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 |
|---|---|---|---|---|
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $1,467.92 – $2,642.25 | 17 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $510.25 – $918.44 | 17 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $1,467.92 – $2,642.25 | 17 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $2,134.50 | $2,846.00 | $1,521.28 – $2,738.31 | 17 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $3,136.68 – $5,646.02 | 17 |
| Closed tx sesamoid fx 28530 CPT 28530 | $525.75 | $701.00 | $233.37 – $420.06 | 17 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $306.75 | $409.00 | $233.37 – $420.06 | 17 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $3,095.56 – $5,572.02 | 17 |
| Close kidney-skin fistula CPT 50520 | not published | not published | $1,069.01 – $1,924.22 | 17 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $262.50 | $350.00 | $224.08 – $403.34 | 17 |
| Close mastoid fistula CPT 69700 | not published | not published | $1,467.92 – $2,642.25 | 17 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $6,864.94 – $12,356.89 | 17 |
| Close mult vsd CPT 33675 | not published | not published | $1,805.60 – $3,250.08 | 17 |
| Close mult vsd w/resection CPT 33676 | not published | not published | $1,852.24 – $3,334.03 | 17 |
| Close nephrovisceral fistula CPT 50525 | not published | not published | $1,348.12 – $2,426.61 | 17 |
| Close nephrovisceral fistula CPT 50526 | not published | not published | $1,441.10 – $2,593.98 | 17 |
| Close tear duct opening CPT 68760 | not published | not published | $300.29 – $540.52 | 17 |
| Close tear duct opening CPT 68761 | not published | not published | $300.29 – $540.52 | 17 |
| Close tear system fistula CPT 68770 | not published | not published | $2,249.28 – $4,048.71 | 17 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $16.00 – $28.80 | 17 |
| Clos txnose fx without stablz 21315 CPT 21315 | $2,896.50 | $3,862.00 | $1,467.92 – $2,642.25 | 17 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $784.55 – $1,412.18 | 17 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $1,428.36 – $2,571.05 | 17 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $912.34 – $1,642.22 | 17 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $1,258.04 – $2,264.47 | 17 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $637.50 | $850.00 | $510.25 – $918.44 | 17 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $943.12 – $1,697.62 | 17 |
| Closure of salivary fistula CPT 42600 | not published | not published | $3,136.68 – $5,646.02 | 17 |
| Closure of valve CPT 33600 | not published | not published | $1,593.67 – $2,868.60 | 17 |
| Closure of valve CPT 33602 | not published | not published | $1,549.07 – $2,788.33 | 17 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $3,136.68 – $5,646.02 | 17 |
| Closure paravalvlr leak pq CPT 33999 | $31,283.25 | $41,711.00 | $593.48 – $1,068.26 | 17 |
| Closure ureter/bowel fistula CPT 50930 | not published | not published | $965.46 – $1,737.82 | 17 |
| Closure ureter/skin fistula CPT 50920 | not published | not published | $776.84 – $1,398.32 | 17 |
| Clot factor fletcher fact CPT 85292 | $466.50 | $622.00 | $18.93 – $34.07 | 18 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $20.42 – $36.76 | 17 |
| Clot factor wght kininogen CPT 85293 | $393.00 | $524.00 | $18.93 – $34.07 | 18 |
| Clot factor xii hageman CPT 85280 | $246.75 | $329.00 | $19.35 – $34.83 | 18 |
| Clot factor xiii fibrin scrn CPT 85291 | $47.25 | $63.00 | $9.11 – $16.40 | 18 |
| Clot factor xiii fibrin stab CPT 85290 | $292.50 | $390.00 | $16.34 – $29.41 | 18 |
| Clotting assay whole blood CPT 85396 | not published | not published | $15.44 – $27.80 | 17 |
| Clozapine, 25 mg HCPCS S0136 | $242.19 | $322.92 | not published | 0 |
| Clsd ostomy pouch w/flange HCPCS A5054 | not published | not published | $2.56 – $4.61 | 17 |
| Clsd ostomy pouch without barr HCPCS A5052 | not published | not published | $2.12 – $3.82 | 17 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $600.00 | $800.00 | $233.37 – $420.06 | 17 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $358.50 | $478.00 | $233.37 – $420.06 | 17 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $543.00 | $724.00 | $233.37 – $420.06 | 17 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $3,290.25 | $4,387.00 | $1,521.28 – $2,738.31 | 17 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $581.25 | $775.00 | $233.37 – $420.06 | 17 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $2,396.25 | $3,195.00 | $1,521.28 – $2,738.31 | 17 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $425.25 | $567.00 | $233.37 – $420.06 | 17 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $233.37 – $420.06 | 17 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $353.25 | $471.00 | $233.37 – $420.06 | 17 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $451.50 | $602.00 | $233.37 – $420.06 | 17 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $581.25 | $775.00 | $233.37 – $420.06 | 17 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $525.75 | $701.00 | $233.37 – $420.06 | 17 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $1,815.75 | $2,421.00 | $1,521.28 – $2,738.31 | 17 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $1,863.75 | $2,485.00 | $1,521.28 – $2,738.31 | 17 |
| Clsd tx fracture of radius 25500 CPT 25500 | $442.50 | $590.00 | $233.37 – $420.06 | 17 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $322.50 | $430.00 | $233.37 – $420.06 | 17 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $378.75 | $505.00 | $233.37 – $420.06 | 17 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $409.50 | $546.00 | $233.37 – $420.06 | 17 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,198.50 | $1,598.00 | $1,521.28 – $2,738.31 | 17 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $448.50 | $598.00 | $233.37 – $420.06 | 17 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,198.50 | $1,598.00 | $1,521.28 – $2,738.31 | 17 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $372.00 | $496.00 | $233.37 – $420.06 | 17 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $261.75 | $349.00 | $233.37 – $420.06 | 17 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $374.25 | $499.00 | $233.37 – $420.06 | 17 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $402.75 | $537.00 | $233.37 – $420.06 | 17 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | not published | not published | $264.61 – $476.30 | 17 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $510.25 – $918.44 | 17 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $529.50 | $706.00 | $233.37 – $420.06 | 17 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $377.25 | $503.00 | $233.37 – $420.06 | 17 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $427.50 | $570.00 | $233.37 – $420.06 | 17 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | $3,332.25 | $4,443.00 | $3,095.56 – $5,572.02 | 17 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | not published | not published | $233.37 – $420.06 | 17 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $363.75 | $485.00 | $233.37 – $420.06 | 17 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $3,600.75 | $4,801.00 | $3,136.68 – $5,646.02 | 17 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $1,815.75 | $2,421.00 | $1,521.28 – $2,738.31 | 17 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $261.75 | $349.00 | $233.37 – $420.06 | 17 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $373.50 | $498.00 | $233.37 – $420.06 | 17 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $233.37 – $420.06 | 17 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $233.37 – $420.06 | 17 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $1,863.75 | $2,485.00 | $1,521.28 – $2,738.31 | 17 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $327.75 | $437.00 | $233.37 – $420.06 | 17 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $434.25 | $579.00 | $233.37 – $420.06 | 17 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,815.75 | $2,421.00 | $1,521.28 – $2,738.31 | 17 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $454.50 | $606.00 | $233.37 – $420.06 | 17 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,815.75 | $2,421.00 | $1,521.28 – $2,738.31 | 17 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,863.75 | $2,485.00 | $1,521.28 – $2,738.31 | 17 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,815.75 | $2,421.00 | $1,521.28 – $2,738.31 | 17 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $3,095.56 – $5,572.02 | 17 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $261.75 | $349.00 | $233.37 – $420.06 | 17 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $261.75 | $349.00 | $233.37 – $420.06 | 17 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $378.75 | $505.00 | $233.37 – $420.06 | 17 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,362.75 | $1,817.00 | $1,521.28 – $2,738.31 | 17 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $344.25 | $459.00 | $233.37 – $420.06 | 17 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $756.75 | $1,009.00 | $233.37 – $420.06 | 17 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $338.25 | $451.00 | $233.37 – $420.06 | 17 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $411.75 | $549.00 | $233.37 – $420.06 | 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.