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 |
|---|---|---|---|---|
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $45.75 | $61.00 | $23.22 – $41.80 | 17 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $40.68 – $65.38 | 2 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $150.76 – $242.27 | 2 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $25.50 | $34.00 | $42.16 – $42.16 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $25.50 | $34.00 | $43.56 – $43.56 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $20.33 – $32.69 | 2 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $102.00 | $136.00 | $54.14 – $54.14 | 1 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $50.25 | $67.00 | $143.06 – $143.06 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $89.25 | $119.00 | $49.50 – $89.09 | 17 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $11.03 – $19.86 | 17 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $569.67 | $759.56 | not published | 0 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $747.00 | $996.00 | not published | 0 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $613.48 – $613.48 | 1 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $545.45 | $727.26 | not published | 0 |
| Vaccine mmr live subcutaneous CPT 90707 | $311.03 | $414.70 | not published | 0 |
| Vaccine mmrv live subcutaneous CPT 90710 | $957.30 | $1,276.39 | not published | 0 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $401.34 | $535.11 | $133.47 – $240.25 | 17 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $793.01 | $1,057.34 | $257.99 – $464.38 | 17 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $239.25 | $319.00 | $269.31 – $484.75 | 17 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $913.50 | $1,218.00 | $312.90 – $563.22 | 17 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $1,529.59 | $2,039.45 | not published | 0 |
| Vaccine rabies im CPT 90675 | $1,514.28 | $2,019.04 | $315.22 – $567.39 | 17 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $907.50 | $1,210.00 | not published | 0 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $1,985.41 – $1,985.41 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $1,985.41 – $1,985.41 | 1 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | $998.25 | $1,331.00 | not published | 0 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $504.00 | $672.00 | not published | 0 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $344.25 | $459.00 | not published | 0 |
| Vaccine tdap >=7 years im CPT 90715 | $140.25 | $187.00 | $77.38 – $77.38 | 1 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $145.19 | $193.58 | $70.87 – $70.87 | 1 |
| Vaccine typhoid vicps im CPT 90691 | $333.00 | $444.00 | not published | 0 |
| Vaccine varicella live subcutaneous CPT 90716 | $642.96 | $857.28 | not published | 0 |
| Vaccine yellow fever live subcutaneous CPT 90717 | $714.00 | $952.00 | not published | 0 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.02 | 17 |
| Vacuum drain bottle/tube kit HCPCS A7048 | $33.75 | $45.00 | $60.33 – $108.59 | 17 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | $2,592.00 | $3,456.00 | $576.44 – $1,037.59 | 17 |
| Vad cable power module dc input HCPCS Q0478 | not published | not published | $226.28 – $407.30 | 17 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $16,971.75 | $22,629.00 | $5,143.47 – $9,258.25 | 17 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $4,732.70 – $8,518.87 | 17 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $4,732.70 – $8,518.87 | 17 |
| Vag hyst including t/o CPT 58262 | not published | not published | $4,732.70 – $8,518.87 | 17 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $7,015.57 – $12,628.03 | 17 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $4,732.70 – $8,518.87 | 17 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $4,732.70 – $8,518.87 | 17 |
| Vaginal bx CPT 58999 | $231.00 | $308.00 | $191.27 – $344.28 | 17 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $3,062.57 – $5,512.63 | 17 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $2,162.78 – $3,893.01 | 17 |
| Vaginal hysterectomy CPT 58260 | $5,766.00 | $7,688.00 | $4,732.70 – $8,518.87 | 17 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $3,062.57 – $5,512.63 | 17 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $1,680.58 – $3,025.04 | 17 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $1,584.42 – $2,851.95 | 17 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $780.47 – $1,404.84 | 17 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $99.62 – $179.31 | 17 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $1,107.45 – $1,993.42 | 17 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $1,095.59 – $1,972.06 | 17 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $22.29 | $29.71 | not published | 0 |
| Valproic acid total therapeutic drug level CPT 80164 | $153.75 | $205.00 | $13.54 – $24.37 | 18 |
| Valrubicin injection HCPCS J9357 | $6,841.31 | $9,121.74 | $1,270.52 – $2,286.94 | 17 |
| Valvuloplasty aortic CPT 92986 | $6,749.25 | $8,999.00 | $5,384.66 – $9,692.38 | 17 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $1,743.61 – $3,138.50 | 17 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $2,083.29 – $3,749.92 | 17 |
| Valvuloplasty mitral CPT 92987 | $9,472.50 | $12,630.00 | $10,921.69 – $19,659.05 | 17 |
| Valvuloplasty pulmonary CPT 92990 | $14,701.50 | $19,602.00 | $10,921.69 – $19,659.05 | 17 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $2,820.91 – $5,077.63 | 17 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $2,234.38 – $4,021.89 | 17 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $366.03 | $488.03 | not published | 0 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $303.13 | $404.17 | not published | 0 |
| Vancomycin hcl injection HCPCS J3370 | not published | not published | $10.71 – $10.71 | 1 |
| Vancomycin peak therapeutic drug level CPT 80202 | $147.00 | $196.00 | $13.54 – $24.37 | 18 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $35.09 – $63.16 | 17 |
| Vantas implant HCPCS J9225 | not published | not published | $17,399.69 – $17,399.69 | 1 |
| Variable concentration mask HCPCS A4620 | not published | not published | $0.91 – $1.64 | 17 |
| Varicella zoster antibody igg CPT 86787 | $99.75 | $133.00 | $12.88 – $23.18 | 18 |
| Varicella-zoster immue globin im CPT 90396 | $8,070.06 | $10,760.07 | $2,363.25 – $4,253.85 | 17 |
| Varus/valgus strap padded/li HCPCS L2270 | not published | not published | $75.76 – $136.37 | 17 |
| Vasc emb/occ w/prs cath HCPCS C9797 | $21,009.00 | $28,012.00 | $17,343.14 – $31,217.65 | 17 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $3,095.56 – $5,572.02 | 17 |
| Vasectomy CPT 55250 | $2,361.00 | $3,148.00 | $1,977.66 – $3,559.80 | 17 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $103.53 | $138.04 | not published | 0 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $2,279.90 – $4,103.82 | 17 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $1,054.07 – $1,897.32 | 17 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $34,608.27 | $46,144.36 | $20.98 – $37.76 | 17 |
| Veeg cont 2-12 hrs CPT 95713 | $2,361.75 | $3,149.00 | $353.04 – $635.46 | 17 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $4,640.25 | $6,187.00 | $812.43 – $1,462.38 | 17 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $1,329.00 | $1,772.00 | $353.04 – $635.46 | 17 |
| Veeg unmon 12-26 hrs CPT 95714 | $422.25 | $563.00 | $353.04 – $635.46 | 17 |
| Veeg unmon 2-12 hrs CPT 95711 | $422.25 | $563.00 | $204.28 – $367.70 | 17 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $1,289.19 – $2,320.54 | 17 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $1,494.08 – $2,689.34 | 17 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $1,201.93 – $2,163.48 | 17 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $1,488.28 – $2,678.91 | 17 |
| Vein x-ray adrenal gland CPT 75840 | $2,489.25 | $3,319.00 | $204.93 – $5,377.00 | 18 |
| Vein x-ray adrenal glands CPT 75842 | not published | not published | $20,417.04 – $20,417.04 | 1 |
| Vein x-ray eye socket CPT 75880 | $2,040.00 | $2,720.00 | $204.03 – $1,068.26 | 18 |
| Vein x-ray kidney CPT 75831 | $2,750.25 | $3,667.00 | $187.65 – $5,377.00 | 18 |
| Vein x-ray liver CPT 75891 | $3,135.75 | $4,181.00 | $199.47 – $5,377.00 | 18 |
| Vein x-ray liver w/hemodynam CPT 75885 | $3,413.25 | $4,551.00 | $197.67 – $5,377.00 | 18 |
| Vein x-ray liver w/hemodynam CPT 75889 | $3,859.50 | $5,146.00 | $197.67 – $5,377.00 | 18 |
| Vein x-ray liver without hemodyn CPT 75887 | $2,489.25 | $3,319.00 | $199.47 – $5,377.00 | 18 |
| Vein x-ray skull CPT 75870 | $2,489.25 | $3,319.00 | $267.72 – $5,377.00 | 18 |
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.