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 |
|---|---|---|---|---|
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $2,389.50 | $3,186.00 | $950.10 – $1,710.18 | 17 |
| Sigmoidoscopy w/ablation CPT 45346 | $2,604.00 | $3,472.00 | $1,222.56 – $2,200.61 | 17 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $1,370.25 | $1,827.00 | $1,222.56 – $2,200.61 | 17 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | $4,379.25 | $5,839.00 | $6,202.39 – $11,164.30 | 17 |
| Sigmoidoscopy w/resection CPT 45349 | $3,254.25 | $4,339.00 | $2,835.78 – $5,104.40 | 17 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $2,502.75 | $3,337.00 | $1,222.56 – $2,200.61 | 17 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $3,027.00 | $4,036.00 | $950.10 – $1,710.18 | 17 |
| Sigmoidoscopy w/us guide bx CPT 45342 | $4,014.75 | $5,353.00 | $1,222.56 – $2,200.61 | 17 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $2,535.00 | $3,380.00 | $950.10 – $1,710.18 | 17 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $60.27 – $108.49 | 16 |
| Sig w/tndsc balloon dilation CPT 45340 | $2,738.25 | $3,651.00 | $1,222.56 – $2,200.61 | 17 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.95 – $0.95 | 1 |
| Silicon gel insert w/wo lock HCPCS L6692 | not published | not published | $787.53 – $1,417.55 | 16 |
| Sim ang w/prs cath rad emb HCPCS C8004 | not published | not published | $11,794.23 – $21,229.61 | 16 |
| Simple cystometrogram 51725 CPT 51725 | $759.00 | $1,012.00 | $255.26 – $459.47 | 17 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $456.17 | $608.22 | $349.99 – $349.99 | 1 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $106.81 – $192.26 | 16 |
| Single pivot hinge pair HCPCS L6605 | not published | not published | $287.48 – $517.46 | 16 |
| Single transfer toe-hand CPT 26553 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,576.50 | $2,102.00 | $179.20 – $322.56 | 17 |
| Sinus CT scan (with contrast) CPT 70487 | $1,519.50 | $2,026.00 | $179.20 – $322.56 | 17 |
| Sinus CT scan (without contrast) CPT 70486 | $1,303.50 | $1,738.00 | $106.81 – $192.26 | 17 |
| Sinus/juglr venogram s&i CPT 75860 | $2,489.25 | $3,319.00 | $179.52 – $5,806.57 | 17 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Sinus X-ray (complete) CPT 70220 | $629.25 | $839.00 | $67.26 – $160.04 | 17 |
| Sinus X-ray (limited) CPT 70210 | $444.75 | $593.00 | $59.05 – $160.04 | 17 |
| Sio flex pelvisacral custom HCPCS L0622 | not published | not published | $328.48 – $591.26 | 16 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $116.41 – $209.54 | 16 |
| Sipuleucel-t - su HCPCS Q2043 | $95,750.46 | $127,667.28 | $56,269.19 – $101,284.55 | 17 |
| Sirolimus, oral HCPCS J7520 | $12,667.27 | $16,889.69 | $2.45 – $2.45 | 1 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $87.11 – $156.80 | 16 |
| Six volt bat otto bock/eq ea HCPCS L7360 | not published | not published | $325.76 – $586.37 | 16 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $375.75 | $501.00 | $0.03 – $28.78 | 3 |
| Skel musc relaxant 3 or more CPT 80370 | $27.75 | $37.00 | $0.03 – $28.78 | 3 |
| Skin and muscle repair face CPT 15845 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Skin barrier with flange HCPCS A4373 | not published | not published | $8.94 – $16.09 | 16 |
| Skin Biopsy CPT 11102 | $300.00 | $400.00 | $415.32 – $747.58 | 17 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $170.24 – $306.44 | 16 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $189.97 – $341.95 | 16 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $12.53 – $53.19 | 16 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $2,354.31 – $4,237.76 | 16 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $4,058.47 – $7,305.24 | 16 |
| Skull X-ray (1 to 3 views) CPT 70250 | $377.25 | $503.00 | $67.26 – $192.26 | 17 |
| Skull X-ray (complete) CPT 70260 | $749.25 | $999.00 | $77.09 – $192.26 | 17 |
| Skyla, 13.5 mg HCPCS J7301 | $3,739.59 | $4,986.11 | not published | 0 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $174.81 – $314.66 | 16 |
| Sleep study attended CPT 95807 | $404.25 | $539.00 | $381.24 – $686.23 | 17 |
| Sleep Study (Polysomnography) CPT 95810 | $6,070.50 | $8,094.00 | $877.34 – $1,579.21 | 17 |
| Sleep study unattended CPT 95806 | $594.00 | $792.00 | $220.60 – $397.08 | 17 |
| Sleeve fing rolyan med HCPCS L3933 | $32.25 | $43.00 | $238.64 – $429.55 | 17 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $2,784.56 – $5,012.21 | 16 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $30.35 | $40.46 | $10.98 – $19.76 | 17 |
| Sling pelv split sam med HCPCS L0621 | not published | not published | $64.94 – $116.89 | 16 |
| Sling suprapubic suburetheral HCPCS C1771 | $21,217.50 | $28,290.00 | not published | 0 |
| Slitting of prepuce CPT 54000 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Slitting of prepuce CPT 54001 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $32.21 – $57.97 | 16 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | $90.52 – $162.93 | 16 |
| Slp pure tone screening CPT 92551 | $64.50 | $86.00 | $12.23 – $22.01 | 17 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $60.27 – $108.49 | 16 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | $76.81 – $138.26 | 16 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $3,159.80 – $5,687.64 | 16 |
| Small animal inoculation CPT 87003 | not published | not published | $16.84 – $30.31 | 16 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $709.50 | $946.00 | $179.20 – $322.56 | 17 |
| Small bowel endoscopy CPT 44360 | $2,597.25 | $3,463.00 | $1,960.47 – $3,528.85 | 17 |
| Small bowel endoscopy CPT 44364 | $3,657.00 | $4,876.00 | $1,960.47 – $3,528.85 | 17 |
| Small bowel endoscopy CPT 44366 | $3,970.50 | $5,294.00 | $1,960.47 – $3,528.85 | 17 |
| Small bowel endoscopy CPT 44369 | $3,175.50 | $4,234.00 | $1,960.47 – $3,528.85 | 17 |
| Small bowel endoscopy CPT 44376 | $3,048.00 | $4,064.00 | $1,960.47 – $3,528.85 | 17 |
| Small bowel endoscopy CPT 44378 | $4,077.00 | $5,436.00 | $1,960.47 – $3,528.85 | 17 |
| Small bowel endoscopy CPT 44382 | $2,467.50 | $3,290.00 | $926.63 – $1,667.93 | 17 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,960.47 – $3,528.85 | 16 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | $3,096.75 | $4,129.00 | $1,960.47 – $3,528.85 | 17 |
| Small bowel endoscopy 44365 CPT 44365 | $3,540.00 | $4,720.00 | $1,960.47 – $3,528.85 | 17 |
| Small bowel endoscopy/biopsy CPT 44361 | $4,161.00 | $5,548.00 | $1,960.47 – $3,528.85 | 17 |
| Small bowel endoscopy/biopsy CPT 44377 | $2,205.75 | $2,941.00 | $1,960.47 – $3,528.85 | 17 |
| Small bowel endoscopy br/wa CPT 44380 | $2,166.75 | $2,889.00 | $926.63 – $1,667.93 | 17 |
| Small bowel endoscopy br/wa CPT 44381 | $2,218.50 | $2,958.00 | $1,960.47 – $3,528.85 | 17 |
| Small bowel endoscopy/stent 44370 CPT 44370 | $6,607.50 | $8,810.00 | $6,202.39 – $11,164.30 | 17 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | $2.43 | $3.23 | $0.01 – $0.02 | 17 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $81.00 | $108.00 | $2.54 – $9.70 | 17 |
| Smear gram stain CPT 87205 | $66.00 | $88.00 | $2.02 – $7.69 | 17 |
| Smear nasal eosinophil CPT 89190 | $46.50 | $62.00 | $1.58 – $10.42 | 17 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $52.50 | $70.00 | $5.99 – $10.78 | 17 |
| Smear wet mount CPT 87210 | $88.50 | $118.00 | $5.54 – $10.48 | 17 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $301.35 – $542.43 | 16 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $185.20 – $333.36 | 16 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $47.00 – $84.60 | 16 |
| Snrpn/ube3a gene CPT 81331 | $376.50 | $502.00 | $41.02 – $91.93 | 17 |
| So airplane w/wo joint cf HCPCS L3674 | not published | not published | $1,322.06 – $2,379.71 | 16 |
| So cap design without jnts cf HCPCS L3671 | not published | not published | $1,007.79 – $1,814.02 | 16 |
| Socket insert above knee HCPCS L5658 | not published | not published | $558.94 – $1,006.09 | 16 |
| Socket insert below knee HCPCS L5655 | not published | not published | $348.56 – $627.41 | 16 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $529.54 – $953.17 | 16 |
| Socket insert symes HCPCS L5654 | not published | not published | $482.77 – $868.99 | 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.