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 |
|---|---|---|---|---|
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $35.45 – $63.81 | 17 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $271.80 – $489.24 | 17 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $45.79 – $82.42 | 17 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $45.79 – $82.42 | 17 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $45.79 – $82.42 | 17 |
| Diab manage trn ind/group HCPCS G0109 | $57.75 | $77.00 | $15.40 – $27.71 | 17 |
| Diab shoe for density insert HCPCS A5500 | not published | not published | $90.63 – $163.13 | 17 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $45.79 – $82.42 | 17 |
| Diag bronchoscope/catheter CPT 31643 | $4,125.75 | $5,501.00 | $1,683.92 – $3,031.06 | 17 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $5,719.53 – $10,295.16 | 17 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $422.64 – $760.74 | 17 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,132.12 – $2,037.81 | 17 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $181.50 | $242.00 | $125.87 – $226.57 | 17 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $70.50 | $94.00 | not published | 0 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $57.00 | $76.00 | not published | 0 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $592.50 | $790.00 | $188.84 – $339.92 | 17 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $381.00 | $508.00 | $188.84 – $339.92 | 17 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $655.50 | $874.00 | $146.43 – $263.57 | 17 |
| Diagnostic Mammogram (one breast) CPT 77065 | $502.50 | $670.00 | $115.62 – $208.12 | 17 |
| Diagnostic radio unlisted proc CPT 76499 | $564.75 | $753.00 | $82.33 – $148.20 | 18 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $10,461.00 | $13,948.00 | $1,672.43 – $3,010.38 | 17 |
| Dialysis one evaluation CPT 90945 | not published | not published | $394.76 – $710.57 | 17 |
| Dialysis repeated eval CPT 90947 | $4,711.50 | $6,282.00 | $104.66 – $188.39 | 17 |
| Dialysis training incompl CPT 90993 | $2,907.00 | $3,876.00 | not published | 0 |
| Diathermy eg microwave CPT 97024 | not published | not published | $6.91 – $12.45 | 17 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $58.24 | $77.65 | $0.14 – $0.14 | 1 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $143.84 | $191.78 | $12.03 – $12.03 | 1 |
| Dicyclomine injection HCPCS J0500 | $310.41 | $413.88 | $22.74 – $22.74 | 1 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.84 – $0.84 | 1 |
| Diffusing capacity CPT 94729 | $504.00 | $672.00 | $58.56 – $105.40 | 17 |
| Digital analysis of eeg CPT 95957 | not published | not published | $288.95 – $520.11 | 17 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $152.33 – $274.20 | 17 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $472.14 | $629.51 | $7.80 – $7.80 | 1 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $17,050.66 | $22,734.21 | $5,166.99 – $9,300.58 | 17 |
| Digoxin total therapeutic drug level CPT 80162 | $138.75 | $185.00 | $13.28 – $23.90 | 18 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $297.86 | $397.14 | $189.19 – $189.19 | 1 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $443.68 – $798.62 | 17 |
| Dilate esophagus CPT 43453 | not published | not published | $1,815.43 – $3,267.78 | 17 |
| Dilate esophagus 1/mult pass CPT 43450 | $1,548.00 | $2,064.00 | $858.08 – $1,544.54 | 17 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $328.98 – $592.16 | 17 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $164.49 – $296.08 | 17 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $468.40 – $843.12 | 17 |
| Dilate tear duct opening CPT 68801 | not published | not published | $422.64 – $760.74 | 17 |
| Dilate urethra stricture CPT 53600 | $513.00 | $684.00 | $236.38 – $425.48 | 17 |
| Dilate urethra stricture CPT 53601 | not published | not published | $125.87 – $226.57 | 17 |
| Dilate urethra stricture CPT 53605 | not published | not published | $3,334.90 – $6,002.83 | 17 |
| Dilate urethra stricture CPT 53621 | not published | not published | $236.38 – $425.48 | 17 |
| Dilation/female urethra/initial 53660 CPT 53660 | $387.75 | $517.00 | $121.73 – $219.12 | 17 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,132.12 – $2,037.81 | 17 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $3,062.57 – $5,512.63 | 17 |
| Dilation of rectal stricture 45910 CPT 45910 | $1,375.50 | $1,834.00 | $1,132.12 – $2,037.81 | 17 |
| Dilation of salivary duct CPT 42660 | not published | not published | $510.25 – $918.44 | 17 |
| Dilation of urethra CPT 53661 | not published | not published | $125.87 – $226.57 | 17 |
| Dilation of urethra CPT 53665 | not published | not published | $1,977.66 – $3,559.80 | 17 |
| Dilation of vagina CPT 57400 | not published | not published | $3,062.57 – $5,512.63 | 17 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $1,467.92 – $2,642.25 | 17 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $659.70 – $1,187.45 | 17 |
| Dilator fascial 10fx20cm HCPCS C2627 | $291.87 | $389.16 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $3,334.90 – $6,002.83 | 17 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $3,334.90 – $6,002.83 | 17 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $107.23 | $142.97 | not published | 0 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $190.93 – $190.93 | 1 |
| Dimenhydrinate injection HCPCS J1240 | $17.32 | $23.09 | $15.09 – $15.09 | 1 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $2,501.55 | $3,335.40 | $748.98 – $1,348.16 | 17 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $36.98 | $49.30 | not published | 0 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $5.92 | $7.89 | $1.75 – $1.75 | 1 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $235.06 – $235.06 | 1 |
| Dipyridamole injection HCPCS J1245 | $64.49 | $85.98 | $7.52 – $7.52 | 1 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $35.34 – $63.61 | 17 |
| Disability dlco CPT 94727 | $340.50 | $454.00 | $204.28 – $367.70 | 17 |
| Disaccharidases CPT 82657 | $1,265.25 | $1,687.00 | $22.17 – $39.91 | 18 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $1,952.02 – $3,513.64 | 17 |
| Disarticulation shoulder CPT 23920 | not published | not published | $12,146.38 – $21,863.49 | 17 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,277.44 – $2,299.40 | 17 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $185.82 – $334.47 | 17 |
| Discography cerv/thor spine CPT 72285 | $2,691.00 | $3,588.00 | $210.27 – $3,325.37 | 18 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $79.41 – $142.94 | 17 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $263.80 – $474.84 | 17 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $1,683.92 – $3,031.06 | 17 |
| Dissect brain w/scope CPT 62161 | not published | not published | $1,459.54 – $2,627.17 | 17 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | not published | not published | $93.55 – $168.39 | 17 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $5,264.43 – $9,475.98 | 17 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $1,065.31 – $1,917.56 | 17 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $5,600.62 – $10,081.11 | 17 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $293.83 – $528.90 | 17 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $0.03 – $0.03 | 1 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $6,681.75 | $8,909.00 | $262.85 – $473.13 | 17 |
| Dmd dup/delet analysis CPT 81161 | $2,106.00 | $2,808.00 | $279.00 – $502.20 | 18 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $274.83 – $494.69 | 17 |
| Dmpk gene detc abnor allele CPT 81234 | $613.50 | $818.00 | $137.00 – $246.60 | 17 |
| Dna antibody native/double stranded CPT 86225 | $131.25 | $175.00 | $13.74 – $24.73 | 18 |
| Dna gardnerella CPT 87510 | not published | not published | $20.05 – $36.09 | 17 |
| Dna probe chlamydia CPT 87490 | not published | not published | $22.75 – $40.95 | 17 |
| Dna probe gc CPT 87590 | not published | not published | $26.88 – $48.38 | 17 |
| Dna trichomonas CPT 87660 | not published | not published | $20.05 – $36.09 | 17 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $130.35 | $173.79 | $15.53 – $15.53 | 1 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $1,164.72 | $1,552.95 | $0.72 – $0.72 | 1 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $50.61 – $91.09 | 17 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $12.10 – $20.93 | 2 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $215.32 – $215.32 | 1 |
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.