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 removal foreign body external auditory canal without anesthesia CPT 69200 | $543.40 | $836.00 | $125.87 – $130.91 | 3 |
| Pr removal intrauterine device CPT 58301 | $882.70 | $1,358.00 | $288.30 – $299.83 | 3 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | not published | not published | $384.59 – $399.98 | 3 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | not published | not published | $189.82 – $197.41 | 3 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | not published | not published | $189.82 – $197.41 | 3 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | not published | not published | $189.82 – $197.41 | 3 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | not published | not published | $189.82 – $197.41 | 3 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $417.38 – $434.08 | 3 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | not published | not published | $1,489.27 – $1,548.84 | 3 |
| PSA (Prostate) Test CPT 84153 | $64.35 | $99.00 | $18.39 – $19.13 | 2 |
| Psychoeducation 45 min + HCPCS G0177 | $309.40 | $476.00 | not published | 0 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $204.28 – $212.45 | 3 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $125.87 – $130.91 | 3 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $86.45 | $133.00 | $14.18 – $14.75 | 3 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $78.00 | $120.00 | $18.17 – $18.90 | 3 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $77.35 | $119.00 | $13.75 – $14.30 | 3 |
| Pt application of modality traction mechanical CPT 97012 | $73.45 | $113.00 | $13.84 – $14.39 | 3 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $300.00 – $312.00 | 2 |
| Pten gene full sequence CPT 81321 | $3,489.20 | $5,368.00 | $600.00 – $624.00 | 2 |
| Pten gene known fam variant CPT 81322 | $820.30 | $1,262.00 | $46.60 – $48.46 | 2 |
| Pt evaluation high complexity patient/family CPT 97163 | $213.85 | $329.00 | $93.86 – $97.61 | 3 |
| Pt evaluation low complexity patient/family CPT 97161 | $163.80 | $252.00 | $93.86 – $97.61 | 3 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $191.10 | $294.00 | $93.86 – $97.61 | 3 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $24.11 – $25.07 | 3 |
| Pt re-evaluation patient/family CPT 97164 | $91.00 | $140.00 | $64.42 – $67.00 | 3 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $70.20 | $108.00 | $29.33 – $30.50 | 3 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $42.90 | $66.00 | $12.14 – $12.63 | 3 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $68.90 | $106.00 | $27.87 – $28.98 | 3 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $65.00 | $100.00 | $28.19 – $29.32 | 3 |
| Pt wheelchair management each 15 minutes CPT 97542 | $70.85 | $109.00 | $29.79 – $30.98 | 3 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $5,409.60 – $5,625.98 | 2 |
| Pulmonary vent imaging CPT 78579 | $579.80 | $892.00 | $378.21 – $393.34 | 3 |
| Pulse ox continuous overnight monitoring CPT 94762 | $239.20 | $368.00 | $121.73 – $126.60 | 3 |
| Punc of shunt for asp or inj CPT 61070 | $1,020.50 | $1,570.00 | $667.82 – $694.53 | 3 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $86.45 | $133.00 | $125.87 – $130.91 | 3 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $228.80 | $352.00 | $384.59 – $399.98 | 3 |
| Puncture spinal lumbar diagnostic CPT 62270 | $731.25 | $1,125.00 | $667.82 – $694.53 | 3 |
| Puraply 1 sq cm HCPCS Q4195 | not published | not published | $117.73 – $122.44 | 3 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $117.73 – $122.44 | 3 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $1,299.35 | $1,999.00 | not published | 0 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $667.82 – $694.53 | 3 |
| Pvb thoracic single inj site CPT 64461 | $2,598.70 | $3,998.00 | $667.82 – $694.53 | 3 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $65.74 | $101.14 | $26.82 – $102.57 | 2 |
| Pyruvate CPT 84210 | $56.55 | $87.00 | $14.48 – $15.06 | 2 |
| Pyruvate kinase CPT 84220 | $381.55 | $587.00 | $9.44 – $9.82 | 2 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $125.87 – $130.91 | 3 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | not published | not published | $513.69 – $534.24 | 3 |
| Quant diff pulm perf w/imaging CPT 78597 | $651.30 | $1,002.00 | $378.21 – $393.34 | 3 |
| Quest t3 uptake CPT 84479 | $51.35 | $79.00 | $6.47 – $6.73 | 2 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $3,029.07 – $3,029.07 | 1 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $352.44 – $2,941.71 | 4 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $222.25 – $1,628.38 | 4 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $1,510.37 | $2,323.65 | $279.85 – $1,822.41 | 4 |
| Radiation physics consult CPT 77336 | $315.25 | $485.00 | not published | 0 |
| Radiation therapy dose plan CPT 77300 | $339.30 | $522.00 | not published | 0 |
| Radiation treatment aid(s) CPT 77332 | $332.15 | $511.00 | not published | 0 |
| Radiation treatment aid(s) CPT 77333 | $517.40 | $796.00 | not published | 0 |
| Radiation treatment aid(s) CPT 77334 | $758.55 | $1,167.00 | $354.24 – $368.41 | 3 |
| Radiation treatment delivery CPT 77402 | $270.40 | $416.00 | not published | 0 |
| Radiation treatment delivery CPT 77412 | $458.25 | $705.00 | $522.75 – $543.66 | 3 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Radical resection of elbow CPT 24149 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $2,748.08 – $2,858.01 | 3 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $2,748.08 – $2,858.01 | 3 |
| Radiology port images(s) CPT 77417 | $159.90 | $246.00 | not published | 0 |
| Radiotherapy dose plan imrt CPT 77301 | $2,585.70 | $3,978.00 | $1,309.49 – $1,361.87 | 3 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $172.22 – $1,098.63 | 4 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,316.90 | $2,026.00 | $513.69 – $534.24 | 3 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,454.70 | $2,238.00 | $513.69 – $534.24 | 3 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $1,927.90 | $2,966.00 | $1,224.84 – $1,273.83 | 3 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,593.80 | $2,452.00 | $513.69 – $534.24 | 3 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,088.75 | $1,675.00 | $378.21 – $393.34 | 3 |
| Radphm quant measure sgl area add-on CPT 78835 | $1,233.70 | $1,898.00 | not published | 0 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $2,748.08 – $2,858.01 | 3 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $2,748.08 – $2,858.01 | 3 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $2,748.08 – $2,858.01 | 3 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $2,748.08 – $2,858.01 | 3 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $2,748.08 – $2,858.01 | 3 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $2,748.08 – $2,858.01 | 3 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $2,748.08 – $2,858.01 | 3 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $2,748.08 – $2,858.01 | 3 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $7,722.92 | $11,881.42 | $74.36 – $473.92 | 4 |
| Range of motion measurements CPT 95852 | not published | not published | $4.93 – $5.13 | 3 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $86.38 – $805.87 | 4 |
| Rapid Strep Test CPT 87880 | $49.40 | $76.00 | $16.53 – $17.19 | 2 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | not published | not published | $377.52 – $2,404.81 | 4 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $225.11 – $1,433.84 | 4 |
| Rbc count only automated CPT 85041 | not published | not published | $3.02 – $3.14 | 2 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $417.38 – $434.08 | 3 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $8.60 – $8.94 | 2 |
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.