University Hospitals Conneaut Medical Center
158 West Main Road, Conneaut, OH · University Hospitals · · NPI 1902996119
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 |
|---|---|---|---|---|
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $1.17 – $4,403.55 | 2 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $554.26 | $739.01 | $0.03 – $0.03 | 1 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $16.28 | $21.70 | $0.38 – $0.38 | 1 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $200.06 – $716.60 | 2 |
| Dexamethasone panel CPT 80420 | not published | not published | $36.83 – $388.50 | 3 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $465.34 | $620.45 | $111.99 – $111.99 | 1 |
| Dextran 40 infusion HCPCS J7100 | $225.55 | $300.73 | $98.66 – $98.66 | 1 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $12.34 – $12.34 | 1 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $0.71 – $0.71 | 1 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $22.19 | $29.58 | $4.71 – $4.71 | 1 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $22.19 | $29.58 | not published | 0 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $36.98 | $49.30 | $7.05 – $7.05 | 1 |
| Dextrose 5 % IV bolus HCPCS J7070 | $22.19 | $29.58 | $10.61 – $10.61 | 1 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $222.00 | $296.00 | $10.52 – $59.00 | 4 |
| Diabetes (HbA1c) Test CPT 83036 | $146.25 | $195.00 | $9.00 – $59.00 | 4 |
| Diab manage trn ind/group HCPCS G0109 | $53.25 | $71.00 | not published | 0 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $168.00 | $224.00 | not published | 0 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $153.00 | $204.00 | $254.00 – $254.00 | 1 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $128.25 | $171.00 | $254.00 – $254.00 | 1 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $489.75 | $653.00 | not published | 0 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $474.00 | $632.00 | $254.00 – $254.00 | 1 |
| Diagnostic Mammogram (one breast) CPT 77065 | $372.00 | $496.00 | $254.00 – $254.00 | 1 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $346.32 – $346.32 | 1 |
| Dialysis repeated eval CPT 90947 | $2,139.00 | $2,852.00 | not published | 0 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $58.24 | $77.65 | $0.24 – $0.24 | 1 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $143.84 | $191.78 | $21.54 – $21.54 | 1 |
| Dicyclomine injection HCPCS J0500 | $310.41 | $413.88 | $40.74 – $40.74 | 1 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.24 – $0.24 | 1 |
| Diffusing capacity CPT 94729 | $256.50 | $342.00 | not published | 0 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $472.14 | $629.51 | $13.96 – $13.96 | 1 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $17,050.66 | $22,734.21 | $17,345.31 – $17,345.31 | 1 |
| Digoxin total therapeutic drug level CPT 80162 | $135.00 | $180.00 | $6.28 – $59.00 | 4 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $297.86 | $397.14 | $338.87 – $338.87 | 1 |
| Dilate esophagus 1/mult pass CPT 43450 | $1,459.50 | $1,946.00 | not published | 0 |
| Dilation of rectal stricture 45910 CPT 45910 | $1,146.00 | $1,528.00 | not published | 0 |
| Dilator fascial 10fx20cm HCPCS C2627 | $291.87 | $389.16 | not published | 0 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $107.23 | $142.97 | $0.10 – $0.10 | 1 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $54.55 – $54.55 | 1 |
| Dimenhydrinate injection HCPCS J1240 | $17.32 | $23.09 | $27.02 – $27.02 | 1 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $2,501.55 | $3,335.40 | $2,593.43 – $2,593.43 | 1 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $36.98 | $49.30 | not published | 0 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $5.92 | $7.89 | $3.14 – $3.14 | 1 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $67.16 – $67.16 | 1 |
| Dipyridamole injection HCPCS J1245 | $64.49 | $85.98 | $13.48 – $13.48 | 1 |
| Disability dlco CPT 94727 | $279.00 | $372.00 | not published | 0 |
| Disaccharidases CPT 82657 | $1,443.00 | $1,924.00 | $8.54 – $59.00 | 4 |
| Discography cerv/thor spine CPT 72285 | $1,564.50 | $2,086.00 | $210.27 – $2,268.92 | 2 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $0.03 – $8.31 | 2 |
| Dmd dup/delet analysis CPT 81161 | $2,106.00 | $2,808.00 | $59.00 – $669.60 | 4 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $625.24 – $659.58 | 2 |
| Dmpk gene detc abnor allele CPT 81234 | $567.75 | $757.00 | $59.00 – $328.80 | 2 |
| Dna antibody native/double stranded CPT 86225 | $164.25 | $219.00 | $6.50 – $59.00 | 4 |
| Dna gardnerella CPT 87510 | not published | not published | $9.49 – $48.12 | 3 |
| Dna probe chlamydia CPT 87490 | not published | not published | $9.49 – $54.60 | 3 |
| Dna probe gc CPT 87590 | not published | not published | $9.49 – $64.50 | 3 |
| Dna trichomonas CPT 87660 | not published | not published | $9.49 – $48.12 | 3 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $130.35 | $173.79 | $27.82 – $27.82 | 1 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $1,164.72 | $1,552.95 | $1.29 – $1.29 | 1 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $50.49 – $171.30 | 2 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $5.98 – $21.68 | 2 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $61.52 – $61.52 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $98.91 | $131.88 | $2.27 – $2.27 | 1 |
| Doppler echo complete CPT 93320 | $608.25 | $811.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $568.50 | $758.00 | not published | 0 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $564.75 | $753.00 | not published | 0 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $0.81 – $0.81 | 1 |
| Dornase alfa non-comp unit HCPCS J7639 | $479.80 | $639.73 | $192.53 – $192.53 | 1 |
| Dornhoffer fixed part w/window HCPCS L8614 | $77,636.25 | $103,515.00 | not published | 0 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $240.61 – $851.18 | 2 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $901.65 | $1,202.19 | $9.50 – $9.50 | 1 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $163.28 – $381.50 | 2 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $89.34 | $119.11 | $0.38 – $0.38 | 1 |
| Dpyd gene common variants CPT 81232 | $340.50 | $454.00 | $59.00 – $419.55 | 3 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $632.25 | $843.00 | not published | 0 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $654.75 | $873.00 | not published | 0 |
| Drainage external ear complex 69005 CPT 69005 | $3,767.25 | $5,023.00 | not published | 0 |
| Drainage external ear simple 69000 CPT 69000 | $485.25 | $647.00 | not published | 0 |
| Drainage mouth roof lesion CPT 42000 | $226.50 | $302.00 | not published | 0 |
| Drainage of arm bursa 23931 CPT 23931 | $2,439.75 | $3,253.00 | not published | 0 |
| Drainage of eye CPT 65810 | $2,164.50 | $2,886.00 | not published | 0 |
| Drainage of kidney lesion CPT 50390 | $1,830.00 | $2,440.00 | not published | 0 |
| Drainage of mouth lesion CPT 41008 | $2,989.50 | $3,986.00 | not published | 0 |
| Drainage of mouth lesion CPT 41017 | $3,162.00 | $4,216.00 | not published | 0 |
| Drainage of nose lesion int 30000 CPT 30000 | $227.25 | $303.00 | not published | 0 |
| Drainage of nose lesion sept 30020 CPT 30020 | $510.75 | $681.00 | not published | 0 |
| Drain blood from under nail 11740 CPT 11740 | $159.00 | $212.00 | not published | 0 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $2,930.25 | $3,907.00 | not published | 0 |
| Drain cath image guided visceral pq CPT 49405 | $3,198.00 | $4,264.00 | not published | 0 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,485.75 | $1,981.00 | not published | 0 |
| Drain finger abscess;simple 26010 CPT 26010 | $176.25 | $235.00 | not published | 0 |
| Drain lower leg lesion 27603 CPT 27603 | $3,022.50 | $4,030.00 | not published | 0 |
| Drain neck/chest lesion 21501 CPT 21501 | $2,639.25 | $3,519.00 | not published | 0 |
| Drain ovarn cyst abd CPT 58805 | $4,140.00 | $5,520.00 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $239.25 | $319.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $201.75 | $269.00 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $285.00 | $380.00 | not published | 0 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $9,875.23 | $13,166.97 | $171.44 – $171.44 | 1 |
| Drng of eyelid abscess 67700 CPT 67700 | $309.75 | $413.00 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $925.50 | $1,234.00 | not published | 0 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | $831.75 | $1,109.00 | not published | 0 |
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.