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 |
|---|---|---|---|---|
| Interferon alfa-2b inj HCPCS J9214 | not published | not published | $199.75 – $199.75 | 1 |
| Interferon alfacon-1 inj HCPCS J9212 | not published | not published | $0.07 – $0.07 | 1 |
| Interferon alfa-n3 inj HCPCS J9215 | not published | not published | $195.00 – $195.00 | 1 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | not published | not published | $94.55 – $361.53 | 2 |
| Interferon beta-1a inj HCPCS J1826 | not published | not published | $13,431.99 – $13,431.99 | 1 |
| Interferon beta-1b / .25 mg HCPCS J1830 | not published | not published | $4,618.64 – $4,618.64 | 1 |
| Interferon gamma 1-b inj HCPCS J9216 | not published | not published | $52,923.72 – $52,923.72 | 1 |
| Interfyl, 1 mg HCPCS Q4171 | not published | not published | $20.25 – $20.25 | 1 |
| Intermediate visual field xm CPT 92082 | not published | not published | $55.81 – $58.04 | 3 |
| Interrogation vad in person CPT 93750 | $353.60 | $544.00 | not published | 0 |
| Interstitial brachy inter CPT 77799 | $670.15 | $1,031.00 | not published | 0 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $12,146.38 – $12,632.24 | 3 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $2,625.99 – $2,731.03 | 3 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $2,625.99 – $2,731.03 | 3 |
| Intracard echo interv w/s&i CPT 93662 | $2,014.35 | $3,099.00 | not published | 0 |
| Intracranial complete study CPT 93886 | $576.55 | $887.00 | $225.74 – $234.77 | 3 |
| Intracranial limited study CPT 93888 | $515.45 | $793.00 | $98.91 – $102.86 | 3 |
| Intraoral periapical first HCPCS D0220 | not published | not published | $82.33 – $85.63 | 3 |
| Intrapul surf admin endo tube CPT 94610 | $126.10 | $194.00 | not published | 0 |
| Intrauterine transfusion ftl CPT 36460 | $516.10 | $794.00 | $417.38 – $434.08 | 3 |
| Intrinsic factor antibody CPT 86340 | $90.35 | $139.00 | $15.08 – $15.68 | 2 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $125.96 – $131.00 | 3 |
| Intro cath dialysis circuit CPT 36901 | not published | not published | $1,489.27 – $1,548.84 | 3 |
| Intro long gi tube CPT 44500 | $815.75 | $1,255.00 | $858.08 – $892.40 | 3 |
| Intro long gi tube w/mult fluo CPT 74340 | $477.10 | $734.00 | not published | 0 |
| Intubation endotracheal emergency procedure CPT 31500 | $843.05 | $1,297.00 | not published | 0 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $55.81 – $58.04 | 3 |
| Iodine i-123 sod iodide mil HCPCS A9509 | not published | not published | $0.07 – $0.07 | 1 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $2,082.54 – $2,082.54 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $2.70 | $4.16 | $0.69 – $2.67 | 2 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $74.07 | $113.95 | $0.24 – $0.91 | 2 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $0.07 – $0.07 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $5,943.14 | $9,143.30 | $183.48 – $1,170.33 | 4 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $0.62 – $2.41 | 2 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $96.40 | $148.30 | $3.36 – $12.81 | 2 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $66.00 – $417.43 | 4 |
| Iron CPT 83540 | $37.05 | $57.00 | $6.47 – $6.73 | 2 |
| Iron binding capacity CPT 83550 | $20.80 | $32.00 | $8.74 – $9.09 | 2 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $49.50 | $76.15 | $18.11 – $113.10 | 4 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $6.88 – $7.16 | 2 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $182.25 | $280.39 | $0.38 – $1.50 | 2 |
| Irradiation of blood product each unit reference CPT 86945 | not published | not published | $35.34 – $36.75 | 3 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $139.10 | $214.00 | $55.81 – $58.04 | 3 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $55.81 – $58.04 | 3 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $81.90 – $515.78 | 4 |
| Island pedicle flap graft CPT 15740 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Ivc venogram s&i CPT 75825 | $2,656.55 | $4,087.00 | $2,987.22 – $3,106.71 | 3 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $968.50 – $968.50 | 1 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $192.40 | $296.00 | $68.12 – $70.84 | 3 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $190.45 | $293.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $124.15 | $191.00 | $44.30 – $46.07 | 3 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $424.45 | $653.00 | $201.23 – $209.28 | 3 |
| IV inj ra drug dx study CPT 78808 | $451.75 | $695.00 | $378.21 – $393.34 | 3 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $165.94 – $172.58 | 3 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $929.50 | $1,430.00 | $165.94 – $172.58 | 3 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $139.21 – $886.80 | 4 |
| Jak2 targeted sequence analysis CPT 81279 | $388.05 | $597.00 | $185.20 – $192.61 | 2 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Jejunstmy tube plcmt CPT 44372 | $2,389.40 | $3,676.00 | $1,815.43 – $1,888.05 | 3 |
| John cunningham antibody CPT 86711 | not published | not published | $16.89 – $17.57 | 2 |
| Ketamine and metabolite screen - quest CPT 80357 | $506.35 | $779.00 | not published | 0 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $15.47 – $16.09 | 2 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $43.55 | $67.00 | $8.17 – $8.50 | 2 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $23.50 | $36.15 | $0.30 – $4.88 | 4 |
| Kidney endoscopy CPT 50551 | not published | not published | $5,072.67 – $5,275.58 | 3 |
| Kidney endoscopy CPT 50553 | not published | not published | $5,072.67 – $5,275.58 | 3 |
| Kidney endoscopy CPT 50570 | not published | not published | $3,334.90 – $3,468.30 | 3 |
| Kidney endoscopy CPT 50575 | not published | not published | $5,072.67 – $5,275.58 | 3 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $8,956.00 – $9,314.24 | 3 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $3,334.90 – $3,468.30 | 3 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $8,956.00 – $9,314.24 | 3 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $5,072.67 – $5,275.58 | 3 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $8,956.00 – $9,314.24 | 3 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $5,072.67 – $5,275.58 | 3 |
| Kidney function study CPT 78725 | not published | not published | $378.21 – $393.34 | 3 |
| Kidney imaging morphology CPT 78700 | $650.65 | $1,001.00 | $378.21 – $393.34 | 3 |
| Kidney imag w/bld flow multi CPT 78709 | $1,025.70 | $1,578.00 | $513.69 – $534.24 | 3 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $767.00 | $1,180.00 | $513.69 – $534.24 | 3 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $834.60 | $1,284.00 | $98.91 – $102.86 | 3 |
| Kit gene analys d816 variant CPT 81273 | $870.35 | $1,339.00 | $124.87 – $129.86 | 2 |
| Kit lead specify 5-6-5 HCPCS C1778 | $16,625.73 | $25,578.05 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $135.77 | $208.88 | $51.47 – $122.44 | 3 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $6,864.94 – $7,139.54 | 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.