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 |
|---|---|---|---|---|
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | not published | not published | $5.46 – $34.91 | 4 |
| Trimethobenzamide hcl inj HCPCS J3250 | not published | not published | $86.62 – $331.18 | 2 |
| Trim nail(s) HCPCS G0127 | $117.00 | $180.00 | $55.81 – $58.04 | 3 |
| Trim nondyst nails CPT 11719 | $55.90 | $86.00 | $55.81 – $58.04 | 3 |
| Triptorelin pamoate HCPCS J3315 | not published | not published | $474.84 – $3,128.39 | 4 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | not published | not published | $12,146.38 – $12,632.24 | 3 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | not published | not published | $233.37 – $242.70 | 3 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | not published | not published | $2,987.22 – $3,106.71 | 3 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | not published | not published | $2,987.22 – $3,106.71 | 3 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | not published | not published | $2,987.22 – $3,106.71 | 3 |
| Trnscath tx thromblytc vein ini day CPT 37212 | not published | not published | $2,987.22 – $3,106.71 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $1,952.02 – $2,030.10 | 3 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $640.73 – $666.36 | 2 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $3,240.00 – $3,369.60 | 2 |
| Troponin quantitative CPT 84484 | $93.60 | $144.00 | $12.47 – $12.97 | 2 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $3,334.90 – $3,468.30 | 3 |
| Tte w or without contr, cont ecg HCPCS C8930 | not published | not published | $741.65 – $771.32 | 3 |
| Tte w or without fol w/con,stres HCPCS C8928 | $1,573.00 | $2,420.00 | $741.65 – $771.32 | 3 |
| Tte w or without fol w/cont, com HCPCS C8921 | $1,608.10 | $2,474.00 | $741.65 – $771.32 | 3 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | not published | not published | $741.65 – $771.32 | 3 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $5,719.53 – $5,948.32 | 3 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $417.38 – $434.08 | 3 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $233.37 – $242.70 | 3 |
| Tx closed hip disl traumatic without anes CPT 27250 | not published | not published | $233.37 – $242.70 | 3 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Tx closed tib shaft fx without manip CPT 27750 | not published | not published | $233.37 – $242.70 | 3 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $699.22 – $727.19 | 3 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $699.22 – $727.19 | 3 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | not published | not published | $233.37 – $242.70 | 3 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $204.28 – $212.45 | 3 |
| Tyms gene com variants CPT 81346 | not published | not published | $174.81 – $181.80 | 2 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $693.36 – $693.36 | 1 |
| U2af1 gene common variants CPT 81357 | not published | not published | $193.25 – $200.98 | 2 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $4.02 – $4.18 | 2 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $70.75 – $448.70 | 4 |
| Ugt1a1 gene analy common variants CPT 81350 | $1,498.90 | $2,306.00 | $234.00 – $243.36 | 2 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $518.05 | $797.00 | $98.91 – $102.86 | 3 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $98.91 – $102.86 | 3 |
| Ultrasound breast complete CPT 76641 | $1,056.25 | $1,625.00 | $98.91 – $102.86 | 3 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $890.50 | $1,370.00 | $82.33 – $85.63 | 3 |
| Ultrasound chest CPT 76604 | $581.10 | $894.00 | $98.91 – $102.86 | 3 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | not published | not published | $98.91 – $102.86 | 3 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $98.91 – $102.86 | 3 |
| Ultrasound elastography parenchyma CPT 76981 | $330.20 | $508.00 | $98.91 – $102.86 | 3 |
| Ultrasound encephalogram CPT 76506 | $542.10 | $834.00 | $98.91 – $102.86 | 3 |
| Ultrasound exam k transpl w/doppler CPT 76776 | not published | not published | $98.91 – $102.86 | 3 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $670.80 | $1,032.00 | $98.91 – $102.86 | 3 |
| Ultrasound guidance for vascular access CPT 76937 | $656.47 | $1,009.96 | not published | 0 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $567.45 | $873.00 | not published | 0 |
| Ultrasound guide intraoperative CPT 76998 | $724.75 | $1,115.00 | not published | 0 |
| Ultrasound guide tissue ablation CPT 76940 | $961.35 | $1,479.00 | not published | 0 |
| Ultrasound hips infant dynamic CPT 76885 | not published | not published | $82.33 – $85.63 | 3 |
| Ultrasound infant hips ltd without stress CPT 76886 | not published | not published | $82.33 – $85.63 | 3 |
| Ultrasound joint complete left CPT 76881 | $771.55 | $1,187.00 | $98.91 – $102.86 | 3 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $567.45 | $873.00 | $98.91 – $102.86 | 3 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $98.91 – $102.86 | 3 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $368.55 | $567.00 | not published | 0 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $333.45 | $513.00 | not published | 0 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $847.60 | $1,304.00 | $225.74 – $234.77 | 3 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $638.30 | $982.00 | $98.91 – $102.86 | 3 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $655.85 | $1,009.00 | $98.91 – $102.86 | 3 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $656.50 | $1,010.00 | $98.91 – $102.86 | 3 |
| Ultrasound prostate/transrectal CPT 76872 | $719.55 | $1,107.00 | $98.91 – $102.86 | 3 |
| Ultrasound retroperitoneal limited CPT 76775 | $750.10 | $1,154.00 | $98.91 – $102.86 | 3 |
| Ultrasound scrotum and contents CPT 76870 | $834.60 | $1,284.00 | $98.91 – $102.86 | 3 |
| Ultrasound spinal canal and contents CPT 76800 | $625.30 | $962.00 | $98.91 – $102.86 | 3 |
| Ultrasound transabd ea addl gest CPT 76812 | $433.55 | $667.00 | not published | 0 |
| Ultrasound transvaginal non obstetric CPT 76830 | $872.95 | $1,343.00 | $98.91 – $102.86 | 3 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $330.06 – $343.26 | 3 |
| Ultraviolet therapy CPT 97028 | not published | not published | $7.89 – $8.21 | 3 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $288.30 – $299.83 | 3 |
| Unit mobile power mpu HCPCS Q0479 | $17,052.34 | $26,234.37 | not published | 0 |
| Unlisted chemotherapy px CPT 96549 | $578.50 | $890.00 | $44.30 – $46.07 | 3 |
| Unlisted CT procedure CPT 76497 | $1,645.80 | $2,532.00 | $82.33 – $85.63 | 3 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $378.21 – $393.34 | 3 |
| Unlisted dialysis procedure CPT 90999 | $1,671.80 | $2,572.00 | not published | 0 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $121.73 – $126.60 | 3 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $378.21 – $393.34 | 3 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $191.27 – $198.92 | 3 |
| Unlisted fluoroscopic px CPT 76496 | $247.65 | $381.00 | $82.33 – $85.63 | 3 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $378.21 – $393.34 | 3 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $378.21 – $393.34 | 3 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $191.27 – $198.92 | 3 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $5,719.53 – $5,948.32 | 3 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $5,719.53 – $5,948.32 | 3 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $5,719.53 – $5,948.32 | 3 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $5,719.53 – $5,948.32 | 3 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $5,719.53 – $5,948.32 | 3 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $5,719.53 – $5,948.32 | 3 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $5,719.53 – $5,948.32 | 3 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $5,719.53 – $5,948.32 | 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.