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 |
|---|---|---|---|---|
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $5,719.53 – $5,948.32 | 3 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $5,719.53 – $5,948.32 | 3 |
| Unlisted laps px renal CPT 50549 | not published | not published | $5,719.53 – $5,948.32 | 3 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $5,719.53 – $5,948.32 | 3 |
| Unlisted laps px testis CPT 54699 | not published | not published | $5,719.53 – $5,948.32 | 3 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $5,719.53 – $5,948.32 | 3 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $5,719.53 – $5,948.32 | 3 |
| Unlisted mr procedure CPT 76498 | $273.65 | $421.00 | $82.33 – $85.63 | 3 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $378.21 – $393.34 | 3 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $121.73 – $126.60 | 3 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $378.21 – $393.34 | 3 |
| Unlisted procedure colon CPT 45399 | $1,484.60 | $2,284.00 | $879.81 – $915.00 | 3 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $858.08 – $892.40 | 3 |
| Unlisted procedure liver CPT 47399 | not published | not published | $669.95 – $696.75 | 3 |
| Unlisted procedure microbiology CPT 87999 | $487.50 | $750.00 | not published | 0 |
| Unlisted procedure pancreas CPT 48999 | $1,731.60 | $2,664.00 | $669.95 – $696.75 | 3 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $879.81 – $915.00 | 3 |
| Unlisted procedure spine CPT 22899 | not published | not published | $233.37 – $242.70 | 3 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $233.37 – $242.70 | 3 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $233.37 – $242.70 | 3 |
| Unlisted px biliary tract CPT 47999 | $1,731.60 | $2,664.00 | $858.08 – $892.40 | 3 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $153.74 – $159.89 | 3 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $669.95 – $696.75 | 3 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $233.37 – $242.70 | 3 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $233.37 – $242.70 | 3 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $233.37 – $242.70 | 3 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $233.37 – $242.70 | 3 |
| Unlisted px male genital sys CPT 55899 | $452.40 | $696.00 | $236.38 – $245.83 | 3 |
| Unlisted px pelvis/hip joint CPT 27299 | $4,206.80 | $6,472.00 | $233.37 – $242.70 | 3 |
| Unlisted px small intestine CPT 44799 | $1,484.60 | $2,284.00 | $858.08 – $892.40 | 3 |
| Unlisted reprod med lab proc CPT 89398 | $85.15 | $131.00 | not published | 0 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $378.21 – $393.34 | 3 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $189.82 – $197.41 | 3 |
| Unlisted ultrasound procedure CPT 76999 | $480.35 | $739.00 | $82.33 – $85.63 | 3 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $593.48 – $617.22 | 3 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $378.21 – $393.34 | 3 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $5,719.53 – $5,948.32 | 3 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $5,719.53 – $5,948.32 | 3 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,043.25 | $1,605.00 | not published | 0 |
| Upgrade pm system CPT 33214 | not published | not published | $9,888.39 – $10,283.93 | 3 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,036.80 | $4,672.00 | $330.06 – $343.26 | 3 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,899.00 | $4,460.00 | $330.06 – $343.26 | 3 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,761.20 | $4,248.00 | $225.74 – $234.77 | 3 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $2,066.35 | $3,179.00 | $858.08 – $892.40 | 3 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $2,222.35 | $3,419.00 | $858.08 – $892.40 | 3 |
| Uppr gi scope w/submuc inj CPT 43236 | $2,249.00 | $3,460.00 | $858.08 – $892.40 | 3 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $5,719.53 – $5,948.32 | 3 |
| Urea nitrogen CPT 84520 | $22.10 | $34.00 | $3.95 – $4.11 | 2 |
| Urea nitrogen 24 hour urine CPT 84540 | $37.70 | $58.00 | $5.56 – $5.78 | 2 |
| Urea nitrogen clearance CPT 84545 | $20.15 | $31.00 | $7.20 – $7.49 | 2 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $5.13 – $5.34 | 2 |
| Ureteral embolization/occl CPT 50705 | $999.05 | $1,537.00 | not published | 0 |
| Ureteral reflux study CPT 78740 | $1,962.35 | $3,019.00 | $378.21 – $393.34 | 3 |
| Ureter endoscopy CPT 50970 | not published | not published | $3,334.90 – $3,468.30 | 3 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $5,072.67 – $5,275.58 | 3 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $5,072.67 – $5,275.58 | 3 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $3,334.90 – $3,468.30 | 3 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $5,072.67 – $5,275.58 | 3 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $5,072.67 – $5,275.58 | 3 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $5,072.67 – $5,275.58 | 3 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $5,072.67 – $5,275.58 | 3 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $932.10 | $1,434.00 | $225.74 – $234.77 | 3 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $3,334.90 – $3,468.30 | 3 |
| Urethrocystography void s&i CPT 74455 | $737.10 | $1,134.00 | $225.74 – $234.77 | 3 |
| Uric acid blood CPT 84550 | $29.90 | $46.00 | $4.52 – $4.70 | 2 |
| Uric acid urine CPT 84560 | $41.60 | $64.00 | $5.08 – $5.28 | 2 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.70 – $4.89 | 2 |
| Urinalysis microscopic only CPT 81015 | $38.35 | $59.00 | $3.05 – $3.17 | 2 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.17 – $2.26 | 2 |
| Urinalysis (with microscopy) CPT 81001 | $43.55 | $67.00 | $3.17 – $3.30 | 2 |
| Urinalysis (without microscopy) CPT 81003 | $29.90 | $46.00 | $2.25 – $2.34 | 2 |
| Urinary reflex study CPT 51792 | not published | not published | $55.81 – $58.04 | 3 |
| Urine Culture Test CPT 87086 | $35.75 | $55.00 | $8.07 – $8.39 | 2 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $125.87 – $130.91 | 3 |
| Urine pregnancy test CPT 81025 | $56.55 | $87.00 | $8.61 – $8.95 | 2 |
| Urine screen for bacteria CPT 81007 | not published | not published | $29.98 – $31.18 | 2 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $0.07 – $0.07 | 1 |
| Urography, antegrade CPT 74425 | $561.60 | $864.00 | $330.06 – $343.26 | 3 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $165.94 – $172.58 | 3 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $0.07 – $0.07 | 1 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $0.07 – $0.07 | 1 |
| Use 1st target lesion CPT 76982 | not published | not published | $98.91 – $102.86 | 3 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $12.99 – $82.94 | 4 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $265.00 – $1,013.22 | 2 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $12,146.38 – $12,632.24 | 3 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $274.81 – $1,050.73 | 2 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $250.00 – $955.89 | 2 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $265.02 – $1,013.35 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $149.23 – $570.57 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $111.44 – $426.08 | 2 |
| Vaccine dtap < 7 years im CPT 90700 | $110.37 | $169.80 | $187.20 – $187.20 | 1 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $636.81 – $636.81 | 1 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $397.02 – $397.02 | 1 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $1,018.03 – $1,018.03 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $780.39 – $780.39 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $198.77 – $198.77 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $59.28 | $91.20 | $78.33 – $78.33 | 1 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $121.73 – $465.47 | 2 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $820.30 – $820.30 | 1 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $247.07 – $247.07 | 1 |
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.