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 |
|---|---|---|---|---|
| Phys blood bank serv reactj CPT 86078 | not published | not published | $161.18 – $167.63 | 3 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $83.67 | $128.72 | $3.75 – $14.37 | 2 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | not published | not published | $346.49 – $3,771.95 | 4 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $274.83 – $285.82 | 2 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $699.22 – $727.19 | 3 |
| Pin finger dislocation CPT 26776 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Pin finger fracture each CPT 26756 | $1,550.90 | $2,386.00 | $3,095.56 – $3,219.39 | 3 |
| Pin hand dislocation CPT 26676 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Pinworm exam CPT 87172 | $26.00 | $40.00 | $4.27 – $4.44 | 2 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $4.27 – $4.44 | 2 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $141.15 | $217.15 | $1.93 – $7.41 | 2 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $579.48 – $602.66 | 2 |
| Place cecostomy tube perc CPT 49442 | $5,381.35 | $8,279.00 | $1,132.12 – $1,177.40 | 3 |
| Place device/marker, non pro HCPCS C9728 | not published | not published | $1,309.49 – $1,361.87 | 3 |
| Place duod/jej tube perc CPT 49441 | $5,381.35 | $8,279.00 | $1,815.43 – $1,888.05 | 3 |
| Place endorectal app HCPCS C9725 | not published | not published | $879.81 – $915.00 | 3 |
| Place gastrostomy tube perc CPT 49440 | $5,381.35 | $8,279.00 | $1,815.43 – $1,888.05 | 3 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $2,542.15 | $3,911.00 | $1,562.54 – $1,625.04 | 3 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $705.90 | $1,086.00 | not published | 0 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $3,050.45 | $4,693.00 | $669.95 – $696.75 | 3 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $8,760.70 | $13,478.00 | $1,977.66 – $2,056.77 | 3 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $109.20 | $168.00 | not published | 0 |
| Placement of seton CPT 46020 | not published | not published | $2,625.99 – $2,731.03 | 3 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Place needles pelvic for right CPT 55920 | not published | not published | $4,732.70 – $4,922.01 | 3 |
| Place non-slctv cath thoracic arta CPT 36221 | not published | not published | $2,987.22 – $3,106.71 | 3 |
| Placental lactogen CPT 83632 | $165.75 | $255.00 | $20.22 – $21.03 | 2 |
| Place right device/marker pros CPT 55876 | $4,823.65 | $7,421.00 | $1,309.49 – $1,361.87 | 3 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | not published | not published | $2,987.22 – $3,106.71 | 3 |
| Place slctv cath subclavian art CPT 36225 | not published | not published | $2,987.22 – $3,106.71 | 3 |
| Plasma cryo redu path each HCPCS P9025 | $52.65 | $81.00 | not published | 0 |
| Plasmaprotein fract,5%,250ml HCPCS P9048 | not published | not published | $35.32 – $343.79 | 4 |
| Plasma protein fract,5%,50ml HCPCS P9043 | not published | not published | $8.11 – $146.38 | 4 |
| Plasma volume multiple CPT 78111 | not published | not published | $1,224.84 – $1,273.83 | 3 |
| Plasma volume single CPT 78110 | not published | not published | $1,224.84 – $1,273.83 | 3 |
| Platelet aggregation each agent teg CPT 85576 | $103.35 | $159.00 | $24.91 – $25.91 | 2 |
| Platelet automated CPT 85049 | $51.35 | $79.00 | $4.48 – $4.66 | 2 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $417.38 – $434.08 | 3 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $1,925.30 | $2,962.00 | not published | 0 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $2,878.20 | $4,428.00 | not published | 0 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $172.25 | $265.00 | not published | 0 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $928.20 | $1,428.00 | not published | 0 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,098.50 | $1,690.00 | not published | 0 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,122.55 | $1,727.00 | not published | 0 |
| Platelet survival CPT 78191 | not published | not published | $378.21 – $393.34 | 3 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $291.36 – $303.01 | 2 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $1,727.05 | $2,657.00 | $3,387.33 – $3,522.83 | 3 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $8,851.70 | $13,618.00 | $3,334.90 – $3,468.30 | 3 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $8,851.70 | $13,618.00 | $3,334.90 – $3,468.30 | 3 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $910.65 | $1,401.00 | $669.95 – $696.75 | 3 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $455.00 | $700.00 | not published | 0 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $705.90 | $1,086.00 | not published | 0 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $705.90 | $1,086.00 | not published | 0 |
| Plerixafor injection HCPCS J2562 | not published | not published | $25.33 – $241.02 | 4 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $379.60 | $584.00 | $353.04 – $367.16 | 3 |
| Plmt access bil tree sm bwl CPT 47541 | $6,520.80 | $10,032.00 | $6,124.73 – $6,369.72 | 3 |
| Plmt biliary drainage cath CPT 47534 | $2,302.95 | $3,543.00 | $3,387.33 – $3,522.83 | 3 |
| Plmt nephroureteral catheter CPT 50433 | $9,512.75 | $14,635.00 | $3,334.90 – $3,468.30 | 3 |
| Plmt ureteral stent prq CPT 50694 | $8,851.70 | $13,618.00 | $3,334.90 – $3,468.30 | 3 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $207.31 – $215.60 | 2 |
| Pmp22 gene dup/delet CPT 81324 | $1,230.45 | $1,893.00 | $758.36 – $788.69 | 2 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $769.58 – $800.36 | 2 |
| Pmp22 gene known fam variant CPT 81326 | $820.30 | $1,262.00 | $46.60 – $48.46 | 2 |
| Pms2 gene dup/delet variants CPT 81319 | $1,114.75 | $1,715.00 | $203.50 – $211.64 | 2 |
| Pms2 gene full seq analysis CPT 81317 | $1,543.75 | $2,375.00 | $676.50 – $703.56 | 2 |
| Pms2 known familial variants CPT 81318 | $774.80 | $1,192.00 | $331.00 – $344.24 | 2 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $593.48 – $617.22 | 3 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $140.40 | $216.00 | $26.07 – $27.11 | 2 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $136.67 – $863.98 | 4 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $812.43 – $844.93 | 3 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $812.43 – $844.93 | 3 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,498.30 | $5,382.00 | $812.43 – $844.93 | 3 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $10.51 – $10.93 | 2 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $24,228.42 – $151,599.50 | 4 |
| Positional change of finger CPT 26555 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Positional nystagmus test CPT 92532 | $171.60 | $264.00 | not published | 0 |
| Positioner proc acufex leg acs HCPCS E0190 | $59.85 | $92.07 | not published | 0 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $25.00 – $26.00 | 2 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $353.04 – $367.16 | 3 |
| Potassium 24 hour urine CPT 84133 | $37.05 | $57.00 | $4.73 – $4.92 | 2 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $307.46 | $473.01 | $0.18 – $0.65 | 2 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $5.83 – $6.06 | 2 |
| Potassium serum/plasma/whole blood CPT 84132 | $20.15 | $31.00 | $4.76 – $4.95 | 2 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $137.00 – $142.48 | 2 |
| Pq biliary strict dil s&i CPT 74363 | $904.15 | $1,391.00 | not published | 0 |
| Pq dr cath chg w cont s&i CPT 75984 | $592.80 | $912.00 | not published | 0 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $7,410.00 | $11,400.00 | $6,864.94 – $7,139.54 | 3 |
| Pq thr inj ext pse CPT 36002 | not published | not published | $593.48 – $617.22 | 3 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $6,100.25 | $9,385.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $9,070.75 | $13,955.00 | $3,095.56 – $3,219.39 | 3 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $9,054.50 | $13,930.00 | $3,095.56 – $3,219.39 | 3 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $392.63 – $2,429.51 | 4 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $1,589.22 | $2,444.95 | $563.55 – $563.55 | 1 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $1,064.05 | $1,637.00 | $3,095.56 – $3,219.39 | 3 |
| Pr application of long arm splint CPT 29105 | $146.25 | $225.00 | $153.74 – $159.89 | 3 |
| Pr application splint static short arm CPT 29125 | not published | not published | $125.87 – $130.91 | 3 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $35.34 – $36.75 | 3 |
| Pr biopsy skin punch single lesion CPT 11104 | $226.20 | $348.00 | $384.59 – $399.98 | 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.