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 |
|---|---|---|---|---|
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $3.65 – $6.58 | 17 |
| Inj, daptomycin (baxter) HCPCS J0874 | not published | not published | $0.32 – $0.32 | 1 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.53 – $0.53 | 1 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.32 – $0.32 | 1 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $3.09 – $5.57 | 17 |
| Inj, decitabine (sun pharma) HCPCS J0893 | $369.75 | $493.00 | not published | 0 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $3,321,376.38 – $5,978,477.48 | 17 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | not published | not published | $27.91 – $50.25 | 17 |
| Inj diclofenac sodium 0.5mg HCPCS J1130 | not published | not published | $0.74 – $0.74 | 1 |
| Inj disk cerv-thor ea lev CPT 62291 | $3,232.50 | $4,310.00 | $317.01 – $570.63 | 17 |
| Inj, docetaxel (beizray) 1mg HCPCS J9174 | not published | not published | $46.09 – $82.97 | 17 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.14 – $7.45 | 17 |
| Inj dupuytren cord w/enzyme CPT 20527 | $592.50 | $790.00 | $290.40 – $522.72 | 17 |
| Inj, durolane 1 mg HCPCS J7318 | $4,122.72 | $5,496.96 | $6.73 – $12.12 | 17 |
| Inj dx for sinogram CPT 20501 | $1,089.75 | $1,453.00 | $126.18 – $227.13 | 17 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $678.75 | $905.00 | $667.82 – $1,202.07 | 17 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $660.00 | $880.00 | $216.41 – $389.54 | 17 |
| Injection, belinostat, 10mg HCPCS J9032 | $9,355.72 | $12,474.29 | $53.11 – $95.60 | 17 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $498.72 – $897.69 | 17 |
| Injection, cangrelor HCPCS C9460 | $3,425.21 | $4,566.94 | $20.02 – $36.04 | 17 |
| Injection, caplacizumab-yhdp HCPCS C9047 | $31,693.80 | $42,258.39 | $801.26 – $1,442.28 | 17 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $853.50 | $1,138.00 | $290.40 – $522.72 | 17 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $166.20 – $299.16 | 17 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $8.54 – $8.54 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $70.77 – $127.39 | 17 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $1.68 – $1.68 | 1 |
| Injection, doxercalciferol HCPCS J1270 | $23.86 | $31.81 | $0.72 – $0.72 | 1 |
| Injection during cath supravalvular aortography CPT 93567 | $2,211.75 | $2,949.00 | $36.03 – $64.85 | 17 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $15.18 – $27.32 | 17 |
| Injection epidural blood patch or clot CPT 62273 | $1,618.50 | $2,158.00 | $667.82 – $1,202.07 | 17 |
| Injection estrone per 1 mg HCPCS J1435 | not published | not published | $0.70 – $0.70 | 1 |
| Injection eye drug CPT 67028 | $387.00 | $516.00 | $312.49 – $562.49 | 17 |
| Injection for arthrography wrist (both sides) CPT 25246 | $551.25 | $735.00 | $175.92 – $316.66 | 17 |
| Injection for bladder x-ray CPT 51600 | $498.00 | $664.00 | $192.16 – $345.89 | 17 |
| Injection for hip x-ray CPT 27095 | not published | not published | $302.27 – $544.08 | 17 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $540.75 | $721.00 | $146.46 – $263.63 | 17 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $107.95 – $194.31 | 17 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $54.03 – $97.25 | 17 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $119.51 – $215.11 | 17 |
| Injection for ureter x-ray CPT 50690 | $544.50 | $726.00 | $110.40 – $198.71 | 17 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $141.93 – $141.93 | 1 |
| Injection, fulvestrant HCPCS J9395 | $3,584.82 | $4,779.76 | $13.58 – $13.58 | 1 |
| Injection glatiramer acetate HCPCS J1595 | $1,749.29 | $2,332.38 | not published | 0 |
| Injection, glucarpidase HCPCS C9293 | $159,854.02 | $213,138.69 | $449.10 – $808.39 | 17 |
| Injection, inclisiran, 1 mg HCPCS J1306 | not published | not published | $12.61 – $22.70 | 17 |
| Injection into brain canal CPT 61026 | not published | not published | $667.82 – $1,202.07 | 17 |
| Injection into brain canal CPT 61055 | not published | not published | $290.40 – $522.72 | 17 |
| Injection into hemorrhoid(s) CPT 46500 | $1,058.25 | $1,411.00 | $879.81 – $1,583.66 | 17 |
| Injection into spinal artery CPT 62294 | not published | not published | $836.78 – $1,506.20 | 17 |
| Injection into vocal cord CPT 31513 | not published | not published | $370.03 – $666.05 | 17 |
| Injection intraop add-on CPT 48400 | not published | not published | $93.99 – $169.18 | 17 |
| Injection, isavuconazonium HCPCS J1833 | $1,350.22 | $1,800.29 | $1.01 – $1.81 | 17 |
| Injection jaw joint x-ray CPT 21116 | $219.75 | $293.00 | $205.77 – $370.39 | 17 |
| Injection jugular CPT 36299 | $1,890.00 | $2,520.00 | not published | 0 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $2.18 – $7.91 | 2 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.73 – $10.32 | 17 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $68.12 – $122.61 | 17 |
| Injection of sinus tract CPT 20500 | $1,670.25 | $2,227.00 | $1,467.92 – $2,642.25 | 17 |
| Injection,onabotulinumtoxina HCPCS J0585 | $4,814.15 | $6,418.86 | $6.51 – $11.72 | 17 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $348.78 – $348.78 | 1 |
| Injection, peramivir HCPCS J2547 | $1,257.68 | $1,676.90 | $1.68 – $3.02 | 17 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $6.23 – $6.23 | 1 |
| Injection px peyronie ds CPT 54200 | $287.25 | $383.00 | $236.38 – $425.48 | 17 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $787.50 | $1,050.00 | $378.21 – $680.79 | 17 |
| Injection, renflexis HCPCS Q5104 | $2,582.56 | $3,443.41 | $26.80 – $48.25 | 17 |
| Injection, ruconest HCPCS J0596 | not published | not published | $36.68 – $66.02 | 17 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $667.82 – $1,202.07 | 17 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,471.50 | $1,962.00 | $667.82 – $1,202.07 | 17 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,567.50 | $2,090.00 | $667.82 – $1,202.07 | 17 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,668.00 | $2,224.00 | $836.78 – $1,506.20 | 17 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $1,236.75 | $1,649.00 | $96.64 – $173.96 | 17 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,777.50 | $2,370.00 | $836.78 – $1,506.20 | 17 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,334.25 | $1,779.00 | $90.62 – $163.12 | 17 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,512.75 | $2,017.00 | $836.78 – $1,506.20 | 17 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $2,233.50 | $2,978.00 | $667.82 – $1,202.07 | 17 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,943.25 | $2,591.00 | $667.82 – $1,202.07 | 17 |
| Injection, siltuximab HCPCS J2860 | $23,535.37 | $31,380.49 | $174.08 – $313.34 | 17 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $255.00 | $340.00 | $290.40 – $522.72 | 17 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $1,078.50 | $1,438.00 | $290.40 – $522.72 | 17 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $656.25 | $875.00 | $290.40 – $522.72 | 17 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $573.00 | $764.00 | not published | 0 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $47.60 – $47.60 | 1 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $10.61 – $10.61 | 1 |
| Injection treatment of eye CPT 66020 | not published | not published | $2,183.38 – $3,930.08 | 17 |
| Injection treatment of eye CPT 66030 | not published | not published | $2,183.38 – $3,930.08 | 17 |
| Injection treatment of nerve CPT 64605 | $2,238.00 | $2,984.00 | $1,847.43 – $3,325.37 | 17 |
| Injection treatment of nerve CPT 64610 | not published | not published | $1,847.43 – $3,325.37 | 17 |
| Injection treatment of nerve CPT 64681 | $2,708.25 | $3,611.00 | $836.78 – $1,506.20 | 17 |
| Injection treatment of nose CPT 30200 | not published | not published | $510.25 – $918.44 | 17 |
| Inject sacroiliac joint CPT 27096 | $492.00 | $656.00 | $165.03 – $297.06 | 17 |
| Inject/treat eye socket CPT 67500 | not published | not published | $300.29 – $540.52 | 17 |
| Inject/treat eye socket CPT 67505 | not published | not published | $300.29 – $540.52 | 17 |
| Inject/treat eye socket CPT 67515 | not published | not published | $300.29 – $540.52 | 17 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $31.93 – $57.47 | 17 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $41.79 – $75.22 | 17 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $34.33 – $61.79 | 17 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $38.96 – $70.12 | 17 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $384.14 – $691.44 | 17 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | $58,842.17 | $78,456.22 | $55.64 – $100.15 | 17 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $2,184.75 | $2,913.00 | $667.82 – $1,202.07 | 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.