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 |
|---|---|---|---|---|
| Ghs nerve block axillary nerve CPT 64417 | $1,907.25 | $2,543.00 | $903.63 – $1,626.53 | 17 |
| Ghs nerve block brachial plexus CPT 64415 | $1,828.50 | $2,438.00 | $903.63 – $1,626.53 | 17 |
| Ghs nerve block celiac plexus CPT 64530 | $2,300.25 | $3,067.00 | $903.63 – $1,626.53 | 17 |
| Ghs nerve block interscaline CPT 64510 | $1,926.75 | $2,569.00 | $903.63 – $1,626.53 | 17 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,907.25 | $2,543.00 | $903.63 – $1,626.53 | 17 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,745.25 | $2,327.00 | $721.17 – $1,298.11 | 17 |
| Ghs nerve block suprascapular CPT 64418 | $1,471.50 | $1,962.00 | $721.17 – $1,298.11 | 17 |
| Ghs ng placement w fluoro guidance CPT 43752 | $684.75 | $913.00 | $456.40 – $821.52 | 17 |
| Ghs o2 saturation CPT 82810 | $106.50 | $142.00 | $9.77 – $17.59 | 17 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $131.46 – $236.63 | 16 |
| Ghs o2 uptake rest & indirect CPT 94690 | $433.50 | $578.00 | $60.27 – $108.49 | 17 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $47.84 – $86.11 | 16 |
| Ghs opcc repair cvp without subq port CPT 36575 | $2,205.00 | $2,940.00 | $640.89 – $1,153.60 | 17 |
| Ghs opcc repair cvp w subq port CPT 36576 | $5,914.50 | $7,886.00 | $1,608.25 – $2,894.85 | 17 |
| Ghs optokenetic CPT 92544 | $256.50 | $342.00 | $131.46 – $236.63 | 17 |
| Ghs oscillating trac CPT 92545 | $256.50 | $342.00 | $220.60 – $397.08 | 17 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $54.00 | $72.00 | $22.06 – $39.71 | 17 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $88.50 | $118.00 | $22.06 – $39.71 | 17 |
| Ghs ot dds rom CPT 95851 | $196.50 | $262.00 | $24.28 – $43.71 | 17 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $20.83 – $37.49 | 16 |
| Ghs ot prosthetic training/15 min CPT 97761 | $138.75 | $185.00 | $38.38 – $69.09 | 17 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $138.75 | $185.00 | $56.93 – $102.47 | 17 |
| Ghs pacing - transcutaneous CPT 92953 | $940.50 | $1,254.00 | $675.26 – $1,215.47 | 17 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $1,236.75 | $1,649.00 | $96.88 – $174.39 | 17 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,053.00 | $1,404.00 | $93.37 – $168.06 | 17 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $22.71 – $40.89 | 16 |
| Ghs peritonsillar abscess i andd CPT 42700 | $765.75 | $1,021.00 | $241.98 – $435.56 | 17 |
| Ghs phenylketonurid CPT 84030 | $148.50 | $198.00 | $2.60 – $9.90 | 17 |
| Ghs picc line insert < 5 CPT 36568 | $6,876.75 | $9,169.00 | $1,608.25 – $2,894.85 | 17 |
| Ghs plngl fx pm cl CPT 26725 | $418.50 | $558.00 | $252.01 – $453.62 | 17 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $4.31 – $7.76 | 16 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $877.34 – $1,579.21 | 16 |
| Ghs pos nystagmus CPT 92542 | $678.00 | $904.00 | $135.93 – $244.67 | 17 |
| Ghs ppd (tb intradermal) CPT 86580 | $52.50 | $70.00 | $6.84 – $53.19 | 17 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $87.00 | $116.00 | $5.13 – $17.39 | 17 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $5.61 – $10.10 | 16 |
| Ghs protoporphyrins fract CPT 84202 | $60.75 | $81.00 | $7.49 – $25.83 | 17 |
| Ghs pr without cont pulse ox CPT 94625 | $134.25 | $179.00 | $60.27 – $108.49 | 17 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $138.75 | $185.00 | $6.46 – $22.05 | 17 |
| Ghs quinidine CPT 80194 | not published | not published | $14.60 – $26.28 | 16 |
| Ghs refill of implantable pump CPT 95990 | $870.75 | $1,161.00 | $337.46 – $607.43 | 17 |
| Ghs removal intranasal foreign body CPT 30300 | $531.75 | $709.00 | $135.93 – $244.67 | 17 |
| Ghs removal pharyngeal foreign body CPT 42809 | $478.50 | $638.00 | $456.40 – $821.52 | 17 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $15.89 – $28.60 | 16 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $4.31 – $7.76 | 16 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $13.91 – $25.04 | 16 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $4.27 – $7.69 | 16 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $12.31 – $22.16 | 16 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.84 – $17.71 | 16 |
| Ghs sensitivity (per antimicro) CPT 87184 | $78.75 | $105.00 | $3.26 – $13.46 | 17 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $368.25 | $491.00 | $415.32 – $747.58 | 17 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $368.25 | $491.00 | $415.32 – $747.58 | 17 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $374.25 | $499.00 | $415.32 – $747.58 | 17 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $374.25 | $499.00 | $415.32 – $747.58 | 17 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $364.50 | $486.00 | $204.98 – $368.96 | 17 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $362.25 | $483.00 | $204.98 – $368.96 | 17 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $364.50 | $486.00 | $204.98 – $368.96 | 17 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $381.75 | $509.00 | $204.98 – $368.96 | 17 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $381.75 | $509.00 | $204.98 – $368.96 | 17 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $220.60 – $397.08 | 16 |
| Ghs somatosensory testing lower extremit CPT 95926 | $1,464.00 | $1,952.00 | $220.60 – $397.08 | 17 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $2,091.75 | $2,789.00 | $877.34 – $1,579.21 | 17 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $230.25 | $307.00 | $45.64 – $82.16 | 17 |
| Ghs sphenopalatine ganglion block CPT 64505 | $2,005.50 | $2,674.00 | $313.60 – $564.48 | 17 |
| Ghs spont nystagmus CPT 92541 | $256.50 | $342.00 | $135.93 – $244.67 | 17 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $365.25 | $487.00 | $98.01 – $176.42 | 17 |
| Ghs st - eval for alt comm CPT 92567 | $99.75 | $133.00 | $38.16 – $68.69 | 17 |
| Ghs strapping shoulder - 29240 CPT 29240 | $257.25 | $343.00 | $135.93 – $244.67 | 17 |
| Ghs st - re-eval for alt comm CPT 92597 | $468.00 | $624.00 | $68.59 – $123.47 | 17 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $47.84 – $86.11 | 16 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $269.25 | $359.00 | $217.31 – $391.16 | 17 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $728.25 | $971.00 | $755.08 – $1,359.14 | 17 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $471.75 | $629.00 | $415.32 – $747.58 | 17 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $1,585.19 – $2,853.34 | 16 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $7.30 – $13.14 | 16 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $405.75 | $541.00 | $252.01 – $453.62 | 17 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $252.01 – $453.62 | 16 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $24.30 – $43.74 | 16 |
| Ghs urine, porphyrins quant CPT 84120 | $499.50 | $666.00 | $7.49 – $26.48 | 17 |
| Ghs vaginal delivery only CPT 59409 | $2,361.75 | $3,149.00 | $3,307.24 – $5,953.03 | 17 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $2,699.25 | $3,599.00 | $381.24 – $686.23 | 17 |
| Ghs windowing of cast CPT 29730 | not published | not published | $166.02 – $298.84 | 16 |
| Giardia ag if CPT 87269 | not published | not published | $13.61 – $24.50 | 16 |
| Giardia lamblia antibody CPT 86674 | $147.00 | $196.00 | $7.59 – $26.50 | 17 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $243.77 – $438.79 | 16 |
| Gi inhouse confirmation CPT 87045 | $79.50 | $106.00 | $4.46 – $16.99 | 17 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Gi protein loss CPT 78282 | not published | not published | $408.43 – $735.17 | 16 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,745.00 | $3,660.00 | $926.63 – $1,667.93 | 17 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $950.10 – $1,710.18 | 16 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $926.63 – $1,667.93 | 16 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $926.63 – $1,667.93 | 16 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $101.12 – $182.02 | 16 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $61.52 – $110.74 | 16 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $35.00 – $63.00 | 16 |
| Glassia injection HCPCS J0257 | $2,551.28 | $3,401.70 | $5.66 – $10.19 | 17 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $29.55 – $53.19 | 16 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $38.16 – $68.69 | 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.