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 |
|---|---|---|---|---|
| Wrst mld sck flx hng tri pad HCPCS L6050 | not published | not published | $3,060.84 – $5,509.51 | 16 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $4,222.95 – $7,601.31 | 16 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $2,357.81 – $4,244.06 | 16 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $5,436.56 – $9,785.81 | 16 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $4,222.95 – $7,601.31 | 16 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $46.41 – $46.41 | 1 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $5,436.56 – $9,785.81 | 16 |
| Xe133 xenon 10mci HCPCS A9558 | not published | not published | $910.70 – $910.70 | 1 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $2,107.97 – $3,794.35 | 16 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $914.00 – $1,645.20 | 16 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $0.03 – $1,645.20 | 16 |
| Xm archive tissue molec anal CPT 88363 | $51.75 | $69.00 | $13.39 – $53.19 | 17 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $334.77 – $602.59 | 16 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | not published | not published | $183.95 – $331.12 | 16 |
| X-ray abdomen >=3 views CPT 74021 | $502.50 | $670.00 | $74.63 – $192.26 | 17 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $1,134.00 | $1,512.00 | $258.85 – $641.57 | 17 |
| X-ray assay calculus CPT 82370 | not published | not published | $12.52 – $22.54 | 16 |
| X-ray bone length studies CPT 77073 | $287.25 | $383.00 | $79.54 – $192.26 | 17 |
| X-ray bone survey infant CPT 77076 | $403.50 | $538.00 | $106.81 – $192.26 | 17 |
| X-ray consultation CPT 76140 | not published | not published | $340.15 – $340.15 | 1 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $381.75 | $509.00 | $106.81 – $192.26 | 17 |
| X-ray exam entire spi 6/> vw CPT 72084 | $341.25 | $455.00 | $106.81 – $192.26 | 17 |
| X-ray exam of arm infant CPT 73092 | $299.25 | $399.00 | $59.05 – $192.26 | 17 |
| X-ray exam of femur 1 CPT 73551 | $295.50 | $394.00 | $52.52 – $160.04 | 17 |
| X-ray exam of jaw joint CPT 70328 | $429.00 | $572.00 | $63.96 – $160.04 | 17 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $140.94 – $438.79 | 16 |
| X-ray exam of mastoids CPT 70120 | $374.25 | $499.00 | $72.98 – $192.26 | 17 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $110.65 – $1,004.85 | 16 |
| X-ray exam of penis CPT 74445 | not published | not published | $106.81 – $192.26 | 16 |
| X-ray exam of perineum CPT 74775 | $284.25 | $379.00 | $243.77 – $438.79 | 17 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $72.98 – $160.04 | 16 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $243.77 – $438.79 | 16 |
| X-ray exam of teeth CPT 70300 | not published | not published | $19.76 – $160.04 | 16 |
| X-ray exam of teeth CPT 70310 | not published | not published | $80.35 – $438.79 | 16 |
| X-ray exam si joints CPT 72200 | not published | not published | $62.34 – $192.26 | 16 |
| X-ray exam thorac spine4/>vw CPT 72074 | $616.50 | $822.00 | $81.16 – $192.26 | 17 |
| X-ray eye detection foreign body (both sides) CPT 70030 | not published | not published | $59.89 – $160.04 | 16 |
| X-ray fallopian tube CPT 74742 | $940.50 | $1,254.00 | $131.87 – $131.87 | 1 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $20.57 – $160.04 | 16 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $531.00 | $708.00 | $106.81 – $192.26 | 17 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $683.25 | $911.00 | $106.81 – $192.26 | 17 |
| X-ray joint survey 1 view CPT 77077 | $393.75 | $525.00 | $75.44 – $192.26 | 17 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $375.75 | $501.00 | $59.05 – $160.04 | 17 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $408.00 | $544.00 | $73.79 – $192.26 | 17 |
| X-ray male genital tract CPT 74440 | not published | not published | $196.61 – $438.79 | 16 |
| X-ray mandible ltd <4 views CPT 70100 | $319.50 | $426.00 | $74.63 – $160.04 | 17 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $346.32 – $346.32 | 1 |
| X-ray nose to rectum for foreign body child CPT 76010 | $367.50 | $490.00 | $51.71 – $160.04 | 17 |
| X-ray of mammary ducts CPT 77054 | $634.50 | $846.00 | $243.77 – $438.79 | 17 |
| X-ray optic foramina CPT 70190 | $426.75 | $569.00 | $66.42 – $160.04 | 17 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $810.75 | $1,081.00 | $132.76 – $641.57 | 17 |
| X-ray ribs 2 views left CPT 71100 | $448.50 | $598.00 | $64.80 – $160.04 | 17 |
| X-ray sella turcica CPT 70240 | not published | not published | $59.05 – $160.04 | 16 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $944.25 | $1,259.00 | $86.91 – $1,004.85 | 17 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $1,032.75 | $1,377.00 | $106.81 – $192.26 | 17 |
| X-ray small intestine follow-through study CPT 74248 | $422.25 | $563.00 | $74.71 – $134.48 | 17 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $527.25 | $703.00 | $76.25 – $160.04 | 17 |
| X-ray surgical specimen CPT 76098 | $432.75 | $577.00 | $68.07 – $1,004.85 | 17 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $367.50 | $490.00 | $74.63 – $160.04 | 17 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $165.51 – $322.56 | 16 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $256.49 – $461.68 | 16 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | $558.75 | $745.00 | $65.54 – $117.98 | 17 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $127.14 – $228.85 | 16 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.91 – $23.24 | 16 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.49 – $2.68 | 16 |
| Yersinia antibody CPT 86793 | not published | not published | $13.19 – $23.74 | 16 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $56,824.55 – $102,284.19 | 16 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $127.14 – $228.85 | 16 |
| Ziconotide injection HCPCS J2278 | $4,530.00 | $6,039.99 | $10.46 – $18.84 | 17 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $100.06 | $133.41 | $1.51 – $2.72 | 17 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $5.43 – $5.43 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | $219.00 | $292.00 | $51.31 – $92.36 | 17 |
| Zika virus igm antibody CPT 86794 | $128.25 | $171.00 | $16.85 – $30.33 | 17 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | $26.68 | $35.57 | $1.79 – $3.22 | 17 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $32.46 | $43.27 | $8.06 – $8.06 | 1 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $8.61 – $15.49 | 16 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $33.65 – $60.57 | 16 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $146.06 | $194.74 | $13.38 – $13.38 | 1 |
| Zoster vaccine-live inj CPT 90736 | $436.50 | $582.00 | not published | 0 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $193.25 – $347.85 | 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.