,585.70 | $3,978.00 | $1,309.49 – $1,361.87 | 3 |
| 3d recon without postprocess indpndt CPT 76376 | $358.15 | $551.00 | not published | 0 |
| 5' nucleotidase - sendout CPT 83915 | $1,645.15 | $2,531.00 | $11.15 – $11.60 | 2 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $150.15 | $231.00 | not published | 0 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $115.70 | $178.00 | not published | 0 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $115.70 | $178.00 | not published | 0 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $4,934.18 | $7,591.05 | $44.11 – $284.70 | 4 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $158.60 | $244.00 | $12.01 – $12.49 | 2 |
| Abciximab injection HCPCS J0130 | not published | not published | $0.07 – $0.07 | 1 |
| Abd aorta w/runoff s&i CPT 75630 | $4,978.35 | $7,659.00 | $2,987.22 – $3,106.71 | 3 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,126.15 | $3,271.00 | $165.94 – $172.58 | 3 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,858.35 | $2,859.00 | $165.94 – $172.58 | 3 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,589.90 | $2,446.00 | $98.91 – $102.86 | 3 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,360.50 | $5,170.00 | $330.06 – $343.26 | 3 |
| Abdominal MRI (with contrast) CPT 74182 | $2,787.85 | $4,289.00 | $330.06 – $343.26 | 3 |
| Abdominal MRI (without contrast) CPT 74181 | $2,214.55 | $3,407.00 | $225.74 – $234.77 | 3 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,064.05 | $1,637.00 | $858.08 – $892.40 | 3 |
| Abdominal Ultrasound (complete) CPT 76700 | $886.60 | $1,364.00 | $98.91 – $102.86 | 3 |
| Abdominal Ultrasound (limited) CPT 76705 | $709.15 | $1,091.00 | $98.91 – $102.86 | 3 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $6,282.11 – $6,533.39 | 3 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $676.00 | $1,040.00 | $858.08 – $892.40 | 3 |
| Abl1 gene CPT 81170 | $754.00 | $1,160.00 | $300.00 – $312.00 | 2 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $5,317.00 | $8,180.00 | $6,864.94 – $7,139.54 | 3 |
| Ablate bone tumor(s) perq CPT 20982 | $9,812.40 | $15,096.00 | $16,588.34 – $17,251.88 | 3 |
| Ablate pulm tumor perq crybl CPT 32994 | $10,388.30 | $15,982.00 | $10,056.64 – $10,458.91 | 3 |
| Ablate pulm tumor perq rf CPT 32998 | $10,388.30 | $15,982.00 | $5,719.53 – $5,948.32 | 3 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $4,081.35 | $6,279.00 | $121.73 – $126.60 | 3 |
| Ablation cryo abd perit om CPT 49999 | $2,453.75 | $3,775.00 | $858.08 – $892.40 | 3 |
| Ablation cryo adrenal tumor CPT 60699 | $1,441.70 | $2,218.00 | $5,719.53 – $5,948.32 | 3 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $233.37 – $242.70 | 3 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $3,291.60 | $5,064.00 | $10,056.64 – $10,458.91 | 3 |
| Ablation cryo retro lymph node CPT 38999 | $625.30 | $962.00 | $417.38 – $434.08 | 3 |
| Ablation cryo thigh/knee CPT 27599 | $3,214.90 | $4,946.00 | $233.37 – $242.70 | 3 |
| Ablation ire liver 1+ tumor(s) w/image pq CPT 47384 | not published | not published | $10,056.64 – $10,458.91 | 3 |
| Ablation of upper extremity nerves rf CPT 64999 | $495.30 | $762.00 | $290.40 – $302.02 | 3 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,562.54 – $1,625.04 | 3 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $8,956.00 – $9,314.24 | 3 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $8.75 – $55.45 | 4 |
| Abortion (mpr) CPT 59866 | not published | not published | $288.30 – $299.83 | 3 |
| Abrasion lesion single CPT 15786 | not published | not published | $189.82 – $197.41 | 3 |
| Abscess drain retroperitoneal surg code CPT 49406 | $952.90 | $1,466.00 | $1,562.54 – $1,625.04 | 3 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $48.42 | $74.50 | $0.08 – $0.33 | 2 |
| Acetaminophen level CPT 80143 | $118.95 | $183.00 | $18.64 – $19.39 | 2 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $134.17 | $206.42 | $36.75 – $140.53 | 2 |
| Acetone qualitative CPT 82009 | $52.65 | $81.00 | $4.52 – $4.70 | 2 |
| Acetylcholine receptor modulating antibody CPT 86043 | $146.25 | $225.00 | $12.05 – $12.53 | 2 |
| Acetylcholinesterase assay CPT 82013 | $162.50 | $250.00 | $12.29 – $12.78 | 2 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $382.06 | $587.79 | $0.93 – $3.58 | 2 |
| Acetylcysteine non-comp unit HCPCS J7608 | $69.08 | $106.27 | $13.85 – $52.98 | 2 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $353.04 – $367.16 | 3 |
| Acne surgery 10040 CPT 10040 | not published | not published | $189.82 – $197.41 | 3 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $167.28 – $173.97 | 3 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | not published | not published | $131.63 – $136.90 | 3 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $125.96 – $131.00 | 3 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $34.45 | $53.00 | $12.04 – $12.52 | 3 |
| Acoustic immitance testing CPT 92570 | not published | not published | $121.73 – $126.60 | 3 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $35.34 – $36.75 | 3 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Actigraphy testing CPT 95803 | not published | not published | $55.81 – $58.04 | 3 |
| Actinotherapy uv light CPT 96900 | not published | not published | $35.34 – $36.75 | 3 |
| Acute hepatitis panel CPT 80074 | $208.00 | $320.00 | $47.63 – $49.54 | 2 |
| Acute venous thrombus image CPT 78456 | not published | not published | $1,224.84 – $1,273.83 | 3 |
| Acyclovir 400 mg tablet HCPCS J8499 | $247.02 | $380.03 | not published | 0 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $19.50 | $30.00 | $0.09 – $0.33 | 2 |
| #acylcarnitineprfl CPT 82017 | $164.45 | $253.00 | $16.87 – $17.54 | 2 |
| Acylcarnitines qual CPT 82016 | not published | not published | $16.49 – $17.15 | 2 |
| Adding walker to prev cast CPT 29440 | not published | not published | $153.74 – $159.89 | 3 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $24.21 | $37.25 | $0.54 – $2.08 | 2 |
| Adenovirus ag ia CPT 87301 | not published | not published | $11.98 – $12.46 | 2 |
| Adenovirus antibody,serum - quest CPT 86603 | $98.15 | $151.00 | $12.87 – $13.38 | 2 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $21.76 – $22.63 | 2 |
| Adh-sendout CPT 84588 | $180.05 | $277.00 | $33.94 – $35.30 | 2 |
| Adj gastric band via subq port CPT 43999 | $2,975.05 | $4,577.00 | $858.08 – $892.40 | 3 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $4,458.80 | $6,859.70 | $1.43 – $1.43 | 1 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $187.85 | $289.00 | $68.12 – $70.84 | 3 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $235.30 | $362.00 | $68.12 – $70.84 | 3 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $566.80 | $872.00 | $312.49 – $324.99 | 3 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $295.10 | $454.00 | $312.49 – $324.99 | 3 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $195.00 | $300.00 | $68.12 – $70.84 | 3 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $195.00 | $300.00 | $68.12 – $70.84 | 3 |
| Administration immunization 1 vaccine CPT 90471 | $88.40 | $136.00 | $68.12 – $70.84 | 3 |
| Administration immunization each additional vaccine CPT 90472 | $44.20 | $68.00 | not published | 0 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $68.12 – $70.84 | 3 |
| Administration vaccine hepatitis b HCPCS G0010 | $88.40 | $136.00 | $44.30 – $46.07 | 3 |
| Administration vaccine influenza virus HCPCS G0008 | $88.40 | $136.00 | $44.30 – $46.07 | 3 |
| Administration vaccine pneumococcal HCPCS G0009 | $88.40 | $136.00 | $44.30 – $46.07 | 3 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $24.70 | $38.00 | 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.