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 |
|---|---|---|---|---|
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $13.42 – $13.96 | 2 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $54.60 | $84.00 | $13.82 – $14.37 | 2 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $55.90 | $86.00 | $11.98 – $12.46 | 2 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $139.10 | $214.00 | $14.38 – $14.96 | 2 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $52.65 | $81.00 | $10.33 – $10.74 | 2 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $87.10 | $134.00 | $10.33 – $10.74 | 2 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $62.40 | $96.00 | $24.08 – $25.04 | 2 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $73.45 | $113.00 | $11.98 – $12.46 | 2 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $63.05 | $97.00 | $11.98 – $12.46 | 2 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | not published | not published | $11.98 – $12.46 | 2 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $132.60 | $204.00 | $35.09 – $36.49 | 2 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $92.95 | $143.00 | $35.09 – $36.49 | 2 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $1,120.60 | $1,724.00 | $37.27 – $38.76 | 2 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $645.45 | $993.00 | $416.78 – $433.45 | 2 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $173.55 | $267.00 | $35.09 – $36.49 | 2 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $147.55 | $227.00 | $35.09 – $36.49 | 2 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $148.85 | $229.00 | $41.68 – $43.35 | 2 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $92.95 | $143.00 | $35.09 – $36.49 | 2 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $111.80 | $172.00 | $51.31 – $53.36 | 2 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $278.85 | $429.00 | $142.63 – $148.34 | 2 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $230.75 | $355.00 | $142.63 – $148.34 | 2 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $113.75 | $175.00 | $35.09 – $36.49 | 2 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $92.95 | $143.00 | $35.09 – $36.49 | 2 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | not published | not published | $70.18 – $72.99 | 2 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $188.50 | $290.00 | $76.77 – $79.84 | 2 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | not published | not published | $679.77 – $706.96 | 2 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $581.10 | $894.00 | $416.78 – $433.45 | 2 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $96.20 | $148.00 | $128.29 – $133.42 | 2 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $562.90 | $866.00 | $262.99 – $273.51 | 2 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $328.90 | $506.00 | $42.84 – $44.55 | 2 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $276.25 | $425.00 | $42.84 – $44.55 | 2 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $341.90 | $526.00 | $42.84 – $44.55 | 2 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $241.80 | $372.00 | $85.10 – $88.50 | 2 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $158.60 | $244.00 | $142.63 – $148.34 | 2 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $3,721.02 | $5,724.65 | $31.09 – $198.45 | 4 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $20.40 – $128.90 | 4 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | not published | not published | $19.64 – $75.08 | 4 |
| Influenza dna amp prob addl CPT 87503 | $41.60 | $64.00 | $29.22 – $30.39 | 2 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $141.94 – $542.69 | 2 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $49.08 – $187.66 | 2 |
| Infuse radioactive materials CPT 77750 | not published | not published | $364.90 – $379.49 | 3 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $353.04 – $367.16 | 3 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $817.70 | $1,258.00 | not published | 0 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $125.96 – $131.00 | 3 |
| Initiation & management bipap/cpap initial day CPT 94660 | $306.80 | $472.00 | not published | 0 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $6.03 – $38.48 | 4 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $7.28 – $45.96 | 4 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.04 – $1.50 | 4 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $84.37 – $84.37 | 1 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $63,342.28 – $412,113.26 | 4 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $10.16 – $38.87 | 2 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $35.59 – $224.71 | 4 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $311.38 – $2,138.89 | 4 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.57 – $9.88 | 4 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $4.72 – $28.60 | 4 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $130.24 – $954.79 | 4 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $37.82 – $378.50 | 4 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $9.61 – $62.01 | 4 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $131.38 – $812.50 | 4 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $18.08 – $115.44 | 4 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $1.91 – $12.09 | 4 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $3.24 – $20.35 | 4 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $51.83 – $294.26 | 4 |
| Inj. asceniv HCPCS J1554 | not published | not published | $496.74 – $3,217.31 | 4 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $55.47 – $351.91 | 4 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $105.12 – $706.55 | 4 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $80.91 – $506.09 | 4 |
| Inj., benralizumab, 1 mg HCPCS J0517 | not published | not published | $164.59 – $1,078.29 | 4 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | not published | not published | $39.83 – $259.16 | 4 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $213.84 – $1,364.29 | 4 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $3.46 – $297.70 | 4 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $6.97 – $297.70 | 4 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $420.64 – $2,786.29 | 4 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $1,682.54 – $11,145.10 | 4 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $346.11 – $2,202.79 | 4 |
| Inj, bupivacaine liposome HCPCS J0666 | $1,040.36 | $1,600.55 | $1.47 – $9.43 | 4 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $3.12 – $3.12 | 1 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $61.80 – $1,099.80 | 4 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | not published | not published | $6.44 – $6.44 | 1 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $259.70 – $1,592.50 | 4 |
| Inj cefazolin sodium, hikma HCPCS J0688 | not published | not published | $1.71 – $6.50 | 2 |
| Inj cefazolin (wg crit care) HCPCS J0687 | not published | not published | $1.89 – $7.22 | 2 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | $107.78 | $165.81 | $8.37 – $31.98 | 2 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | not published | not published | $2.42 – $14.82 | 4 |
| Inj ceftolozane tazobactam HCPCS J0695 | not published | not published | $9.07 – $52.98 | 4 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $16.52 – $102.25 | 4 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $86.16 – $1,096.81 | 4 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $91.21 – $580.97 | 4 |
| Inj, clevidipine butyrate HCPCS C9248 | not published | not published | $22.23 – $22.23 | 1 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $1,292.20 | $1,988.00 | not published | 0 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $1,045.15 – $6,676.61 | 4 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $551.51 – $3,381.89 | 4 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $16.84 – $107.97 | 4 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $9.10 – $56.88 | 4 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.63 – $4.55 | 4 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $1,165.97 | $1,793.80 | $0.78 – $14.24 | 4 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $3.94 – $28.28 | 4 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.07 – $0.26 | 2 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.06 – $0.26 | 2 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $3.15 – $27.30 | 4 |
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.