University Hospitals Elyria Medical Center
630 East River Street, Elyria, OH · University Hospitals · · NPI 1841299039
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 |
|---|---|---|---|---|
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,049.00 | $2,732.00 | $165.94 – $2,458.80 | 30 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,962.75 | $2,617.00 | $165.94 – $2,355.30 | 30 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,722.00 | $2,296.00 | $98.91 – $2,066.40 | 30 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,629.50 | $3,506.00 | $330.06 – $3,155.40 | 30 |
| Abdominal MRI (with contrast) CPT 74182 | $2,457.75 | $3,277.00 | $330.06 – $2,949.30 | 30 |
| Abdominal MRI (without contrast) CPT 74181 | $2,285.25 | $3,047.00 | $225.74 – $2,742.30 | 30 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,119.75 | $1,493.00 | $98.91 – $1,343.70 | 36 |
| Abdominal Ultrasound (limited) CPT 76705 | $753.00 | $1,004.00 | $98.91 – $903.60 | 36 |
| Allergy Skin Testing CPT 95004 | $97.50 | $130.00 | $42.90 – $1,462.38 | 36 |
| Ankle X-ray CPT 73610 | $396.75 | $529.00 | $77.46 – $476.10 | 36 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $167.25 | $223.00 | $73.59 – $209.59 | 33 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $167.25 | $223.00 | $73.59 – $222.50 | 33 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $167.25 | $223.00 | $73.59 – $231.94 | 33 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $167.25 | $223.00 | $73.59 – $268.84 | 33 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $5,719.53 – $10,295.16 | 17 |
| Blood Clotting (PT/INR) Test CPT 85610 | $69.00 | $92.00 | $4.29 – $82.80 | 36 |
| Blood Clotting (PTT) Test CPT 85730 | $78.00 | $104.00 | $6.01 – $93.60 | 36 |
| Blood Count (CBC) Test CPT 85025 | $104.25 | $139.00 | $7.77 – $125.10 | 36 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $90.75 | $121.00 | $6.47 – $108.90 | 36 |
| Blood Culture Test CPT 87040 | $150.75 | $201.00 | $10.32 – $180.90 | 36 |
| Bone Density Scan (DEXA) CPT 77080 | $483.00 | $644.00 | $81.09 – $579.60 | 36 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,229.00 | $2,972.00 | $330.06 – $2,674.80 | 30 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $1,998.00 | $2,664.00 | $330.06 – $2,397.60 | 30 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,779.75 | $2,373.00 | $225.74 – $2,135.70 | 30 |
| Brain MRI (with and without contrast) CPT 70553 | $2,345.25 | $3,127.00 | $330.06 – $2,814.30 | 30 |
| Brain MRI (with contrast) CPT 70552 | $2,212.50 | $2,950.00 | $330.06 – $2,655.00 | 30 |
| Brain MRI (without contrast) CPT 70551 | $2,081.25 | $2,775.00 | $225.74 – $2,497.50 | 30 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $4,049.25 | $5,399.00 | $1,562.54 – $4,859.10 | 36 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | $2,418.69 – $4,353.65 | 17 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,605.50 | $3,474.00 | $330.06 – $3,126.60 | 30 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,150.25 | $2,867.00 | $165.94 – $2,580.30 | 30 |
| CT Angiogram of the Head CPT 70496 | $2,237.25 | $2,983.00 | $165.94 – $2,684.70 | 30 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,605.50 | $3,474.00 | $330.06 – $3,126.60 | 30 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,493.75 | $3,325.00 | $330.06 – $2,992.50 | 30 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,418.75 | $3,225.00 | $225.74 – $2,902.50 | 30 |
| Cardiac Stress Test CPT 93015 | not published | not published | $69.34 – $124.81 | 17 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,306.50 | $1,742.00 | $225.74 – $1,567.80 | 36 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $1,847.43 – $3,325.37 | 17 |
| Cataract Surgery CPT 66984 | not published | not published | $2,183.38 – $3,930.08 | 17 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,829.25 | $2,439.00 | $165.94 – $2,195.10 | 30 |
| Chest CT scan (with contrast) CPT 71260 | $1,747.50 | $2,330.00 | $165.94 – $2,097.00 | 30 |
| Chest CT scan (without contrast) CPT 71250 | $1,519.50 | $2,026.00 | $98.91 – $1,823.40 | 30 |
| Chest X-ray CPT 71046 | $366.00 | $488.00 | $63.81 – $439.20 | 36 |
| Chest X-ray (single view) CPT 71045 | $292.50 | $390.00 | $47.43 – $351.00 | 36 |
| Cholesterol (Lipid) Test CPT 80061 | $143.25 | $191.00 | $13.39 – $54.90 | 36 |
| Circumcision (newborn) CPT 54150 | $1,549.50 | $2,066.00 | $739.63 – $3,559.80 | 35 |
| Colonoscopy (diagnostic) CPT 45378 | $2,602.50 | $3,470.00 | $879.81 – $3,123.00 | 35 |
| Colonoscopy (with biopsy) CPT 45380 | $2,538.00 | $3,384.00 | $1,132.12 – $3,045.60 | 35 |
| Colonoscopy (with polyp removal) CPT 45385 | $2,472.75 | $3,297.00 | $1,132.12 – $2,967.30 | 35 |
| Cystoscopy (Bladder Scope) CPT 52000 | $2,580.00 | $3,440.00 | $659.70 – $3,096.00 | 35 |
| Diabetes (HbA1c) Test CPT 83036 | $114.75 | $153.00 | $9.71 – $121.50 | 36 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $655.50 | $874.00 | $146.43 – $786.60 | 33 |
| Diagnostic Mammogram (one breast) CPT 77065 | $502.50 | $670.00 | $115.62 – $603.00 | 33 |
| EKG (Electrocardiogram) CPT 93000 | not published | not published | $14.59 – $26.25 | 17 |
| ER Visit (level 1, minor) CPT 99281 | $312.00 | $416.00 | $79.78 – $374.40 | 34 |
| ER Visit (level 2) CPT 99282 | $510.00 | $680.00 | $145.26 – $612.00 | 34 |
| ER Visit (level 3) CPT 99283 | $850.50 | $1,134.00 | $258.26 – $1,020.60 | 34 |
| ER Visit (level 4) CPT 99284 | $1,334.25 | $1,779.00 | $394.76 – $1,601.10 | 34 |
| ER Visit (level 5, high severity) CPT 99285 | $4,134.00 | $5,512.00 | $563.42 – $1,822.50 | 34 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,126.25 | $2,835.00 | $516.95 – $2,551.50 | 36 |
| Established Patient Office Visit (level 1) CPT 99211 | $109.50 | $146.00 | $22.82 – $113.40 | 33 |
| Established Patient Office Visit (level 2) CPT 99212 | $114.00 | $152.00 | $50.16 – $136.80 | 33 |
| Established Patient Office Visit (level 3) CPT 99213 | $126.00 | $168.00 | $55.44 – $163.75 | 33 |
| Established Patient Office Visit (level 4) CPT 99214 | $147.75 | $197.00 | $65.01 – $233.70 | 33 |
| Established Patient Office Visit (level 5) CPT 99215 | $168.75 | $225.00 | $74.25 – $332.02 | 33 |
| Flexible Sigmoidoscopy CPT 45330 | $1,763.25 | $2,351.00 | $841.66 – $2,115.90 | 36 |
| Foot X-ray CPT 73630 | $420.00 | $560.00 | $72.00 – $504.00 | 36 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $5,719.53 – $10,295.16 | 17 |
| Hand X-ray CPT 73130 | $431.25 | $575.00 | $79.26 – $517.50 | 36 |
| Head CT scan (with and without contrast) CPT 70470 | $1,629.00 | $2,172.00 | $165.94 – $1,954.80 | 30 |
| Head CT scan (with contrast) CPT 70460 | $1,496.25 | $1,995.00 | $165.94 – $1,795.50 | 30 |
| Head CT scan (without contrast) CPT 70450 | $1,257.00 | $1,676.00 | $98.91 – $1,508.40 | 30 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $3,387.33 – $6,097.20 | 17 |
| Hip X-ray CPT 73502 | $436.50 | $582.00 | $82.33 – $523.80 | 36 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $972.75 | $1,297.00 | $98.91 – $1,167.30 | 36 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $3,095.56 – $5,572.02 | 17 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $3,095.56 – $5,572.02 | 17 |
| Knee MRI (with and without contrast) CPT 73723 | $2,628.75 | $3,505.00 | $330.06 – $3,154.50 | 30 |
| Knee MRI (with contrast) CPT 73722 | $2,259.00 | $3,012.00 | $741.65 – $2,710.80 | 30 |
| Knee MRI (without contrast) CPT 73721 | $2,628.75 | $3,505.00 | $225.74 – $3,154.50 | 30 |
| Knee X-ray CPT 73564 | $508.50 | $678.00 | $98.91 – $610.20 | 36 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,209.00 | $1,612.00 | $225.74 – $1,450.80 | 36 |
| Liver Function Test CPT 80076 | $141.75 | $189.00 | $8.17 – $170.10 | 36 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,817.25 | $2,423.00 | $165.94 – $2,180.70 | 30 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,829.25 | $2,439.00 | $330.06 – $2,195.10 | 30 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,734.75 | $2,313.00 | $98.91 – $2,081.70 | 30 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,590.50 | $3,454.00 | $330.06 – $3,108.60 | 30 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,441.25 | $3,255.00 | $330.06 – $2,929.50 | 30 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,265.75 | $3,021.00 | $225.74 – $2,718.90 | 30 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $439.50 | $586.00 | $80.19 – $527.40 | 36 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $16,588.34 – $29,859.02 | 17 |
| Lung Function Test (Spirometry) CPT 94010 | $478.50 | $638.00 | $204.28 – $574.20 | 36 |
| Metabolic Blood Panel (Basic) CPT 80048 | $123.00 | $164.00 | $8.46 – $147.60 | 36 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $198.00 | $264.00 | $10.56 – $237.60 | 36 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | not published | not published | $165.94 – $298.70 | 17 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,732.50 | $2,310.00 | $330.06 – $2,079.00 | 30 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,568.25 | $2,091.00 | $98.91 – $1,881.90 | 30 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $2,590.50 | $3,454.00 | $330.06 – $3,108.60 | 30 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $2,373.75 | $3,165.00 | $330.06 – $2,848.50 | 30 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $2,194.50 | $2,926.00 | $225.74 – $2,633.40 | 30 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $2,229.00 | $2,972.00 | $330.06 – $2,674.80 | 30 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $1,998.00 | $2,664.00 | $330.06 – $2,397.60 | 30 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $1,779.75 | $2,373.00 | $225.74 – $2,135.70 | 30 |
| New Patient Office Visit (level 2) CPT 99202 | not published | not published | $71.54 – $128.77 | 17 |
| New Patient Office Visit (level 3) CPT 99203 | not published | not published | $112.50 – $202.50 | 17 |
| New Patient Office Visit (level 4) CPT 99204 | not published | not published | $170.25 – $306.44 | 17 |
| New Patient Office Visit (level 5) CPT 99205 | not published | not published | $227.52 – $409.54 | 17 |
| Nuclear Stress Test (Heart) CPT 78452 | $5,417.25 | $7,223.00 | $979.86 – $6,500.70 | 36 |
| PSA (Prostate) Test CPT 84153 | $127.50 | $170.00 | $18.39 – $153.00 | 36 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,881.00 | $2,508.00 | $165.94 – $2,257.20 | 30 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,710.75 | $2,281.00 | $165.94 – $2,052.90 | 30 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,392.75 | $1,857.00 | $98.91 – $1,671.30 | 30 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,590.50 | $3,454.00 | $330.06 – $3,108.60 | 30 |
| Pelvic MRI (with contrast) CPT 72196 | $2,373.75 | $3,165.00 | $330.06 – $2,848.50 | 30 |
| Pelvic MRI (without contrast) CPT 72195 | $2,221.50 | $2,962.00 | $225.74 – $2,665.80 | 30 |
| Pelvic Ultrasound (complete) CPT 76856 | $919.50 | $1,226.00 | $98.91 – $1,103.40 | 36 |
| Pelvic Ultrasound (limited) CPT 76857 | $567.00 | $756.00 | $72.00 – $680.40 | 36 |
| Postpartum Care Only CPT 59430 | $255.75 | $341.00 | $112.53 – $451.35 | 36 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $867.00 | $1,156.00 | $98.91 – $1,040.40 | 36 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $801.75 | $1,069.00 | $98.91 – $962.10 | 36 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $554.56 – $998.21 | 17 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $1,018.21 – $1,832.77 | 17 |
| Rapid Strep Test CPT 87880 | $100.50 | $134.00 | $16.53 – $120.60 | 36 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $2,602.50 | $3,470.00 | $879.81 – $3,123.00 | 35 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $2,602.50 | $3,470.00 | $879.81 – $3,123.00 | 35 |
| Screening Mammogram CPT 77067 | $509.25 | $679.00 | $117.58 – $611.10 | 33 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $6,864.94 – $12,356.89 | 17 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,628.75 | $3,505.00 | $330.06 – $3,154.50 | 30 |
| Shoulder MRI (with contrast) CPT 73222 | $2,259.00 | $3,012.00 | $741.65 – $2,710.80 | 30 |
| Shoulder MRI (without contrast) CPT 73221 | $2,127.00 | $2,836.00 | $225.74 – $2,552.40 | 30 |
| Shoulder X-ray CPT 73030 | $461.25 | $615.00 | $71.07 – $553.50 | 36 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,576.50 | $2,102.00 | $165.94 – $1,891.80 | 30 |
| Sinus CT scan (with contrast) CPT 70487 | $1,519.50 | $2,026.00 | $165.94 – $1,823.40 | 30 |
| Sinus CT scan (without contrast) CPT 70486 | $1,303.50 | $1,738.00 | $98.91 – $1,564.20 | 30 |
| Skin Biopsy CPT 11102 | $300.00 | $400.00 | $143.20 – $692.27 | 36 |
| Sleep Study (Polysomnography) CPT 95810 | $6,070.50 | $8,094.00 | $812.43 – $7,284.60 | 36 |
| Thyroid (TSH) Test CPT 84443 | $136.50 | $182.00 | $16.80 – $163.80 | 36 |
| Thyroid Ultrasound CPT 76536 | $885.75 | $1,181.00 | $98.91 – $1,062.90 | 36 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $3,136.68 – $5,646.02 | 17 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $5,600.62 – $10,081.11 | 17 |
| Total Hip Replacement CPT 27130 | not published | not published | $12,146.38 – $21,863.49 | 17 |
| Total Knee Replacement CPT 27447 | not published | not published | $12,146.38 – $21,863.49 | 17 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $5,719.53 – $10,295.16 | 17 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,590.50 | $3,454.00 | $330.06 – $3,108.60 | 30 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,441.25 | $3,255.00 | $330.06 – $2,929.50 | 30 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,265.75 | $3,021.00 | $225.74 – $2,718.90 | 30 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $2,514.75 | $3,353.00 | $858.08 – $3,017.70 | 35 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $2,464.50 | $3,286.00 | $858.08 – $2,957.40 | 35 |
| Urinalysis (with microscopy) CPT 81001 | $123.00 | $164.00 | $3.17 – $147.60 | 36 |
| Urinalysis (without microscopy) CPT 81003 | $62.25 | $83.00 | $2.25 – $74.70 | 36 |
| Urine Culture Test CPT 87086 | $126.00 | $168.00 | $8.07 – $151.20 | 36 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $2,162.78 – $3,893.01 | 17 |
| Vasectomy CPT 55250 | $2,361.00 | $3,148.00 | $1,126.98 – $3,559.80 | 35 |
| Vitamin D Test CPT 82306 | $265.50 | $354.00 | $29.60 – $209.70 | 36 |
| Wrist X-ray CPT 73110 | $461.25 | $615.00 | $82.33 – $553.50 | 36 |
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.