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 |
|---|---|---|---|---|
| Mayo bordetella pertussis antibody igg CPT 86615 | $135.75 | $181.00 | $6.24 – $23.74 | 17 |
| Mayo brcmg brucella antibody igm CPT 86622 | $324.75 | $433.00 | $5.13 – $16.07 | 17 |
| Mayo c1 esterase inhibitor CPT 83883 | $183.00 | $244.00 | $6.43 – $24.48 | 17 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $333.75 | $445.00 | $0.03 – $29.32 | 3 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $110.25 | $147.00 | $7.70 – $30.37 | 17 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $773.25 | $1,031.00 | $13.09 – $48.20 | 17 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $333.00 | $444.00 | $120.18 – $220.00 | 17 |
| Mayo ceruloplasmin CPT 82390 | $117.75 | $157.00 | $5.08 – $19.33 | 17 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $377.25 | $503.00 | $6.68 – $25.42 | 17 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $423.00 | $564.00 | $6.87 – $23.18 | 17 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $128.25 | $171.00 | $5.59 – $21.28 | 17 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $93.00 | $124.00 | $6.01 – $22.82 | 17 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $519.00 | $692.00 | $61.25 – $209.68 | 17 |
| Mayo chromium CPT 82495 | $129.75 | $173.00 | $9.60 – $36.50 | 17 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $297.00 | $396.00 | $0.03 – $24.74 | 3 |
| Mayo coccidioides antibody CPT 86635 | $124.50 | $166.00 | $6.16 – $20.65 | 17 |
| Mayo cocou cortisone urine CPT 82542 | $1,213.50 | $1,618.00 | $8.31 – $43.36 | 17 |
| Mayo cortisol free CPT 82530 | $183.00 | $244.00 | $7.91 – $30.08 | 17 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $122.25 | $163.00 | $42.13 – $75.83 | 17 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $110.25 | $147.00 | $6.36 – $21.82 | 17 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $156.00 | $208.00 | $0.03 – $32.33 | 3 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $161.25 | $215.00 | $0.03 – $19.01 | 3 |
| Mayo cyanide CPT 82600 | $170.25 | $227.00 | $9.06 – $34.92 | 17 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $174.06 – $313.31 | 16 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $96.00 | $128.00 | $6.98 – $23.85 | 17 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $276.75 | $369.00 | $11.96 – $45.49 | 17 |
| Mayo dihydrotestosterone CPT 82642 | $169.50 | $226.00 | $29.28 – $52.70 | 17 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $9.64 – $17.35 | 16 |
| Mayo efpo chloride stool CPT 82438 | $102.00 | $136.00 | $2.57 – $9.00 | 17 |
| Mayo estriol CPT 82677 | $173.25 | $231.00 | $11.44 – $43.52 | 17 |
| Mayo estrone CPT 82679 | $123.00 | $164.00 | $9.64 – $44.91 | 17 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $138.75 | $185.00 | $8.52 – $29.41 | 17 |
| Mayo everolimus therapeutic drug level CPT 80169 | $245.25 | $327.00 | $7.49 – $24.71 | 17 |
| Mayo factor ii CPT 85210 | $190.50 | $254.00 | $5.85 – $23.36 | 17 |
| Mayo factor v CPT 85220 | $219.00 | $292.00 | $5.95 – $31.77 | 17 |
| Mayo factor vii CPT 85230 | $204.00 | $272.00 | $5.95 – $32.22 | 17 |
| Mayo factor viii vw factor antigen CPT 85246 | $150.00 | $200.00 | $12.11 – $41.29 | 17 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $656.25 | $875.00 | $12.11 – $41.29 | 17 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $414.75 | $553.00 | $12.11 – $41.29 | 17 |
| Mayo factor x CPT 85260 | $250.50 | $334.00 | $5.95 – $32.22 | 17 |
| Mayo factor xi CPT 85270 | $288.75 | $385.00 | $5.95 – $32.22 | 17 |
| Mayo fat/lipids feces quantitative CPT 82710 | $62.25 | $83.00 | $7.95 – $30.24 | 17 |
| Mayo fbl culture fungi blood CPT 87103 | $127.50 | $170.00 | $4.62 – $36.83 | 17 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $80.46 – $144.83 | 16 |
| Mayo ffspg allergen clam igg CPT 86001 | $57.75 | $77.00 | $2.47 – $14.08 | 17 |
| Mayo fibrinogen antigen CPT 85385 | $230.25 | $307.00 | $4.02 – $26.03 | 17 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $159.75 | $213.00 | $7.24 – $39.01 | 17 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $7,125.00 | $9,500.00 | $0.01 – $0.01 | 1 |
| Mayo hemosiderin qualitative urine CPT 83070 | $50.25 | $67.00 | $2.15 – $8.55 | 17 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $237.75 | $317.00 | $16.60 – $63.16 | 17 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | not published | not published | $35.09 – $63.16 | 16 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $161.25 | $215.00 | $6.57 – $24.82 | 17 |
| Mayo hla typing a/b/c single antigen CPT 86812 | not published | not published | $25.81 – $46.46 | 16 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $274.50 | $366.00 | $4.20 – $16.00 | 17 |
| Mayo hvdip HIV 2 antibody CPT 86702 | not published | not published | $13.52 – $24.34 | 16 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $120.75 | $161.00 | $12.85 – $48.91 | 17 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $1,192.50 | $1,590.00 | $6.12 – $31.09 | 17 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $154.50 | $206.00 | $7.09 – $26.98 | 17 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $83.25 | $111.00 | $10.26 – $37.46 | 17 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $186.75 | $249.00 | $6.76 – $37.46 | 17 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $35.09 – $63.16 | 16 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $141.75 | $189.00 | $5.67 – $28.93 | 17 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $351.00 | $468.00 | $6.02 – $21.56 | 17 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $554.25 | $739.00 | $17.61 – $63.16 | 17 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $98.25 | $131.00 | $35.09 – $63.16 | 17 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $744.75 | $993.00 | $17.13 – $63.16 | 17 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $292.50 | $390.00 | $35.09 – $63.16 | 17 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $546.75 | $729.00 | $17.13 – $77.11 | 17 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $258.75 | $345.00 | $72.19 – $129.94 | 17 |
| Mayo infliximab therapeutic drug level CPT 80230 | $4,117.50 | $5,490.00 | $38.57 – $69.43 | 17 |
| Mayo inhab inhibin a CPT 86336 | $309.75 | $413.00 | $15.59 – $28.06 | 17 |
| Mayo insft insulin free CPT 83527 | $56.25 | $75.00 | $10.67 – $23.31 | 17 |
| Mayo insulin antibodies CPT 86337 | $117.00 | $156.00 | $12.21 – $38.54 | 17 |
| Mayo iodine CPT 83789 | $571.50 | $762.00 | $8.31 – $43.40 | 17 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $159.00 | $212.00 | $27.11 – $48.80 | 17 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $265.50 | $354.00 | $27.11 – $48.80 | 17 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $171.00 | $228.00 | $7.24 – $23.85 | 17 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $104.25 | $139.00 | $6.77 – $23.02 | 17 |
| Mayo legionella antibody CPT 86713 | $87.00 | $116.00 | $8.00 – $27.54 | 17 |
| Mayo leptospira antibody igm CPT 86720 | $82.50 | $110.00 | $6.98 – $29.16 | 17 |
| Mayo lipoprotein electrophoresis CPT 83700 | $45.75 | $61.00 | $5.55 – $20.27 | 17 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $180.00 | $240.00 | $7.33 – $27.88 | 17 |
| Mayo manganese CPT 83785 | $148.50 | $198.00 | $11.63 – $47.97 | 17 |
| Mayo metanephrines plasma CPT 83835 | $803.25 | $1,071.00 | $8.01 – $30.49 | 17 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $127.50 | $170.00 | $0.03 – $26.66 | 3 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $507.00 | $676.00 | $12.05 – $21.69 | 17 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | not published | not published | $18.40 – $33.12 | 16 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $177.00 | $236.00 | $6.88 – $26.19 | 17 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $503.25 | $671.00 | $5.44 – $33.55 | 17 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $886.50 | $1,182.00 | $50.00 – $246.60 | 17 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $185.20 – $333.36 | 16 |
| Mayo muramidase CPT 85549 | $96.75 | $129.00 | $8.87 – $33.75 | 17 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $1,833.00 | $2,444.00 | $18.40 – $33.12 | 17 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $581.25 | $775.00 | $9.85 – $32.49 | 17 |
| Mayo myoglobin CPT 83874 | $165.00 | $220.00 | $6.87 – $23.26 | 17 |
| Mayo nickel CPT 83885 | $90.00 | $120.00 | $11.59 – $44.12 | 17 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $99.00 | $132.00 | $0.03 – $41.98 | 3 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $86.25 | $115.00 | $0.03 – $35.78 | 3 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $111.00 | $148.00 | $0.03 – $31.91 | 3 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $375.75 | $501.00 | $7.79 – $38.18 | 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.