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 organic acids qualitative each specimen CPT 83919 | not published | not published | $16.45 – $29.61 | 16 |
| Mayo oxalate 24 hour urine CPT 83945 | $183.00 | $244.00 | $6.09 – $26.01 | 17 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $11.53 – $20.75 | 16 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $136.50 | $182.00 | $7.11 – $27.05 | 17 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $1,833.00 | $2,444.00 | $12.05 – $21.69 | 17 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $735.00 | $980.00 | $16.60 – $63.16 | 17 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $255.75 | $341.00 | $10.12 – $32.36 | 17 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $120.75 | $161.00 | $7.28 – $24.77 | 17 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $131.25 | $175.00 | $4.41 – $15.19 | 17 |
| Mayo pregnenolone CPT 84140 | $175.50 | $234.00 | $15.90 – $37.21 | 17 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $157.50 | $210.00 | $8.11 – $29.86 | 17 |
| Mayo proinsulin CPT 84206 | $206.25 | $275.00 | $8.21 – $48.04 | 17 |
| Mayo psaft prostate specific antigen free CPT 84154 | $128.25 | $171.00 | $8.70 – $33.10 | 17 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $1,768.50 | $2,358.00 | $6.39 – $33.12 | 17 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $277.50 | $370.00 | $5.44 – $24.05 | 17 |
| Mayo receptor assay transferrin soluble CPT 84238 | $159.00 | $212.00 | $18.57 – $65.83 | 17 |
| Mayo renin CPT 84244 | $147.75 | $197.00 | $8.21 – $39.58 | 17 |
| Mayo repu protein electrophoresis urine CPT 84166 | $69.00 | $92.00 | $13.62 – $32.09 | 17 |
| Mayo selenium CPT 84255 | $177.00 | $236.00 | $12.08 – $45.95 | 17 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $15.50 – $27.90 | 16 |
| Mayo serotonin CPT 84260 | $202.50 | $270.00 | $14.65 – $55.76 | 17 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $122.25 | $163.00 | $9.54 – $34.83 | 17 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $250.50 | $334.00 | $6.88 – $24.71 | 17 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $137.25 | $183.00 | $92.03 – $165.65 | 17 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $52.50 | $70.00 | $2.02 – $7.69 | 17 |
| Mayo tau phosphorylated 217 each CPT 84393 | $504.00 | $672.00 | $128.92 – $232.06 | 17 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $501.75 | $669.00 | $150.97 – $376.06 | 17 |
| Mayo tgrp testosterone free CPT 84402 | $121.50 | $162.00 | $12.04 – $45.85 | 17 |
| Mayo tgrp testosterone total CPT 84403 | $193.50 | $258.00 | $9.64 – $46.46 | 17 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $22.17 – $39.91 | 16 |
| Mayo thyroglobulin CPT 84432 | $665.25 | $887.00 | $7.60 – $28.91 | 17 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $189.00 | $252.00 | $4.81 – $18.32 | 17 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $153.75 | $205.00 | $6.57 – $22.30 | 17 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $69.75 | $93.00 | $0.03 – $25.87 | 3 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $51.28 – $92.30 | 16 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $55.50 | $74.00 | $5.64 – $25.49 | 17 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $126.00 | $168.00 | $4.54 – $24.37 | 17 |
| Mayo vasoactive intestinal peptide CPT 84586 | $326.25 | $435.00 | $27.09 – $63.59 | 17 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $104.25 | $139.00 | $10.67 – $36.43 | 17 |
| Mayo vitamin b3 (niacin) CPT 84591 | $147.00 | $196.00 | $5.85 – $30.71 | 17 |
| Mayo vitamin k CPT 84597 | $458.25 | $611.00 | $7.08 – $24.70 | 17 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $300.00 | $400.00 | $7.24 – $23.85 | 17 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $800.30 – $1,440.54 | 16 |
| Mcoln1 gene CPT 81290 | not published | not published | $39.31 – $70.76 | 16 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $3,342.87 – $6,017.17 | 16 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $1,642.82 – $2,957.08 | 16 |
| Mcrscp xm hair pluck/clipped CPT 96902 | not published | not published | $21.35 – $38.43 | 16 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $3,620.48 – $6,516.86 | 16 |
| Md inr test revie inter mgmt HCPCS G0250 | not published | not published | $8.79 – $15.82 | 16 |
| Md service required for pmd HCPCS G0372 | not published | not published | $9.06 – $16.32 | 16 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $381.24 – $686.23 | 16 |
| Measure kidney pressure CPT 50396 | not published | not published | $712.40 – $1,282.32 | 16 |
| Measurement post void urine by ultrasound CPT 51798 | $266.25 | $355.00 | $60.27 – $108.49 | 17 |
| Measure ureter pressure CPT 50686 | not published | not published | $131.46 – $236.63 | 16 |
| Mecasermin injection HCPCS J2170 | not published | not published | $1,312.43 – $1,312.43 | 1 |
| Mech hip extension assist HCPCS L5855 | not published | not published | $378.09 – $680.56 | 16 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $1,105.65 – $1,105.65 | 1 |
| #mec-opiates CPT 80356 | $27.75 | $37.00 | $0.03 – $31.91 | 3 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $150.00 – $270.00 | 16 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $527.87 – $950.17 | 16 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $120.00 – $216.00 | 16 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | $189.75 | $253.00 | $50.44 – $90.80 | 17 |
| Medial canthopexy CPT 21280 | not published | not published | $3,387.27 – $6,097.09 | 16 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $6,176.47 – $11,117.65 | 16 |
| Med physic dos eval rad exps CPT 76145 | $621.00 | $828.00 | $381.24 – $686.23 | 17 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $252.10 | $336.13 | $1.47 – $1.47 | 1 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | not published | not published | $0.98 – $0.98 | 1 |
| Meg evoked single CPT 95966 | not published | not published | $877.34 – $1,579.21 | 16 |
| Meg spontaneous CPT 95965 | not published | not published | $877.34 – $1,579.21 | 16 |
| Melphalan oral 2 mg HCPCS J8600 | $1,342.94 | $1,790.58 | not published | 0 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $3,037.50 | $4,050.00 | $127.14 – $228.85 | 17 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $127.14 – $228.85 | 16 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | $4,218.75 | $5,625.00 | $70.30 – $70.30 | 1 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $127.14 – $228.85 | 16 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | $235,134.00 | $313,512.00 | not published | 0 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $127.14 – $228.85 | 16 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $127.14 – $228.85 | 16 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $127.14 – $228.85 | 16 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $823.34 – $823.34 | 1 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $7,413.38 – $13,344.08 | 16 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $23.88 | $31.84 | $40.39 – $40.39 | 1 |
| Meperidine/promethazine inj HCPCS J2180 | not published | not published | $11.27 – $11.27 | 1 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $11,523.04 | $15,364.05 | $31.82 – $57.28 | 17 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $10.19 – $10.19 | 1 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $102.84 | $137.11 | $1.11 – $1.11 | 1 |
| Mesh ez derm 7x18 xenograft porcine -cost per sq cm HCPCS Q4136 | not published | not published | $127.14 – $228.85 | 16 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $216.35 – $389.44 | 16 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | not published | not published | $64.37 – $64.37 | 1 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $73.95 | $98.60 | $3.42 – $3.42 | 1 |
| Metabolic Blood Panel (Basic) CPT 80048 | $123.00 | $164.00 | $3.47 – $15.23 | 17 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $198.00 | $264.00 | $5.00 – $19.01 | 17 |
| Metabolic panel ionized ca CPT 80047 | $121.50 | $162.00 | $9.77 – $24.71 | 17 |
| Metal frame recipro hip & ca HCPCS L2628 | not published | not published | $1,925.23 – $3,465.41 | 16 |
| Metatarsal joint implant HCPCS L8641 | $1,641.94 | $2,189.25 | $428.55 – $771.39 | 17 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $2,776.62 | $3,702.15 | $4.43 – $4.43 | 1 |
| Methadone injection HCPCS J1230 | $725.09 | $966.78 | $58.97 – $58.97 | 1 |
| Methadone oral 5mg HCPCS S0109 | $162.69 | $216.92 | not published | 0 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $38.39 | $51.18 | $12.30 – $12.30 | 1 |
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.