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 |
|---|---|---|---|---|
| Busulfan injection HCPCS J0594 | not published | not published | $0.88 – $9.23 | 4 |
| Butorphanol tartrate 1 mg HCPCS J0595 | not published | not published | $9.66 – $36.92 | 2 |
| Buttock fasciotomy CPT 27027 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | $3,224.00 | $4,960.00 | $1,562.54 – $1,625.04 | 3 |
| Bx bone trocar/ndl deep CPT 20225 | $2,179.45 | $3,353.00 | $1,562.54 – $1,625.04 | 3 |
| Bx breast 1st lesion mr imag CPT 19085 | $3,446.95 | $5,303.00 | $1,562.54 – $1,625.04 | 3 |
| Bx breast 1st lesion strtctc CPT 19081 | $4,618.25 | $7,105.00 | $1,562.54 – $1,625.04 | 3 |
| Bx breast add lesion mr imag CPT 19086 | $861.90 | $1,326.00 | not published | 0 |
| Bx breast add lesion strtctc CPT 19082 | $2,571.40 | $3,956.00 | not published | 0 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $861.90 | $1,326.00 | not published | 0 |
| Bx breast perq without image 19100 CPT 19100 | $1,591.20 | $2,448.00 | $1,562.54 – $1,625.04 | 3 |
| Bx breast pq tomo guide CPT 19499 | not published | not published | $3,704.30 – $3,852.47 | 3 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | not published | not published | $288.30 – $299.83 | 3 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | $3,704.30 – $3,852.47 | 3 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $3,704.30 – $3,852.47 | 3 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | not published | not published | $2,748.08 – $2,858.01 | 3 |
| Bx liver with other CPT 47001 | $551.20 | $848.00 | not published | 0 |
| Bx muscle CPT 20200 | not published | not published | $1,562.54 – $1,625.04 | 3 |
| Bx of breast open 19101 CPT 19101 | not published | not published | $3,704.30 – $3,852.47 | 3 |
| Bx of cervix w/scope leep 57460 CPT 57460 | not published | not published | $3,062.57 – $3,185.07 | 3 |
| Bx pancreas pq ndl CPT 48102 | $3,825.25 | $5,885.00 | $1,562.54 – $1,625.04 | 3 |
| Bx perianal mass CPT 46999 | $1,441.70 | $2,218.00 | $879.81 – $915.00 | 3 |
| Bx pleura pq ndl CPT 32400 | $1,514.50 | $2,330.00 | $1,562.54 – $1,625.04 | 3 |
| Bx prostate trnsrctl u/s guid CPT 55707 | not published | not published | $3,334.90 – $3,468.30 | 3 |
| Bx prst8 ndl sat sampling CPT 55706 | not published | not published | $3,334.90 – $3,468.30 | 3 |
| Bx shoulder tissues deep 23066 CPT 23066 | not published | not published | $2,748.08 – $2,858.01 | 3 |
| Bx shoulder tissues supf 23065 CPT 23065 | $5,084.30 | $7,822.00 | $1,562.54 – $1,625.04 | 3 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $201.50 | $310.00 | not published | 0 |
| Bx skin punch ea sep/ addl les CPT 11105 | $109.20 | $168.00 | not published | 0 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $135.20 | $208.00 | not published | 0 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | not published | not published | $1,562.54 – $1,625.04 | 3 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | $1,335.10 | $2,054.00 | $1,562.54 – $1,625.04 | 3 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | $1,867.45 | $2,873.00 | $1,562.54 – $1,625.04 | 3 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | $2,542.15 | $3,911.00 | $1,562.54 – $1,625.04 | 3 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | $1,906.45 | $2,933.00 | $1,562.54 – $1,625.04 | 3 |
| Bx spinal cord pq ndl CPT 62269 | not published | not published | $1,562.54 – $1,625.04 | 3 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | $6,177.60 | $9,504.00 | $1,562.54 – $1,625.04 | 3 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $1,147.25 | $1,765.00 | $669.95 – $696.75 | 3 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $1,755.00 | $2,700.00 | not published | 0 |
| Bypass temp external fem-fem CPT 37799 | $488.80 | $752.00 | $593.48 – $617.22 | 3 |
| C-1 esterase, berinert HCPCS J0597 | not published | not published | $75.86 – $470.99 | 4 |
| C-1 esterase, cinryze HCPCS J0598 | not published | not published | $65.63 – $416.46 | 4 |
| C1 esterase inhibitor func - sendout CPT 86161 | $106.60 | $164.00 | $12.00 – $12.48 | 2 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | not published | not published | $227.28 – $1,456.59 | 4 |
| Cabergoline, oral 0.25mg HCPCS J8515 | not published | not published | $14.56 – $14.56 | 1 |
| Cable centrimag pressure HCPCS Q0508 | $3,340.99 | $5,139.98 | not published | 0 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | not published | not published | $23.65 – $150.61 | 4 |
| Cacna1a gene full gene seq CPT 81185 | not published | not published | $846.27 – $880.12 | 2 |
| Cad breast MRI w/r&i HCPCS C8937 | $0.65 | $1.00 | not published | 0 |
| Cadd pump refill CPT 96521 | $206.05 | $317.00 | $201.23 – $209.28 | 3 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | not published | not published | $9.49 – $9.49 | 1 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | not published | not published | $82.08 – $497.45 | 4 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $454.71 | $699.55 | $1,942.10 – $7,425.67 | 2 |
| Calcium 24 hour urine CPT 82340 | $44.20 | $68.00 | $6.03 – $6.27 | 2 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | not published | not published | $0.13 – $0.13 | 1 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $35.72 | $54.95 | not published | 0 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $49.08 | $75.50 | $0.06 – $0.26 | 2 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | not published | not published | $0.18 – $0.72 | 2 |
| Calcium ionized CPT 82330 | $93.60 | $144.00 | $13.68 – $14.23 | 2 |
| Calcium total CPT 82310 | $50.05 | $77.00 | $5.16 – $5.37 | 2 |
| Calculi urinary-sendout CPT 82360 | not published | not published | $12.87 – $13.38 | 2 |
| Calculus analysis qual CPT 82355 | not published | not published | $11.58 – $12.04 | 2 |
| Caloric vstblr test w/rec CPT 92538 | not published | not published | $204.28 – $212.45 | 3 |
| Calprotectin fecal CPT 83993 | $222.95 | $343.00 | $19.63 – $20.42 | 2 |
| Campylobacter antibody CPT 86625 | $36.40 | $56.00 | $13.12 – $13.64 | 2 |
| Canakinumab injection HCPCS J0638 | not published | not published | $141.60 – $883.22 | 4 |
| Candida dna CPT 87480 | $80.60 | $124.00 | $20.05 – $20.85 | 2 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $7,904.31 | $12,160.48 | not published | 0 |
| Cantharidin top, applicator HCPCS J7354 | not published | not published | $654.76 – $4,626.38 | 4 |
| Capecitabine, oral, 50 mg HCPCS J8522 | not published | not published | $0.04 – $0.26 | 4 |
| Capsaicin 8% patch HCPCS J7336 | not published | not published | $3.42 – $21.65 | 4 |
| Capsular contracture release CPT 23020 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Carbamazepine free CPT 80157 | $76.70 | $118.00 | $13.25 – $13.78 | 2 |
| Carbamazepine free -sendout CPT 80161 | $95.55 | $147.00 | $18.64 – $19.39 | 2 |
| Carbamazepine total therapeutic drug level CPT 80156 | $99.45 | $153.00 | $14.57 – $15.15 | 2 |
| Carbidopa levodopa ent 100ml HCPCS J7340 | not published | not published | $243.61 – $1,533.68 | 4 |
| Carbohydrate deficient transf - sendout CPT 82373 | $94.25 | $145.00 | $18.06 – $18.78 | 2 |
| Carbohydrate urine - sendout CPT 84377 | $94.25 | $145.00 | $5.50 – $5.72 | 2 |
| Carbon dioxide CPT 82374 | $39.65 | $61.00 | $4.88 – $5.08 | 2 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $122.46 | $188.40 | $6.17 – $23.60 | 2 |
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | $428.32 | $658.95 | not published | 0 |
| Carboxyhemoglobin quantitative CPT 82375 | $50.70 | $78.00 | $12.32 – $12.81 | 2 |
| Carcinoembryonic ag (cea) CPT 82378 | $115.05 | $177.00 | $18.96 – $19.72 | 2 |
| Cardiac MRI seg dys strain HCPCS C9762 | not published | not published | $516.95 – $537.63 | 3 |
| Cardiac MRI seg dys stress HCPCS C9763 | not published | not published | $516.95 – $537.63 | 3 |
| Cardiac MRI w/stress img CPT 75559 | not published | not published | $516.95 – $537.63 | 3 |
| Cardiac perf planar mult/ef/wm CPT 78454 | $1,896.70 | $2,918.00 | $1,224.84 – $1,273.83 | 3 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $1,186.90 | $1,826.00 | $1,224.84 – $1,273.83 | 3 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $1,795.95 | $2,763.00 | $1,224.84 – $1,273.83 | 3 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $122.20 | $188.00 | $121.96 – $126.84 | 3 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $122.20 | $188.00 | $121.96 – $126.84 | 3 |
| Cardiac shunt imaging CPT 78428 | $635.70 | $978.00 | $378.21 – $393.34 | 3 |
| Cardiokymography HCPCS Q0035 | not published | not published | $35.34 – $36.75 | 3 |
| Cardiolipin antibody iga CPT 86147 | $179.40 | $276.00 | $25.45 – $26.47 | 2 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $772.20 | $1,188.00 | $625.30 – $650.32 | 3 |
| Cardioversion/elective/internal 92961 CPT 92961 | not published | not published | $625.30 – $650.32 | 3 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $257.40 | $396.00 | $39.23 – $40.80 | 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.