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 |
|---|---|---|---|---|
| Explore woundchest 20101 CPT 20101 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | not published | not published | $1,562.54 – $1,625.04 | 3 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | not published | not published | $1,562.54 – $1,625.04 | 3 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | not published | not published | $125.87 – $130.91 | 3 |
| Ext ecg>7d<15d scan a/r CPT 93247 | not published | not published | $125.87 – $130.91 | 3 |
| Extended visual field xm CPT 92083 | not published | not published | $125.87 – $130.91 | 3 |
| Extensive hand surgery CPT 26250 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Extensive testis surgery CPT 54535 | not published | not published | $3,334.90 – $3,468.30 | 3 |
| External cannula declotting CPT 36860 | not published | not published | $1,489.27 – $1,548.84 | 3 |
| External chromosome analysis 20-25 cells CPT 88264 | $241.80 | $372.00 | $144.61 – $150.39 | 2 |
| External ocular photography CPT 92285 | not published | not published | $35.34 – $36.75 | 3 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $84.50 | $130.00 | not published | 0 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $3,873.00 – $4,027.92 | 2 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $320.45 | $493.00 | $143.75 – $149.50 | 2 |
| Extnd color vision xm CPT 92283 | not published | not published | $55.81 – $58.04 | 3 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $772.20 | $1,188.00 | $17.93 – $18.65 | 2 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $125.87 – $130.91 | 3 |
| Eye allergy tests CPT 95060 | not published | not published | $125.87 – $130.91 | 3 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | not published | not published | $1,825.64 – $18,573.10 | 4 |
| F-18 fluciclovine per mci HCPCS A9588 | not published | not published | $322.27 – $3,358.23 | 4 |
| F9 full gene sequence CPT 81238 | $3,254.55 | $5,007.00 | $600.00 – $624.00 | 2 |
| Facial bones <3 CPT 70140 | $203.45 | $313.00 | $82.33 – $85.63 | 3 |
| Facial nerve function test CPT 92516 | not published | not published | $204.28 – $212.45 | 3 |
| Factor ix CPT 85250 | $101.40 | $156.00 | $19.04 – $19.80 | 2 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.59 – $23.27 | 4 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.70 – $10.79 | 4 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $5.32 – $33.87 | 4 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.40 – $8.71 | 4 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.46 – $28.54 | 4 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $1.85 – $11.96 | 4 |
| Factor viii CPT 85240 | $65.65 | $101.00 | $17.90 – $18.62 | 2 |
| Factor viii HCPCS J7190 | not published | not published | $1.08 – $7.28 | 4 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.43 – $15.21 | 4 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.12 – $8.06 | 4 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.10 – $13.65 | 4 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $1.61 – $10.01 | 4 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.54 – $9.30 | 4 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.23 – $21.00 | 4 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $10.76 – $68.06 | 4 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $18.16 – $111.61 | 4 |
| Fallopian tube recnl CPT 58345 | $7,436.00 | $11,440.00 | $3,062.57 – $3,185.07 | 3 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $22.20 | $34.15 | not published | 0 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $8,375.32 | $12,885.10 | $29.98 – $187.27 | 4 |
| Fancc gene CPT 81242 | $640.90 | $986.00 | $36.62 – $38.08 | 2 |
| Fat/lipids feces qualitative CPT 82705 | not published | not published | $5.10 – $5.30 | 2 |
| Fatty acids nonesterified CPT 82725 | $182.00 | $280.00 | $18.77 – $19.52 | 2 |
| Fda ide #g240020 carry bag HCPCS Q0499 | $845.23 | $1,300.35 | not published | 0 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.56 – $4.74 | 2 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $63.84 – $413.40 | 4 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $879.81 – $915.00 | 3 |
| #fecal-sodium CPT 84302 | $63.70 | $98.00 | $4.86 – $5.05 | 2 |
| Feeding tube reposition CPT 74355 | $767.00 | $1,180.00 | not published | 0 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $78.42 – $81.56 | 3 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $75.40 | $116.00 | $18.64 – $19.39 | 2 |
| Feno poc CPT 95012 | not published | not published | $35.34 – $36.75 | 3 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $157.95 | $243.00 | $1.45 – $5.53 | 2 |
| Fern test HCPCS Q0114 | not published | not published | $9.74 – $10.13 | 2 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $3,375.84 | $5,193.60 | $1.11 – $7.22 | 4 |
| Ferritin CPT 82728 | $72.80 | $112.00 | $13.63 – $14.18 | 2 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $892.55 | $1,373.15 | $0.32 – $2.47 | 4 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.32 – $2.47 | 4 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $918.45 | $1,413.00 | $98.91 – $102.86 | 3 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $3,274.05 | $5,037.00 | $759.05 – $789.41 | 2 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $384.15 | $591.00 | $191.27 – $198.92 | 3 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $288.30 – $299.83 | 3 |
| Fetal fibronectin CPT 82731 | $139.10 | $214.00 | $64.41 – $66.99 | 2 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $288.30 – $299.83 | 3 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $63.05 | $97.00 | $7.73 – $8.04 | 2 |
| Fetal hemoglobin rosette CPT 85461 | $247.00 | $380.00 | $9.36 – $9.73 | 2 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $44.85 | $69.00 | $19.32 – $20.09 | 2 |
| Fetal non stress test CPT 59025 | $376.35 | $579.00 | $191.27 – $198.92 | 3 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $288.30 – $299.83 | 3 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $288.30 – $299.83 | 3 |
| #_fet/norfentcnfrmur CPT 80354 | $91.65 | $141.00 | not published | 0 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $13.43 – $51.35 | 2 |
| Fibrin degradation d dimer quantitative CPT 85379 | $96.85 | $149.00 | $10.18 – $10.59 | 2 |
| Fibrin degradation products CPT 85362 | $131.95 | $203.00 | $6.89 – $7.17 | 2 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $9.72 – $10.11 | 2 |
| Fibrinogen activity CPT 85384 | $76.70 | $118.00 | $9.72 – $10.11 | 2 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $62.40 | $96.00 | $15.48 – $16.10 | 2 |
| Fibrinolytic antiplasmin CPT 85410 | $89.70 | $138.00 | $7.71 – $8.02 | 2 |
| Fibrinolytic plasminogen CPT 85415 | $258.05 | $397.00 | $17.19 – $17.88 | 2 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $81.25 | $125.00 | $6.53 – $6.79 | 2 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $297.21 | $457.25 | $0.30 – $1.89 | 4 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | not published | not published | $1.00 – $6.37 | 4 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $1,128.63 | $1,736.36 | $0.46 – $2.34 | 4 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Filtered speech hearing test CPT 92571 | not published | not published | $35.34 – $36.75 | 3 |
| Finasteride, 5 mg HCPCS S0138 | not published | not published | $0.98 – $0.98 | 1 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $1,385.80 | $2,132.00 | $669.95 – $696.75 | 3 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $544.70 | $838.00 | not published | 0 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $183.30 | $282.00 | not published | 0 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $544.70 | $838.00 | not published | 0 |
| Fine needle asp without image guide 10021 CPT 10021 | $485.55 | $747.00 | $384.59 – $399.98 | 3 |
| Finger tendon transfer CPT 26497 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Finger tendon transfer CPT 26498 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $55.81 – $58.04 | 3 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $55.81 – $58.04 | 3 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $35.34 – $36.75 | 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.