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 |
|---|---|---|---|---|
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $12,146.38 – $12,632.24 | 3 |
| Pr correction hammertoe CPT 28285 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $34.45 | $53.00 | not published | 0 |
| Prcrd drg 6+yr without anomly CPT 33017 | $7,667.40 | $11,796.00 | not published | 0 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $6,871.80 | $10,572.00 | $3,334.90 – $3,468.30 | 3 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $304.85 | $469.00 | $189.82 – $197.41 | 3 |
| Prealbumin CPT 84134 | $99.45 | $153.00 | $14.59 – $15.17 | 2 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $8.32 | $12.80 | $0.97 – $3.71 | 2 |
| Prednisone 1 mg tablet HCPCS J7512 | $7.12 | $10.95 | $0.01 – $0.07 | 2 |
| Pregabalin - sendout CPT 80366 | $74.75 | $115.00 | not published | 0 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $2,982.20 | $4,588.00 | $1,815.43 – $1,888.05 | 3 |
| Pregnancy associated plasma protein-a CPT 84163 | not published | not published | $15.05 – $15.65 | 2 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $737.10 | $1,134.00 | $98.91 – $102.86 | 3 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $664.30 | $1,022.00 | $98.91 – $102.86 | 3 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $115.70 | $178.00 | not published | 0 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $204.28 – $212.45 | 3 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $353.04 – $367.16 | 3 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $353.04 – $367.16 | 3 |
| Prepare penis study CPT 54230 | $1,577.55 | $2,427.00 | not published | 0 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $812.43 – $844.93 | 3 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $384.59 – $399.98 | 3 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $699.22 – $727.19 | 3 |
| Pressure max expiratory/inspiratory CPT 94799 | not published | not published | $121.73 – $126.60 | 3 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $39.00 | $60.00 | $161.18 – $167.63 | 3 |
| Pretreat rbc absorption reference CPT 86978 | $99.45 | $153.00 | $55.81 – $58.04 | 3 |
| Pretreat rbc density gradient separation reference CPT 86972 | $66.95 | $103.00 | $161.18 – $167.63 | 3 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $28.60 | $44.00 | $55.81 – $58.04 | 3 |
| Pretreat rbc w enzyme reference CPT 86971 | $53.95 | $83.00 | $161.18 – $167.63 | 3 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $105.30 | $162.00 | not published | 0 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $124.80 | $192.00 | not published | 0 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $144.30 | $222.00 | not published | 0 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $176.15 | $271.00 | not published | 0 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | not published | not published | $125.96 – $131.00 | 3 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $1,562.54 – $1,625.04 | 3 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $1,653.60 | $2,544.00 | $1,562.54 – $1,625.04 | 3 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $224.25 | $345.00 | $384.59 – $399.98 | 3 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $3,647.57 – $3,793.48 | 3 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $568.75 | $875.00 | $384.59 – $399.98 | 3 |
| Pr incision & drainage abscess simple/single CPT 10060 | $232.70 | $358.00 | $189.82 – $197.41 | 3 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $700.70 | $1,078.00 | $288.30 – $299.83 | 3 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $337.35 | $519.00 | $384.59 – $399.98 | 3 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $125.96 – $131.00 | 3 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $125.96 – $131.00 | 3 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $170.95 | $263.00 | not published | 0 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $1,847.43 – $1,921.33 | 3 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $12,649.82 | $19,461.26 | not published | 0 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $144.07 | $221.65 | $294.69 – $1,189.70 | 4 |
| Procalcitonin CPT 84145 | $144.95 | $223.00 | $27.22 – $28.31 | 2 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $840.26 – $840.26 | 1 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $23.17 | $35.65 | $5.02 – $19.18 | 2 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $2.28 – $2.28 | 1 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $2,625.99 – $2,731.03 | 3 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $1,132.12 – $1,177.40 | 3 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $1,132.12 – $1,177.40 | 3 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $555.10 | $854.00 | $879.81 – $915.00 | 3 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $2,625.99 – $2,731.03 | 3 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $1,132.12 – $1,177.40 | 3 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $1,132.12 – $1,177.40 | 3 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $2,625.99 – $2,731.03 | 3 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $1,919.45 | $2,953.00 | $1,132.12 – $1,177.40 | 3 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $2,625.99 – $2,731.03 | 3 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $5,743.54 – $5,973.28 | 3 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $117.73 – $122.44 | 3 |
| Progesterone CPT 84144 | $76.05 | $117.00 | $20.86 – $21.69 | 2 |
| Prolactin CPT 84146 | $123.50 | $190.00 | $19.38 – $20.16 | 2 |
| Prolonged IV inf, req pump HCPCS C8957 | $850.20 | $1,308.00 | $201.23 – $209.28 | 3 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.52 – $0.52 | 1 |
| Promethazine hcl injection HCPCS J2550 | not published | not published | $6.07 – $23.21 | 2 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $12,146.38 – $12,632.24 | 3 |
| Prophylactic tx radius CPT 25490 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $12,146.38 – $12,632.24 | 3 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $60.81 | $93.55 | $0.14 – $0.52 | 2 |
| _propoxygc/msur CPT 80367 | $95.55 | $147.00 | not published | 0 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $56.00 | $86.15 | $63.31 – $63.31 | 1 |
| Prostate biopsy, any mthd HCPCS G0416 | not published | not published | $339.12 – $352.68 | 3 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $5,072.67 – $5,275.58 | 3 |
| Prostate laser enucleation CPT 52649 | not published | not published | $5,072.67 – $5,275.58 | 3 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $3,334.90 – $3,468.30 | 3 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $3,334.90 – $3,468.30 | 3 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $27.98 | $43.05 | $1.94 – $7.41 | 2 |
| Protein c activity CPT 85303 | $135.20 | $208.00 | $13.84 – $14.39 | 2 |
| Protein c concentrate HCPCS J2724 | not published | not published | $15.04 – $97.70 | 4 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $75.40 | $116.00 | $10.74 – $11.17 | 2 |
| Protein s total CPT 85305 | $123.50 | $190.00 | $11.61 – $12.07 | 2 |
| Protein total 24 hour urine CPT 84156 | $29.90 | $46.00 | $3.67 – $3.82 | 2 |
| Protein total body fluid CPT 84157 | $42.25 | $65.00 | $4.00 – $4.16 | 2 |
| Protein total serum plasma whole blood CPT 84155 | $29.90 | $46.00 | $3.67 – $3.82 | 2 |
| Prothrombin complex kcentra HCPCS J7168 | $2,412.60 | $3,711.70 | $2.14 – $19.37 | 4 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $83.85 | $129.00 | $3.94 – $4.10 | 2 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $522.75 – $543.66 | 3 |
| Protoporphyrin rbc screen CPT 84203 | $190.45 | $293.00 | $9.74 – $10.13 | 2 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $125.96 – $131.00 | 3 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $3,387.33 – $3,522.83 | 3 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Pr removal drug delivery implant CPT 11982 | $715.00 | $1,100.00 | not published | 0 |
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.