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 |
|---|---|---|---|---|
| Lung perfusion imaging CPT 78580 | $1,789.50 | $2,386.00 | $408.43 – $735.17 | 17 |
| Lung transplant double CPT 32853 | not published | not published | $4,174.85 – $7,514.72 | 16 |
| Lung transplant single CPT 32851 | not published | not published | $2,998.62 – $5,397.51 | 16 |
| Lung transplant with bypass CPT 32852 | not published | not published | $3,272.43 – $5,890.38 | 16 |
| Lung transplant with bypass CPT 32854 | not published | not published | $4,428.51 – $7,971.32 | 16 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,376.25 – $2,477.24 | 16 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $30,504.38 | $40,672.50 | $212.10 – $381.78 | 17 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $45,624.83 | $60,833.10 | $42.75 – $76.95 | 17 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $319.94 – $575.90 | 16 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $259.60 – $467.27 | 16 |
| Lvad shower bag heartmate HCPCS Q0501 | $1,059.75 | $1,413.00 | $628.84 – $1,131.91 | 17 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $29.55 – $53.19 | 16 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $347.73 – $625.91 | 16 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $20.05 – $36.09 | 16 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $8,350.42 – $15,030.76 | 16 |
| Lymphatics/lymph node imaging CPT 78195 | $2,091.75 | $2,789.00 | $554.73 – $998.51 | 17 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $65.81 | 16 |
| Lymphocyte transformation mitogen CPT 86353 | $858.75 | $1,145.00 | $23.19 – $88.25 | 17 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $189.51 – $341.12 | 16 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $47.59 – $85.66 | 16 |
| Lymph vessel x-ray arm/leg CPT 75801 | $2,379.00 | $3,172.00 | $640.89 – $1,153.60 | 17 |
| Lymph vessel x-ray arms/legs CPT 75803 | $2,379.00 | $3,172.00 | $1,608.25 – $2,894.85 | 17 |
| Lymph vessel x-ray trunk CPT 75805 | $2,489.25 | $3,319.00 | $3,225.87 – $5,806.57 | 17 |
| Lymph vessel x-ray trunk CPT 75807 | $2,489.25 | $3,319.00 | $3,225.87 – $5,806.57 | 17 |
| Lysis intranasal synechia 30560 CPT 30560 | $3,098.25 | $4,131.00 | $551.01 – $991.82 | 17 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $3,307.24 – $5,953.03 | 16 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $2,135.66 – $3,844.19 | 16 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $39.30 – $49.04 | 2 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $14.50 – $57.05 | 16 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $4.27 – $7.69 | 16 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $4.31 – $7.76 | 16 |
| Magnesium CPT 83735 | $96.00 | $128.00 | $2.73 – $12.06 | 17 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $23.30 | $31.06 | $1.26 – $1.26 | 1 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $243.77 – $438.79 | 16 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $74.49 – $74.49 | 1 |
| Malaria antibody CPT 86750 | not published | not published | $13.19 – $23.74 | 16 |
| Male sling procedure CPT 53440 | not published | not published | $13,479.22 – $24,262.60 | 16 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $2,718.97 – $4,894.15 | 16 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Manipulation of spine CPT 22505 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Manipulat palm cord post inj CPT 26341 | $532.50 | $710.00 | $252.01 – $453.62 | 17 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $5.74 – $16.56 | 2 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $23.49 – $23.49 | 1 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $90.70 – $163.26 | 16 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $5.07 – $9.13 | 16 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $1,137.75 | $1,517.00 | $291.63 – $524.94 | 17 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $141.31 – $254.36 | 16 |
| Map tachycard site(s) CPT 93609 | $10,926.00 | $14,568.00 | not published | 0 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $9,885.94 | $13,181.25 | $53.27 – $95.89 | 17 |
| Marker biop eviva buckle ss HCPCS A4648 | $819.00 | $1,092.00 | not published | 0 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $1,254.00 – $2,257.20 | 16 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $1,045.22 – $1,881.39 | 16 |
| Mastectomy form HCPCS L8020 | not published | not published | $278.40 – $501.12 | 16 |
| Mastectomy partial CPT 19301 | not published | not published | $4,000.24 – $7,200.43 | 16 |
| Mast mod rad CPT 19307 | not published | not published | $6,783.99 – $12,211.18 | 16 |
| Mastoidectomy CPT 69501 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Mastoids complete CPT 70130 | $524.25 | $699.00 | $106.81 – $192.26 | 17 |
| Mastoid surgery revision CPT 69603 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Mastopexy CPT 19316 | not published | not published | $6,783.99 – $12,211.18 | 16 |
| Mast radical CPT 19305 | not published | not published | $1,064.54 – $1,916.17 | 16 |
| Mast rad urban type CPT 19306 | not published | not published | $1,141.03 – $2,053.85 | 16 |
| Mast simple complete CPT 19303 | not published | not published | $6,783.99 – $12,211.18 | 16 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $127.14 – $228.85 | 16 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $6,545.00 – $6,545.00 | 1 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $53.64 – $228.85 | 16 |
| M.avium-intra dna amp prob CPT 87561 | $489.75 | $653.00 | $17.13 – $63.16 | 17 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $27.29 – $49.12 | 16 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $42.84 – $77.11 | 16 |
| Maxillofacial fixation CPT 21100 | not published | not published | $6,048.05 – $10,886.49 | 16 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $117.00 | $156.00 | $7.28 – $26.03 | 17 |
| Mayo aathr protein s free CPT 85306 | $226.50 | $302.00 | $8.11 – $27.58 | 17 |
| Mayo activated protein c resistance assay CPT 85307 | $170.25 | $227.00 | $7.49 – $27.58 | 17 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $3,813.75 | $5,085.00 | $38.57 – $69.43 | 17 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $70.50 | $94.00 | $0.03 – $17.64 | 3 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $627.75 | $837.00 | $0.03 – $28.22 | 3 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $222.00 | $296.00 | $7.00 – $26.60 | 17 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $270.75 | $361.00 | $0.03 – $49.02 | 3 |
| Mayo alpha 1 antitrypsin CPT 82103 | $398.25 | $531.00 | $6.36 – $24.19 | 17 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $207.75 | $277.00 | $8.00 – $27.14 | 17 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $94.50 | $126.00 | $0.03 – $25.38 | 3 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $102.75 | $137.00 | $0.03 – $25.44 | 3 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | not published | not published | $121.63 – $218.93 | 16 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $215.25 | $287.00 | $43.83 – $164.99 | 17 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $368.25 | $491.00 | $137.00 – $246.60 | 17 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,416.75 | $1,889.00 | $16.07 – $2,088.00 | 17 |
| Mayo androstenedione CPT 82157 | $249.00 | $332.00 | $13.85 – $52.70 | 17 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $59.25 | $79.00 | $7.59 – $26.28 | 17 |
| Mayo antithrombin iii antigen CPT 85301 | $88.50 | $118.00 | $5.85 – $19.46 | 17 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $106.50 | $142.00 | $6.50 – $27.09 | 17 |
| Mayo avwpr vw factor activity CPT 85397 | $911.25 | $1,215.00 | $9.42 – $55.55 | 17 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $105.00 | $140.00 | $35.09 – $63.16 | 17 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $501.00 | $668.00 | $0.03 – $18.70 | 3 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $104.25 | $139.00 | $5.03 – $18.32 | 17 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $318.75 | $425.00 | $60.88 – $260.71 | 17 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $214.62 – $386.32 | 16 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $262.50 | $350.00 | $6.36 – $23.22 | 17 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $128.25 | $171.00 | $0.03 – $28.03 | 3 |
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.