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 |
|---|---|---|---|---|
| Sock fracture or equal each HCPCS L3995 | not published | not published | $45.92 – $82.66 | 17 |
| Sock wool above knee HCPCS L8430 | not published | not published | $29.09 – $52.36 | 17 |
| Sodium 24 hour urine CPT 84300 | $60.00 | $80.00 | $5.06 – $9.11 | 18 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $33.28 | $44.37 | $4.42 – $4.42 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $20.34 | $27.12 | $2.67 – $2.67 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $19.42 | $25.89 | $1.38 – $1.38 | 1 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $11.10 | $14.79 | not published | 0 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $28.46 | $37.94 | $4.23 – $4.23 | 1 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $651.32 | $868.42 | $143.02 – $143.02 | 1 |
| Sodium serum/plasma/whole blood CPT 84295 | $57.00 | $76.00 | $4.81 – $8.66 | 18 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $0.88 – $1.59 | 17 |
| Soft interface below knee se HCPCS L2820 | not published | not published | $99.79 – $179.62 | 17 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $82.33 – $148.20 | 17 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,345.31 – $2,421.56 | 17 |
| So gsap cll fr dna/dna&rna CPT 81462 | $2,242.50 | $2,990.00 | $1,195.83 – $2,152.49 | 17 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $3,288.51 – $5,919.32 | 17 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | $1,580.25 | $2,107.00 | $1,046.35 – $1,883.43 | 17 |
| Solid skin barrier HCPCS A4362 | not published | not published | $4.85 – $8.73 | 17 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $10.17 – $18.31 | 17 |
| Somatosensory testing CPT 95927 | $1,404.00 | $1,872.00 | $204.28 – $367.70 | 17 |
| Somatropin injection HCPCS J2941 | $2,600.83 | $3,467.77 | not published | 0 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,989.55 – $5,381.19 | 17 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $896.87 – $1,614.37 | 17 |
| Sotalol hydrochloride IV HCPCS C9482 | $13,396.05 | $17,861.39 | not published | 0 |
| So vest canvas/web pre ots HCPCS L3675 | not published | not published | $196.31 – $353.36 | 17 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $144.89 – $260.81 | 17 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $160.71 – $289.28 | 17 |
| Special casting material HCPCS A4590 | $357.75 | $477.00 | not published | 0 |
| Special physics consult CPT 77370 | not published | not published | $127.16 – $228.89 | 17 |
| Special radiation dosimetry CPT 77331 | not published | not published | $50.76 – $228.89 | 17 |
| Special radiation treatment CPT 77470 | not published | not published | $94.56 – $940.95 | 17 |
| Special teletx port plan CPT 77321 | not published | not published | $117.15 – $637.63 | 17 |
| Specific gravity body fluid CPT 84315 | not published | not published | $3.28 – $5.90 | 17 |
| Specimen fat stain CPT 89125 | $60.75 | $81.00 | $5.88 – $10.58 | 18 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $387.00 | $516.00 | $217.95 – $392.30 | 17 |
| Speech audiometry complete CPT 92556 | $104.25 | $139.00 | $55.81 – $100.46 | 17 |
| Speech evaluation complex CPT 70371 | $1,077.00 | $1,436.00 | $186.63 – $406.32 | 18 |
| Speech recep thresh CPT 92555 | $104.25 | $139.00 | $55.81 – $100.46 | 17 |
| Speech Therapy Session (one-on-one) CPT 92507 | $332.25 | $443.00 | $73.34 – $132.01 | 17 |
| Sperm antibody test CPT 89325 | not published | not published | $10.67 – $19.21 | 17 |
| Sperm evaluation test CPT 89329 | not published | not published | $19.59 – $35.26 | 17 |
| Sperm identification CPT 89257 | not published | not published | $49.30 – $88.74 | 17 |
| Sperm isolation complex CPT 89261 | not published | not published | $49.30 – $88.74 | 17 |
| Sperm isolation simple CPT 89260 | not published | not published | $49.30 – $88.74 | 17 |
| Sperm washing 58323 CPT 58323 | not published | not published | $191.27 – $344.28 | 17 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $5,600.62 – $10,081.11 | 17 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $2,625.99 – $4,726.78 | 17 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $96.64 – $173.96 | 17 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,416.00 | $1,888.00 | $667.82 – $1,202.07 | 17 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $12,146.38 – $21,863.49 | 17 |
| Spine X-ray (single view, one level) CPT 72020 | $360.00 | $480.00 | $45.60 – $148.20 | 18 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $204.28 – $367.70 | 17 |
| Spirometry up to 2 yrs old CPT 94011 | $1,005.75 | $1,341.00 | $121.73 – $219.12 | 17 |
| Spleen imaging CPT 78185 | $469.50 | $626.00 | $378.21 – $680.79 | 18 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $1,051.03 – $1,891.86 | 17 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $2,098.17 – $3,776.70 | 17 |
| Splicing of ureters CPT 50770 | not published | not published | $1,009.30 – $1,816.74 | 17 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $48.75 | $65.00 | $566.79 – $1,020.22 | 17 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $93.00 | $124.00 | $73.47 – $132.25 | 17 |
| Splint finger fold over sm HCPCS L3924 | not published | not published | $108.04 – $194.47 | 17 |
| Splint finger frog med HCPCS L3927 | $73.50 | $98.00 | $39.15 – $70.47 | 17 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $2.68 – $4.82 | 17 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $35.25 | $47.00 | $108.04 – $194.47 | 17 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $3,352.64 – $6,034.75 | 17 |
| Split blood or products CPT 86985 | $606.00 | $808.00 | $53.85 – $290.13 | 17 |
| Split flat caliper stirr & p HCPCS L2230 | not published | not published | $117.56 – $211.61 | 17 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $208.88 – $375.98 | 17 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $312.49 – $562.49 | 17 |
| Spring-ass rot wrst with latch HCPCS L6623 | not published | not published | $878.53 – $1,581.35 | 17 |
| Sputum specimen collection CPT 89220 | $337.50 | $450.00 | $42.30 – $290.13 | 17 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $4,146.34 – $7,463.40 | 17 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $1,303.42 – $2,346.16 | 17 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $982.09 – $1,767.77 | 17 |
| Srs cran les complex addl CPT 61799 | not published | not published | $271.34 – $488.41 | 17 |
| Srs cran les simple addl CPT 61797 | not published | not published | $197.02 – $354.64 | 17 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $175.40 – $315.72 | 17 |
| Srs linear based CPT 77372 | not published | not published | $2,499.27 – $12,542.64 | 17 |
| Srs multisource CPT 77371 | not published | not published | $2,926.98 – $12,542.64 | 17 |
| Srs spinal lesion CPT 63620 | not published | not published | $1,080.91 – $1,945.63 | 17 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $227.26 – $409.06 | 17 |
| Staggered spondaic word test CPT 92572 | $474.75 | $633.00 | $121.73 – $219.12 | 17 |
| Stainless steel any wrist HCPCS L6630 | not published | not published | $351.80 – $633.24 | 17 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $393.00 | $524.00 | $105.70 – $190.26 | 17 |
| Stance phase only HCPCS L5858 | not published | not published | $22,885.05 – $41,193.09 | 17 |
| Standard control cable extra HCPCS L6655 | not published | not published | $94.34 – $169.81 | 17 |
| Staph a dna amp probe CPT 87640 | $129.00 | $172.00 | $35.09 – $63.16 | 18 |
| Static or dynami afo pre ots HCPCS L4397 | $87.09 | $116.12 | $206.23 – $371.21 | 17 |
| Stationary o2 contents, gas HCPCS E0441 | not published | not published | $67.56 – $121.61 | 17 |
| Stationary o2 contents, liq HCPCS E0442 | not published | not published | $67.56 – $121.61 | 17 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $330.75 | $441.00 | $98.99 – $178.18 | 17 |
| Stem cells total count CPT 86367 | $96.00 | $128.00 | $77.78 – $140.00 | 18 |
| Stenger test pure tone CPT 92565 | $162.00 | $216.00 | $55.81 – $100.46 | 17 |
| Stenger test speech CPT 92577 | $404.25 | $539.00 | $353.04 – $635.46 | 17 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $47,137.50 | $62,850.00 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $5,076.00 | $6,768.00 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $38,815.81 | $51,754.41 | not published | 0 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $967.78 – $1,742.01 | 17 |
| Stereoscopic x-ray guidance HCPCS G6002 | not published | not published | $224.91 – $224.91 | 1 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,346.87 – $2,424.37 | 17 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $411.66 – $740.98 | 17 |
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.