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 |
|---|---|---|---|---|
| Unlisted special svc px/rprt CPT 99199 | $354.00 | $472.00 | not published | 0 |
| Unlisted surgical path px CPT 88399 | not published | not published | $49.30 – $88.74 | 17 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $27.36 – $49.26 | 17 |
| Unlisted ultrasound procedure CPT 76999 | $532.50 | $710.00 | $82.33 – $148.20 | 18 |
| Unlisted urinalysis px CPT 81099 | not published | not published | $74.72 – $74.72 | 1 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $593.48 – $1,068.26 | 17 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $378.21 – $680.79 | 17 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $5,719.53 – $10,295.16 | 17 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $5,719.53 – $10,295.16 | 17 |
| Unsched dialysis esrd pt hos HCPCS G0257 | not published | not published | $649.31 – $1,168.75 | 17 |
| Upgrade pm system CPT 33214 | $13,140.75 | $17,521.00 | $9,888.39 – $17,799.11 | 17 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $363.75 | $485.00 | $66.54 – $148.20 | 18 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $1,732.50 | $2,310.00 | $165.94 – $298.70 | 17 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $1,464.00 | $1,952.00 | $98.91 – $178.03 | 17 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,590.50 | $3,454.00 | $330.06 – $594.11 | 17 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,441.25 | $3,255.00 | $330.06 – $594.11 | 17 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,265.75 | $3,021.00 | $225.74 – $406.32 | 17 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $388.50 | $518.00 | $63.81 – $178.03 | 18 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $606.00 | $808.00 | $79.26 – $178.03 | 18 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $2,514.75 | $3,353.00 | $858.08 – $1,544.54 | 17 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $2,464.50 | $3,286.00 | $858.08 – $1,544.54 | 17 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | not published | not published | $439.35 – $790.83 | 17 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $167.20 – $300.97 | 17 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $813.00 | $1,084.00 | $165.94 – $356.07 | 18 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $709.50 | $946.00 | $165.94 – $356.07 | 18 |
| Uppr gi scope w/submuc inj CPT 43236 | $2,262.00 | $3,016.00 | $858.08 – $1,544.54 | 17 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $5,719.53 – $10,295.16 | 17 |
| Urea nitrogen CPT 84520 | $54.00 | $72.00 | $3.95 – $7.11 | 18 |
| Urea nitrogen 24 hour urine CPT 84540 | $49.50 | $66.00 | $5.56 – $10.01 | 18 |
| Urea nitrogen clearance CPT 84545 | $57.00 | $76.00 | $7.20 – $12.96 | 18 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $5.13 – $9.23 | 17 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $1,629.21 – $2,932.58 | 17 |
| Ureteral reflux study CPT 78740 | $1,353.75 | $1,805.00 | $378.21 – $680.79 | 18 |
| Ureter endoscopy CPT 50970 | not published | not published | $3,334.90 – $6,002.83 | 17 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $5,072.67 – $9,130.81 | 17 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $5,072.67 – $9,130.81 | 17 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $3,334.90 – $6,002.83 | 17 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $5,072.67 – $9,130.81 | 17 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $5,072.67 – $9,130.81 | 17 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $5,072.67 – $9,130.81 | 17 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $5,072.67 – $9,130.81 | 17 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $985.32 – $1,773.57 | 17 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,005.12 – $1,809.22 | 17 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $810.75 | $1,081.00 | $225.74 – $406.32 | 18 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $3,334.90 – $6,002.83 | 17 |
| Urethrocystography void s&i CPT 74455 | $880.50 | $1,174.00 | $225.74 – $406.32 | 18 |
| Uric acid blood CPT 84550 | $58.50 | $78.00 | $4.52 – $8.14 | 18 |
| Uric acid urine CPT 84560 | $55.50 | $74.00 | $5.08 – $9.14 | 18 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.70 – $8.46 | 17 |
| Urinalysis microscopic only CPT 81015 | not published | not published | $3.05 – $5.49 | 17 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.17 – $3.91 | 17 |
| Urinalysis (with microscopy) CPT 81001 | $123.00 | $164.00 | $3.17 – $5.71 | 18 |
| Urinalysis (without microscopy) CPT 81003 | $62.25 | $83.00 | $2.25 – $4.05 | 18 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $67.25 – $121.05 | 17 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $4.46 – $8.03 | 17 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $8.57 – $15.43 | 17 |
| Urinary reflex study CPT 51792 | not published | not published | $55.81 – $100.46 | 17 |
| Urinary suspensory HCPCS A5105 | not published | not published | $58.11 – $104.60 | 17 |
| Urine Culture Test CPT 87086 | $126.00 | $168.00 | $8.07 – $14.53 | 18 |
| Urine flow measurement 51736 CPT 51736 | $148.50 | $198.00 | $125.87 – $226.57 | 17 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $9.29 – $16.72 | 17 |
| Urine pregnancy test CPT 81025 | $69.75 | $93.00 | $8.61 – $15.50 | 18 |
| Urine screen for bacteria CPT 81007 | not published | not published | $29.98 – $53.96 | 17 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,073.64 – $1,932.55 | 17 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $6.34 – $16.81 | 17 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $446.78 – $446.78 | 1 |
| Urography, antegrade CPT 74425 | $808.50 | $1,078.00 | $306.72 – $594.11 | 18 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $165.94 – $298.70 | 17 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $1,541.58 – $1,541.58 | 1 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $30.84 – $30.84 | 1 |
| Use 1st target lesion CPT 76982 | $252.00 | $336.00 | $98.91 – $178.03 | 17 |
| User adjustable heel height HCPCS L5990 | not published | not published | $2,233.87 – $4,020.97 | 17 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $8,225.22 | $10,966.96 | $11.62 – $20.92 | 17 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $109,781.59 | $146,375.45 | $303.81 – $303.81 | 1 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $12,146.38 – $21,863.49 | 17 |
| Vaccine Administration (one shot) CPT 90471 | $33.75 | $45.00 | $68.12 – $122.61 | 17 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $368.25 | $491.00 | $161.65 – $290.97 | 17 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $368.25 | $491.00 | $147.06 – $264.71 | 17 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $331.50 | $442.00 | $168.37 – $303.07 | 17 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $222.00 | $296.00 | $94.80 – $170.64 | 17 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $165.00 | $220.00 | $65.55 – $117.99 | 17 |
| Vaccine dtap < 7 years im CPT 90700 | $60.00 | $80.00 | not published | 0 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $233.91 | $311.87 | not published | 0 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $129.00 | $172.00 | not published | 0 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $556.43 – $556.43 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | $25.50 | $34.00 | not published | 0 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $111.00 | $148.00 | not published | 0 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $45.33 | $60.44 | not published | 0 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $241.96 | $322.61 | $141.65 – $141.65 | 1 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $354.74 | $472.98 | not published | 0 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $135.00 | $180.00 | not published | 0 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | $54.75 | $73.00 | $75.15 – $135.26 | 17 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $162.07 | $216.09 | $75.15 – $135.26 | 17 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $118.50 | $158.00 | $177.56 – $319.60 | 17 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $75.39 | $100.52 | $33.20 – $59.77 | 17 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $1,044.16 | $1,392.21 | not published | 0 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $599.25 | $799.00 | not published | 0 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $67.50 | $90.00 | $98.16 – $176.69 | 17 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $50.25 | $67.00 | $98.16 – $176.69 | 17 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $22.07 – $39.72 | 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.