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 |
|---|---|---|---|---|
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $55,272.32 – $360,987.25 | 4 |
| Sirolimus, oral HCPCS J7520 | $16.02 | $24.65 | $1.81 – $6.89 | 2 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $84.57 – $763.43 | 4 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $104.00 | $160.00 | not published | 0 |
| Skin Biopsy CPT 11102 | $250.25 | $385.00 | $384.59 – $399.98 | 3 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $6,573.97 – $6,573.97 | 1 |
| Slco1b1 gene com variants CPT 81328 | $887.90 | $1,366.00 | $174.81 – $181.80 | 2 |
| Sleep study attended CPT 95807 | not published | not published | $353.04 – $367.16 | 3 |
| Sleep Study (Polysomnography) CPT 95810 | $3,206.45 | $4,933.00 | $812.43 – $844.93 | 3 |
| Sleep study unattended CPT 95806 | $306.80 | $472.00 | $204.28 – $212.45 | 3 |
| Sleeve fing rolyan med HCPCS L3933 | $415.29 | $638.91 | not published | 0 |
| Sling pelv split sam med HCPCS L0621 | $52.36 | $80.56 | not published | 0 |
| Sling suprapubic suburetheral HCPCS C1771 | $3,046.00 | $4,686.16 | not published | 0 |
| Slitting of prepuce CPT 54000 | not published | not published | $3,334.90 – $3,468.30 | 3 |
| Slitting of prepuce CPT 54001 | not published | not published | $1,977.66 – $2,056.77 | 3 |
| Slp pure tone screening CPT 92551 | $79.30 | $122.00 | not published | 0 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $55.81 – $58.04 | 3 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $3,159.80 – $105,838.72 | 4 |
| Small animal inoculation CPT 87003 | not published | not published | $16.84 – $17.51 | 2 |
| Small bowel endoscopy CPT 44360 | $2,389.40 | $3,676.00 | $1,815.43 – $1,888.05 | 3 |
| Small bowel endoscopy CPT 44364 | $2,389.40 | $3,676.00 | $1,815.43 – $1,888.05 | 3 |
| Small bowel endoscopy CPT 44366 | $2,389.40 | $3,676.00 | $1,815.43 – $1,888.05 | 3 |
| Small bowel endoscopy CPT 44369 | $2,389.40 | $3,676.00 | $1,815.43 – $1,888.05 | 3 |
| Small bowel endoscopy CPT 44376 | $2,389.40 | $3,676.00 | $1,815.43 – $1,888.05 | 3 |
| Small bowel endoscopy CPT 44378 | $2,389.40 | $3,676.00 | $1,815.43 – $1,888.05 | 3 |
| Small bowel endoscopy CPT 44382 | $2,231.45 | $3,433.00 | $858.08 – $892.40 | 3 |
| Small bowel endoscopy CPT 44384 | $2,343.25 | $3,605.00 | $1,815.43 – $1,888.05 | 3 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | $2,389.40 | $3,676.00 | $1,815.43 – $1,888.05 | 3 |
| Small bowel endoscopy 44365 CPT 44365 | $2,389.40 | $3,676.00 | $1,815.43 – $1,888.05 | 3 |
| Small bowel endoscopy/biopsy CPT 44361 | $2,389.40 | $3,676.00 | $1,815.43 – $1,888.05 | 3 |
| Small bowel endoscopy/biopsy CPT 44377 | $2,389.40 | $3,676.00 | $1,815.43 – $1,888.05 | 3 |
| Small bowel endoscopy br/wa CPT 44380 | $2,124.85 | $3,269.00 | $858.08 – $892.40 | 3 |
| Small bowel endoscopy br/wa CPT 44381 | $2,343.25 | $3,605.00 | $1,815.43 – $1,888.05 | 3 |
| Small bowel endoscopy/stent 44370 CPT 44370 | $3,640.00 | $5,600.00 | $5,743.54 – $5,973.28 | 3 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $1,755.00 | 4 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $42.90 | $66.00 | $5.39 – $5.61 | 2 |
| Smear gram stain CPT 87205 | $30.55 | $47.00 | $4.27 – $4.44 | 2 |
| Smear nasal eosinophil CPT 89190 | $82.55 | $127.00 | $5.79 – $6.02 | 2 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $30.55 | $47.00 | $5.99 – $6.23 | 2 |
| Smear wet mount CPT 87210 | $35.10 | $54.00 | $5.82 – $6.05 | 2 |
| Smn1 gene full gene sequence CPT 81336 | $1,095.25 | $1,685.00 | $301.35 – $313.40 | 2 |
| Smn1 gen nown famil seq vrnt CPT 81337 | $774.80 | $1,192.00 | $185.20 – $192.61 | 2 |
| Smpd1 gene common variants CPT 81330 | $640.90 | $986.00 | $47.00 – $48.88 | 2 |
| Snrpn/ube3a gene CPT 81331 | $678.60 | $1,044.00 | $51.07 – $53.11 | 2 |
| Sock fracture or equal each HCPCS L3995 | $81.20 | $124.92 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $41.60 | $64.00 | $5.06 – $5.26 | 2 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $51.80 | $79.70 | $4.26 – $16.25 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $54.54 | $83.90 | $2.13 – $8.13 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $60.00 | $92.30 | $1.06 – $4.10 | 2 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $62.01 | $95.40 | $0.98 – $0.98 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $56.11 | $86.32 | $3.38 – $12.94 | 2 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $124.14 – $474.70 | 2 |
| Sodium serum/plasma/whole blood CPT 84295 | $33.15 | $51.00 | $4.81 – $5.00 | 2 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $345.74 | $531.90 | not published | 0 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $82.33 – $85.63 | 3 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | $7,020.00 | $10,800.00 | $1,345.31 – $1,399.12 | 2 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,195.83 – $1,243.66 | 2 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $3,288.51 – $3,420.05 | 2 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,046.35 – $1,088.20 | 2 |
| Somatosensory testing CPT 95927 | not published | not published | $204.28 – $212.45 | 3 |
| Somatropin injection HCPCS J2941 | not published | not published | $986.77 – $986.77 | 1 |
| So neo gsap dna/dna&rna CPT 81459 | $9,360.00 | $14,400.00 | $2,989.55 – $3,109.13 | 2 |
| So neo gsap dna mcrstl ins CPT 81457 | $7,410.00 | $11,400.00 | $896.87 – $932.74 | 2 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $25.05 – $142.81 | 4 |
| Special casting material HCPCS A4590 | $16.63 | $25.58 | not published | 0 |
| Special physics consult CPT 77370 | $290.55 | $447.00 | not published | 0 |
| Special radiation dosimetry CPT 77331 | $290.55 | $447.00 | not published | 0 |
| Special radiation treatment CPT 77470 | $1,038.05 | $1,597.00 | $522.75 – $543.66 | 3 |
| Special teletx port plan CPT 77321 | $714.35 | $1,099.00 | $354.24 – $368.41 | 3 |
| Specific gravity body fluid CPT 84315 | not published | not published | $3.28 – $3.41 | 2 |
| Specimen fat stain CPT 89125 | $18.85 | $29.00 | $5.88 – $6.12 | 2 |
| Speech audiometry complete CPT 92556 | not published | not published | $55.81 – $58.04 | 3 |
| Speech evaluation complex CPT 70371 | not published | not published | $225.74 – $234.77 | 3 |
| Speech recep thresh CPT 92555 | not published | not published | $55.81 – $58.04 | 3 |
| Sperm antibody test CPT 89325 | $144.95 | $223.00 | $10.67 – $11.10 | 2 |
| Sperm evaluation test CPT 89329 | not published | not published | $19.59 – $20.37 | 2 |
| Sperm washing 58323 CPT 58323 | not published | not published | $191.27 – $198.92 | 3 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $2,625.99 – $2,731.03 | 3 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $757.90 | $1,166.00 | $667.82 – $694.53 | 3 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $12,146.38 – $12,632.24 | 3 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $204.28 – $212.45 | 3 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $493.35 | $759.00 | $353.04 – $367.16 | 3 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $121.73 – $126.60 | 3 |
| Spleen imaging CPT 78185 | not published | not published | $378.21 – $393.34 | 3 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $986.99 | $1,518.44 | not published | 0 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $29.95 | $46.08 | not published | 0 |
| Splint finger frog med HCPCS L3927 | $1.77 | $2.73 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $130.44 | $200.68 | not published | 0 |
| Split blood or products CPT 86985 | $186.55 | $287.00 | $161.18 – $167.63 | 3 |
| Spontaneous nystagmus study CPT 92531 | $171.60 | $264.00 | not published | 0 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $312.49 – $324.99 | 3 |
| Sputum specimen collection CPT 89220 | not published | not published | $161.18 – $167.63 | 3 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $4,146.34 – $24,375.00 | 4 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $175.40 – $182.42 | 2 |
| Srs linear based CPT 77372 | $3,019.25 | $4,645.00 | not published | 0 |
| Staggered spondaic word test CPT 92572 | not published | not published | $121.73 – $126.60 | 3 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $188.50 | $290.00 | $105.70 – $109.93 | 3 |
| Staph a dna amp probe CPT 87640 | $81.25 | $125.00 | $35.09 – $36.49 | 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.