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 |
|---|---|---|---|---|
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $127.75 – $488.48 | 2 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $217.85 | $335.15 | $119.64 – $457.47 | 2 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $286.11 – $1,093.95 | 2 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $109.69 | $168.75 | $52.31 – $200.01 | 2 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $384.64 | $591.76 | $1,999.47 – $1,999.47 | 1 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $0.07 – $0.07 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $303.88 | $467.50 | $141.94 – $542.69 | 2 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $141.93 – $542.69 | 2 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $37.16 – $142.09 | 2 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $89.80 | $138.15 | $38.00 – $145.28 | 2 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $119.86 – $119.86 | 1 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $441.87 – $441.87 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $124.22 – $124.22 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $30.42 | $46.80 | $128.25 – $128.25 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $59.93 – $59.93 | 1 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $159.25 – $159.25 | 1 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $419.32 – $419.32 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $62.64 – $239.53 | 2 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $18.58 – $71.05 | 2 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $1,454.38 – $1,454.38 | 1 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $1,236.69 – $1,236.69 | 1 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $1,117.81 – $1,117.81 | 1 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $1,022.78 – $1,022.78 | 1 |
| Vaccine mmr live subcutaneous CPT 90707 | $312.09 | $480.14 | $601.19 – $601.19 | 1 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $1,808.04 – $1,808.04 | 1 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | not published | $226.90 – $867.56 | 2 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $438.58 – $1,676.94 | 2 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $431.05 – $1,648.14 | 2 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $737.88 | $1,135.20 | $506.66 – $1,937.26 | 2 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $290.75 – $290.75 | 1 |
| Vaccine rabies im CPT 90675 | $1,173.89 | $1,805.99 | $313.68 – $2,130.57 | 4 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $1,917.50 – $1,917.50 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $3,378.38 – $3,378.38 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $3,378.38 – $3,378.38 | 1 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $1,911.00 – $1,911.00 | 1 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $901.81 – $901.81 | 1 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $642.33 – $642.33 | 1 |
| Vaccine tdap >=7 years im CPT 90715 | $167.54 | $257.75 | $65.67 – $251.10 | 2 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $144.53 | $222.35 | $56.92 – $217.62 | 2 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $952.71 – $952.71 | 1 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $1,189.50 – $1,189.50 | 1 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $1,455.81 – $1,455.81 | 1 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.07 | 4 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | $1,172.01 | $1,803.09 | not published | 0 |
| Vad cable power module dc input HCPCS Q0478 | $601.65 | $925.61 | not published | 0 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $15,347.90 | $23,612.16 | not published | 0 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $4,732.70 – $4,922.01 | 3 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $4,732.70 – $4,922.01 | 3 |
| Vag hyst including t/o CPT 58262 | not published | not published | $4,732.70 – $4,922.01 | 3 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $4,732.70 – $4,922.01 | 3 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $4,732.70 – $4,922.01 | 3 |
| Vaginal bx CPT 58999 | $576.55 | $887.00 | $191.27 – $198.92 | 3 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $3,062.57 – $3,185.07 | 3 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $4,732.70 – $4,922.01 | 3 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $3,062.57 – $3,185.07 | 3 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $1,680.58 – $1,747.80 | 3 |
| Valproic acid total therapeutic drug level CPT 80164 | $87.75 | $135.00 | $13.54 – $14.08 | 2 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,323.34 – $9,051.38 | 4 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $80.80 | $124.30 | not published | 0 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $149.11 | $229.40 | not published | 0 |
| Vancomycin hcl injection HCPCS J3370 | $16.05 | $24.69 | $3.17 – $12.09 | 2 |
| Vancomycin peak therapeutic drug level CPT 80202 | $87.75 | $135.00 | $13.54 – $14.08 | 2 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $35.09 – $36.49 | 2 |
| Vantas implant HCPCS J9225 | not published | not published | $0.07 – $0.07 | 1 |
| Varicella zoster antibody igg CPT 86787 | $107.90 | $166.00 | $12.88 – $13.40 | 2 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $2,361.82 – $14,186.71 | 4 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Vasectomy CPT 55250 | $4,267.25 | $6,565.00 | $1,977.66 – $2,056.77 | 3 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $111.83 | $172.05 | $2.77 – $10.60 | 2 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $30,377.88 | $46,735.20 | $21.31 – $140.86 | 4 |
| Veeg cont 2-12 hrs CPT 95713 | not published | not published | $353.04 – $367.16 | 3 |
| Veeg ea 12-26hr cont mntr CPT 95716 | not published | not published | $812.43 – $844.93 | 3 |
| Veeg intrmnt 2-12 hrs CPT 95712 | not published | not published | $353.04 – $367.16 | 3 |
| Veeg unmon 12-26 hrs CPT 95714 | not published | not published | $353.04 – $367.16 | 3 |
| Veeg unmon 2-12 hrs CPT 95711 | not published | not published | $204.28 – $212.45 | 3 |
| Vein x-ray adrenal gland CPT 75840 | $1,112.15 | $1,711.00 | $2,987.22 – $3,106.71 | 3 |
| Vein x-ray adrenal glands CPT 75842 | $1,489.80 | $2,292.00 | not published | 0 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $593.48 – $617.22 | 3 |
| Vein x-ray kidney CPT 75831 | $3,080.35 | $4,739.00 | $2,987.22 – $3,106.71 | 3 |
| Vein x-ray liver CPT 75891 | $3,080.35 | $4,739.00 | $2,987.22 – $3,106.71 | 3 |
| Vein x-ray liver w/hemodynam CPT 75885 | $3,080.35 | $4,739.00 | $2,987.22 – $3,106.71 | 3 |
| Vein x-ray liver w/hemodynam CPT 75889 | $3,080.35 | $4,739.00 | $2,987.22 – $3,106.71 | 3 |
| Vein x-ray liver without hemodyn CPT 75887 | $3,080.35 | $4,739.00 | $2,987.22 – $3,106.71 | 3 |
| Vein x-ray skull CPT 75870 | $2,307.50 | $3,550.00 | $2,987.22 – $3,106.71 | 3 |
| Vein x-ray skull epidural CPT 75872 | $1,314.30 | $2,022.00 | $593.48 – $617.22 | 3 |
| Vein x-ray spleen/liver CPT 75810 | $2,990.65 | $4,601.00 | $2,987.22 – $3,106.71 | 3 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $381.36 – $2,431.13 | 4 |
| Vemp test i&r cervical CPT 92517 | not published | not published | $121.73 – $126.60 | 3 |
| Vemp test i&r ocular CPT 92518 | not published | not published | $121.73 – $126.60 | 3 |
| Vemp tst i&r cervical&ocular CPT 92519 | not published | not published | $204.28 – $212.45 | 3 |
| Ven blood coll snf/hha HCPCS G0471 | not published | not published | $11.34 – $11.79 | 2 |
| Vendaje, per square centimet HCPCS Q4252 | not published | not published | $117.73 – $122.44 | 3 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $657.80 | $1,012.00 | not published | 0 |
| Venogram ext bil s&i CPT 75822 | $1,673.75 | $2,575.00 | $1,489.27 – $1,548.84 | 3 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,285.70 | $1,978.00 | $1,489.27 – $1,548.84 | 3 |
| Venous m-thrombectomy add-on CPT 37188 | not published | not published | $2,987.22 – $3,106.71 | 3 |
| Venous sampling s&i CPT 75893 | $4,539.60 | $6,984.00 | not published | 0 |
| Venous thrombosis imaging CPT 78457 | not published | not published | $513.69 – $534.24 | 3 |
| Ven thrombosis images bilat CPT 78458 | $1,049.10 | $1,614.00 | $378.21 – $393.34 | 3 |
| Ventilator each subsequent day CPT 94003 | $611.65 | $941.00 | $584.48 – $607.86 | 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.