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 |
|---|---|---|---|---|
| CT guid parench tis ablat CPT 77013 | $1,004.90 | $1,546.00 | not published | 0 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $112.45 | $173.00 | $82.33 – $85.63 | 3 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $897.00 | $1,380.00 | $330.06 – $343.26 | 3 |
| CT hrt w/3d image CPT 75572 | $865.80 | $1,332.00 | $330.06 – $343.26 | 3 |
| CT limited or localized follow-up study CPT 76380 | $630.50 | $970.00 | $82.33 – $85.63 | 3 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $2,966.60 | $4,564.00 | $165.94 – $172.58 | 3 |
| CT lower extremity without contrast (both sides) CPT 73700 | $2,780.70 | $4,278.00 | $98.91 – $102.86 | 3 |
| CT lwr extremity w/o&w/dye CPT 73702 | $3,487.90 | $5,366.00 | $165.94 – $172.58 | 3 |
| CT neck soft tissue w/contrast CPT 70491 | $1,472.90 | $2,266.00 | $165.94 – $172.58 | 3 |
| CT neck soft tissue without contrast CPT 70490 | $1,273.35 | $1,959.00 | $98.91 – $102.86 | 3 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,672.45 | $2,573.00 | $165.94 – $172.58 | 3 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,599.00 | $2,460.00 | $165.94 – $172.58 | 3 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,489.15 | $2,291.00 | $165.94 – $172.58 | 3 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,379.95 | $2,123.00 | $98.91 – $102.86 | 3 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $471.25 | $725.00 | not published | 0 |
| CT scan for therapy guide CPT 77014 | $846.30 | $1,302.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,555.80 | $3,932.00 | $330.06 – $343.26 | 3 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,190.50 | $3,370.00 | $330.06 – $343.26 | 3 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,649.70 | $2,538.00 | $225.74 – $234.77 | 3 |
| CT thoracic spine w/contrast CPT 72129 | $1,786.20 | $2,748.00 | $165.94 – $172.58 | 3 |
| CT thoracic spine without contrast CPT 72128 | $1,718.60 | $2,644.00 | $98.91 – $102.86 | 3 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $311.35 | $479.00 | $98.91 – $102.86 | 3 |
| CT t-spine w /wo contrast CPT 72130 | $2,236.00 | $3,440.00 | $165.94 – $172.58 | 3 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $2,958.80 | $4,552.00 | $330.06 – $343.26 | 3 |
| CT upper extremity without contrast (both sides) CPT 73200 | $2,689.70 | $4,138.00 | $98.91 – $102.86 | 3 |
| CT uppr extremity w/o&w/dye CPT 73202 | $3,255.20 | $5,008.00 | $165.94 – $172.58 | 3 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $161.18 – $167.63 | 3 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $161.18 – $167.63 | 3 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Culture aerobic additional method definitive id each CPT 87077 | $42.25 | $65.00 | $8.08 – $8.40 | 2 |
| Culture afb any source CPT 87116 | $94.90 | $146.00 | $10.80 – $11.23 | 2 |
| Culture anaerobic additional method definitive id each CPT 87076 | $64.35 | $99.00 | $8.08 – $8.40 | 2 |
| Culture anaerobic except blood CPT 87075 | $76.70 | $118.00 | $9.47 – $9.85 | 2 |
| Culture bact stool aero addl path ea CPT 87046 | $72.15 | $111.00 | $9.44 – $9.82 | 2 |
| Culture body fluid CPT 87070 | $62.40 | $96.00 | $8.62 – $8.96 | 2 |
| Culture fungi definitive id mold CPT 87107 | $79.30 | $122.00 | $10.32 – $10.73 | 2 |
| Culture fungi definitive id yeast CPT 87106 | $70.85 | $109.00 | $10.32 – $10.73 | 2 |
| Culture fungi other (except blood) CPT 87102 | $94.90 | $146.00 | $8.41 – $8.75 | 2 |
| Culture fungi skin/hair/nail CPT 87101 | $76.05 | $117.00 | $7.71 – $8.02 | 2 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $154.05 | $237.00 | $14.61 – $15.19 | 2 |
| Culture mycoplasma any source CPT 87109 | $111.15 | $171.00 | $15.39 – $16.01 | 2 |
| Culture quantitative aerobic other source CPT 87071 | $171.60 | $264.00 | $9.89 – $10.29 | 2 |
| Culture screening strep group a CPT 87081 | $55.25 | $85.00 | $6.63 – $6.90 | 2 |
| Culture typing added method CPT 87158 | not published | not published | $7.74 – $8.05 | 2 |
| Culture typing immunologic CPT 87147 | $22.10 | $34.00 | $5.18 – $5.39 | 2 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $1,031.55 | $1,587.00 | $218.06 – $226.78 | 2 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $101.40 | $156.00 | $35.09 – $36.49 | 2 |
| Culture urine each isolate CPT 87088 | $53.95 | $83.00 | $8.09 – $8.41 | 2 |
| Culture virus isolation CPT 87250 | not published | not published | $19.56 – $20.34 | 2 |
| Cv line/pic reposition CPT 36597 | $1,180.40 | $1,816.00 | $1,489.27 – $1,548.84 | 3 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $186.55 | $287.00 | $14.32 – $14.89 | 2 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $22.10 | $34.00 | $2.16 – $8.26 | 2 |
| Cyclic citrullinated peptide antibody CPT 86200 | $102.70 | $158.00 | $12.95 – $13.47 | 2 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.48 – $5.72 | 4 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $1.42 – $5.46 | 2 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $121.31 – $463.84 | 2 |
| Cyclosporine 2 hour CPT 80158 | $66.30 | $102.00 | $18.05 – $18.77 | 2 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $8.97 | $13.80 | $1.40 – $5.40 | 2 |
| Cyclosporine oral 100 mg HCPCS J7502 | $30.62 | $47.10 | $3.74 – $14.30 | 2 |
| Cyp2c19 gene com variants CPT 81225 | $877.50 | $1,350.00 | $291.36 – $303.01 | 2 |
| Cyp2c9 gene com variants CPT 81227 | $458.90 | $706.00 | $174.81 – $181.80 | 2 |
| Cyp2d6 gene com variants CPT 81226 | $370.50 | $570.00 | $450.91 – $468.95 | 2 |
| Cyp3a4 gene common variants CPT 81230 | $887.90 | $1,366.00 | $174.81 – $181.80 | 2 |
| Cyp3a5 gene common variants CPT 81231 | $1,036.75 | $1,595.00 | $174.81 – $181.80 | 2 |
| Cystatin c CPT 82610 | $131.30 | $202.00 | $18.52 – $19.26 | 2 |
| Cystic fibrosis cftr CPT 81223 | $2,072.85 | $3,189.00 | $499.00 – $518.96 | 2 |
| Cystine urine quantitative CPT 82131 | $150.15 | $231.00 | $22.98 – $23.90 | 2 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $3,334.90 – $3,468.30 | 3 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $518.05 | $797.00 | $330.06 – $343.26 | 3 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $8,956.00 – $9,314.24 | 3 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $8,956.00 – $9,314.24 | 3 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $8,956.00 – $9,314.24 | 3 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $659.70 – $686.08 | 3 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $8,956.00 – $9,314.24 | 3 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $5,072.67 – $5,275.58 | 3 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $3,334.90 – $3,468.30 | 3 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $3,334.90 – $3,468.30 | 3 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $3,334.90 – $3,468.30 | 3 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $3,334.90 – $3,468.30 | 3 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $3,334.90 – $3,468.30 | 3 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $3,334.90 – $3,468.30 | 3 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $5,072.67 – $5,275.58 | 3 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $1,977.66 – $2,056.77 | 3 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $1,977.66 – $2,056.77 | 3 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $1,977.66 – $2,056.77 | 3 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $3,334.90 – $3,468.30 | 3 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $1,977.66 – $2,056.77 | 3 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $659.70 – $686.08 | 3 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $1,977.66 – $2,056.77 | 3 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $3,334.90 – $3,468.30 | 3 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $3,334.90 – $3,468.30 | 3 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $5,072.67 – $5,275.58 | 3 |
| Cystoscopy and treatment CPT 52310 | $4,295.20 | $6,608.00 | $1,977.66 – $2,056.77 | 3 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $1,977.66 – $2,056.77 | 3 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $3,334.90 – $3,468.30 | 3 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $3,334.90 – $3,468.30 | 3 |
| Cystoscopy (Bladder Scope) CPT 52000 | $2,496.00 | $3,840.00 | $659.70 – $686.08 | 3 |
| Cystoscopy chemodenervation CPT 52287 | $1,708.20 | $2,628.00 | $1,977.66 – $2,056.77 | 3 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $659.70 – $686.08 | 3 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $3,334.90 – $3,468.30 | 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.