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 |
|---|---|---|---|---|
| Assay of tyrosine CPT 84510 | $92.30 | $142.00 | $10.63 – $11.06 | 2 |
| Assay of urine sulfate CPT 84392 | $35.10 | $54.00 | $5.49 – $5.71 | 2 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $9.55 – $9.93 | 2 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $6.05 – $6.29 | 2 |
| Assay phosphatidylglycerol CPT 84081 | $114.40 | $176.00 | $16.52 – $17.18 | 2 |
| Assay phosphohexose enzymes CPT 84087 | $469.30 | $722.00 | $10.73 – $11.16 | 2 |
| Assay rbc glutathione CPT 82979 | not published | not published | $9.44 – $9.82 | 2 |
| Assay toxin or antitoxin CPT 87230 | $113.75 | $175.00 | $19.74 – $20.53 | 2 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $103.35 | $159.00 | $93.98 – $97.74 | 3 |
| Assess cyst contrast inject CPT 49424 | $1,192.10 | $1,834.00 | not published | 0 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | not published | not published | $4.27 – $4.44 | 2 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $121.73 – $126.60 | 3 |
| Assistive tech assessment, ot CPT 97755 | $59.80 | $92.00 | $36.29 – $37.74 | 3 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $161.18 – $167.63 | 3 |
| Ast/sgot CPT 84450 | $11.05 | $17.00 | $5.18 – $5.39 | 2 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $31,301.37 | $48,155.95 | $91.34 – $573.43 | 4 |
| Atomic absorption CPT 82190 | not published | not published | $15.90 – $16.54 | 2 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $114.46 | $176.10 | $0.18 – $0.72 | 2 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $4,732.70 – $4,922.01 | 3 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $121.73 – $126.60 | 3 |
| Audiometry air + bone CPT 92553 | $98.80 | $152.00 | $121.73 – $126.60 | 3 |
| Auditory function 60 min CPT 92620 | not published | not published | $121.73 – $126.60 | 3 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $5,557.50 | $8,550.00 | not published | 0 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $7,410.00 | $11,400.00 | $6,864.94 – $7,139.54 | 3 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | $1,605.50 | $2,470.00 | $840.65 – $874.28 | 2 |
| Autologous blood op salvage CPT 86891 | $4,755.40 | $7,316.00 | not published | 0 |
| Autologous blood process CPT 86890 | $87.10 | $134.00 | $161.18 – $167.63 | 3 |
| Autolog prp diab wound ulcer HCPCS G0465 | $1,508.00 | $2,320.00 | not published | 0 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Automated diff wbc count CPT 85004 | not published | not published | $6.47 – $6.73 | 2 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $125.87 – $130.91 | 3 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $121.73 – $126.60 | 3 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $125.87 – $130.91 | 3 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $100.09 – $630.18 | 4 |
| Av fusion direct any site CPT 36821 | not published | not published | $2,987.22 – $3,106.71 | 3 |
| Avul nail plate addl CPT 11732 | $100.10 | $154.00 | not published | 0 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $149.50 | $230.00 | $189.82 – $197.41 | 3 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $0.07 – $554,559.38 | 4 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $5,719.53 – $5,948.32 | 3 |
| Azacitidine injection HCPCS J9025 | $303.94 | $467.60 | $0.48 – $1.89 | 2 |
| Azathioprine 50 mg tablet HCPCS J7500 | $4.00 | $6.15 | $2.03 – $7.74 | 2 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $254.07 – $1,625.00 | 4 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $35.63 | $54.81 | $3.62 – $13.85 | 2 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $157.30 | $242.00 | $3.52 – $13.46 | 2 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $181.22 – $1,129.96 | 4 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $69.24 – $264.75 | 2 |
| Baclofen eval charges CPT 97750 | $92.95 | $143.00 | $32.14 – $33.43 | 3 |
| Bacterial meningitis antigen CPT 86403 | $157.95 | $243.00 | $11.54 – $12.00 | 2 |
| Bacterial vaginosis pcr CPT 87801 | $5,850.00 | $9,000.00 | $70.20 – $73.01 | 2 |
| Bactericidal level serum CPT 87197 | not published | not published | $15.02 – $15.62 | 2 |
| #bac vag cand-c. albicans naa CPT 87481 | $79.30 | $122.00 | $35.09 – $36.49 | 2 |
| Balloon dilate urtrl strix CPT 50706 | $1,068.60 | $1,644.00 | not published | 0 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $3,062.57 – $3,185.07 | 3 |
| Bartonella dna pcr-sendout CPT 87471 | $197.60 | $304.00 | $35.09 – $36.49 | 2 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $204.28 – $212.45 | 3 |
| Basiliximab HCPCS J0480 | not published | not published | $4,686.85 – $30,274.27 | 4 |
| B cells total count CPT 86355 | $153.40 | $236.00 | $37.73 – $39.24 | 2 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | not published | not published | $3.26 – $19.50 | 4 |
| Bckdhb gene CPT 81205 | not published | not published | $94.99 – $98.79 | 2 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | not published | not published | $294.58 – $294.58 | 1 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $3,167.00 | $4,872.30 | $3.89 – $25.55 | 4 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $56.07 – $356.92 | 4 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $2,418.15 | $3,720.23 | $1.88 – $11.70 | 4 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $12.28 – $111.35 | 4 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $3,834.02 | $5,898.50 | $13.49 – $87.43 | 4 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $29.85 – $186.23 | 4 |
| Benign lesion paring 2-4 CPT 11056 | $282.10 | $434.00 | $189.82 – $197.41 | 3 |
| Benign lesion paring 4+ CPT 11057 | $445.25 | $685.00 | $189.82 – $197.41 | 3 |
| #_benzodiazconfur CPT 80346 | $95.55 | $147.00 | not published | 0 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $179.65 | $276.38 | $28.71 – $109.79 | 2 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $202.80 | $312.00 | $25.45 – $26.47 | 2 |
| Beta-2 microglobulin CPT 82232 | $68.90 | $106.00 | $16.18 – $16.83 | 2 |
| Beta-amyloid 1-40 CPT 82233 | not published | not published | $128.92 – $134.08 | 2 |
| Beta-amyloid 1-42 CPT 82234 | $570.70 | $878.00 | $128.92 – $134.08 | 2 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $106.52 | $163.87 | $12.77 – $48.82 | 2 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | not published | not published | $73.20 – $475.74 | 4 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $7,260.21 | $11,169.55 | $27.86 – $186.75 | 4 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $5,497.05 | $8,457.00 | $25.77 – $149.50 | 4 |
| Bevacizumab injection HCPCS C9257 | not published | not published | $1.83 – $12.94 | 4 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | not published | not published | $36.93 – $38.41 | 3 |
| Bfb train ea addl 15 min 90913 CPT 90913 | not published | not published | $20.76 – $21.59 | 3 |
| B-hexosaminidase ea assay CPT 83080 | $457.60 | $704.00 | $16.87 – $17.54 | 2 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $2,598.70 | $3,998.00 | $836.78 – $870.25 | 3 |
| Bilateral n block inj occipital 64405 CPT 64405 | $825.50 | $1,270.00 | $290.40 – $302.02 | 3 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $556.40 | $856.00 | $290.40 – $302.02 | 3 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $26.58 – $27.64 | 2 |
| Biliary endo perq dx w/speci CPT 47552 | not published | not published | $6,124.73 – $6,369.72 | 3 |
| Biliary endoscopy thru skin CPT 47553 | $4,160.00 | $6,400.00 | $6,124.73 – $6,369.72 | 3 |
| Biliary endoscopy thru skin CPT 47554 | $6,968.00 | $10,720.00 | $10,056.64 – $10,458.91 | 3 |
| Biliary endoscopy thru skin CPT 47555 | not published | not published | $6,124.73 – $6,369.72 | 3 |
| Biliary endoscopy thru skin CPT 47556 | not published | not published | $10,056.64 – $10,458.91 | 3 |
| Bilicheck CPT 88720 | $114.40 | $176.00 | $5.02 – $5.22 | 2 |
| Bilirubin direct CPT 82248 | $27.30 | $42.00 | $5.02 – $5.22 | 2 |
| Bilirubin total CPT 82247 | $33.15 | $51.00 | $5.02 – $5.22 | 2 |
| Biofeedback, pt CPT 90901 | not published | not published | $16.17 – $16.82 | 3 |
| Biopsy abdominal mass CPT 49180 | $1,310.40 | $2,016.00 | $1,562.54 – $1,625.04 | 3 |
| Biopsy arm/elbow soft tissue CPT 24066 | $3,546.40 | $5,456.00 | $2,748.08 – $2,858.01 | 3 |
| Biopsy, bone open deep CPT 20245 | not published | not published | $2,748.08 – $2,858.01 | 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.