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 |
|---|---|---|---|---|
| Glaucoma surgery CPT 66155 | not published | not published | $3,910.54 – $7,038.97 | 17 |
| Glaucoma surgery CPT 66160 | not published | not published | $2,183.38 – $3,930.08 | 17 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,183.38 – $3,930.08 | 17 |
| Glove finger flexion right lg xl HCPCS L3912 | $36.75 | $49.00 | $117.84 – $212.11 | 17 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $146.33 – $263.40 | 17 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $509.06 | $678.74 | $135.00 – $243.00 | 17 |
| Glucagon plasma - sendout CPT 82943 | $63.00 | $84.00 | $14.29 – $25.72 | 18 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $46.07 – $82.93 | 17 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $50.50 – $90.90 | 17 |
| Glucagon tolerance test CPT 82946 | not published | not published | $17.77 – $31.99 | 17 |
| Glucose 1 hr post dose CPT 82950 | $168.00 | $224.00 | $4.75 – $8.55 | 18 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $55.50 | $74.00 | $6.05 – $10.89 | 18 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $39.00 | $52.00 | $3.28 – $5.90 | 18 |
| Glucose blood quantitative CPT 82947 | $45.00 | $60.00 | $3.93 – $7.07 | 18 |
| Glucose body fluid CPT 82945 | $72.75 | $97.00 | $3.93 – $7.07 | 18 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $55.81 – $100.46 | 17 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $201.75 | $269.00 | $12.87 – $23.17 | 18 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $63.00 | $84.00 | $3.92 – $7.06 | 18 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $102.50 | $136.66 | not published | 0 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $52.08 – $52.08 | 1 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $7,166.65 | $9,555.53 | $11.29 – $20.32 | 17 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $187.50 | $250.00 | $18.58 – $33.44 | 18 |
| Gonadotropin hormone panel CPT 80426 | $1,263.75 | $1,685.00 | $148.41 – $267.14 | 18 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $129.00 | $172.00 | $18.52 – $33.34 | 18 |
| Gonioscopy CPT 92020 | not published | not published | $125.87 – $226.57 | 17 |
| Goniotomy CPT 65820 | not published | not published | $3,910.54 – $7,038.97 | 17 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $11,433.78 | $15,245.04 | $1,430.86 – $1,430.86 | 1 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $3,026.25 | $4,035.00 | $59.05 – $211.92 | 17 |
| Graft axiofill 1000mg HCPCS J3590 | $675,000.00 | $900,000.00 | not published | 0 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $117.73 – $211.92 | 17 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $17,736.75 | $23,649.00 | $117.73 – $211.92 | 17 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $3,095.56 – $5,572.02 | 17 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $31,488.75 | $41,985.00 | $117.73 – $211.92 | 17 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $2,670.08 – $2,670.08 | 1 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $27,652.41 | $36,869.88 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $78,750.00 | $105,000.00 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $29,670.10 | $39,560.13 | $117.73 – $211.92 | 17 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $6,187.50 | $8,250.00 | $117.73 – $211.92 | 17 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,013.23 – $1,823.82 | 17 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $6,075.00 | $8,100.00 | $117.73 – $211.92 | 17 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $7,746.75 | $10,329.00 | $95.21 – $211.92 | 17 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $117.73 – $211.92 | 17 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $66,548.25 | $88,731.00 | $117.73 – $211.92 | 17 |
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | not published | not published | $117.73 – $211.92 | 17 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $2,227.50 | $2,970.00 | $117.73 – $211.92 | 17 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $99,296.10 | $132,394.80 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $6,187.50 | $8,250.00 | not published | 0 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $10.71 – $10.71 | 1 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.43 – $3.22 | 2 |
| Granulocyte pheresis ea unit HCPCS P9050 | not published | not published | $11,466.00 – $11,466.00 | 1 |
| Great toe-hand transfer CPT 26551 | not published | not published | $6,864.94 – $12,356.89 | 17 |
| Great toe with reduction 28495 CPT 28495 | $581.25 | $775.00 | $233.37 – $420.06 | 17 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $1,952.02 – $3,513.64 | 17 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $3,352.64 – $6,034.75 | 17 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $196.37 – $353.46 | 17 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $3,352.64 – $6,034.75 | 17 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $35.45 – $63.81 | 17 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $16.31 – $29.36 | 17 |
| Group train without patient HCPCS G0543 | not published | not published | $27.36 – $49.26 | 17 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.74 – $28.33 | 17 |
| Growth hormone panel CPT 80428 | $135.75 | $181.00 | $66.70 – $120.06 | 18 |
| Growth hormone panel CPT 80430 | $261.75 | $349.00 | $129.33 – $232.79 | 18 |
| Growth stimulation gene 2 CPT 83006 | $1,637.25 | $2,183.00 | $67.35 – $136.08 | 18 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $35.45 – $63.81 | 17 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $35.45 – $63.81 | 17 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $1,741.36 – $3,134.45 | 17 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $1,179.12 – $2,122.42 | 17 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,513.20 – $2,723.76 | 17 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,652.07 – $2,973.72 | 17 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $996.31 – $1,793.36 | 17 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,815.43 – $3,267.78 | 17 |
| G-tube reposition CPT 43761 | $631.50 | $842.00 | $236.38 – $425.48 | 17 |
| Gu dilat ureter/urethra s&i CPT 74485 | $1,712.25 | $2,283.00 | $221.19 – $3,559.80 | 18 |
| Guided cath fluid drainage 10030 CPT 10030 | $542.25 | $723.00 | $669.95 – $1,205.91 | 17 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $2,108.25 | $2,811.00 | $681.49 – $1,226.68 | 17 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $20,413.63 | $27,218.17 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $3,593.25 | $4,791.00 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $35.31 – $63.56 | 17 |
| Gum graft CPT 41870 | not published | not published | $1,467.92 – $2,642.25 | 17 |
| Gw stiffened micro access kit HCPCS C1894 | $101,250.00 | $135,000.00 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $3,704.30 – $6,667.74 | 17 |
| Hair analysis HCPCS P2031 | not published | not published | $4.95 – $8.91 | 17 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $699.22 – $1,258.59 | 17 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $384.59 – $692.27 | 17 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $384.59 – $692.27 | 17 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | not published | not published | $53.16 – $95.69 | 17 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $2,584.02 – $4,651.24 | 17 |
| Halo cervical into jckt vest HCPCS L0810 | not published | not published | $3,284.91 – $5,912.84 | 17 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $3,953.92 – $7,117.06 | 17 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $120.02 | $160.02 | $9.12 – $9.12 | 1 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $8.58 | $11.44 | $1.62 – $1.62 | 1 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $264.89 – $476.80 | 17 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $33.89 – $61.00 | 17 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $118.11 – $212.60 | 17 |
| Hand restoration multiple fi HCPCS L6905 | not published | not published | $2,363.43 – $4,254.17 | 17 |
| Hand restoration no fingers HCPCS L6910 | not published | not published | $2,323.42 – $4,182.16 | 17 |
| Hand restoration replacmnt g HCPCS L6915 | not published | not published | $998.28 – $1,796.90 | 17 |
| Hand restorat thumb/1 finger HCPCS L6900 | not published | not published | $2,387.98 – $4,298.36 | 17 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $138.75 | $185.00 | $26.59 – $47.87 | 17 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $3,095.56 – $5,572.02 | 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.