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 |
|---|---|---|---|---|
| Fusion of tendons at wrist CPT 25301 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Fusion of thumb CPT 26841 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $12,146.38 – $12,632.24 | 3 |
| Fusion of toes CPT 28280 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| G6pc gene CPT 81250 | $76.05 | $117.00 | $58.49 – $60.83 | 2 |
| G6pd full gene sequence CPT 81249 | $1,779.70 | $2,738.00 | $600.00 – $624.00 | 2 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $174.81 – $181.80 | 2 |
| G6pd known familial variant CPT 81248 | $4,146.35 | $6,379.00 | $375.25 – $390.26 | 2 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | not published | not published | $0.07 – $0.07 | 1 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $49.63 – $361.14 | 4 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.47 – $1.82 | 2 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $2.52 – $9.62 | 2 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.20 – $0.78 | 2 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $24.99 – $95.55 | 2 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $83.20 | $128.00 | $21.07 – $21.91 | 2 |
| Galactokinase - sendout CPT 82759 | not published | not published | $21.48 – $22.34 | 2 |
| Galactose transferase test CPT 82776 | not published | not published | $11.74 – $12.21 | 2 |
| Galectin-3 CPT 82777 | $222.95 | $343.00 | $44.25 – $46.02 | 2 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $5,719.53 – $5,948.32 | 3 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $3.61 – $49.27 | 4 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $363.50 – $4,950.47 | 4 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $550.13 – $5,056.09 | 4 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $478.52 – $6,396.00 | 4 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $362.50 – $5,356.00 | 4 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $170.48 – $3,212.04 | 4 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $49.03 – $321.23 | 4 |
| Gammaglobulin iga CPT 82784 | $58.50 | $90.00 | $9.30 – $9.67 | 2 |
| Gammaglobulin ige CPT 82785 | $81.25 | $125.00 | $16.46 – $17.12 | 2 |
| Gamma glutamyltransferase CPT 82977 | $41.60 | $64.00 | $7.20 – $7.49 | 2 |
| Gammaplex injection HCPCS J1557 | not published | not published | $63.68 – $369.01 | 4 |
| Gamunex-c/gammaked HCPCS J1561 | $3,705.13 | $5,700.20 | $48.96 – $318.57 | 4 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $48.86 – $186.81 | 2 |
| Gardner vag dna quant CPT 87512 | not published | not published | $41.76 – $43.43 | 2 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $6.71 – $6.98 | 2 |
| Gastric emptying imag study CPT 78265 | $1,849.25 | $2,845.00 | $378.21 – $393.34 | 3 |
| Gastric emptying imag study CPT 78266 | $1,849.25 | $2,845.00 | $513.69 – $534.24 | 3 |
| Gastric motility studies CPT 91020 | not published | not published | $353.04 – $367.16 | 3 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $378.21 – $393.34 | 3 |
| Gastrin test CPT 82938 | not published | not published | $17.69 – $18.40 | 2 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $378.21 – $393.34 | 3 |
| Gastroesophageal reflux test CPT 91034 | $1,597.05 | $2,457.00 | $353.04 – $367.16 | 3 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $858.08 – $892.40 | 3 |
| Gated heart multiple CPT 78473 | $1,511.25 | $2,325.00 | $378.21 – $393.34 | 3 |
| Gba gene CPT 81251 | $536.25 | $825.00 | $47.25 – $49.14 | 2 |
| Gel-one HCPCS J7326 | $3,788.78 | $5,828.90 | $529.26 – $3,421.47 | 4 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.70 – $3.64 | 4 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $184.57 | $283.95 | $4.87 – $18.66 | 2 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $236.62 – $1,515.28 | 4 |
| General health panel CPT 80050 | $142.35 | $219.00 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | $9,636.90 | $14,826.00 | $2,448.56 – $2,546.50 | 2 |
| Genome sequence analysis CPT 81425 | not published | not published | $5,031.20 – $5,232.45 | 2 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $43.91 | $67.55 | $4.20 – $16.06 | 2 |
| Gentamicin peak therapeutic drug level CPT 80170 | $111.80 | $172.00 | $16.38 – $17.04 | 2 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $5.77 – $40.11 | 4 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,597.05 | $2,457.00 | $812.43 – $844.93 | 3 |
| Ghs abscess perianal iandd CPT 46050 | $523.25 | $805.00 | $879.81 – $915.00 | 3 |
| Ghs abscess postoperative iandd complex CPT 10180 | $6,572.80 | $10,112.00 | $2,748.08 – $2,858.01 | 3 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $27.30 | $42.00 | $9.81 – $10.20 | 2 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $126.75 | $195.00 | $17.11 – $17.79 | 2 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $611.65 | $941.00 | $102.26 – $106.35 | 2 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $125.87 – $130.91 | 3 |
| Ghs antibodies (torch) igm CPT 86694 | $24.70 | $38.00 | $14.39 – $14.97 | 2 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $236.38 – $245.83 | 3 |
| Ghs bladder cath - complex-foley CPT 51703 | $510.25 | $785.00 | $121.73 – $126.60 | 3 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $4.82 – $5.01 | 2 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $3,006.90 | $4,626.00 | $667.82 – $694.53 | 3 |
| Ghs central line insert < age 5, failed CPT 36555 | $1,400.75 | $2,155.00 | $2,987.22 – $3,106.71 | 3 |
| Ghs change cysto/gastrost CPT 43762 | $585.00 | $900.00 | $236.38 – $245.83 | 3 |
| Ghs chemo >8 hrs CPT 96416 | $647.40 | $996.00 | $312.49 – $324.99 | 3 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $312.49 – $324.99 | 3 |
| Ghs chemo IV push, ea addtl CPT 96411 | $260.00 | $400.00 | $68.12 – $70.84 | 3 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $153.40 | $236.00 | $35.09 – $36.49 | 2 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | not published | not published | $233.37 – $242.70 | 3 |
| Ghs closed reduction ankle dislocation CPT 27840 | not published | not published | $233.37 – $242.70 | 3 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $233.37 – $242.70 | 3 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $734.50 | $1,130.00 | not published | 0 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | not published | not published | $233.37 – $242.70 | 3 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | not published | not published | $233.37 – $242.70 | 3 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | not published | not published | $233.37 – $242.70 | 3 |
| Ghs community re-entry 15 minutes CPT 97537 | $100.75 | $155.00 | $30.70 – $31.93 | 3 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $522.60 | $804.00 | $125.87 – $130.91 | 3 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $904.80 | $1,392.00 | not published | 0 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $994.50 | $1,530.00 | $125.87 – $130.91 | 3 |
| Ghs cricothyroidotomy CPT 31605 | $1,259.70 | $1,938.00 | not published | 0 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $125.87 – $130.91 | 3 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $66.30 | $102.00 | $15.21 – $15.82 | 2 |
| Ghs dislocation elbow closed treatment CPT 24600 | not published | not published | $233.37 – $242.70 | 3 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $687.05 | $1,057.00 | $858.08 – $892.40 | 3 |
| Ghs ed rmvl or bivalving cast CPT 29700 | not published | not published | $264.61 – $275.19 | 3 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $887.25 | $1,365.00 | $667.82 – $694.53 | 3 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | not published | not published | $204.28 – $212.45 | 3 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $121.73 – $126.60 | 3 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $121.73 – $126.60 | 3 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $384.59 – $399.98 | 3 |
| Ghs excision ingrown nail CPT 11765 | $451.75 | $695.00 | $384.59 – $399.98 | 3 |
| Ghs eye exam CPT 92002 | not published | not published | $125.96 – $131.00 | 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.