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 |
|---|---|---|---|---|
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $4.23 – $4.23 | 1 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Clsd tx fracture of radius 25500 CPT 25500 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | not published | not published | $264.61 – $275.19 | 3 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $2,278.90 | $3,506.00 | $233.37 – $242.70 | 3 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | not published | not published | $233.37 – $242.70 | 3 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | not published | not published | $233.37 – $242.70 | 3 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | not published | not published | $233.37 – $242.70 | 3 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $233.37 – $242.70 | 3 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $233.37 – $242.70 | 3 |
| Cltx lunate dislc w/mnpj CPT 25690 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Cltx post ankle fx CPT 27767 | not published | not published | $233.37 – $242.70 | 3 |
| Cltx post ankle fx w/mnpj CPT 27768 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $233.37 – $242.70 | 3 |
| Cltx thigh fx CPT 27267 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $4,732.70 – $4,922.01 | 3 |
| C motor evoked lwr limbs CPT 95929 | $318.50 | $490.00 | $353.04 – $367.16 | 3 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $812.43 – $844.93 | 3 |
| C motor evoked upr&lwr limbs CPT 95939 | not published | not published | $812.43 – $844.93 | 3 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $55.81 – $58.04 | 3 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $55.81 – $58.04 | 3 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $14.07 – $14.63 | 2 |
| #cms hgb-sulfhemoglobin CPT 83060 | $37.70 | $58.00 | $8.80 – $9.15 | 2 |
| #cmvcul-virus inoculation shell CPT 87254 | $33.80 | $52.00 | $19.56 – $20.34 | 2 |
| Cmv pcr-sendout CPT 87496 | $237.90 | $366.00 | $35.09 – $36.49 | 2 |
| Co2 monitor per day CPT 94681 | not published | not published | $353.04 – $367.16 | 3 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $2.66 – $16.58 | 4 |
| Coagulation time activated teg CPT 85347 | $42.90 | $66.00 | $4.28 – $4.45 | 2 |
| Coagulation time otr method CPT 85348 | not published | not published | $4.49 – $4.67 | 2 |
| Cocaine 4 % nasal solution HCPCS C9046 | not published | not published | $9.95 – $9.95 | 1 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $121.73 – $126.60 | 3 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $121.73 – $126.60 | 3 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $0.07 – $0.07 | 1 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $8.07 – $8.39 | 2 |
| Cold agglutinin titer CPT 86157 | $65.65 | $101.00 | $8.06 – $8.38 | 2 |
| Colistimethate sodium inj HCPCS J0770 | not published | not published | $20.67 – $79.04 | 2 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $75.90 – $460.79 | 4 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $135.77 | $208.88 | not published | 0 |
| Collar cerv ascend 172 reg HCPCS L0172 | $260.22 | $400.34 | not published | 0 |
| Collar cerv patriot adlt HCPCS L0150 | $240.92 | $370.65 | not published | 0 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $127.40 | $196.00 | $125.87 – $130.91 | 3 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $127.40 | $196.00 | $125.87 – $130.91 | 3 |
| Collection of venous blood by venipuncture CPT 36415 | $11.05 | $17.00 | $9.34 – $9.71 | 2 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $204.28 – $212.45 | 3 |
| Colonoscopy (diagnostic) CPT 45378 | $2,262.65 | $3,481.00 | $879.81 – $915.00 | 3 |
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.