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 |
|---|---|---|---|---|
| Drain ovarn cyst abd CPT 58805 | not published | not published | $3,062.57 – $3,185.07 | 3 |
| Drain ovary abscess open CPT 58820 | not published | not published | $3,062.57 – $3,185.07 | 3 |
| Drain penis lesion CPT 54015 | not published | not published | $1,562.54 – $1,625.04 | 3 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $2,748.08 – $2,858.01 | 3 |
| Drain shoulder lesion CPT 23030 | not published | not published | $2,748.08 – $2,858.01 | 3 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $2,748.08 – $2,858.01 | 3 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $215.80 | $332.00 | $189.82 – $197.41 | 3 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $215.80 | $332.00 | $189.82 – $197.41 | 3 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $258.70 | $398.00 | $384.59 – $399.98 | 3 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $699.22 – $727.19 | 3 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $76.23 – $122.44 | 3 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Drng of eyelid abscess 67700 CPT 67700 | $712.40 | $1,096.00 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,503.45 | $2,313.00 | $1,562.54 – $1,625.04 | 3 |
| Drng of hydrocele 55000 CPT 55000 | $1,277.90 | $1,966.00 | $669.95 – $696.75 | 3 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $3,062.57 – $3,185.07 | 3 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $1,132.12 – $1,177.40 | 3 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $1,562.54 – $1,625.04 | 3 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $3.14 – $12.03 | 2 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $24.57 | $37.80 | $62.92 – $62.92 | 1 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $637.58 | $980.90 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $21.22 – $122.44 | 3 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $20.52 – $122.44 | 3 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $17.37 – $122.44 | 3 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $89.07 – $122.44 | 3 |
| Drug admin & hemodynmic meas CPT 93463 | $947.05 | $1,457.00 | not published | 0 |
| Drug assay caffeine CPT 80155 | $78.00 | $120.00 | $38.57 – $40.11 | 2 |
| Drug assay posaconazole CPT 80187 | $127.40 | $196.00 | $27.11 – $28.19 | 2 |
| Drug assay rufinamide CPT 80210 | $85.80 | $132.00 | $27.11 – $28.19 | 2 |
| Drug assay vedolizumab CPT 80280 | $610.35 | $939.00 | $38.57 – $40.11 | 2 |
| Drug assay voriconazole CPT 80285 | $249.60 | $384.00 | $27.11 – $28.19 | 2 |
| Drug asy hydroxychloroquine CPT 80220 | $436.15 | $671.00 | $18.64 – $19.39 | 2 |
| Drug of abuse screen urine CPT 80305 | $61.10 | $94.00 | $12.60 – $13.10 | 2 |
| Drug screen quant tiagabine CPT 80199 | $78.00 | $120.00 | $27.11 – $28.19 | 2 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $198.74 – $206.69 | 2 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $114.43 – $119.01 | 2 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $246.92 – $256.80 | 2 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $156.59 – $162.85 | 2 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $17.14 – $17.83 | 2 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $109.20 | $168.00 | $62.14 – $64.63 | 2 |
| Drvvt confirm - quest CPT 85597 | $88.40 | $136.00 | $17.98 – $18.70 | 2 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $5,541.90 | $8,526.00 | $1,847.43 – $1,921.33 | 3 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $384.59 – $399.98 | 3 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $384.59 – $399.98 | 3 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $699.22 – $727.19 | 3 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $699.22 – $727.19 | 3 |
| Ductogram sgl duct CPT 77053 | $527.15 | $811.00 | $225.74 – $234.77 | 3 |
| Duodenal motility study CPT 91022 | not published | not published | $353.04 – $367.16 | 3 |
| Duplex scan bilateral study 93985 CPT 93985 | $825.50 | $1,270.00 | $225.74 – $234.77 | 3 |
| Duplex scan unilateral study 93986 CPT 93986 | $594.10 | $914.00 | $98.91 – $102.86 | 3 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $430.30 | $662.00 | $98.91 – $102.86 | 3 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $523.25 | $805.00 | $204.28 – $212.45 | 3 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $975.00 | $1,500.00 | $225.74 – $234.77 | 3 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $11,632.92 | $17,896.80 | $85.12 – $545.22 | 4 |
| Dxa bone density axl vrt fx CPT 77085 | $530.40 | $816.00 | $98.91 – $102.86 | 3 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $121.73 – $126.60 | 3 |
| Dx bronchoscope/brush 31623 CPT 31623 | $3,712.80 | $5,712.00 | not published | 0 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $2,877.55 | $4,427.00 | not published | 0 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,604.55 | $4,007.00 | not published | 0 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $858.08 – $892.40 | 3 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $858.08 – $892.40 | 3 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $204.28 – $212.45 | 3 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $121.73 – $126.60 | 3 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $236.38 – $245.83 | 3 |
| Dynamic surface emg CPT 96002 | not published | not published | $204.28 – $212.45 | 3 |
| Ear irrigation 69209 CPT 69209 | $722.80 | $1,112.00 | $55.81 – $58.04 | 3 |
| Ear protector evaluation CPT 92596 | not published | not published | $35.34 – $36.75 | 3 |
| Ecallantide injection HCPCS J1290 | not published | not published | $579.96 – $3,660.15 | 4 |
| Ecg 12 lead tracing only CPT 93005 | $124.15 | $191.00 | $55.81 – $58.04 | 3 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $159.25 | $245.00 | $55.81 – $58.04 | 3 |
| Ecg external < 48 hours recording CPT 93225 | $510.90 | $786.00 | $125.87 – $130.91 | 3 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | not published | not published | $55.81 – $58.04 | 3 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $510.90 | $786.00 | $35.34 – $36.75 | 3 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $510.90 | $786.00 | $35.34 – $36.75 | 3 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,608.10 | $2,474.00 | $516.95 – $537.63 | 3 |
| Echocardiography doppler color flow mapping CPT 93325 | $277.55 | $427.00 | not published | 0 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,608.10 | $2,474.00 | $741.65 – $771.32 | 3 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $804.05 | $1,237.00 | $225.74 – $234.77 | 3 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $804.05 | $1,237.00 | $330.06 – $343.26 | 3 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $354.90 | $546.00 | not published | 0 |
| Echo exam of eye CPT 76516 | not published | not published | $98.91 – $102.86 | 3 |
| Echo exam of eye CPT 76519 | not published | not published | $98.91 – $102.86 | 3 |
| Echo exam of eye CPT 76529 | not published | not published | $82.33 – $85.63 | 3 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $516.95 – $537.63 | 3 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $225.74 – $234.77 | 3 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $98.91 – $102.86 | 3 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $98.91 – $102.86 | 3 |
| Echo exam uterus 76831- CPT 76831 | not published | not published | $225.74 – $234.77 | 3 |
| Echograp trans r pros study CPT 76873 | not published | not published | $98.91 – $102.86 | 3 |
| Echo guidance radiotherapy CPT 76965 | $1,084.85 | $1,669.00 | not published | 0 |
| Echo guide for artery repair CPT 76936 | $1,056.90 | $1,626.00 | $204.28 – $212.45 | 3 |
| Echo stress CPT 93350 | $1,573.00 | $2,420.00 | $516.95 – $537.63 | 3 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $516.95 – $537.63 | 3 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,366.30 | $2,102.00 | $516.95 – $537.63 | 3 |
| Echo transesophageal CPT 93313 | $1,134.25 | $1,745.00 | $516.95 – $537.63 | 3 |
| Echo transesophageal CPT 93315 | $1,608.10 | $2,474.00 | $516.95 – $537.63 | 3 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $516.95 – $537.63 | 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.