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 |
|---|---|---|---|---|
| Revita, per sq cm HCPCS Q4180 | not published | not published | $127.14 – $228.85 | 16 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $5,685.01 – $10,233.02 | 16 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $1,755.24 – $3,159.44 | 16 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $3,571.83 – $6,429.29 | 16 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $3,945.00 | $5,260.00 | $3,571.83 – $6,429.29 | 17 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $3,571.83 – $6,429.29 | 16 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $3,571.83 – $6,429.29 | 16 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $17,913.59 – $32,244.46 | 16 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $17,913.59 – $32,244.46 | 16 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $31,526.06 – $56,746.91 | 16 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $17,913.59 – $32,244.46 | 16 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $11,384.04 – $20,491.27 | 16 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $10.79 – $19.42 | 16 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $1,746.75 | $2,329.00 | $1,995.02 – $3,591.04 | 17 |
| Rheumatoid factor qualitative CPT 86430 | not published | not published | $6.14 – $11.05 | 16 |
| Rheumatoid factor quantitative CPT 86431 | $98.25 | $131.00 | $2.68 – $10.21 | 17 |
| Rh ig IV CPT 90386 | not published | not published | $36.79 – $36.79 | 1 |
| Rh ig minidose im CPT 90385 | not published | not published | $80.00 – $144.00 | 16 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | not published | not published | $12.77 – $36.79 | 2 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $71.69 – $106.54 | 2 |
| Rho(d) immune globulin h, sd HCPCS J2792 | $5,242.06 | $6,989.41 | $34.26 – $61.66 | 17 |
| Rho d immune globulin inj HCPCS J2790 | $194.25 | $259.00 | $212.15 – $212.15 | 1 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $295.72 – $295.72 | 1 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $3,312.15 – $5,961.87 | 16 |
| R hrt cath chd nml nt cnj CPT 93593 | $7,495.50 | $9,994.00 | $3,312.15 – $5,961.87 | 17 |
| Rhythm ecg with report CPT 93040 | not published | not published | $14.22 – $25.60 | 16 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $471.75 | $629.00 | $72.98 – $192.26 | 17 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $524.25 | $699.00 | $91.80 – $192.26 | 17 |
| Rib cartilage graft CPT 21230 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Rib gusset (elastic) each HCPCS L1280 | not published | not published | $107.39 – $193.30 | 16 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $8,139.60 – $8,139.60 | 1 |
| Rib X-ray (3 views, both sides) CPT 71110 | $492.75 | $657.00 | $74.63 – $192.26 | 17 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $300.54 | $400.72 | $0.39 – $0.39 | 1 |
| Right ventric recording CPT 93603 | $3,039.75 | $4,053.00 | $1,243.91 – $2,239.04 | 17 |
| Rilonacept injection HCPCS J2793 | not published | not published | $96.74 – $96.74 | 1 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | not published | not published | $7.26 – $13.07 | 16 |
| Ring flange plas/leather mol HCPCS L1110 | not published | not published | $391.31 – $704.36 | 16 |
| Ring flange plastic/leather HCPCS L1100 | not published | not published | $233.39 – $420.10 | 16 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $1,509.75 | $2,013.00 | $837.02 – $1,506.64 | 17 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | not published | not published | $7.26 – $13.07 | 16 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | not published | not published | $14.60 – $26.28 | 16 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | not published | not published | $38.28 – $68.90 | 16 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $4,536.51 | $6,048.67 | $10.80 – $19.43 | 17 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | not published | not published | $74.16 – $133.48 | 16 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $27,790.74 | $37,054.31 | $36.28 – $65.31 | 17 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $9,097.89 | $12,130.52 | $31.28 – $56.30 | 17 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $20.26 – $36.46 | 16 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $8,464.14 | $11,285.51 | $13.69 – $24.63 | 17 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $3,312.15 – $5,961.87 | 16 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $3,312.15 – $5,961.87 | 16 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $1,478.25 | $1,971.00 | $723.47 – $1,302.25 | 17 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $1,222.56 – $2,200.61 | 16 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $1,897.50 | $2,530.00 | $1,687.37 – $3,037.27 | 17 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $3,490.14 – $6,282.25 | 16 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $124.57 – $224.22 | 16 |
| Rmvl icd by tv extr CPT 33244 | $4,848.75 | $6,465.00 | $3,817.90 – $6,872.22 | 17 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $22,197.75 | $29,597.00 | $22,725.36 – $40,905.65 | 17 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $26,801.25 | $35,735.00 | $32,068.73 – $57,723.71 | 17 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $21,319.50 | $28,426.00 | $22,725.36 – $40,905.65 | 17 |
| Rmvl icd pulse gen only CPT 33241 | $4,307.25 | $5,743.00 | $3,817.90 – $6,872.22 | 17 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $105.43 – $189.77 | 16 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $446.21 – $803.18 | 16 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $2,141.72 – $3,855.10 | 16 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $2,230.50 | $2,974.00 | $640.89 – $1,153.60 | 17 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $181.68 – $327.02 | 16 |
| Rmvl perm pm pulse gen CPT 33233 | $6,820.50 | $9,094.00 | $8,454.63 – $15,218.33 | 17 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $138.11 – $248.60 | 16 |
| Rmvl phrnc nrv stim pg only CPT 33280 | $4,023.75 | $5,365.00 | $3,571.83 – $6,429.29 | 17 |
| Rmvl phrnc nrv stim sys CPT 33278 | $4,023.75 | $5,365.00 | $3,571.83 – $6,429.29 | 17 |
| Rmvl phrnc nrv stim transvns CPT 33279 | $3,945.00 | $5,260.00 | $3,571.83 – $6,429.29 | 17 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $18,045.00 | $24,060.00 | $19,678.89 – $35,422.00 | 17 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $8,797.50 | $11,730.00 | $8,454.63 – $15,218.33 | 17 |
| Rmvl pq iabp CPT 33968 | $84.00 | $112.00 | $29.39 – $52.90 | 17 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $6,116.25 | $8,155.00 | $163.30 – $293.94 | 17 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Rmvl sq defib electrode CPT 33272 | $4,551.75 | $6,069.00 | $3,817.90 – $6,872.22 | 17 |
| Rmvl subq card rhythm mntr CPT 33286 | $7,037.25 | $9,383.00 | $723.47 – $1,302.25 | 17 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $456.40 – $821.52 | 16 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $1,136.52 – $2,045.74 | 16 |
| Rmvl tv pm lead dual CPT 33235 | $3,988.50 | $5,318.00 | $3,817.90 – $6,872.22 | 17 |
| Rmvl tv pm lead sgl CPT 33234 | $3,303.75 | $4,405.00 | $3,817.90 – $6,872.22 | 17 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $241.37 – $434.47 | 16 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | $15,792.75 | $21,057.00 | $11,384.04 – $20,491.27 | 17 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | $36,000.00 | $48,000.00 | $31,526.06 – $56,746.91 | 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.