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 |
|---|---|---|---|---|
| Colonoscopy flex with decompression 45393 CPT 45393 | $2,805.40 | $4,316.00 | $1,132.12 – $1,177.40 | 3 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $2,805.40 | $4,316.00 | $1,132.12 – $1,177.40 | 3 |
| Colonoscopy for bleeding 44391 CPT 44391 | $3,061.50 | $4,710.00 | $1,132.12 – $1,177.40 | 3 |
| Colonoscopy for foreign body CPT 44390 | $3,116.10 | $4,794.00 | $879.81 – $915.00 | 3 |
| Colonoscopy & polypectomy 44392 CPT 44392 | $2,975.05 | $4,577.00 | $1,132.12 – $1,177.40 | 3 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | $3,787.55 | $5,827.00 | $1,132.12 – $1,177.40 | 3 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $2,975.05 | $4,577.00 | $1,132.12 – $1,177.40 | 3 |
| Colonoscopy submucous njx CPT 45381 | $2,284.75 | $3,515.00 | $1,132.12 – $1,177.40 | 3 |
| Colonoscopy thru stoma spx CPT 44388 | $2,511.60 | $3,864.00 | $879.81 – $915.00 | 3 |
| Colonoscopy w/ablation CPT 45388 | $2,805.40 | $4,316.00 | $1,132.12 – $1,177.40 | 3 |
| Colonoscopy w/balloon dilat CPT 45386 | $2,663.70 | $4,098.00 | $1,132.12 – $1,177.40 | 3 |
| Colonoscopy w/band ligation CPT 45398 | $2,866.50 | $4,410.00 | $1,132.12 – $1,177.40 | 3 |
| Colonoscopy w/control bleed CPT 45382 | $2,601.30 | $4,002.00 | $1,132.12 – $1,177.40 | 3 |
| Colonoscopy w/decompression CPT 44408 | $2,999.10 | $4,614.00 | $879.81 – $915.00 | 3 |
| Colonoscopy w/dilation CPT 44405 | $3,029.65 | $4,661.00 | $1,132.12 – $1,177.40 | 3 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | $2,805.40 | $4,316.00 | $1,132.12 – $1,177.40 | 3 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $1,132.12 – $1,177.40 | 3 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | $2,905.50 | $4,470.00 | $5,743.54 – $5,973.28 | 3 |
| Colonoscopy w/fb removal CPT 45379 | $2,398.50 | $3,690.00 | $1,132.12 – $1,177.40 | 3 |
| Colonoscopy w/injection CPT 44404 | $3,022.50 | $4,650.00 | $1,132.12 – $1,177.40 | 3 |
| Colonoscopy with ablation CPT 44401 | $3,029.65 | $4,661.00 | $1,132.12 – $1,177.40 | 3 |
| Colonoscopy (with biopsy) CPT 45380 | $2,437.50 | $3,750.00 | $1,132.12 – $1,177.40 | 3 |
| Colonoscopy with biopsy CPT 44389 | $3,042.00 | $4,680.00 | $1,132.12 – $1,177.40 | 3 |
| Colonoscopy (with polyp removal) CPT 45385 | $2,601.30 | $4,002.00 | $1,132.12 – $1,177.40 | 3 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | $1,132.12 – $1,177.40 | 3 |
| Colonoscopy w/resection CPT 45390 | $2,952.95 | $4,543.00 | $2,625.99 – $2,731.03 | 3 |
| Colonoscopy w/stent plcmt CPT 44402 | $3,716.70 | $5,718.00 | $5,743.54 – $5,973.28 | 3 |
| Colonoscopy w/ultrasound CPT 44406 | $3,057.60 | $4,704.00 | $1,132.12 – $1,177.40 | 3 |
| Colpocentesis 57020 CPT 57020 | not published | not published | $4,732.70 – $4,922.01 | 3 |
| Colpocleisis (le forte type) 57120 CPT 57120 | not published | not published | $4,732.70 – $4,922.01 | 3 |
| Colpopexy, min/inv, ex-perit HCPCS C9778 | not published | not published | $4,732.70 – $4,922.01 | 3 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | not published | not published | $3,062.57 – $3,185.07 | 3 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | not published | not published | $3,062.57 – $3,185.07 | 3 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $309.40 | $476.00 | $191.27 – $198.92 | 3 |
| Colposcopy vulva 56820 CPT 56820 | not published | not published | $191.27 – $198.92 | 3 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | not published | not published | $288.30 – $299.83 | 3 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | $544.70 | $838.00 | $288.30 – $299.83 | 3 |
| Colpotomy drng of abscess 57010 CPT 57010 | not published | not published | $3,062.57 – $3,185.07 | 3 |
| Colpotomy w/exploration 57000 CPT 57000 | not published | not published | $3,062.57 – $3,185.07 | 3 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $115.70 | $178.00 | $161.18 – $167.63 | 3 |
| Compatibility test each unit electronic CPT 86923 | $114.40 | $176.00 | $161.18 – $167.63 | 3 |
| Compatibility test each unit immediate spin technique CPT 86920 | $94.90 | $146.00 | $161.18 – $167.63 | 3 |
| Compatibility test incubate CPT 86921 | $13.00 | $20.00 | $161.18 – $167.63 | 3 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | not published | not published | $659.70 – $686.08 | 3 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | not published | not published | $659.70 – $686.08 | 3 |
| Complement antigen each component c3 CPT 86160 | $96.85 | $149.00 | $12.00 – $12.48 | 2 |
| Complement fixation each CPT 86171 | $101.40 | $156.00 | $10.01 – $10.41 | 2 |
| Complete removal of vulva CPT 56625 | not published | not published | $3,062.57 – $3,185.07 | 3 |
| Complex cystometrogram 51726 CPT 51726 | not published | not published | $236.38 – $245.83 | 3 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | not published | not published | $384.59 – $399.98 | 3 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | not published | not published | $699.22 – $727.19 | 3 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | not published | not published | $204.28 – $212.45 | 3 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | not published | not published | $699.22 – $727.19 | 3 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | not published | not published | $699.22 – $727.19 | 3 |
| Complx repair fccmnaxghf 13131 CPT 13131 | not published | not published | $384.59 – $399.98 | 3 |
| Complx repair fccmnaxghf 13132 CPT 13132 | not published | not published | $384.59 – $399.98 | 3 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | not published | not published | $699.22 – $727.19 | 3 |
| Composite graft/pri close/don area 15760 CPT 15760 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Comprehensive hearing test CPT 92557 | not published | not published | $121.73 – $126.60 | 3 |
| Compre oph exam est pt 1/> CPT 92014 | not published | not published | $125.96 – $131.00 | 3 |
| Compre oph exam new pt 1/> CPT 92004 | not published | not published | $125.96 – $131.00 | 3 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | not published | not published | $330.06 – $343.26 | 3 |
| Concentration infection agents any type CPT 87015 | $105.95 | $163.00 | $6.68 – $6.95 | 2 |
| Conditioning play audiometry 92582 CPT 92582 | not published | not published | $121.73 – $126.60 | 3 |
| Condylomata destruction 56420 CPT 56420 | $514.15 | $791.00 | $191.27 – $198.92 | 3 |
| Conivaptan hcl HCPCS C9488 | not published | not published | $289.71 – $289.71 | 1 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $3,062.57 – $3,185.07 | 3 |
| Conization of cervix CPT 57520 | not published | not published | $3,062.57 – $3,185.07 | 3 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | not published | not published | $392.06 – $2,488.92 | 4 |
| Construction of vagina CPT 57291 | not published | not published | $4,732.70 – $4,922.01 | 3 |
| Construct thumb replacement CPT 26550 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Construct vagina with graft CPT 57292 | not published | not published | $4,732.70 – $4,922.01 | 3 |
| Consultation pathology during surgery CPT 88329 | $112.45 | $173.00 | $55.81 – $58.04 | 3 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $170.95 | $263.00 | not published | 0 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $207.35 | $319.00 | not published | 0 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $257.40 | $396.00 | $161.18 – $167.63 | 3 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $351.00 | $540.00 | not published | 0 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | not published | not published | $35.34 – $36.75 | 3 |
| Consult comp w/report rfrd material CPT 88325 | $124.15 | $191.00 | $161.18 – $167.63 | 3 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $125.87 – $130.91 | 3 |
| Contrast baths charges CPT 97034 | $135.85 | $209.00 | $13.45 – $13.99 | 3 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $4,434.95 | $6,823.00 | $2,987.22 – $3,106.71 | 3 |
| Contrast exam thoracic aorta CPT 75600 | not published | not published | $2,987.22 – $3,106.71 | 3 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $2,821.65 | $4,341.00 | not published | 0 |
| Contrast x-ray gallbladder CPT 74290 | not published | not published | $165.94 – $172.58 | 3 |
| Contrast x-ray of ankle CPT 73615 | $1,652.30 | $2,542.00 | $330.06 – $343.26 | 3 |
| Contrast x-ray of brain CPT 70010 | not published | not published | $330.06 – $343.26 | 3 |
| Contrast x-ray of brain CPT 70015 | not published | not published | $741.65 – $771.32 | 3 |
| Contrast x-ray of elbow CPT 73085 | $2,303.60 | $3,544.00 | $330.06 – $343.26 | 3 |
| Contrast x-ray of hip CPT 73525 | $1,957.80 | $3,012.00 | $330.06 – $343.26 | 3 |
| Contrast x-ray of knee joint CPT 73580 | $2,533.05 | $3,897.00 | $330.06 – $343.26 | 3 |
| Contrast x-ray of wrist CPT 73115 | $2,533.05 | $3,897.00 | $330.06 – $343.26 | 3 |
| Control nosebleed pack+caut 30905 CPT 30905 | $1,257.10 | $1,934.00 | $125.87 – $130.91 | 3 |
| Control of nosebleed ant comp 30903 CPT 30903 | $552.50 | $850.00 | $125.87 – $130.91 | 3 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $367.90 | $566.00 | $125.87 – $130.91 | 3 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $481.65 | $741.00 | not published | 0 |
| Conversion ext bil drg cath CPT 47535 | $2,039.05 | $3,137.00 | $3,387.33 – $3,522.83 | 3 |
| Convert nephrostomy catheter CPT 50434 | $9,512.75 | $14,635.00 | $1,977.66 – $2,056.77 | 3 |
| Conv gtube to jtube CPT 44373 | not published | not published | $1,815.43 – $1,888.05 | 3 |
| Coombs direct CPT 86880 | $54.60 | $84.00 | $55.81 – $58.04 | 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.