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 |
|---|---|---|---|---|
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $0.07 – $0.07 | 1 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $0.07 – $0.07 | 1 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $28,424.06 – $175,958.45 | 4 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $10,005.45 | $15,393.00 | $33.97 – $129.87 | 4 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $131.16 – $760.57 | 4 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $5,726.56 | $8,810.10 | $106.33 – $881.08 | 4 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $184.91 – $1,939.02 | 4 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $4,458.74 | $6,859.60 | $99.13 – $814.45 | 4 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $137.96 – $1,192.88 | 4 |
| Peginesatide injection HCPCS J0890 | not published | not published | $0.07 – $0.07 | 1 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $7,237.23 – $7,237.23 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,660.83 – $23,075.33 | 4 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $228.16 – $1,474.14 | 4 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,932.45 | $2,973.00 | $165.94 – $172.58 | 3 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,565.20 | $2,408.00 | $165.94 – $172.58 | 3 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,384.50 | $2,130.00 | $98.91 – $102.86 | 3 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,561.65 | $3,941.00 | $330.06 – $343.26 | 3 |
| Pelvic MRI (with contrast) CPT 72196 | $2,128.10 | $3,274.00 | $330.06 – $343.26 | 3 |
| Pelvic MRI (without contrast) CPT 72195 | $1,694.55 | $2,607.00 | $225.74 – $234.77 | 3 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Pelvic Ultrasound (complete) CPT 76856 | $736.45 | $1,133.00 | $98.91 – $102.86 | 3 |
| Pelvic Ultrasound (limited) CPT 76857 | $549.25 | $845.00 | $98.91 – $102.86 | 3 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $16,273.24 | $25,035.75 | $60.29 – $374.40 | 4 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $261.15 | $401.77 | $4.36 – $34.26 | 4 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $19.52 – $112.91 | 4 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $1,133.70 | $1,744.15 | $30.01 – $174.33 | 4 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $187.20 | $288.00 | $1.27 – $4.88 | 2 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $298.68 – $298.68 | 1 |
| Penile injection CPT 54235 | $560.95 | $863.00 | $236.38 – $245.83 | 3 |
| Penile vascular study CPT 93980 | $978.25 | $1,505.00 | $98.91 – $102.86 | 3 |
| Penile vascular study CPT 93981 | $543.40 | $836.00 | $98.91 – $102.86 | 3 |
| Penile venous occlusion CPT 37790 | not published | not published | $3,334.90 – $3,468.30 | 3 |
| Penis plastic surgery CPT 54360 | not published | not published | $3,334.90 – $3,468.30 | 3 |
| Penis study CPT 54240 | not published | not published | $204.28 – $212.45 | 3 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $134.95 – $516.04 | 2 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $0.07 – $0.07 | 1 |
| Pentazocine injection HCPCS J3070 | not published | not published | $0.07 – $0.07 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $27.99 – $343.40 | 4 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,608.16 – $17,761.45 | 4 |
| Perc cryo ablate renal tum CPT 50593 | $13,460.20 | $20,708.00 | $10,056.64 – $10,458.91 | 3 |
| Perc rf ablate renal tumor CPT 50592 | $10,587.20 | $16,288.00 | $5,719.53 – $5,948.32 | 3 |
| Percut ablate liver rf CPT 47382 | $5,104.45 | $7,853.00 | $5,719.53 – $5,948.32 | 3 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $381.38 | $586.74 | $70.73 – $270.47 | 2 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $9,142.90 | $14,066.00 | not published | 0 |
| Pericardiocentesis wwo imaging CPT 33016 | $6,637.15 | $10,211.00 | $1,489.27 – $1,548.84 | 3 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $3,704.30 – $3,852.47 | 3 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $3,062.57 – $3,185.07 | 3 |
| Peripheral vascular rehab CPT 93668 | $98.80 | $152.00 | $55.81 – $58.04 | 3 |
| Peritoneal cath sub q resv per CPT 49419 | $5,551.00 | $8,540.00 | not published | 0 |
| Peritoneogram rs&i CPT 74190 | $776.75 | $1,195.00 | $516.95 – $537.63 | 3 |
| Perit-vens shunt pat tst CPT 78291 | $637.00 | $980.00 | $378.21 – $393.34 | 3 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $3.06 – $3.06 | 1 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $669.95 – $696.75 | 3 |
| Perq dev breast 1st strtctc CPT 19283 | $3,050.45 | $4,693.00 | $669.95 – $696.75 | 3 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $8,956.00 – $9,314.24 | 3 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | $2,586.35 | $3,979.00 | $8,956.00 – $9,314.24 | 3 |
| Perq plmt bile duct stent CPT 47538 | $2,359.50 | $3,630.00 | $5,719.53 – $5,948.32 | 3 |
| Perq plmt bile duct stent CPT 47539 | $3,539.90 | $5,446.00 | $5,719.53 – $5,948.32 | 3 |
| Perq plmt bile duct stent CPT 47540 | $3,539.90 | $5,446.00 | $5,719.53 – $5,948.32 | 3 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $650.00 | $1,000.00 | $236.38 – $245.83 | 3 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Pertussis ag if CPT 87265 | not published | not published | $11.98 – $12.46 | 2 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $18,443.20 | $28,374.15 | $17.02 – $105.24 | 4 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $37,576.01 | $57,809.25 | $62.10 – $415.22 | 4 |
| Pet CT skull-mid thgh initial CPT 78815 | $4,927.65 | $7,581.00 | $1,352.84 – $1,406.95 | 3 |
| Pet CT whole body initial CPT 78816 | $5,245.50 | $8,070.00 | $1,352.84 – $1,406.95 | 3 |
| Pet fdg brain metoblic eval sb CPT 78608 | $5,480.80 | $8,432.00 | $1,352.84 – $1,406.95 | 3 |
| Pet image full body CPT 78813 | not published | not published | $1,352.84 – $1,406.95 | 3 |
| Pet image ltd area CPT 78811 | not published | not published | $1,224.84 – $1,273.83 | 3 |
| Pet image skull-thigh CPT 78812 | not published | not published | $1,352.84 – $1,406.95 | 3 |
| Pet image w/ct lmtd CPT 78814 | $4,610.45 | $7,093.00 | $1,352.84 – $1,406.95 | 3 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $378.21 – $393.34 | 3 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $2,223.29 | $3,420.44 | not published | 0 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $19.81 – $20.60 | 3 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $28.77 – $29.92 | 3 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $10.21 – $10.62 | 3 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Ph body fluid CPT 83986 | $24.70 | $38.00 | $3.58 – $3.72 | 2 |
| Phencyclidine (pcp) CPT 83992 | $95.55 | $147.00 | not published | 0 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $56.00 | $86.15 | $52.29 – $199.94 | 2 |
| Phenobarbital therapeutic drug level CPT 80184 | $59.15 | $91.00 | $15.30 – $15.91 | 2 |
| Phentolaine mesylate inj HCPCS J2760 | not published | not published | $432.02 – $2,565.10 | 4 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $21.42 | $32.95 | $0.07 – $0.07 | 1 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $96.91 – $767.00 | 4 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.80 – $3.06 | 2 |
| Phenytoin total therapeutic drug level CPT 80185 | $90.35 | $139.00 | $13.25 – $13.78 | 2 |
| Phlebotomy therapeutic CPT 99195 | $160.55 | $247.00 | $125.87 – $130.91 | 3 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $10,713.30 | $16,482.00 | $2,987.22 – $3,106.71 | 3 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $10,713.30 | $16,482.00 | $2,987.22 – $3,106.71 | 3 |
| Phosphorus CPT 84100 | $32.50 | $50.00 | $4.74 – $4.93 | 2 |
| Phosphorus 24 hour urine CPT 84105 | $35.10 | $54.00 | $5.78 – $6.01 | 2 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $55.81 – $58.04 | 3 |
| Photochemotherapy puva CPT 96912 | not published | not published | $55.81 – $58.04 | 3 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $384.59 – $399.98 | 3 |
| Photo patch test CPT 95052 | not published | not published | $55.81 – $58.04 | 3 |
| Photosensitivity tests CPT 95056 | not published | not published | $125.87 – $130.91 | 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.