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 |
|---|---|---|---|---|
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $123.75 | $165.00 | $8.76 – $59.00 | 4 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $11,433.78 | $15,245.04 | $2,562.92 – $2,562.92 | 1 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $3,026.25 | $4,035.00 | $105.78 – $105.78 | 1 |
| Graft axiofill 1000mg HCPCS J3590 | $675,000.00 | $900,000.00 | not published | 0 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $1,428.00 – $4,155.79 | 2 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $17,736.75 | $23,649.00 | $231.49 – $231.49 | 1 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $31,488.75 | $41,985.00 | not published | 0 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $762.88 – $762.88 | 1 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $27,652.41 | $36,869.88 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $78,750.00 | $105,000.00 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $29,670.10 | $39,560.13 | $228.31 – $228.31 | 1 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $6,187.50 | $8,250.00 | $344.00 – $344.00 | 1 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $6,075.00 | $8,100.00 | $475.37 – $475.37 | 1 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $7,746.75 | $10,329.00 | $170.54 – $170.54 | 1 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $565.79 – $565.79 | 1 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $66,548.25 | $88,731.00 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $2,227.50 | $2,970.00 | $311.33 – $311.33 | 1 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $99,296.10 | $132,394.80 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $6,187.50 | $8,250.00 | not published | 0 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $3.06 – $3.06 | 1 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.77 – $0.92 | 2 |
| Granulocyte pheresis ea unit HCPCS P9050 | not published | not published | $11,466.00 – $11,466.00 | 1 |
| Great toe with reduction 28495 CPT 28495 | $537.00 | $716.00 | not published | 0 |
| Growth hormone antibody CPT 86277 | not published | not published | $8.31 – $37.77 | 3 |
| Growth hormone panel CPT 80428 | $130.50 | $174.00 | $35.60 – $160.08 | 4 |
| Growth hormone panel CPT 80430 | $252.00 | $336.00 | $41.55 – $310.38 | 4 |
| Growth stimulation gene 2 CPT 83006 | $1,513.50 | $2,018.00 | $7.12 – $181.44 | 4 |
| G-tube reposition CPT 43761 | $584.25 | $779.00 | not published | 0 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $221.19 – $7,666.07 | 2 |
| Guided cath fluid drainage 10030 CPT 10030 | $290.25 | $387.00 | not published | 0 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $2,108.25 | $2,811.00 | not published | 0 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $20,413.63 | $27,218.17 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $3,593.25 | $4,791.00 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $267.36 – $423.99 | 2 |
| Gw stiffened micro access kit HCPCS C1894 | $101,250.00 | $135,000.00 | not published | 0 |
| Hair analysis HCPCS P2031 | not published | not published | $11.88 – $11.88 | 1 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $120.02 | $160.02 | $16.34 – $16.34 | 1 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $8.58 | $11.44 | $2.90 – $2.90 | 1 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $92.25 | $123.00 | not published | 0 |
| Hand X-ray CPT 73130 | $375.75 | $501.00 | $79.26 – $87.52 | 2 |
| Hand X-ray (2 views, both hands) CPT 73120 | $370.50 | $494.00 | $64.71 – $161.25 | 2 |
| Haptoglobin quantitative CPT 83010 | $135.00 | $180.00 | $5.95 – $59.00 | 4 |
| Hast w/i&r phys/qhp CPT 94452 | $324.75 | $433.00 | not published | 0 |
| Hast w/oxygen titrate CPT 94453 | $390.00 | $520.00 | not published | 0 |
| Hba1/hba2 full gene sequence CPT 81259 | $1,051.50 | $1,402.00 | $59.00 – $1,440.00 | 3 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $714.75 | $953.00 | $59.00 – $485.76 | 3 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $853.69 – $900.60 | 2 |
| Hbb full gene sequence CPT 81364 | not published | not published | $738.43 – $778.98 | 2 |
| Hbb gene com variants CPT 81361 | not published | not published | $397.71 – $419.55 | 2 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $460.46 – $485.76 | 2 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $853.69 – $900.60 | 2 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $6.98 – $23.31 | 3 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $486.84 – $764.78 | 2 |
| Hcg free betachain test CPT 84704 | not published | not published | $7.36 – $36.69 | 3 |
| Hcg qualitative CPT 84703 | not published | not published | $3.55 – $18.06 | 3 |
| Hcg quantitative CPT 84702 | $87.00 | $116.00 | $7.12 – $59.00 | 4 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $328.77 – $2,095.20 | 2 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $1,613.97 – $1,613.97 | 1 |
| Hc nm kidney imaging with flow CPT 78701 | $1,312.50 | $1,750.00 | $492.30 – $506.31 | 2 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $807.75 | $1,077.00 | $446.25 – $1,694.37 | 2 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $3,958.50 | $5,278.00 | not published | 0 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $646.98 – $3,037.23 | 2 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $1,069.41 – $3,037.23 | 2 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $1,638.78 – $3,037.23 | 2 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $512.37 – $1,034.91 | 2 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $769.38 – $1,034.91 | 2 |
| Head CT scan (with and without contrast) CPT 70470 | $1,781.25 | $2,375.00 | $1,556.00 – $1,556.00 | 1 |
| Head CT scan (with contrast) CPT 70460 | $1,619.25 | $2,159.00 | $1,556.00 – $1,556.00 | 1 |
| Head CT scan (without contrast) CPT 70450 | $1,471.50 | $1,962.00 | $1,556.00 – $1,556.00 | 1 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $800.00 – $1,630.98 | 3 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $800.00 – $3,900.00 | 3 |
| Heart first pass add-on CPT 78496 | $1,070.25 | $1,427.00 | $51.99 – $51.99 | 1 |
| Heart first pass multiple CPT 78483 | not published | not published | $422.61 – $2,095.20 | 2 |
| Heart image spect CPT 78494 | not published | not published | $430.80 – $1,613.97 | 2 |
| Heart infarct image CPT 78466 | not published | not published | $369.84 – $1,613.97 | 2 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $400.77 – $2,095.20 | 2 |
| Heavy metal qual any number CPT 83015 | not published | not published | $6.03 – $50.25 | 3 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $387.75 | $517.00 | $57.45 – $87.52 | 2 |
| Heinz bodies direct CPT 85441 | not published | not published | $1.33 – $10.08 | 3 |
| Heinz bodies induced CPT 85445 | not published | not published | $3.18 – $16.38 | 3 |
| Helicobacter pylori antibody igm CPT 86677 | not published | not published | $6.87 – $40.44 | 3 |
| Helicoll, per square cm HCPCS Q4164 | not published | not published | $1,326.00 – $5,728.45 | 2 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $3.87 – $19.65 | 3 |
| Hematocrit CPT 85014 | $39.75 | $53.00 | $1.12 – $59.00 | 4 |
| Hematopoietic nuclear tx CPT 79403 | not published | not published | $276.15 – $1,083.33 | 2 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $41,382.91 | $55,177.21 | $119.25 – $119.25 | 1 |
| Hemodialysis repeated eval CPT 90937 | $1,246.50 | $1,662.00 | not published | 0 |
| Hemoglobin CPT 85018 | $36.75 | $49.00 | $2.98 – $59.00 | 4 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $1.24 – $9.63 | 3 |
| Hemoglobin fetal qualitative CPT 83033 | $52.50 | $70.00 | $3.08 – $59.00 | 4 |
| Hemoglobin f (fetal) chemical CPT 83030 | not published | not published | $3.59 – $25.77 | 3 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $132.75 | $177.00 | $3.80 – $59.00 | 4 |
| Hemoglobin-oxygen affinity CPT 82820 | not published | not published | $4.34 – $32.01 | 3 |
| Hemoglobin plasma CPT 83051 | $187.50 | $250.00 | $3.46 – $59.00 | 4 |
| Hemoglobin thermolabile CPT 83065 | not published | not published | $3.69 – $21.60 | 3 |
| Hemoglobin urine CPT 83069 | not published | not published | $2.15 – $9.48 | 3 |
| Hemolysin acid CPT 85475 | not published | not published | $3.80 – $21.30 | 3 |
| Hemolysins/agglutinins auto CPT 86940 | not published | not published | $4.41 – $21.06 | 3 |
| Hemolysins and agglutinins incubated CPT 86941 | not published | not published | $6.57 – $29.07 | 3 |
| Hemophilus influenza antibdy CPT 86684 | not published | not published | $7.50 – $38.01 | 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.