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 |
|---|---|---|---|---|
| Ghs fat & muscle CPT 89160 | not published | not published | $4.85 – $5.04 | 2 |
| Ghs fb removal foot - deep - left CPT 28192 | not published | not published | $1,562.54 – $1,625.04 | 3 |
| Ghs fb removal from muscle - complicated CPT 20525 | $1,886.95 | $2,903.00 | $2,748.08 – $2,858.01 | 3 |
| Ghs fb removal - incisional CPT 10121 | $614.25 | $945.00 | $1,562.54 – $1,625.04 | 3 |
| Ghs fb removal - non-incisional CPT 20520 | $1,522.30 | $2,342.00 | $1,562.54 – $1,625.04 | 3 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $33.80 | $52.00 | $6.98 – $7.26 | 2 |
| Ghs fish cytogen CPT 88271 | $265.20 | $408.00 | $21.42 – $22.28 | 2 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $248.30 | $382.00 | $51.19 – $53.24 | 2 |
| Ghs flow volume loop CPT 94375 | not published | not published | $204.28 – $212.45 | 3 |
| Ghs gastric intub aspiration lavage CPT 43753 | $780.00 | $1,200.00 | $204.28 – $212.45 | 3 |
| Ghs hcv amplificaiton CPT 87521 | not published | not published | $35.09 – $36.49 | 2 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $22.97 – $23.89 | 2 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $506.35 | $779.00 | $15.49 – $16.11 | 2 |
| Ghs hgb stability-thal CPT 83068 | $97.50 | $150.00 | $9.47 – $9.85 | 2 |
| Ghs histoplasma antigen CPT 87385 | $111.15 | $171.00 | $13.25 – $13.78 | 2 |
| Ghs HIV antibody CPT 86703 | $42.25 | $65.00 | $13.71 – $14.26 | 2 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $106.14 – $110.39 | 2 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | not published | not published | $1,977.66 – $2,056.77 | 3 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $1,203.80 | $1,852.00 | $1,132.12 – $1,177.40 | 3 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $516.75 | $795.00 | $669.95 – $696.75 | 3 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $367.90 | $566.00 | $669.95 – $696.75 | 3 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $29.92 – $31.12 | 2 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $507.65 | $781.00 | $236.38 – $245.83 | 3 |
| Ghs inhibitor screen CPT 85335 | $195.00 | $300.00 | $12.87 – $13.38 | 2 |
| Ghs init tx 1st degree burn CPT 16000 | $258.70 | $398.00 | $189.82 – $197.41 | 3 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $1,299.35 | $1,999.00 | $836.78 – $870.25 | 3 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $2,598.70 | $3,998.00 | $836.78 – $870.25 | 3 |
| Ghs inj tendon origin/insertion CPT 20551 | $412.75 | $635.00 | $290.40 – $302.02 | 3 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $801.45 | $1,233.00 | not published | 0 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $2,598.70 | $3,998.00 | $836.78 – $870.25 | 3 |
| Ghs insertion of needle - bone CPT 36680 | $224.25 | $345.00 | not published | 0 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | not published | not published | $384.59 – $399.98 | 3 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | not published | not published | $699.22 – $727.19 | 3 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $522.60 | $804.00 | not published | 0 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $560.95 | $863.00 | $236.38 – $245.83 | 3 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $117.00 | $180.00 | $44.30 – $46.07 | 3 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $720.20 | $1,108.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | not published | not published | $312.49 – $324.99 | 3 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $561.60 | $864.00 | $384.59 – $399.98 | 3 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $676.00 | $1,040.00 | $384.59 – $399.98 | 3 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | not published | not published | $384.59 – $399.98 | 3 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | not published | not published | $384.59 – $399.98 | 3 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $811.20 | $1,248.00 | $384.59 – $399.98 | 3 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | not published | not published | $384.59 – $399.98 | 3 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | not published | not published | $384.59 – $399.98 | 3 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | not published | not published | $699.22 – $727.19 | 3 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | not published | not published | $384.59 – $399.98 | 3 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | not published | not published | $699.22 – $727.19 | 3 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | not published | not published | $384.59 – $399.98 | 3 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $699.22 – $727.19 | 3 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $384.59 – $399.98 | 3 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $384.59 – $399.98 | 3 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $8.60 – $8.94 | 2 |
| Ghs mbp CPT 83873 | not published | not published | $17.20 – $17.89 | 2 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $170.95 | $263.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $170.95 | $263.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $170.95 | $263.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $85.80 | $132.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $85.80 | $132.00 | not published | 0 |
| Ghs musc test done w/n test comp CPT 95886 | $242.45 | $373.00 | not published | 0 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $242.45 | $373.00 | not published | 0 |
| Ghs myocardial strain img spckl track CPT 93356 | $193.70 | $298.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $352.30 | $542.00 | $699.22 – $727.19 | 3 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,299.35 | $1,999.00 | $836.78 – $870.25 | 3 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,002.30 | $1,542.00 | $667.82 – $694.53 | 3 |
| Ghs nerve block axillary nerve CPT 64417 | $2,598.70 | $3,998.00 | $836.78 – $870.25 | 3 |
| Ghs nerve block brachial plexus CPT 64415 | $2,598.70 | $3,998.00 | $836.78 – $870.25 | 3 |
| Ghs nerve block celiac plexus CPT 64530 | $1,299.35 | $1,999.00 | $836.78 – $870.25 | 3 |
| Ghs nerve block interscaline CPT 64510 | $2,598.70 | $3,998.00 | $836.78 – $870.25 | 3 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $2,598.70 | $3,998.00 | $836.78 – $870.25 | 3 |
| Ghs nerve block sciatic nerve CPT 64445 | $2,004.60 | $3,084.00 | $667.82 – $694.53 | 3 |
| Ghs nerve block suprascapular CPT 64418 | $2,004.60 | $3,084.00 | $667.82 – $694.53 | 3 |
| Ghs ng placement w fluoro guidance CPT 43752 | $1,161.55 | $1,787.00 | not published | 0 |
| Ghs o2 saturation CPT 82810 | $67.60 | $104.00 | $9.77 – $10.16 | 2 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $121.73 – $126.60 | 3 |
| Ghs o2 uptake rest & indirect CPT 94690 | $388.70 | $598.00 | $55.81 – $58.04 | 3 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $44.30 – $46.07 | 3 |
| Ghs opcc repair cvp without subq port CPT 36575 | $1,109.55 | $1,707.00 | $593.48 – $617.22 | 3 |
| Ghs opcc repair cvp w subq port CPT 36576 | $1,220.05 | $1,877.00 | $1,489.27 – $1,548.84 | 3 |
| Ghs optokenetic CPT 92544 | not published | not published | $121.73 – $126.60 | 3 |
| Ghs oscillating trac CPT 92545 | not published | not published | $204.28 – $212.45 | 3 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $380.90 | $586.00 | not published | 0 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $380.90 | $586.00 | not published | 0 |
| Ghs ot dds rom CPT 95851 | not published | not published | $6.60 – $6.86 | 3 |
| Ghs ot group caregiver training CPT 97552 | $65.00 | $100.00 | $9.24 – $9.61 | 3 |
| Ghs ot prosthetic training/15 min CPT 97761 | $81.25 | $125.00 | $38.38 – $39.92 | 3 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $78.65 | $121.00 | $56.93 – $59.21 | 3 |
| Ghs ot work hardening-additional hours CPT 97546 | $90.35 | $139.00 | not published | 0 |
| Ghs pacing - transcutaneous CPT 92953 | $351.00 | $540.00 | $625.30 – $650.32 | 3 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $401.05 | $617.00 | not published | 0 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $334.10 | $514.00 | not published | 0 |
| Ghs peritonsillar abscess i andd CPT 42700 | $536.25 | $825.00 | not published | 0 |
| Ghs phenylketonurid CPT 84030 | $49.40 | $76.00 | $5.50 – $5.72 | 2 |
| Ghs picc line insert < 5 CPT 36568 | not published | not published | $1,489.27 – $1,548.84 | 3 |
| Ghs plngl fx pm cl CPT 26725 | not published | not published | $233.37 – $242.70 | 3 |
| Ghs plt ct-manual CPT 85032 | $42.90 | $66.00 | $4.31 – $4.48 | 2 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $812.43 – $844.93 | 3 |
| Ghs pos nystagmus CPT 92542 | $86.45 | $133.00 | $125.87 – $130.91 | 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.