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 |
|---|---|---|---|---|
| Lateral canthopexy CPT 21282 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Lateral thoracic extension HCPCS L1210 | not published | not published | $300.68 – $541.22 | 16 |
| Lateral trochanteric pad HCPCS L1290 | not published | not published | $95.49 – $171.88 | 16 |
| Latex suspension sleeve each HCPCS L6632 | not published | not published | $79.54 – $143.17 | 16 |
| Lat retinacular release open CPT 27425 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Lavage cannulation maxillary sinus CPT 31000 | $1,871.25 | $2,495.00 | $241.98 – $435.56 | 17 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $10,860.07 – $19,548.13 | 16 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $2,967.63 – $5,341.73 | 16 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $4,863.24 | $6,484.32 | not published | 0 |
| Lead capillary CPT 83655 | $101.25 | $135.00 | $7.00 – $21.80 | 17 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $7,616.25 | $10,155.00 | not published | 0 |
| Leads any type vad, rep only HCPCS Q0487 | not published | not published | $420.31 – $756.56 | 16 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $13,488.75 | $17,985.00 | not published | 0 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Left compres band >=3" <5"/yd HCPCS A6449 | not published | not published | $2.50 – $4.50 | 16 |
| Left compres band <3"/yd HCPCS A6448 | not published | not published | $1.64 – $2.95 | 16 |
| Left compres band >=5"/yd HCPCS A6450 | not published | not published | $2.50 – $4.50 | 16 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $1,207.50 | $1,610.00 | $243.77 – $438.79 | 17 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $1,553.25 | $2,071.00 | $179.20 – $322.56 | 17 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $1,372.50 | $1,830.00 | $106.81 – $192.26 | 17 |
| Legg perthes orth newington HCPCS L1710 | not published | not published | $2,434.79 – $4,382.62 | 16 |
| Legg perthes orthosis trilat HCPCS L1720 | not published | not published | $1,812.94 – $3,263.29 | 16 |
| Legg perthes orth scottish r HCPCS L1730 | not published | not published | $1,530.52 – $2,754.94 | 16 |
| Legg perthes patten bottom t HCPCS L1755 | not published | not published | $2,200.45 – $3,960.81 | 16 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $20.05 – $36.09 | 16 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $41.76 – $75.17 | 16 |
| Leg perthes orth toronto typ HCPCS L1700 | not published | not published | $1,912.04 – $3,441.67 | 16 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,209.00 | $1,612.00 | $243.77 – $438.79 | 17 |
| Leishmania antibody CPT 86717 | $182.25 | $243.00 | $6.77 – $22.05 | 17 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Lengthening of palate CPT 42227 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $13,116.76 – $23,610.17 | 16 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Lens, intraocular (new tech) HCPCS C1780 | $2,238.75 | $2,985.00 | not published | 0 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $2,238.75 | $2,985.00 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $1,136.25 | $1,515.00 | $145.73 – $262.31 | 17 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $191.25 | $255.00 | $145.73 – $262.31 | 17 |
| Lepirudin HCPCS J1945 | not published | not published | $1,921.54 – $1,921.54 | 1 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $83.13 | $110.83 | $10.14 – $10.14 | 1 |
| Leukacyte transfusion CPT 86950 | not published | not published | $143.45 – $313.31 | 16 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $10.39 – $18.70 | 16 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $30,791.46 | $41,055.27 | $176.20 – $317.16 | 17 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $42,325.47 | $56,433.96 | $1,765.57 – $3,178.03 | 17 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $16,909.90 – $16,909.90 | 1 |
| Leuprolide acetate injeciton HCPCS J9218 | $1,901.89 | $2,535.85 | $22.93 – $22.93 | 1 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $568.18 – $1,248.40 | 16 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $39.95 – $71.90 | 16 |
| Lev 1 hosp type b ed visit HCPCS G0380 | not published | not published | $75.94 – $136.69 | 16 |
| Lev 2 hosp type b ed visit HCPCS G0381 | not published | not published | $94.90 – $170.82 | 16 |
| Lev 3 hosp type b ed visit HCPCS G0382 | not published | not published | $175.61 – $316.10 | 16 |
| Lev 4 hosp type b ed visit HCPCS G0383 | not published | not published | $270.03 – $486.05 | 16 |
| Lev 5 hosp type b ed visit HCPCS G0384 | not published | not published | $419.62 – $755.32 | 16 |
| Levalbuterol comp unit HCPCS J7615 | not published | not published | $5.04 – $5.04 | 1 |
| Levalbuterol non-comp con HCPCS J7612 | $9.80 | $13.06 | $0.77 – $0.77 | 1 |
| Levalbuterol non-comp unit HCPCS J7614 | $5.40 | $7.19 | $0.21 – $0.21 | 1 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $97.62 | $130.16 | $0.10 – $0.10 | 1 |
| Levetiracetam therapeutic drug level CPT 80177 | $215.25 | $287.00 | $7.24 – $23.85 | 17 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $47.70 | $63.60 | $5.02 – $5.02 | 1 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $652.50 | $870.00 | $19.79 – $19.79 | 1 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $3,312.15 – $5,961.87 | 16 |
| Liberta rc ipg HCPCS C1820 | $63,376.43 | $84,501.90 | not published | 0 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $74.62 | $99.49 | not published | 0 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $25.89 | $34.51 | not published | 0 |
| Lidocaine therapeutic drug level CPT 80176 | $78.00 | $104.00 | $6.95 – $26.44 | 17 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $38,415.18 | $51,220.24 | not published | 0 |
| Lift assist for elbow HCPCS L6635 | not published | not published | $254.26 – $457.67 | 16 |
| Lift heel adj small gl60404sm HCPCS L3332 | not published | not published | $90.65 – $163.17 | 16 |
| Lift heel adjustable med HCPCS L3334 | not published | not published | $46.87 – $84.37 | 16 |
| Lifts elevation metal extens HCPCS L3330 | not published | not published | $695.51 – $1,251.92 | 16 |
| Ligate esophagus veins CPT 43400 | not published | not published | $1,390.34 – $2,502.62 | 16 |
| Ligate leg veins open CPT 37761 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $64.32 – $115.78 | 16 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $1,369.50 – $2,465.10 | 16 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $1,687.37 – $3,037.27 | 16 |
| Ligation common iliac vein CPT 37660 | not published | not published | $1,195.81 – $2,152.45 | 16 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Ligation major artery chest CPT 37616 | not published | not published | $1,045.90 – $1,882.62 | 16 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $358.87 – $645.96 | 16 |
| Ligation major artery neck CPT 37615 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $3,225.87 – $5,806.57 | 16 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $5,685.01 – $10,233.02 | 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.