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 |
|---|---|---|---|---|
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $0.07 – $3,449,121.09 | 4 |
| Inj disk cerv-thor ea lev CPT 62291 | $463.45 | $713.00 | not published | 0 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.13 – $26.59 | 4 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $290.40 – $302.02 | 3 |
| Inj, durolane 1 mg HCPCS J7318 | $3,382.31 | $5,203.55 | $6.77 – $43.55 | 4 |
| Inj dx for sinogram CPT 20501 | $2,180.75 | $3,355.00 | not published | 0 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $2,004.60 | $3,084.00 | $667.82 – $694.53 | 3 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $3,040.70 | $4,678.00 | not published | 0 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $52.47 – $326.82 | 4 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $484.14 – $3,053.25 | 4 |
| Injection, cangrelor HCPCS C9460 | not published | not published | $19.98 – $124.09 | 4 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $825.50 | $1,270.00 | $290.40 – $302.02 | 3 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $71.37 – $424.58 | 4 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $0.64 – $2.47 | 2 |
| Injection during cath supravalvular aortography CPT 93567 | $1,666.60 | $2,564.00 | not published | 0 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $20.99 – $140.92 | 4 |
| Injection epidural blood patch or clot CPT 62273 | $1,002.30 | $1,542.00 | $667.82 – $694.53 | 3 |
| Injection eye drug CPT 67028 | not published | not published | $312.49 – $324.99 | 3 |
| Injection for arthrography wrist (both sides) CPT 25246 | $4,321.20 | $6,648.00 | not published | 0 |
| Injection for bladder x-ray CPT 51600 | $1,407.90 | $2,166.00 | not published | 0 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $3,005.60 | $4,624.00 | not published | 0 |
| Injection for spleen x-ray CPT 38200 | $208.00 | $320.00 | not published | 0 |
| Injection for ureter x-ray CPT 50684 | $1,637.35 | $2,519.00 | not published | 0 |
| Injection for ureter x-ray CPT 50690 | $1,514.50 | $2,330.00 | not published | 0 |
| Injection, fulvestrant HCPCS J9395 | $179.85 | $276.69 | $11.32 – $43.29 | 2 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $373.75 – $373.75 | 1 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $11,657.30 | $17,934.30 | $12.32 – $79.82 | 4 |
| Injection into brain canal CPT 61026 | not published | not published | $667.82 – $694.53 | 3 |
| Injection into brain canal CPT 61055 | $139.75 | $215.00 | $290.40 – $302.02 | 3 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $879.81 – $915.00 | 3 |
| Injection into spinal artery CPT 62294 | not published | not published | $836.78 – $870.25 | 3 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $1.00 – $6.70 | 4 |
| Injection jugular CPT 36299 | $236.60 | $364.00 | not published | 0 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.73 – $37.25 | 4 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $68.12 – $70.84 | 3 |
| Injection of sinus tract CPT 20500 | $1,075.75 | $1,655.00 | not published | 0 |
| Injection,onabotulinumtoxina HCPCS J0585 | $2,154.07 | $3,313.95 | $6.50 – $42.06 | 4 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.68 – $10.27 | 4 |
| Injection px peyronie ds CPT 54200 | not published | not published | $236.38 – $245.83 | 3 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $1,597.70 | $2,458.00 | $378.21 – $393.34 | 3 |
| Injection, renflexis HCPCS Q5104 | $1,035.22 | $1,592.65 | $27.00 – $170.69 | 4 |
| Injection, ruconest HCPCS J0596 | not published | not published | $36.77 – $225.36 | 4 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $2,710.50 | $4,170.00 | $667.82 – $694.53 | 3 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $3,006.90 | $4,626.00 | $667.82 – $694.53 | 3 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $3,006.90 | $4,626.00 | $667.82 – $694.53 | 3 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $2,598.70 | $3,998.00 | $836.78 – $870.25 | 3 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $334.10 | $514.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $2,598.70 | $3,998.00 | $836.78 – $870.25 | 3 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $334.10 | $514.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $2,598.70 | $3,998.00 | $836.78 – $870.25 | 3 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,392.30 | $2,142.00 | $667.82 – $694.53 | 3 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,392.30 | $2,142.00 | $667.82 – $694.53 | 3 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $165.83 – $1,013.81 | 4 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $646.10 | $994.00 | $290.40 – $302.02 | 3 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $412.10 | $634.00 | $290.40 – $302.02 | 3 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $412.75 | $635.00 | $290.40 – $302.02 | 3 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $127.40 | $196.00 | $44.30 – $46.07 | 3 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $105.95 | $163.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $234.00 | $360.00 | $201.23 – $209.28 | 3 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $107.90 | $166.00 | $68.12 – $70.84 | 3 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $0.07 – $0.07 | 1 |
| Injection treatment of nerve CPT 64605 | $2,171.00 | $3,340.00 | $1,847.43 – $1,921.33 | 3 |
| Injection treatment of nerve CPT 64610 | not published | not published | $1,847.43 – $1,921.33 | 3 |
| Injection treatment of nerve CPT 64681 | $1,600.95 | $2,463.00 | $836.78 – $870.25 | 3 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $33.89 – $215.15 | 4 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $20.87 – $143.91 | 4 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $384.85 – $2,447.71 | 4 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $56.10 – $338.13 | 4 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,002.30 | $1,542.00 | $667.82 – $694.53 | 3 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,299.35 | $1,999.00 | $836.78 – $870.25 | 3 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $193.76 – $1,211.02 | 4 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $18.50 – $117.00 | 4 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.78 – $61.95 | 4 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $33.88 – $229.13 | 4 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $22.02 – $135.01 | 4 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $140.99 – $887.12 | 4 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.23 – $7.22 | 4 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $13.08 – $49.99 | 2 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.84 – $19.83 | 4 |
| Inj for mammo ductogram CPT 19030 | $2,338.70 | $3,598.00 | not published | 0 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $0.75 – $2.86 | 4 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $575.50 – $4,277.65 | 4 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $20.84 – $79.69 | 4 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $41.67 – $130.00 | 4 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $117.36 – $750.56 | 4 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,767.88 – $18,010.92 | 4 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $3.43 – $13.13 | 2 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $4.29 – $35.82 | 4 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $75.97 – $477.88 | 4 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $0.07 – $3,832,677.33 | 4 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $5.98 – $22.88 | 2 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $61.44 – $409.89 | 4 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $69.37 – $467.87 | 4 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $1,762.80 | $2,712.00 | not published | 0 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $947.05 | $1,457.00 | not published | 0 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $1.52 – $9.62 | 4 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $3,180.35 | $4,892.85 | $5.18 – $32.44 | 4 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | not published | not published | $88.66 – $88.66 | 1 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $79.26 – $501.35 | 4 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $146.12 – $146.12 | 1 |
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.