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 |
|---|---|---|---|---|
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $42.16 – $266.31 | 4 |
| Adrenal cortex & medulla img CPT 78075 | $1,818.05 | $2,797.00 | $1,224.84 – $1,273.83 | 3 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $204.28 – $212.45 | 3 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $204.28 – $212.45 | 3 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $204.28 – $212.45 | 3 |
| _afb id by dna probe rflx ast CPT 87149 | $120.25 | $185.00 | $20.05 – $20.85 | 2 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $7.31 – $7.60 | 2 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $243.10 | $374.00 | $115.36 – $119.97 | 2 |
| Aflibercept injection HCPCS J0178 | not published | not published | $771.56 – $5,206.96 | 4 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $230.15 – $1,452.88 | 4 |
| Air conduction bilat CPT 92552 | $80.60 | $124.00 | $125.87 – $130.91 | 3 |
| Air injection into abdomen 49400 CPT 49400 | $2,908.75 | $4,475.00 | not published | 0 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $121.73 – $126.60 | 3 |
| Albumin body fluid quantitative each specimen CPT 82042 | $29.90 | $46.00 | $7.78 – $8.09 | 2 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $141.00 | $216.93 | $53.08 – $345.02 | 4 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $21.23 – $138.00 | 4 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $138.84 | $213.60 | $53.08 – $345.02 | 4 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $10.62 – $69.03 | 4 |
| Albumin ischemia modified CPT 82045 | not published | not published | $33.94 – $35.30 | 2 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $37.70 | $58.00 | $5.78 – $6.01 | 2 |
| Albumin serum plasma or whole blood CPT 82040 | $72.80 | $112.00 | $4.95 – $5.15 | 2 |
| Albuterol ipratrop non-comp HCPCS J7620 | $1.68 | $2.59 | $0.32 – $1.24 | 2 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.27 – $1.04 | 2 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.13 – $0.46 | 2 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $93.60 | $144.00 | $17.27 – $17.96 | 2 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $3,338.87 – $36,084.56 | 4 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,429.89 – $15,686.84 | 4 |
| Alkaline phosphatase CPT 84075 | $26.65 | $41.00 | $5.18 – $5.39 | 2 |
| Allergen alpha lactalbumin ige CPT 86008 | $243.75 | $375.00 | $17.93 – $18.65 | 2 |
| Allergen egg white ige CPT 86003 | $32.50 | $50.00 | $5.22 – $5.43 | 2 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $7.97 – $8.29 | 2 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $44.30 – $46.07 | 3 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $44.30 – $46.07 | 3 |
| Allergy Skin Testing CPT 95004 | not published | not published | $812.43 – $844.93 | 3 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $812.43 – $844.93 | 3 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $12,146.38 – $12,632.24 | 3 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $117.73 – $122.44 | 3 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $117.73 – $122.44 | 3 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $1,657.87 | $2,550.57 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $52.01 – $122.44 | 3 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $567.03 | $872.36 | $117.73 – $122.44 | 3 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $117.73 – $122.44 | 3 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $117.73 – $122.44 | 3 |
| Alloskin HCPCS Q4115 | not published | not published | $25.76 – $122.44 | 3 |
| All tstg perq&iq drugs/biol CPT 95018 | $139.75 | $215.00 | $35.34 – $36.75 | 3 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $5.46 – $33.09 | 4 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $145.60 | $224.00 | $64.41 – $66.99 | 2 |
| Alpha-fetoprotein amniotic CPT 82106 | $96.20 | $148.00 | $17.00 – $17.68 | 2 |
| Alpha-fetoprotein tumor marker CPT 82105 | $72.80 | $112.00 | $16.77 – $17.44 | 2 |
| Alprostadil for injection HCPCS J0270 | not published | not published | $66.76 – $66.76 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $23,242.18 | $35,757.20 | $94.45 – $594.62 | 4 |
| Alt/sgpt CPT 84460 | $11.05 | $17.00 | $5.30 – $5.51 | 2 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $4.66 – $30.16 | 4 |
| Aluminum - quest CPT 82108 | $105.30 | $162.00 | $25.48 – $26.50 | 2 |
| Amantadine (symmetrel)-sendout CPT 80375 | $81.90 | $126.00 | not published | 0 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $125.87 – $130.91 | 3 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | not published | not published | $0.92 – $3.51 | 2 |
| Amino acid screen, urine CPT 82128 | not published | not published | $13.87 – $14.42 | 2 |
| Amino acid single qual CPT 82127 | not published | not published | $14.18 – $14.75 | 2 |
| Amino acids quant 2-5 CPT 82136 | $77.35 | $119.00 | $19.61 – $20.39 | 2 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $45.50 | $70.00 | not published | 0 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.79 – $11.18 | 4 |
| Aminolevulinic acid delta CPT 82135 | $130.65 | $201.00 | $16.45 – $17.11 | 2 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $392.09 – $2,569.19 | 4 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $58.92 | $90.65 | $8.79 – $33.61 | 2 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $130.70 | $201.08 | $4.29 – $16.38 | 2 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $23.56 | $36.25 | $0.67 – $2.54 | 2 |
| Amitriptyline (elavil) -sendout CPT 80335 | $100.10 | $154.00 | not published | 0 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | not published | not published | $22.54 – $140.14 | 4 |
| Ammonia CPT 82140 | $99.45 | $153.00 | $14.57 – $15.15 | 2 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $288.30 – $299.83 | 3 |
| Amniotic fluid scan CPT 82143 | not published | not published | $9.35 – $9.72 | 2 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Amphetamine confirm urine -sendout CPT 80324 | $95.55 | $147.00 | not published | 0 |
| Amphetamines 5 or more CPT 80326 | $238.55 | $367.00 | not published | 0 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | not published | not published | $85.11 – $325.46 | 2 |
| Amphotericin b lipid complex HCPCS J0287 | not published | not published | $10.30 – $68.25 | 4 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $268.58 | $413.20 | $21.48 – $155.87 | 4 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $105.20 | $161.85 | $1.21 – $4.62 | 2 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $39.62 | $60.95 | $2.79 – $10.66 | 2 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $262.99 – $273.51 | 2 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Amputate hand at wrist CPT 25922 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Amputation of lower leg CPT 27882 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | $3,095.56 – $3,219.39 | 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.