University Hospitals Portage Medical Center
6847 N. Chestnut Street, Ravenna OH 44266, OH · University Hospitals · · NPI 1043641897
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $141.00 | $188.00 | $15.39 – $52.70 | 17 |
| 17-hydroxypregnenolone CPT 84143 | $125.25 | $167.00 | $15.90 – $41.06 | 17 |
| 17-ketosteroids CPT 83586 | not published | not published | $12.80 – $23.04 | 16 |
| 1pc ost pch drain hgh output HCPCS A4435 | not published | not published | $8.21 – $14.78 | 16 |
| 1 pc ost pouch w filter HCPCS A5056 | not published | not published | $6.66 – $11.99 | 16 |
| 1 pc ost pou w built-in conv HCPCS A5057 | not published | not published | $13.68 – $24.62 | 16 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $136.02 – $244.84 | 16 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | not published | not published | $768.10 – $1,382.58 | 16 |
| 1st psyc collab care mgmt CPT 99492 | not published | not published | $103.79 – $186.82 | 16 |
| 1st/sbsq psyc collab care CPT 99494 | not published | not published | $58.68 – $105.63 | 16 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $35.92 – $64.66 | 16 |
| 24 hr ambulatory b/p monitor CPT 93786 | $359.25 | $479.00 | $135.93 – $244.67 | 17 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $2,282.25 | $3,043.00 | $800.90 – $1,441.62 | 17 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $1,278.75 | $1,705.00 | $800.90 – $1,441.62 | 17 |
| 2nd order venous cath CPT 36012 | $2,337.00 | $3,116.00 | $749.88 – $1,349.79 | 17 |
| 2vhpv vaccine 3 dose im CPT 90650 | not published | not published | $472.92 – $472.92 | 1 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $131.46 – $236.63 | 16 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $131.46 – $236.63 | 16 |
| 3d ech img cgen car anomal CPT 93319 | $1,164.00 | $1,552.00 | $52.48 – $94.46 | 17 |
| 3-d radiotherapy plan CPT 77295 | not published | not published | $607.55 – $2,545.40 | 16 |
| 3d recon without postprocess indpndt CPT 76376 | $522.75 | $697.00 | $23.82 – $42.88 | 17 |
| 4-bar link above knee w/swng HCPCS L5614 | not published | not published | $2,077.88 – $3,740.18 | 16 |
| 5% dextrose and 0.45% saline HCPCS S5010 | not published | not published | $28.21 – $28.21 | 1 |
| 5% dextrose with potassium HCPCS S5012 | not published | not published | $16.98 – $16.98 | 1 |
| 5' nucleotidase - sendout CPT 83915 | $252.75 | $337.00 | $5.95 – $20.07 | 17 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $81.00 | $108.00 | $20.50 – $92.15 | 17 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $135.00 | $180.00 | $108.30 – $194.93 | 17 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $135.00 | $180.00 | $113.19 – $203.75 | 17 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $111.00 | $148.00 | $118.43 – $213.17 | 17 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $135.00 | $180.00 | $97.85 – $176.14 | 17 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $135.00 | $180.00 | $104.03 – $187.25 | 17 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $111.00 | $148.00 | $103.72 – $186.70 | 17 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $167.25 | $223.00 | $114.16 – $205.48 | 17 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $167.25 | $223.00 | $133.05 – $239.49 | 17 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $2,864.50 – $5,156.10 | 16 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $5,313.35 | $7,084.46 | $44.72 – $80.49 | 17 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $148.50 | $198.00 | $5.68 – $21.62 | 17 |
| Abciximab injection HCPCS J0130 | not published | not published | $4,813.03 – $4,813.03 | 1 |
| Abd aorta w/runoff s&i CPT 75630 | $5,568.75 | $7,425.00 | $159.06 – $5,806.57 | 17 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $1,100.26 – $1,980.47 | 16 |
| Abd/low ext cath 1st CPT 36245 | $3,237.00 | $4,316.00 | $1,110.36 – $1,998.65 | 17 |
| Abd/low ext cath 2nd CPT 36246 | $3,023.25 | $4,031.00 | $746.07 – $1,342.92 | 17 |
| Abd/low ext cath 3rd CPT 36247 | $3,810.00 | $5,080.00 | $1,258.35 – $2,265.04 | 17 |
| Abd/low ext cath addl CPT 36248 | $1,727.25 | $2,303.00 | $105.69 – $190.25 | 17 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $1,225.50 | $1,634.00 | $243.77 – $438.79 | 17 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $977.25 | $1,303.00 | $106.81 – $192.26 | 17 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,049.00 | $2,732.00 | $179.20 – $322.56 | 17 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,962.75 | $2,617.00 | $179.20 – $322.56 | 17 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,722.00 | $2,296.00 | $106.81 – $192.26 | 17 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,629.50 | $3,506.00 | $356.43 – $641.57 | 17 |
| Abdominal MRI (with contrast) CPT 74182 | $2,457.75 | $3,277.00 | $356.43 – $641.57 | 17 |
| Abdominal MRI (without contrast) CPT 74181 | $2,285.25 | $3,047.00 | $243.77 – $438.79 | 17 |
| Abdominal pad HCPCS L1270 | not published | not published | $101.86 – $183.35 | 16 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,527.75 | $2,037.00 | $926.63 – $1,667.93 | 17 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,119.75 | $1,493.00 | $106.81 – $192.26 | 17 |
| Abdominal Ultrasound (limited) CPT 76705 | $753.00 | $1,004.00 | $106.81 – $192.26 | 17 |
| Abdominal X-ray (2 views) CPT 74019 | $489.00 | $652.00 | $63.96 – $192.26 | 17 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $471.75 | $629.00 | $86.08 – $192.26 | 17 |
| Abdominal X-ray (single view) CPT 74018 | $284.25 | $379.00 | $53.33 – $160.04 | 17 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $6,783.99 – $12,211.18 | 16 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,505.25 | $2,007.00 | $926.63 – $1,667.93 | 17 |
| Abduct control hip semi-flex HCPCS L1630 | not published | not published | $259.63 – $467.33 | 16 |
| Abduction bar jointed adjust HCPCS L2300 | not published | not published | $309.39 – $556.90 | 16 |
| Abduction bar-straight HCPCS L2310 | not published | not published | $141.37 – $254.47 | 16 |
| Abduction rotation bar shoe HCPCS L3140 | not published | not published | $109.41 – $196.94 | 16 |
| Abduct rotation bar without shoe HCPCS L3150 | not published | not published | $100.05 – $180.09 | 16 |
| Abl1 gene CPT 81170 | $430.50 | $574.00 | $300.00 – $540.00 | 17 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | not published | not published | $387.78 – $698.01 | 16 |
| Ablate arrhythmia add on CPT 93655 | $10,523.25 | $14,031.00 | $257.77 – $463.99 | 17 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $1,266.92 – $2,280.46 | 16 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $1,792.83 – $3,227.09 | 16 |
| Ablate atria without bypass ext CPT 33255 | not published | not published | $1,519.33 – $2,734.79 | 16 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $620.27 – $1,116.48 | 16 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $1,708.32 – $3,074.98 | 16 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $4,898.25 | $6,531.00 | $7,413.38 – $13,344.08 | 17 |
| Ablate bone tumor(s) perq CPT 20982 | $3,543.75 | $4,725.00 | $17,913.59 – $32,244.46 | 17 |
| Ablate heart dysrhythm focus CPT 93650 | $12,842.25 | $17,123.00 | $7,968.60 – $14,343.48 | 17 |
| Ablate heart dysrhythm focus CPT 33250 | not published | not published | $1,363.30 – $2,453.94 | 16 |
| Ablate heart dysrhythm focus CPT 33251 | not published | not published | $1,504.20 – $2,707.55 | 16 |
| Ablate heart dysrhythm focus CPT 33261 | not published | not published | $1,503.70 – $2,706.65 | 16 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Ablate inf turbinate superf 30801 CPT 30801 | $2,706.00 | $3,608.00 | $1,585.19 – $2,853.34 | 17 |
| Ablate pulm tumor perq crybl CPT 32994 | $10,443.00 | $13,924.00 | $10,860.07 – $19,548.13 | 17 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $8,025.00 | $10,700.00 | $131.46 – $236.63 | 17 |
| Ablation cryo abd perit om CPT 49999 | $8,358.00 | $11,144.00 | $926.63 – $1,667.93 | 17 |
| Ablation cryo adrenal tumor CPT 60699 | $6,948.75 | $9,265.00 | $6,176.47 – $11,117.65 | 17 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $280.50 | $374.00 | $252.01 – $453.62 | 17 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $8,080.50 | $10,774.00 | $10,860.07 – $19,548.13 | 17 |
| Ablation cryo retro lymph node CPT 38999 | $503.25 | $671.00 | $450.73 – $811.31 | 17 |
| Ablation cryo thigh/knee CPT 27599 | $274.50 | $366.00 | $252.01 – $453.62 | 17 |
| Ablation ire liver 1+ tumor(s) w/image pq CPT 47384 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Ablation of upper extremity nerves rf CPT 64999 | $2,425.50 | $3,234.00 | $313.60 – $564.48 | 17 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $9,671.50 – $17,408.70 | 16 |
| Ablt trurl prst8 tis thrm Ultrasound CPT 55881 | not published | not published | $8,495.61 – $15,292.09 | 16 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $13,479.22 – $24,262.60 | 16 |
| Abobotulinumtoxina HCPCS J0586 | $3,255.66 | $4,340.87 | $8.90 – $16.03 | 17 |
| Abortion CPT 59850 | not published | not published | $346.40 – $623.53 | 16 |
| Abortion (mpr) CPT 59866 | not published | not published | $311.33 – $560.39 | 16 |
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.