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 |
|---|---|---|---|---|
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,346.87 – $2,424.37 | 16 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $411.66 – $740.98 | 16 |
| Sterile gauze <= 16 sq in HCPCS A6402 | not published | not published | $0.15 – $0.27 | 16 |
| Sterile water/saline, 10 ml HCPCS A4216 | not published | not published | $0.54 – $0.97 | 16 |
| Sterile water/saline, 500 ml HCPCS A4217 | $28.11 | $37.47 | $4.47 – $8.05 | 17 |
| Sternal debridement CPT 21627 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Sternal pad HCPCS L1050 | not published | not published | $123.31 – $221.96 | 16 |
| St evaluate speech sound production CPT 92522 | $341.25 | $455.00 | $107.86 – $194.16 | 17 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $551.25 | $735.00 | $87.52 – $157.54 | 17 |
| Stimulants synthetic CPT 80371 | $70.50 | $94.00 | $0.03 – $29.32 | 3 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $1,995.02 – $3,591.04 | 16 |
| Stocking sup grips 4 pre ots HCPCS L0982 | not published | not published | $19.23 – $34.61 | 16 |
| Stoma absorptive cover HCPCS A5083 | not published | not published | $0.92 – $1.66 | 16 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,431.75 | $1,909.00 | $408.43 – $735.17 | 17 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $174.06 – $313.31 | 16 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $174.06 – $313.31 | 16 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $174.06 – $313.31 | 16 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $174.06 – $313.31 | 16 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $421.77 – $759.18 | 16 |
| Straight knee joint heavy du HCPCS L2385 | not published | not published | $180.58 – $325.04 | 16 |
| Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 | not published | not published | $4.70 – $8.46 | 16 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $183.75 | $245.00 | $166.02 – $298.84 | 17 |
| Strapping of chest CPT 29200 | not published | not published | $166.02 – $298.84 | 16 |
| Strapping of elbow or wrist 29260 CPT 29260 | $230.25 | $307.00 | $60.27 – $108.49 | 17 |
| Strapping of hand or finger CPT 29280 | $315.00 | $420.00 | $60.27 – $108.49 | 17 |
| Strapping of hip CPT 29520 | $147.00 | $196.00 | $135.93 – $244.67 | 17 |
| Strapping of knee CPT 29530 | $204.75 | $273.00 | $135.93 – $244.67 | 17 |
| Strapping of toes 29550 CPT 29550 | $151.50 | $202.00 | $60.27 – $108.49 | 17 |
| Strep a ag ia CPT 87430 | not published | not published | $16.81 – $30.26 | 16 |
| Strep a dna dir probe CPT 87650 | not published | not published | $20.05 – $36.09 | 16 |
| Strep a dna quant CPT 87652 | not published | not published | $41.76 – $75.17 | 16 |
| Strep b assay w/optic CPT 87802 | not published | not published | $12.73 – $22.91 | 16 |
| Strep b dna amp probe CPT 87653 | not published | not published | $35.09 – $63.16 | 16 |
| Streptokinase 1.5 m-units inj HCPCS J2995 | not published | not published | $278.92 – $278.92 | 1 |
| Streptokinase antibody CPT 86590 | not published | not published | $12.66 – $22.79 | 16 |
| Streptomycin injection HCPCS J3000 | not published | not published | $80.69 – $278.92 | 2 |
| Streptozocin injection HCPCS J9320 | $1,286.99 | $1,715.98 | $952.84 – $952.84 | 1 |
| Stress test pulmonary CPT 94618 | $654.00 | $872.00 | $135.93 – $244.67 | 17 |
| Stress tte complete CPT 93351 | $2,007.00 | $2,676.00 | $558.25 – $1,004.85 | 17 |
| Str markers spec anal addl CPT 81266 | not published | not published | $304.81 – $548.66 | 16 |
| Str markers specimen anal CPT 81265 | $1,678.50 | $2,238.00 | $233.07 – $419.53 | 17 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $721.17 – $1,298.11 | 16 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | not published | not published | $332.13 – $597.84 | 16 |
| Subq njx filling matrl 1cc/< CPT 11950 | $1,392.00 | $1,856.00 | $204.98 – $368.96 | 17 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $755.08 – $1,359.14 | 16 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | not published | not published | $103.80 – $186.84 | 16 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | not published | not published | $99.85 – $179.73 | 16 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $97.85 – $176.12 | 16 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $1,386.92 – $2,496.46 | 16 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $22.19 | $29.58 | not published | 0 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Suction socket HCPCS L6686 | not published | not published | $844.29 – $1,519.72 | 16 |
| Suction susp ak/knee disart HCPCS L5652 | not published | not published | $533.75 – $960.75 | 16 |
| Sugars multiple quant CPT 84379 | not published | not published | $11.53 – $20.75 | 16 |
| Sugars single quant CPT 84378 | not published | not published | $11.53 – $20.75 | 16 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | not published | not published | $0.13 – $0.28 | 2 |
| Sulfonylurea screen qn-sendout CPT 80377 | $270.00 | $360.00 | $0.03 – $29.66 | 3 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $167.98 | $223.97 | not published | 0 |
| Sup/ext non-ins inf pump syr HCPCS K0552 | not published | not published | $3.47 – $6.25 | 16 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $47.84 – $86.11 | 16 |
| Supply of digital device HCPCS G0552 | not published | not published | $136.02 – $244.84 | 16 |
| Supp non-insulin inf cath/wk HCPCS A4221 | not published | not published | $25.87 – $46.57 | 16 |
| Support clav 29.6-40.5in med HCPCS L3650 | $105.75 | $141.00 | $80.60 – $145.08 | 17 |
| Supprelin la implant HCPCS J9226 | $185,546.55 | $247,395.39 | $41,173.43 – $74,112.17 | 17 |
| Suprv interfacilty transport CPT 99485 | not published | not published | $62.86 – $113.14 | 16 |
| Suprv interfac trnsport addl CPT 99486 | not published | not published | $54.62 – $98.32 | 16 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $719.31 – $1,294.76 | 16 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $719.92 – $1,295.85 | 16 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $3,601.33 – $6,482.39 | 16 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $1,063.39 – $1,914.09 | 16 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $5,477.93 – $9,860.27 | 16 |
| Surgical opening esophagus CPT 43351 | not published | not published | $1,244.25 – $2,239.65 | 16 |
| Surgical opening esophagus CPT 43352 | not published | not published | $1,008.41 – $1,815.13 | 16 |
| Surgical opening of stomach CPT 43510 | not published | not published | $926.63 – $1,667.93 | 16 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $732.99 – $1,319.39 | 16 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Surgical pathology level 1 gross examination only CPT 88300 | $117.00 | $156.00 | $13.39 – $53.19 | 17 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $193.50 | $258.00 | $20.50 – $68.69 | 17 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $240.00 | $320.00 | $40.47 – $95.83 | 17 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $330.75 | $441.00 | $44.17 – $95.83 | 17 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $507.00 | $676.00 | $69.19 – $659.18 | 17 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $720.75 | $961.00 | $69.19 – $1,481.63 | 17 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $1,240.75 – $2,233.34 | 16 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $1,393.41 – $2,508.14 | 16 |
| Surgical revision intestine CPT 44680 | not published | not published | $987.32 – $1,777.18 | 16 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $127.14 – $228.85 | 16 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $2,835.78 – $5,104.40 | 16 |
| Susceptibility agar dilution per agent CPT 87181 | $130.50 | $174.00 | $0.82 – $8.55 | 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.