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 |
|---|---|---|---|---|
| Chemotaxis assay CPT 86155 | not published | not published | $15.99 – $16.63 | 2 |
| Chemotherapy injection 96542 CPT 96542 | $266.50 | $410.00 | $312.49 – $324.99 | 3 |
| Chemotx admn pertl cav impl CPT 96446 | $676.65 | $1,041.00 | $312.49 – $324.99 | 3 |
| Chest 2 vws w oblique CPT 71048 | $367.25 | $565.00 | $98.91 – $102.86 | 3 |
| Chest apical lordotic proj CPT 71047 | $334.10 | $514.00 | $82.33 – $85.63 | 3 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,529.15 | $3,891.00 | $165.94 – $172.58 | 3 |
| Chest CT scan (with contrast) CPT 71260 | $2,178.80 | $3,352.00 | $165.94 – $172.58 | 3 |
| Chest CT scan (without contrast) CPT 71250 | $1,640.60 | $2,524.00 | $98.91 – $102.86 | 3 |
| Chest X-ray CPT 71046 | $303.55 | $467.00 | $82.33 – $85.63 | 3 |
| Chest X-ray (single view) CPT 71045 | $276.25 | $425.00 | $82.33 – $85.63 | 3 |
| Chg pr pul rehab for copd patients CPT 94626 | $143.00 | $220.00 | $55.81 – $58.04 | 3 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $737.75 | $1,135.00 | $165.94 – $172.58 | 3 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $207.46 – $215.76 | 2 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $260.79 – $271.22 | 2 |
| Chlamydia culture CPT 87110 | $98.15 | $151.00 | $19.60 – $20.38 | 2 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $11.98 – $12.46 | 2 |
| Chlamydia type CPT 87140 | $39.00 | $60.00 | $5.57 – $5.79 | 2 |
| Chlnggrphy intraop addl s&i CPT 74301 | $273.00 | $420.00 | not published | 0 |
| Chloramphenicol sodium injec HCPCS J0720 | not published | not published | $50.26 – $316.23 | 4 |
| Chloride CPT 82435 | $35.75 | $55.00 | $4.60 – $4.78 | 2 |
| Chloride 24 hour urine CPT 82436 | $29.25 | $45.00 | $5.75 – $5.98 | 2 |
| Chloroprocaine hcl injection HCPCS J2401 | $82.39 | $126.75 | $0.05 – $0.20 | 2 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.58 – $3.97 | 4 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $236.63 | $364.05 | $102.79 – $392.99 | 2 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $104.13 | $160.20 | $51.81 – $198.12 | 2 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | not published | not published | $2.28 – $2.28 | 1 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $312.49 – $324.99 | 3 |
| Cholangiogram percutaneous compl CPT 47532 | $5,703.75 | $8,775.00 | $3,387.33 – $3,522.83 | 3 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $558.35 | $859.00 | not published | 0 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $4,714.45 | $7,253.00 | $3,387.33 – $3,522.83 | 3 |
| Cholesterol CPT 82465 | $17.55 | $27.00 | $4.35 – $4.52 | 2 |
| Cholesterol body fluid CPT 84999 | $21.45 | $33.00 | not published | 0 |
| Cholesterol (Lipid) Test CPT 80061 | $33.15 | $51.00 | $13.39 – $13.93 | 2 |
| Choline c-11 HCPCS A9515 | not published | not published | $2,516.43 – $32,500.00 | 4 |
| Cholinesterase CPT 82480 | $48.10 | $74.00 | $7.87 – $8.18 | 2 |
| Cholinesterase challenge CPT 95857 | not published | not published | $204.28 – $212.45 | 3 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $33.44 – $127.86 | 2 |
| Chrom analysis CPT 88273 | $158.60 | $244.00 | $34.81 – $36.20 | 2 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $39.00 – $40.56 | 2 |
| Chromatography CPT 83021 | $89.05 | $137.00 | $18.06 – $18.78 | 2 |
| Chromogenic substrate assay CPT 85130 | $468.00 | $720.00 | $11.89 – $12.37 | 2 |
| Chromo high res and frag x - sendout CPT 81243 | $349.05 | $537.00 | $57.04 – $59.32 | 2 |
| Chromosome analys amniotic CPT 88269 | $343.85 | $529.00 | $173.66 – $180.61 | 2 |
| Chromosome analysis 100 CPT 88249 | $422.50 | $650.00 | $173.17 – $180.10 | 2 |
| Chromosome analysis 15-20 cell count CPT 88262 | $137.15 | $211.00 | $125.49 – $130.51 | 2 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $173.17 – $180.10 | 2 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $150.29 – $156.30 | 2 |
| Chromosome analysis 5 CPT 88261 | $612.95 | $943.00 | $264.34 – $274.91 | 2 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $173.17 – $180.10 | 2 |
| Chromosome analys placenta CPT 88267 | $705.90 | $1,086.00 | $188.57 – $196.11 | 2 |
| Chromosome banding study CPT 88283 | $19.50 | $30.00 | $68.60 – $71.34 | 2 |
| Chromosome count additional CPT 88285 | $89.70 | $138.00 | $26.91 – $27.99 | 2 |
| Chromosome karyotype study CPT 88280 | $19.50 | $30.00 | $33.47 – $34.81 | 2 |
| Chromosome study additional CPT 88289 | $181.35 | $279.00 | $34.43 – $35.81 | 2 |
| Chronic urticaria - sendout CPT 86343 | $211.90 | $326.00 | $12.46 – $12.96 | 2 |
| Chylomicron screen, bf - sendout CPT 82664 | $109.85 | $169.00 | $61.50 – $63.96 | 2 |
| Cidofovir injection HCPCS J0740 | not published | not published | $511.88 – $1,957.15 | 4 |
| Cilastatin sodium injection HCPCS J0743 | not published | not published | $12.24 – $46.80 | 2 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $0.07 – $588,503.70 | 4 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $0.13 – $0.13 | 1 |
| Cine/video x-rays CPT 76120 | not published | not published | $98.91 – $102.86 | 3 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $45.27 | $69.65 | $1.41 – $5.40 | 2 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $184.08 – $184.08 | 1 |
| Circum 28 days or older CPT 54161 | not published | not published | $1,977.66 – $2,056.77 | 3 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $659.70 – $686.08 | 3 |
| Circumcision (newborn) CPT 54150 | $2,199.60 | $3,384.00 | $1,977.66 – $2,056.77 | 3 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $143.78 | $221.20 | $4.57 – $17.49 | 2 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $731.90 | $1,126.00 | $329.51 – $342.69 | 2 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | not published | not published | $10.68 – $73.26 | 4 |
| Claviculectomy partial CPT 23120 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Claviculectomy total CPT 23125 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $125.87 – $130.91 | 3 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $125.87 – $130.91 | 3 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $125.87 – $130.91 | 3 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $35.34 – $36.75 | 3 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $24.80 | $38.15 | $3.63 – $13.85 | 2 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $3,062.57 – $3,185.07 | 3 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $4.19 – $54.99 | 4 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $57.39 | $88.29 | $28.45 – $108.81 | 2 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | not published | not published | $233.37 – $242.70 | 3 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $233.37 – $242.70 | 3 |
| Closed tx humerus fx with manip 23605 CPT 23605 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $233.37 – $242.70 | 3 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | not published | not published | $233.37 – $242.70 | 3 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $233.37 – $242.70 | 3 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $233.37 – $242.70 | 3 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $16.00 – $16.64 | 2 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $593.48 – $617.22 | 3 |
| Clot factor fletcher fact CPT 85292 | $406.25 | $625.00 | $18.93 – $19.69 | 2 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $20.42 – $21.24 | 2 |
| Clot factor wght kininogen CPT 85293 | $406.25 | $625.00 | $18.93 – $19.69 | 2 |
| Clot factor xii hageman CPT 85280 | $130.65 | $201.00 | $19.35 – $20.12 | 2 |
| Clot factor xiii fibrin scrn CPT 85291 | $510.25 | $785.00 | $9.11 – $9.47 | 2 |
| Clot factor xiii fibrin stab CPT 85290 | $229.45 | $353.00 | $16.34 – $16.99 | 2 |
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.