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 |
|---|---|---|---|---|
| Decompression of thigh/knee CPT 27496 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $1,847.43 – $1,921.33 | 3 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $1,847.43 – $1,921.33 | 3 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $2,748.08 – $2,858.01 | 3 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $65.88 | $101.35 | $15.19 – $58.11 | 2 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $4,855.38 | $7,469.82 | $4.45 – $27.82 | 4 |
| Delay flap arms/legs CPT 15610 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Delivery of placenta 59414 CPT 59414 | $834.60 | $1,284.00 | $3,062.57 – $3,185.07 | 3 |
| Demonstrate use home inr mon HCPCS G0248 | $107.90 | $166.00 | $125.96 – $131.00 | 3 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $120.25 | $185.00 | not published | 0 |
| Denervation of hip joint CPT 27035 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $10,954.38 | $16,852.90 | $29.38 – $179.79 | 4 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $514.15 | $791.00 | $125.87 – $130.91 | 3 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $65.71 – $251.23 | 2 |
| Dermabrasion other than face CPT 15782 | not published | not published | $2,748.08 – $2,858.01 | 3 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $669.95 – $696.75 | 3 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $384.59 – $399.98 | 3 |
| Dermabrasion total face CPT 15780 | not published | not published | $2,748.08 – $2,858.01 | 3 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Design custom breast implant CPT 19396 | not published | not published | $3,704.30 – $3,852.47 | 3 |
| Design mlc device for imrt CPT 77338 | $714.35 | $1,099.00 | $354.24 – $368.41 | 3 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $112.85 | $173.62 | $8.42 – $32.18 | 2 |
| Desoxycorticosterone CPT 82633 | $348.40 | $536.00 | $30.98 – $32.22 | 2 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $189.82 – $197.41 | 3 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $189.82 – $197.41 | 3 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $189.82 – $197.41 | 3 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $189.82 – $197.41 | 3 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $189.82 – $197.41 | 3 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $189.82 – $197.41 | 3 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $189.82 – $197.41 | 3 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $189.82 – $197.41 | 3 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $189.82 – $197.41 | 3 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $189.82 – $197.41 | 3 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $6,650.15 | $10,231.00 | $1,847.43 – $1,921.33 | 3 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $1,329.90 | $2,046.00 | not published | 0 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $3,881.80 | $5,972.00 | $1,132.12 – $1,177.40 | 3 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $189.82 – $197.41 | 3 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $189.82 – $197.41 | 3 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $699.22 – $727.19 | 3 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $384.59 – $399.98 | 3 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $2,625.99 – $2,731.03 | 3 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $384.59 – $399.98 | 3 |
| Destruction benign lesions < 14 lesions CPT 17110 | $139.75 | $215.00 | $189.82 – $197.41 | 3 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $1,299.35 | $1,999.00 | $836.78 – $870.25 | 3 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $1,329.90 | $2,046.00 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $6,650.15 | $10,231.00 | $1,847.43 – $1,921.33 | 3 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $189.82 – $197.41 | 3 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $2,625.99 – $2,731.03 | 3 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $384.59 – $399.98 | 3 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $384.59 – $399.98 | 3 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $384.59 – $399.98 | 3 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $384.59 – $399.98 | 3 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $384.59 – $399.98 | 3 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $384.59 – $399.98 | 3 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $2,625.99 – $2,731.03 | 3 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $3,062.57 – $3,185.07 | 3 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $3,062.57 – $3,185.07 | 3 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $30.03 – $31.23 | 2 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $43.67 – $45.42 | 2 |
| Developmental screen/score/document 96110 CPT 96110 | $129.35 | $199.00 | not published | 0 |
| Devel tst phys/qhp 1st hr CPT 96112 | $339.30 | $522.00 | $121.73 – $126.60 | 3 |
| Device intraute mirena HCPCS J7298 | $2,211.85 | $3,402.85 | $7,895.10 – $7,895.10 | 1 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $169.65 | $261.00 | not published | 0 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $369.20 | $568.00 | $82.33 – $85.63 | 3 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $102.94 – $734.18 | 4 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $7.48 – $7.48 | 1 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $66.36 | $102.10 | $0.11 – $0.39 | 2 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $26.68 | $41.05 | $0.18 – $0.72 | 2 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $204.61 – $1,336.14 | 4 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $368.06 | $566.25 | $63.06 – $525.72 | 4 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $253.76 – $253.76 | 1 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | not published | not published | $2.00 – $7.67 | 2 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $51.80 | $79.70 | $51.87 – $51.87 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $51.16 | $78.70 | $3.06 – $11.70 | 2 |
| Dextrose 5 % IV bolus HCPCS J7070 | $51.80 | $79.70 | $6.12 – $23.40 | 2 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $82.55 | $127.00 | $22.23 – $23.12 | 2 |
| Diabetes (HbA1c) Test CPT 83036 | $26.00 | $40.00 | $9.71 – $10.10 | 2 |
| Diab manage trn ind/group HCPCS G0109 | $57.85 | $89.00 | $15.40 – $16.02 | 3 |
| Diag bronchoscope/catheter CPT 31643 | $3,023.80 | $4,652.00 | not published | 0 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $5,719.53 – $5,948.32 | 3 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,132.12 – $1,177.40 | 3 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $142.35 | $219.00 | $125.87 – $130.91 | 3 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $61.75 | $95.00 | not published | 0 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $61.75 | $95.00 | not published | 0 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $509.60 | $784.00 | 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.