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 |
|---|---|---|---|---|
| Endoscopy of ureter CPT 50951 | not published | not published | $3,334.90 – $3,468.30 | 3 |
| Endoscopy of ureter CPT 50953 | not published | not published | $3,334.90 – $3,468.30 | 3 |
| Endoscopy swallow (fees) vid CPT 92612 | $345.80 | $532.00 | $53.16 – $55.29 | 3 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $2,912.00 | $4,480.00 | not published | 0 |
| Endovenous laser vein addon 36479 CPT 36479 | $1,730.95 | $2,663.00 | not published | 0 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | $2,987.22 – $3,106.71 | 3 |
| Endovenous rf abl vein addl CPT 36476 | $1,730.95 | $2,663.00 | not published | 0 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $1,751.10 | $2,694.00 | not published | 0 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | $1,121.90 | $1,726.00 | not published | 0 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | not published | not published | $36.74 – $238.23 | 4 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $60.81 | $93.55 | $0.96 – $3.64 | 2 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $128.70 | $198.00 | $11.98 – $12.46 | 2 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $3,647.57 – $3,793.48 | 3 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $1,815.43 – $1,888.05 | 3 |
| Enzyme cell activity ra CPT 82658 | $259.35 | $399.00 | $44.03 – $45.79 | 2 |
| Enzyme histochemistry CPT 88319 | $510.25 | $785.00 | not published | 0 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $55.84 – $358.74 | 4 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $801.45 | $1,233.00 | not published | 0 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $836.78 – $870.25 | 3 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $836.78 – $870.25 | 3 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $2,448.56 – $2,546.50 | 2 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $31.78 | $48.90 | not published | 0 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $450.94 | $693.75 | not published | 0 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $24.73 | $38.05 | not published | 0 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $2.76 – $10.60 | 2 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | not published | not published | $3,062.57 – $3,185.07 | 3 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | not published | $1.10 – $4.23 | 2 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $1,492.93 | $2,296.81 | $7.85 – $48.56 | 4 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $936.23 | $1,440.35 | $8.54 – $41.99 | 4 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $2.05 – $7.87 | 2 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | not published | not published | $27.94 – $106.86 | 2 |
| Epstein barr early antigen antibody CPT 86663 | $57.20 | $88.00 | $13.12 – $13.64 | 2 |
| Epstein barr nuclear antigen antibody CPT 86664 | $82.55 | $127.00 | $15.29 – $15.90 | 2 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $96.85 | $149.00 | $18.14 – $18.87 | 2 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | not published | not published | $2.99 – $69.10 | 4 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $19.97 – $125.58 | 4 |
| Ercp biliary & pancreas CPT 74330 | $737.75 | $1,135.00 | not published | 0 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $2,905.50 | $4,470.00 | $5,743.54 – $5,973.28 | 3 |
| Ercp ea duct/ampulla dilate CPT 43277 | $2,355.60 | $3,624.00 | $3,647.57 – $3,793.48 | 3 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | $2,355.60 | $3,624.00 | $3,647.57 – $3,793.48 | 3 |
| Ercp lithotripsy calculi CPT 43265 | $4,680.00 | $7,200.00 | $5,743.54 – $5,973.28 | 3 |
| Ercp remove duct calculi 43264 CPT 43264 | $2,157.35 | $3,319.00 | $3,647.57 – $3,793.48 | 3 |
| Ercp remove forgn body duct 43275 CPT 43275 | $2,157.35 | $3,319.00 | $1,815.43 – $1,888.05 | 3 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $1,815.43 – $1,888.05 | 3 |
| Ercp stent exchange w/dilate CPT 43276 | $4,680.00 | $7,200.00 | $5,743.54 – $5,973.28 | 3 |
| Ercp w/specimen collection CPT 43260 | $2,109.25 | $3,245.00 | $3,647.57 – $3,793.48 | 3 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $0.07 – $0.07 | 1 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | not published | not published | $89.34 – $866.58 | 4 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $99.78 | $153.50 | $18.72 – $71.57 | 2 |
| ER Visit (level 1, minor) CPT 99281 | $198.25 | $305.00 | $79.78 – $82.97 | 3 |
| ER Visit (level 2) CPT 99282 | $302.25 | $465.00 | $145.26 – $151.08 | 3 |
| ER Visit (level 3) CPT 99283 | $467.35 | $719.00 | $258.26 – $268.59 | 3 |
| ER Visit (level 4) CPT 99284 | $724.75 | $1,115.00 | $394.76 – $410.55 | 3 |
| ER Visit (level 5, high severity) CPT 99285 | $1,206.40 | $1,856.00 | $563.42 – $585.96 | 3 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $205.82 | $316.65 | $105.64 – $403.91 | 2 |
| Esd endoscopy or colonoscopy HCPCS C9779 | $2,570.10 | $3,954.00 | $3,647.57 – $3,793.48 | 3 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $0.61 – $2.34 | 2 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $158.05 | $243.15 | $0.36 – $1.37 | 2 |
| Esophageal dilat s&i CPT 74360 | $300.95 | $463.00 | not published | 0 |
| Esophageal motility CPT 78258 | not published | not published | $378.21 – $393.34 | 3 |
| Esophag muc integ w/eso egd HCPCS C9777 | $3,773.25 | $5,805.00 | $3,647.57 – $3,793.48 | 3 |
| Esophagosc dilate balloon 30 CPT 43214 | $2,140.45 | $3,293.00 | $1,815.43 – $1,888.05 | 3 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $858.08 – $892.40 | 3 |
| Esophagoscop mucosal resect CPT 43211 | $2,433.60 | $3,744.00 | $1,815.43 – $1,888.05 | 3 |
| Esophagoscop stent placement CPT 43212 | $4,234.75 | $6,515.00 | $5,743.54 – $5,973.28 | 3 |
| Esophagoscop ultrasound exam CPT 43231 | $1,988.35 | $3,059.00 | $1,815.43 – $1,888.05 | 3 |
| Esophagoscopy balloon <30mm CPT 43220 | $1,922.05 | $2,957.00 | $1,815.43 – $1,888.05 | 3 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $1,815.43 – $1,888.05 | 3 |
| Esophagoscopy flex biopsy CPT 43202 | $2,570.10 | $3,954.00 | $1,815.43 – $1,888.05 | 3 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $1,720.55 | $2,647.00 | $858.08 – $892.40 | 3 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $858.08 – $892.40 | 3 |
| Esophagoscopy flex remove fb CPT 43215 | $1,841.45 | $2,833.00 | $1,815.43 – $1,888.05 | 3 |
| Esophagoscopy lesion ablate CPT 43229 | $2,090.40 | $3,216.00 | $3,647.57 – $3,793.48 | 3 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $1,815.43 – $1,888.05 | 3 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $1,815.43 – $1,888.05 | 3 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $3,647.57 – $3,793.48 | 3 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $1,815.43 – $1,888.05 | 3 |
| Esophagoscopy snare les remv CPT 43217 | $2,214.55 | $3,407.00 | $1,815.43 – $1,888.05 | 3 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $1,815.43 – $1,888.05 | 3 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $1,815.43 – $1,888.05 | 3 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $1,815.43 – $1,888.05 | 3 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $1,815.43 – $1,888.05 | 3 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $1,815.43 – $1,888.05 | 3 |
| Esophagus endoscopy/ligation CPT 43205 | $1,988.35 | $3,059.00 | $1,815.43 – $1,888.05 | 3 |
| Esophagus motility study CPT 91010 | $1,106.30 | $1,702.00 | $353.04 – $367.16 | 3 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $353.04 – $367.16 | 3 |
| Esoph egd dilation <30 mm CPT 43249 | $2,211.30 | $3,402.00 | $1,815.43 – $1,888.05 | 3 |
| Esoph endoscopy dilation CPT 43226 | $2,140.45 | $3,293.00 | $1,815.43 – $1,888.05 | 3 |
| Esoph imped function test CPT 91037 | $2,336.75 | $3,595.00 | $204.28 – $212.45 | 3 |
| Esoph imped funct test > 1hr CPT 91038 | $3,810.30 | $5,862.00 | $353.04 – $367.16 | 3 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $1,815.43 – $1,888.05 | 3 |
| Esoph scope w/sclerosis inj CPT 43204 | $1,988.35 | $3,059.00 | $1,815.43 – $1,888.05 | 3 |
| Esoph scope w/submucous inj CPT 43201 | $1,988.35 | $3,059.00 | $1,815.43 – $1,888.05 | 3 |
| Essure 58565 CPT 58565 | not published | not published | $4,732.70 – $4,922.01 | 3 |
| Estradiol total CPT 82670 | $93.60 | $144.00 | $27.94 – $29.06 | 2 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $13.50 – $51.61 | 2 |
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.