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 |
|---|---|---|---|---|
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $330.06 – $343.26 | 3 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $330.06 – $343.26 | 3 |
| Mr safety determination physician/other qhp CPT 76016 | $172.25 | $265.00 | $82.33 – $85.63 | 3 |
| Mr safety implant elec prepj CPT 76018 | $178.75 | $275.00 | not published | 0 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $16.25 | $25.00 | not published | 0 |
| Mr safety implt pos&/immoblj CPT 76019 | $117.00 | $180.00 | $55.81 – $58.04 | 3 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $48.75 | $75.00 | not published | 0 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $225.74 – $234.77 | 3 |
| Mr spectroscopy CPT 76390 | $2,065.05 | $3,177.00 | $82.33 – $85.63 | 3 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $213.30 – $221.83 | 2 |
| Msh2 gene full seq CPT 81295 | $1,377.35 | $2,119.00 | $381.70 – $396.97 | 2 |
| Msh2 gene known variants CPT 81296 | $820.30 | $1,262.00 | $337.73 – $351.24 | 2 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $238.00 – $247.52 | 2 |
| Msh6 gene full seq CPT 81298 | $1,468.35 | $2,259.00 | $641.85 – $667.52 | 2 |
| Msh6 gene known variants CPT 81299 | $820.30 | $1,262.00 | $308.00 – $320.32 | 2 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Mthfr gene analy common variants CPT 81291 | $144.30 | $222.00 | $65.34 – $67.95 | 2 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $26.88 – $27.96 | 2 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $42.84 – $44.55 | 2 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.86 – $6.09 | 2 |
| Mucopolysaccharides CPT 83864 | $891.80 | $1,372.00 | $28.50 – $29.64 | 2 |
| Mucormycosis antibody CPT 86732 | not published | not published | $15.00 – $15.60 | 2 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $121.73 – $126.60 | 3 |
| Multiple sleep latency test CPT 95805 | $2,889.90 | $4,446.00 | $812.43 – $844.93 | 3 |
| Mumps antibody igg CPT 86735 | $102.05 | $157.00 | $13.05 – $13.57 | 2 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Muscle test cran nerv unilat CPT 95867 | $1,253.85 | $1,929.00 | $204.28 – $212.45 | 3 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $121.73 – $126.60 | 3 |
| Muscle test larynx CPT 95865 | not published | not published | $125.87 – $130.91 | 3 |
| Muscle test one fiber CPT 95872 | not published | not published | $204.28 – $212.45 | 3 |
| Muscle transfers CPT 23397 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Mycobacteria dna amp probe CPT 87551 | $447.85 | $689.00 | $48.24 – $50.17 | 2 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $20.05 – $20.85 | 2 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $42.84 – $44.55 | 2 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $3.90 | $6.00 | $0.26 – $0.98 | 2 |
| Mycophenolic acid HCPCS J7518 | $8.94 | $13.75 | $0.81 – $3.12 | 2 |
| Mycoplasma antibody igm CPT 86738 | $131.30 | $202.00 | $13.24 – $13.77 | 2 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $789.75 | $1,215.00 | $175.40 – $182.42 | 2 |
| Myelogphy 2/> spine regions CPT 72270 | $1,091.35 | $1,679.00 | $741.65 – $771.32 | 3 |
| Myelography l-s spine CPT 72265 | $1,030.25 | $1,585.00 | $741.65 – $771.32 | 3 |
| Myelography neck spine CPT 72240 | $851.50 | $1,310.00 | $741.65 – $771.32 | 3 |
| Myelography thoracic spine CPT 72255 | $936.00 | $1,440.00 | $741.65 – $771.32 | 3 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $2,566.20 | $3,948.00 | $741.65 – $771.32 | 3 |
| Myelography via inj w/s&i cervical CPT 62302 | $1,487.85 | $2,289.00 | $741.65 – $771.32 | 3 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $1,999.40 | $3,076.00 | $741.65 – $771.32 | 3 |
| Myelography via inj w/s&i thoracic CPT 62303 | $1,224.60 | $1,884.00 | $741.65 – $771.32 | 3 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $493.35 | $759.00 | $11.53 – $11.99 | 2 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $1,352.84 – $1,406.95 | 3 |
| Myocrd img pet 1 std w/ct CPT 78429 | $1,629.55 | $2,507.00 | $1,352.84 – $1,406.95 | 3 |
| Myocrd img pet 2rtracer CT CPT 78433 | $5,088.85 | $7,829.00 | not published | 0 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $1,352.84 – $1,406.95 | 3 |
| Myocrd img pet rst&strs CT CPT 78431 | $5,218.85 | $8,029.00 | not published | 0 |
| Myocrd img pet rst/strs w/ct CPT 78430 | $5,218.85 | $8,029.00 | $1,352.84 – $1,406.95 | 3 |
| Myomectomy vag method CPT 58145 | not published | not published | $3,062.57 – $3,185.07 | 3 |
| Nabilone oral HCPCS J8650 | not published | not published | $0.07 – $0.07 | 1 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $59.08 | $90.90 | $1.43 – $1.43 | 1 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $38.19 | $58.75 | $5.83 – $22.30 | 2 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $84.70 | $130.30 | not published | 0 |
| Naltrexone, depot form HCPCS J2315 | not published | not published | $4.24 – $26.78 | 4 |
| Nandrolone decanoate 50 mg HCPCS J2320 | not published | not published | $0.07 – $0.07 | 1 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $404.30 | $622.00 | not published | 0 |
| Nasal function studies CPT 92512 | not published | not published | $204.28 – $212.45 | 3 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | $973.70 | $1,498.00 | not published | 0 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | not published | not published | $24.00 – $155.22 | 4 |
| Natriuretic peptide CPT 83880 | $164.45 | $253.00 | $39.26 – $40.83 | 2 |
| Natural killer cells total count CPT 86357 | $83.85 | $129.00 | $37.73 – $39.24 | 2 |
| Navigational bronchoscopy 31627 CPT 31627 | $4,033.90 | $6,206.00 | not published | 0 |
| N block inj common digit CPT 64632 | $825.50 | $1,270.00 | $290.40 – $302.02 | 3 |
| N block inj hypogas plxs CPT 64517 | $1,299.35 | $1,999.00 | $836.78 – $870.25 | 3 |
| Nctrnl pen tmscn&/rgdity tst CPT 54250 | not published | not published | $236.38 – $245.83 | 3 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $678.60 | $1,044.00 | $125.87 – $130.91 | 3 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $22.75 | $35.00 | not published | 0 |
| Ndl insj without njx 3+ musc CPT 20561 | $32.50 | $50.00 | not published | 0 |
| Ndl oculoelectromyography 1+ CPT 92265 | not published | not published | $55.81 – $58.04 | 3 |
| Ndl round specialty proguide HCPCS C1715 | $22.63 | $34.81 | not published | 0 |
| Ndsc dcmprn 1 ntrspc lumbar CPT 62380 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,618.50 | $2,490.00 | $165.94 – $172.58 | 3 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,471.60 | $2,264.00 | $330.06 – $343.26 | 3 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,337.70 | $2,058.00 | $98.91 – $102.86 | 3 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $2,977.65 | $4,581.00 | $330.06 – $343.26 | 3 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $2,842.45 | $4,373.00 | $330.06 – $343.26 | 3 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $2,707.25 | $4,165.00 | $225.74 – $234.77 | 3 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $2,330.25 | $3,585.00 | $330.06 – $343.26 | 3 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $2,003.30 | $3,082.00 | $330.06 – $343.26 | 3 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $1,675.70 | $2,578.00 | $225.74 – $234.77 | 3 |
| Neck spine disk surgery CPT 63020 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Neck spine disk surgery 63075 CPT 63075 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Needle emg guid w/chemodenervation add-on CPT 95874 | $681.20 | $1,048.00 | not published | 0 |
| Neisseria meningitidis CPT 86741 | not published | not published | $13.19 – $13.72 | 2 |
| Nelarabine injection HCPCS J9261 | not published | not published | $79.86 – $485.94 | 4 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $27.43 | $42.20 | $5.20 – $5.20 | 1 |
| Neox 100 or clarix 100 HCPCS Q4156 | not published | not published | $108.88 – $122.44 | 3 |
| Nerobehav stas exam by psy/md f2f 1st hr CPT 96116 | not published | not published | $204.28 – $212.45 | 3 |
| Nerve conduction 7-8 studies CPT 95910 | $556.40 | $856.00 | $353.04 – $367.16 | 3 |
| Nerve conduction studies 11-12 CPT 95912 | $531.70 | $818.00 | $353.04 – $367.16 | 3 |
| Nerve conduction studies 1-2 CPT 95907 | $297.05 | $457.00 | $204.28 – $212.45 | 3 |
| Nerve conduction studies 13+ CPT 95913 | $525.20 | $808.00 | $353.04 – $367.16 | 3 |
| Nerve conduction studies 3-4 CPT 95908 | $439.40 | $676.00 | $204.28 – $212.45 | 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.