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 imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $4.25 – $16.25 | 2 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.24 – $0.91 | 2 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $495.54 – $3,148.60 | 4 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $836.78 – $870.25 | 3 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $340.60 | $524.00 | $189.82 – $197.41 | 3 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $189.82 – $197.41 | 3 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $13.00 – $82.03 | 4 |
| Inj ivig privigen 500 mg HCPCS J1459 | $3,920.83 | $6,032.05 | $50.74 – $320.32 | 4 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.91 – $14.30 | 4 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.65 – $15.93 | 4 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.57 – $9.62 | 4 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $29.84 – $199.42 | 4 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.32 – $8.65 | 4 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $22.15 – $142.87 | 4 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $349.34 | $537.45 | $43.46 – $166.14 | 2 |
| Inj, levothyroxine, freskabi HCPCS J0651 | not published | not published | $6.49 – $24.83 | 4 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $8.73 – $33.41 | 2 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $329.05 – $2,067.07 | 4 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $23.39 – $143.46 | 4 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $0.07 – $3,122.69 | 4 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $7,151.30 | $11,002.00 | not published | 0 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | not published | not published | $95.90 – $868.99 | 4 |
| Inj melphalan (hepzato) 1 mg HCPCS J9248 | not published | not published | $795.00 – $5,029.70 | 4 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $41.92 | $64.50 | $6.04 – $23.08 | 2 |
| Inj., meropenem, vaborbactam HCPCS J2186 | not published | not published | $2.18 – $14.04 | 4 |
| Inj meropenem (wg crit care) HCPCS J2183 | $104.29 | $160.45 | $2.81 – $10.73 | 2 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | not published | not published | $43.05 – $295.04 | 4 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | not published | not published | $248.50 – $1,581.58 | 4 |
| Inj, motixafortide, 0.25 mg HCPCS J2277 | not published | not published | $25.22 – $163.93 | 4 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | not published | not published | $14.70 – $56.23 | 2 |
| Inj multihance HCPCS A9577 | $20.28 | $31.20 | $3.10 – $11.83 | 2 |
| Inj. mycophenolate mofetil HCPCS J7519 | not published | not published | $0.70 – $2.67 | 2 |
| Inj. naxitamab-gqgk, 1 mg HCPCS J9348 | not published | not published | $686.00 – $4,174.89 | 4 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $2,176.20 | $3,348.00 | $659.70 – $686.08 | 3 |
| Inj, nogapendekin pmln, 1mcg HCPCS J9028 | not published | not published | $94.66 – $616.66 | 4 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | $1,124.50 | $1,730.00 | $1,952.02 – $2,030.10 | 3 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $1,124.50 | $1,730.00 | $1,952.02 – $2,030.10 | 3 |
| Inj ogivri 10 mg HCPCS Q5114 | not published | not published | $40.29 – $336.96 | 4 |
| Inj, oliceridine 0.1 mg HCPCS C9101 | not published | not published | $8.39 – $8.39 | 1 |
| Inj olipudase alfa-rpcp 1mg HCPCS J0218 | not published | not published | $393.66 – $2,480.27 | 4 |
| Inj., omadacycline, 1 mg HCPCS J0121 | not published | not published | $4.02 – $25.48 | 4 |
| Inj onase abepar-xioi treat HCPCS J3399 | not published | not published | $0.07 – $2,553,315.03 | 4 |
| Inj ontruzant 10 mg HCPCS Q5112 | $4,554.03 | $7,006.20 | $19.00 – $171.41 | 4 |
| Inj, palonosetron (posfrea) HCPCS J2468 | not published | not published | $58.24 – $377.00 | 4 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | not published | not published | $42.25 – $42.25 | 1 |
| Inj, panzyga, 500 mg HCPCS J1576 | not published | not published | $73.00 – $449.15 | 4 |
| Inj, pasireotide long acting HCPCS J2502 | not published | not published | $572.96 – $4,131.34 | 4 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | not published | not published | $99.97 – $642.40 | 4 |
| Inj, pedmark, 100 mg HCPCS J0208 | not published | not published | $95.11 – $593.71 | 4 |
| Inj, pegcetacoplan, 1mg HCPCS J2781 | not published | not published | $139.18 – $951.41 | 4 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | not published | not published | $30.32 – $160.62 | 4 |
| Inj, pegulicianine, 1 mg HCPCS A9615 | not published | not published | $37.51 – $229.97 | 4 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | not published | not published | $46.32 – $342.55 | 4 |
| Inj pemetrexed (accord) 10mg HCPCS J9296 | not published | not published | $9.74 – $65.65 | 4 |
| Inj, pemetrexed (avyxa) 10mg HCPCS J9292 | not published | not published | $82.34 – $513.50 | 4 |
| Inj pemetrexed ditromethamin HCPCS J9323 | not published | not published | $0.12 – $71.50 | 4 |
| Inj pemetrexed, hospira 10mg HCPCS J9294 | not published | not published | $3.55 – $16.71 | 4 |
| Inj pemetrexed (teva) 10mg HCPCS J9314 | not published | not published | $12.13 – $46.41 | 4 |
| Inj, pemrydi rtu, 10 mg HCPCS J9324 | not published | not published | $75.81 – $533.91 | 4 |
| Inj peritoneal venous shunt CPT 49427 | $1,699.75 | $2,615.00 | not published | 0 |
| Inj., perseris, 0.5 mg HCPCS J2798 | not published | not published | $12.14 – $79.24 | 4 |
| Inj plasminogen tvmh 1mg HCPCS J2998 | not published | not published | $32.77 – $214.44 | 4 |
| Inj., plazomicin, 5 mg HCPCS J0291 | not published | not published | $3.50 – $23.21 | 4 |
| Inj proc ankle arthr CPT 27648 | $1,445.60 | $2,224.00 | not published | 0 |
| Inj proc elbow arthro CPT 24220 | $2,314.65 | $3,561.00 | not published | 0 |
| Inj proc for lymphang CPT 38790 | $2,003.95 | $3,083.00 | not published | 0 |
| Inj proc lumbr disk ea lvl CPT 62290 | $463.45 | $713.00 | not published | 0 |
| Inj proc myelogram lumbar CPT 62284 | $1,851.85 | $2,849.00 | not published | 0 |
| Inj proc sialogram CPT 42550 | $1,514.50 | $2,330.00 | not published | 0 |
| Inj progesterone per 50 mg HCPCS J2675 | not published | not published | $1.52 – $5.79 | 2 |
| Inj prohance multipack HCPCS A9576 | not published | not published | $2.48 – $9.49 | 2 |
| Inj recombin esperoct per iu HCPCS J7204 | not published | not published | $2.22 – $14.24 | 4 |
| Inj, releuko 1 mcg HCPCS Q5125 | not published | not published | $0.38 – $2.93 | 4 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | not published | not published | $1.27 – $4.88 | 2 |
| Inj retro urethrocysto CPT 51610 | $1,340.30 | $2,062.00 | not published | 0 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | not published | not published | $13.29 – $84.44 | 4 |
| Inj roctavian ml 2x10^13vc g HCPCS J1412 | not published | not published | $0.07 – $13,055.86 | 4 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | not published | not published | $28.52 – $207.94 | 4 |
| Inj, rykindo, 0.5 mg HCPCS J2801 | not published | not published | $13.03 – $79.89 | 4 |
| Inj scleros sol mult veins CPT 36471 | $393.90 | $606.00 | $384.59 – $399.98 | 3 |
| Inj scleros sol sgl vein CPT 36470 | $393.90 | $606.00 | $384.59 – $399.98 | 3 |
| Inj, sculptra, 0.5mg HCPCS Q2028 | not published | not published | $0.07 – $2.25 | 4 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | not published | not published | $539.91 – $3,318.25 | 4 |
| Inj secretin synthetic human HCPCS J2850 | not published | not published | $40.52 – $255.97 | 4 |
| Inj secukinumab intrav 1mg HCPCS J3247 | not published | not published | $17.84 – $115.18 | 4 |
| Inj, sezaby, 1 mg HCPCS J2561 | not published | not published | $1.19 – $8.65 | 4 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | not published | not published | $65.73 – $399.30 | 4 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | $66.95 | $103.00 | $384.59 – $399.98 | 3 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | not published | not published | $31.75 – $121.42 | 2 |
| Inj, susvimo 0.1 mg HCPCS J2779 | not published | not published | $78.93 – $522.99 | 4 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | not published | not published | $18.86 – $117.85 | 4 |
| Inj. tagraxofusp-erzs 10 mcg HCPCS J9269 | not published | not published | $356.93 – $2,202.79 | 4 |
| Inj, taliglucerace alfa 10 u HCPCS J3060 | not published | not published | $41.11 – $270.53 | 4 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | not published | not published | $33.58 – $211.58 | 4 |
| Inj tedizolid phosphate HCPCS J3090 | not published | not published | $1.96 – $11.77 | 4 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | not published | not published | $37.66 – $242.06 | 4 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | not published | not published | $359.19 – $2,256.15 | 4 |
| Inj testostero enanthate 1mg HCPCS J3121 | not published | not published | $0.09 – $0.33 | 2 |
| Inj testosterone cypionate HCPCS J1071 | not published | not published | $0.05 – $0.20 | 2 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | $7,151.30 | $11,002.00 | not published | 0 |
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.