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 selenium CPT 84255 | $91.00 | $140.00 | $25.53 – $26.55 | 2 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $169.65 | $261.00 | $15.50 – $16.12 | 2 |
| Mayo serotonin CPT 84260 | $126.75 | $195.00 | $30.98 – $32.22 | 2 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $70.20 | $108.00 | $19.35 – $20.12 | 2 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $107.25 | $165.00 | $13.73 – $14.28 | 2 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | not published | not published | $92.03 – $95.71 | 2 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $44.20 | $68.00 | $4.27 – $4.44 | 2 |
| Mayo tau phosphorylated 217 each CPT 84393 | $975.00 | $1,500.00 | $128.92 – $134.08 | 2 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $871.00 | $1,340.00 | $208.92 – $217.28 | 2 |
| Mayo tgrp testosterone free CPT 84402 | $109.85 | $169.00 | $25.47 – $26.49 | 2 |
| Mayo tgrp testosterone total CPT 84403 | $92.30 | $142.00 | $25.81 – $26.84 | 2 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $291.20 | $448.00 | $22.17 – $23.06 | 2 |
| Mayo thyroglobulin CPT 84432 | $83.85 | $129.00 | $16.06 – $16.70 | 2 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $75.40 | $116.00 | $10.18 – $10.59 | 2 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $155.35 | $239.00 | $12.39 – $12.89 | 2 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $91.65 | $141.00 | not published | 0 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $198.90 | $306.00 | $51.28 – $53.33 | 2 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $260.65 | $401.00 | $14.16 – $14.73 | 2 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $63.70 | $98.00 | $13.54 – $14.08 | 2 |
| Mayo vasoactive intestinal peptide CPT 84586 | $159.25 | $245.00 | $35.33 – $36.74 | 2 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $57.20 | $88.00 | $20.24 – $21.05 | 2 |
| Mayo vitamin b3 (niacin) CPT 84591 | $105.30 | $162.00 | $17.06 – $17.74 | 2 |
| Mayo vitamin k CPT 84597 | $222.95 | $343.00 | $13.72 – $14.27 | 2 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $48.75 | $75.00 | $13.25 – $13.78 | 2 |
| Mcoln1 gene CPT 81290 | $667.55 | $1,027.00 | $39.31 – $40.88 | 2 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $353.04 – $367.16 | 3 |
| Measure kidney pressure CPT 50396 | $10,739.30 | $16,522.00 | $659.70 – $686.08 | 3 |
| Measurement post void urine by ultrasound CPT 51798 | not published | not published | $55.81 – $58.04 | 3 |
| Measure ureter pressure CPT 50686 | not published | not published | $121.73 – $126.60 | 3 |
| Mecasermin injection HCPCS J2170 | not published | not published | $955.83 – $955.83 | 1 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $0.07 – $0.07 | 1 |
| #mec-opiates CPT 80356 | $137.80 | $212.00 | not published | 0 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $150.00 – $156.00 | 2 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $527.87 – $548.98 | 2 |
| Mecp2 gene known variant CPT 81303 | $820.30 | $1,262.00 | $120.00 – $124.80 | 2 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $5,719.53 – $5,948.32 | 3 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $5,719.53 – $5,948.32 | 3 |
| Med physic dos eval rad exps CPT 76145 | $1,328.60 | $2,044.00 | $353.04 – $367.16 | 3 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $187.20 | $288.00 | $0.07 – $0.07 | 1 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | not published | not published | $1.82 – $1.82 | 1 |
| Meg evoked single CPT 95966 | not published | not published | $812.43 – $844.93 | 3 |
| Meg spontaneous CPT 95965 | not published | not published | $812.43 – $844.93 | 3 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $59.54 – $59.54 | 1 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $144.62 | $222.49 | $117.73 – $122.44 | 3 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $117.73 – $122.44 | 3 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | not published | not published | $48.83 – $48.83 | 1 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $117.73 – $122.44 | 3 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | not published | $394,322.50 – $394,322.50 | 1 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $117.73 – $122.44 | 3 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $117.73 – $122.44 | 3 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $101.22 – $122.44 | 3 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $1,499.88 – $1,499.88 | 1 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $47.01 | $72.33 | $11.84 – $45.24 | 2 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $31.27 – $199.49 | 4 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $18.53 – $18.53 | 1 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $30.68 | $47.20 | $0.66 – $2.54 | 2 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | not published | not published | $2.69 – $10.27 | 2 |
| Metabolic Blood Panel (Basic) CPT 80048 | $52.65 | $81.00 | $8.46 – $8.80 | 2 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $55.25 | $85.00 | $10.56 – $10.98 | 2 |
| Metabolic panel ionized ca CPT 80047 | $18.20 | $28.00 | $13.73 – $14.28 | 2 |
| Metered dose inhaler drug HCPCS J3535 | $338.75 | $521.15 | not published | 0 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $2.74 – $10.47 | 2 |
| Methadone injection HCPCS J1230 | not published | not published | $35.12 – $134.29 | 2 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $2.02 – $2.02 | 1 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $30.42 | $46.80 | $11.16 – $42.71 | 2 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $9.04 | $13.90 | $0.30 – $1.17 | 2 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $56.65 | $87.15 | $5.73 – $21.91 | 2 |
| Methotrexate therapeutic drug level CPT 80204 | $865.15 | $1,331.00 | $38.57 – $40.11 | 2 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $0.07 – $0.07 | 1 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $0.07 – $0.07 | 1 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $70.98 | $109.20 | $37.10 – $141.83 | 2 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $507.10 | $780.16 | $8.71 – $8.71 | 1 |
| Methylphenidate CPT 80360 | $81.90 | $126.00 | not published | 0 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $3.41 | $5.25 | $0.42 – $1.63 | 2 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $489.42 | $752.96 | $0.20 – $0.78 | 2 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $205.86 | $316.70 | $0.46 – $1.76 | 2 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $22.62 | $34.80 | $1.75 – $6.70 | 2 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $23.24 | $35.75 | not published | 0 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $42.28 | $65.05 | $0.04 – $0.20 | 2 |
| Metyrapone panel CPT 80436 | not published | not published | $91.16 – $94.81 | 2 |
| Mgmt promoter methylation analysis CPT 81287 | $807.30 | $1,242.00 | $124.64 – $129.63 | 2 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $93.60 | $144.00 | $0.48 – $1.82 | 2 |
| Microalbumin urine screen CPT 82044 | not published | not published | $6.23 – $6.48 | 2 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $40.17 – $41.78 | 2 |
| Microdissection laser CPT 88380 | $1,245.40 | $1,916.00 | not published | 0 |
| Microdissection manual CPT 88381 | $1,062.75 | $1,635.00 | not published | 0 |
| Microfluid analy tears CPT 83861 | not published | not published | $22.48 – $23.38 | 2 |
| Microsatellite instability CPT 81301 | $1,976.65 | $3,041.00 | $348.56 – $362.50 | 2 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $121.73 – $126.60 | 3 |
| Microwave bronch, 3d, ebus HCPCS C9751 | $17,333.55 | $26,667.00 | not published | 0 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $52.47 | $80.72 | $0.22 – $0.85 | 2 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $70.62 | $108.65 | $0.28 – $1.11 | 2 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $98.91 – $102.86 | 3 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $279.50 – $279.50 | 1 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $39.49 | $60.75 | $2.23 – $8.52 | 2 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $2.67 – $16.32 | 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.