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 |
|---|---|---|---|---|
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $47.45 | $73.00 | $42.13 – $43.82 | 2 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $44.20 | $68.00 | $12.12 – $12.60 | 2 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $120.25 | $185.00 | not published | 0 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $87.75 | $135.00 | not published | 0 |
| Mayo cyanide CPT 82600 | $113.75 | $175.00 | $19.40 – $20.18 | 2 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $516.10 | $794.00 | $161.18 – $167.63 | 3 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $31.20 | $48.00 | $13.25 – $13.78 | 2 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $136.50 | $210.00 | $25.27 – $26.28 | 2 |
| Mayo dihydrotestosterone CPT 82642 | $81.90 | $126.00 | $29.28 – $30.45 | 2 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | $2,788.50 | $4,290.00 | $9.64 – $10.03 | 2 |
| Mayo efpo chloride stool CPT 82438 | $21.45 | $33.00 | $5.00 – $5.20 | 2 |
| Mayo estriol CPT 82677 | $65.00 | $100.00 | $24.18 – $25.15 | 2 |
| Mayo estrone CPT 82679 | $79.95 | $123.00 | $24.95 – $25.95 | 2 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $83.85 | $129.00 | $16.34 – $16.99 | 2 |
| Mayo everolimus therapeutic drug level CPT 80169 | $59.80 | $92.00 | $13.73 – $14.28 | 2 |
| Mayo factor ii CPT 85210 | $68.25 | $105.00 | $12.98 – $13.50 | 2 |
| Mayo factor v CPT 85220 | $68.90 | $106.00 | $17.65 – $18.36 | 2 |
| Mayo factor vii CPT 85230 | $149.50 | $230.00 | $17.90 – $18.62 | 2 |
| Mayo factor viii vw factor antigen CPT 85246 | $65.65 | $101.00 | $22.94 – $23.86 | 2 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $196.30 | $302.00 | $22.94 – $23.86 | 2 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $65.65 | $101.00 | $22.94 – $23.86 | 2 |
| Mayo factor x CPT 85260 | $101.40 | $156.00 | $17.90 – $18.62 | 2 |
| Mayo factor xi CPT 85270 | $167.70 | $258.00 | $17.90 – $18.62 | 2 |
| Mayo fat/lipids feces quantitative CPT 82710 | $76.05 | $117.00 | $16.80 – $17.47 | 2 |
| Mayo fbl culture fungi blood CPT 87103 | $209.30 | $322.00 | $20.46 – $21.28 | 2 |
| Mayo fdp/fsp paracoagulation CPT 85366 | $256.75 | $395.00 | $80.46 – $83.68 | 2 |
| Mayo ffspg allergen clam igg CPT 86001 | $32.50 | $50.00 | $7.82 – $8.13 | 2 |
| Mayo fibrinogen antigen CPT 85385 | $117.65 | $181.00 | $14.46 – $15.04 | 2 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $40.95 | $63.00 | $21.67 – $22.54 | 2 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $3,098.55 | $4,767.00 | not published | 0 |
| Mayo hemosiderin qualitative urine CPT 83070 | $99.45 | $153.00 | $4.75 – $4.94 | 2 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $207.35 | $319.00 | $35.09 – $36.49 | 2 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $254.80 | $392.00 | $35.09 – $36.49 | 2 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $119.60 | $184.00 | $13.79 – $14.34 | 2 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $87.10 | $134.00 | $25.81 – $26.84 | 2 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $79.30 | $122.00 | $8.89 – $9.25 | 2 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $53.30 | $82.00 | $13.52 – $14.06 | 2 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $98.15 | $151.00 | $27.17 – $28.26 | 2 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $110.50 | $170.00 | $17.27 – $17.96 | 2 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $65.00 | $100.00 | $14.99 – $15.59 | 2 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $100.75 | $155.00 | $20.81 – $21.64 | 2 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $366.60 | $564.00 | $20.81 – $21.64 | 2 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | $148.20 | $228.00 | $35.09 – $36.49 | 2 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $46.15 | $71.00 | $16.07 – $16.71 | 2 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $139.10 | $214.00 | $11.98 – $12.46 | 2 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $196.30 | $302.00 | $35.09 – $36.49 | 2 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $79.30 | $122.00 | $35.09 – $36.49 | 2 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $153.40 | $236.00 | $35.09 – $36.49 | 2 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $218.40 | $336.00 | $35.09 – $36.49 | 2 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $280.15 | $431.00 | $42.84 – $44.55 | 2 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $239.85 | $369.00 | $72.19 – $75.08 | 2 |
| Mayo infliximab therapeutic drug level CPT 80230 | $160.55 | $247.00 | $38.57 – $40.11 | 2 |
| Mayo inhab inhibin a CPT 86336 | $109.20 | $168.00 | $15.59 – $16.21 | 2 |
| Mayo insft insulin free CPT 83527 | $43.55 | $67.00 | $12.95 – $13.47 | 2 |
| Mayo insulin antibodies CPT 86337 | $94.25 | $145.00 | $21.41 – $22.27 | 2 |
| Mayo iodine CPT 83789 | $570.70 | $878.00 | $24.11 – $25.07 | 2 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $85.80 | $132.00 | $27.11 – $28.19 | 2 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $141.05 | $217.00 | $27.11 – $28.19 | 2 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $85.80 | $132.00 | $13.25 – $13.78 | 2 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $58.50 | $90.00 | $12.79 – $13.30 | 2 |
| Mayo legionella antibody CPT 86713 | $61.10 | $94.00 | $15.30 – $15.91 | 2 |
| Mayo leptospira antibody igm CPT 86720 | $87.10 | $134.00 | $16.20 – $16.85 | 2 |
| Mayo lipoprotein electrophoresis CPT 83700 | $65.00 | $100.00 | $11.26 – $11.71 | 2 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $178.75 | $275.00 | $15.49 – $16.11 | 2 |
| Mayo manganese CPT 83785 | $79.95 | $123.00 | $26.65 – $27.72 | 2 |
| Mayo metanephrines plasma CPT 83835 | $146.25 | $225.00 | $16.94 – $17.62 | 2 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $95.55 | $147.00 | not published | 0 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $364.65 | $561.00 | $12.05 – $12.53 | 2 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $65.00 | $100.00 | $18.40 – $19.14 | 2 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $92.95 | $143.00 | $14.55 – $15.13 | 2 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $393.90 | $606.00 | $18.64 – $19.39 | 2 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $378.30 | $582.00 | $137.00 – $142.48 | 2 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $204.10 | $314.00 | $185.20 – $192.61 | 2 |
| Mayo muramidase CPT 85549 | $66.95 | $103.00 | $18.75 – $19.50 | 2 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $1,072.50 | $1,650.00 | $18.40 – $19.14 | 2 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $54.60 | $84.00 | $18.05 – $18.77 | 2 |
| Mayo myoglobin CPT 83874 | $82.55 | $127.00 | $12.92 – $13.44 | 2 |
| Mayo nickel CPT 83885 | $76.70 | $118.00 | $24.51 – $25.49 | 2 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $95.55 | $147.00 | not published | 0 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $474.50 | $730.00 | not published | 0 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $95.55 | $147.00 | not published | 0 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $170.95 | $263.00 | $21.21 – $22.06 | 2 |
| Mayo organic acids qualitative each specimen CPT 83919 | $71.50 | $110.00 | $16.45 – $17.11 | 2 |
| Mayo oxalate 24 hour urine CPT 83945 | $88.40 | $136.00 | $14.45 – $15.03 | 2 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $107.25 | $165.00 | $11.53 – $11.99 | 2 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $35.10 | $54.00 | $15.03 – $15.63 | 2 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $631.80 | $972.00 | $12.05 – $12.53 | 2 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $185.90 | $286.00 | $35.09 – $36.49 | 2 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $93.60 | $144.00 | $17.98 – $18.70 | 2 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $67.60 | $104.00 | $13.76 – $14.31 | 2 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $39.65 | $61.00 | $8.44 – $8.78 | 2 |
| Mayo pregnenolone CPT 84140 | $102.70 | $158.00 | $20.67 – $21.50 | 2 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $79.30 | $122.00 | $16.59 – $17.25 | 2 |
| Mayo proinsulin CPT 84206 | $157.95 | $243.00 | $26.69 – $27.76 | 2 |
| Mayo psaft prostate specific antigen free CPT 84154 | $69.55 | $107.00 | $18.39 – $19.13 | 2 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $835.90 | $1,286.00 | $18.40 – $19.14 | 2 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $78.00 | $120.00 | $13.36 – $13.89 | 2 |
| Mayo receptor assay transferrin soluble CPT 84238 | $140.40 | $216.00 | $36.57 – $38.03 | 2 |
| Mayo renin CPT 84244 | $97.50 | $150.00 | $21.99 – $22.87 | 2 |
| Mayo repu protein electrophoresis urine CPT 84166 | $76.70 | $118.00 | $17.83 – $18.54 | 2 |
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.