University Hospitals St. John Medical Center
29000 Center Ridge Road, Westlake OH, OH · University Hospitals · · NPI 1841264868
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $141.00 | $188.00 | $15.39 – $52.70 | 17 |
| 17-hydroxypregnenolone CPT 84143 | $125.25 | $167.00 | $15.90 – $41.06 | 17 |
| 17-ketosteroids CPT 83586 | not published | not published | $6.87 – $30.72 | 3 |
| 24 hr ambulatory b/p monitor CPT 93786 | $359.25 | $479.00 | $135.93 – $244.67 | 16 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $2,282.25 | $3,043.00 | $800.90 – $1,441.62 | 16 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $1,278.75 | $1,705.00 | $800.90 – $1,441.62 | 16 |
| 2nd order venous cath CPT 36012 | $2,337.00 | $3,116.00 | $749.88 – $1,349.79 | 16 |
| 2vhpv vaccine 3 dose im CPT 90650 | not published | not published | $472.92 – $472.92 | 1 |
| 3d ech img cgen car anomal CPT 93319 | $1,164.00 | $1,552.00 | $52.48 – $94.46 | 16 |
| 3-d radiotherapy plan CPT 77295 | not published | not published | $675.06 – $5,406.57 | 2 |
| 3d recon without postprocess indpndt CPT 76376 | $522.75 | $697.00 | $23.82 – $42.88 | 16 |
| 5% dextrose and 0.45% saline HCPCS S5010 | not published | not published | $28.21 – $28.21 | 1 |
| 5% dextrose with potassium HCPCS S5012 | not published | not published | $16.98 – $16.98 | 1 |
| 5' nucleotidase - sendout CPT 83915 | $252.75 | $337.00 | $5.95 – $20.07 | 17 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $81.00 | $108.00 | $31.48 – $92.15 | 16 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $135.00 | $180.00 | $108.30 – $194.93 | 16 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $135.00 | $180.00 | $113.19 – $203.75 | 16 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $111.00 | $148.00 | $118.43 – $213.17 | 16 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $135.00 | $180.00 | $97.85 – $176.14 | 16 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $135.00 | $180.00 | $104.03 – $187.25 | 16 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $111.00 | $148.00 | $103.72 – $186.70 | 16 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $167.25 | $223.00 | $114.16 – $205.48 | 16 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $167.25 | $223.00 | $133.05 – $239.49 | 16 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $5,313.35 | $7,084.46 | $44.72 – $80.49 | 17 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $148.50 | $198.00 | $5.68 – $21.62 | 17 |
| Abciximab injection HCPCS J0130 | not published | not published | $4,813.03 – $4,813.03 | 1 |
| Abd aorta w/runoff s&i CPT 75630 | $5,568.75 | $7,425.00 | $176.73 – $5,806.57 | 17 |
| Abd/low ext cath 1st CPT 36245 | $3,237.00 | $4,316.00 | $1,110.36 – $1,998.65 | 16 |
| Abd/low ext cath 2nd CPT 36246 | $3,023.25 | $4,031.00 | $746.07 – $1,342.92 | 16 |
| Abd/low ext cath 3rd CPT 36247 | $3,810.00 | $5,080.00 | $1,258.35 – $2,265.04 | 16 |
| Abd/low ext cath addl CPT 36248 | $1,727.25 | $2,303.00 | $105.69 – $190.25 | 16 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $1,225.50 | $1,634.00 | $243.77 – $438.79 | 16 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $977.25 | $1,303.00 | $106.81 – $192.26 | 16 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,049.00 | $2,732.00 | $179.20 – $322.56 | 16 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,962.75 | $2,617.00 | $179.20 – $322.56 | 16 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,722.00 | $2,296.00 | $106.81 – $192.26 | 16 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,629.50 | $3,506.00 | $356.43 – $641.57 | 16 |
| Abdominal MRI (with contrast) CPT 74182 | $2,457.75 | $3,277.00 | $356.43 – $641.57 | 16 |
| Abdominal MRI (without contrast) CPT 74181 | $2,285.25 | $3,047.00 | $243.77 – $438.79 | 16 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,527.75 | $2,037.00 | $926.63 – $1,667.93 | 16 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,119.75 | $1,493.00 | $106.81 – $192.26 | 17 |
| Abdominal Ultrasound (limited) CPT 76705 | $753.00 | $1,004.00 | $106.81 – $192.26 | 17 |
| Abdominal X-ray (2 views) CPT 74019 | $489.00 | $652.00 | $71.07 – $192.26 | 17 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $471.75 | $629.00 | $95.64 – $192.26 | 17 |
| Abdominal X-ray (single view) CPT 74018 | $284.25 | $379.00 | $59.25 – $160.04 | 17 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,505.25 | $2,007.00 | $926.63 – $1,667.93 | 16 |
| Abl1 gene CPT 81170 | $430.50 | $574.00 | $56.00 – $540.00 | 17 |
| Ablate arrhythmia add on CPT 93655 | $10,523.25 | $14,031.00 | $257.77 – $463.99 | 16 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $4,898.25 | $6,531.00 | $7,413.38 – $13,344.08 | 16 |
| Ablate bone tumor(s) perq CPT 20982 | $3,543.75 | $4,725.00 | $17,913.59 – $32,244.46 | 16 |
| Ablate heart dysrhythm focus CPT 93650 | $12,842.25 | $17,123.00 | $7,968.60 – $14,343.48 | 16 |
| Ablate inf turbinate superf 30801 CPT 30801 | $2,706.00 | $3,608.00 | $1,585.19 – $2,853.34 | 16 |
| Ablate pulm tumor perq crybl CPT 32994 | $10,443.00 | $13,924.00 | $10,860.07 – $19,548.13 | 16 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $8,025.00 | $10,700.00 | $131.46 – $236.63 | 16 |
| Ablation cryo abd perit om CPT 49999 | $8,358.00 | $11,144.00 | $926.63 – $1,667.93 | 16 |
| Ablation cryo adrenal tumor CPT 60699 | $6,948.75 | $9,265.00 | $6,176.47 – $11,117.65 | 16 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $280.50 | $374.00 | $252.01 – $453.62 | 16 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $8,080.50 | $10,774.00 | $10,860.07 – $19,548.13 | 16 |
| Ablation cryo retro lymph node CPT 38999 | $503.25 | $671.00 | $450.73 – $811.31 | 16 |
| Ablation cryo thigh/knee CPT 27599 | $274.50 | $366.00 | $252.01 – $453.62 | 16 |
| Ablation of upper extremity nerves rf CPT 64999 | $2,425.50 | $3,234.00 | $313.60 – $564.48 | 16 |
| Abobotulinumtoxina HCPCS J0586 | $3,255.66 | $4,340.87 | $8.90 – $16.03 | 17 |
| Abscess drain retroperitoneal surg code CPT 49406 | $3,121.50 | $4,162.00 | $1,687.37 – $3,037.27 | 16 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $7,299.75 | $9,733.00 | $109.63 – $197.33 | 16 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $147.54 | $196.71 | $0.08 – $0.39 | 2 |
| Acetaminophen level CPT 80143 | $246.75 | $329.00 | $18.64 – $33.55 | 16 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $137.07 | $182.76 | $28.93 – $141.72 | 2 |
| Acetone qualitative CPT 82009 | not published | not published | $2.05 – $10.86 | 3 |
| Acetylcholine receptor modulating antibody CPT 86043 | $489.00 | $652.00 | $12.05 – $21.69 | 16 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $5.29 – $29.49 | 3 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $406.77 | $542.35 | $0.60 – $1.51 | 2 |
| Acetylcysteine non-comp unit HCPCS J7608 | $87.97 | $117.29 | $14.94 – $61.71 | 2 |
| Acne surgery 10040 CPT 10040 | $295.50 | $394.00 | $204.98 – $368.96 | 16 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | $243.00 | $324.00 | $167.28 – $301.10 | 16 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $160.50 | $214.00 | $131.63 – $236.94 | 16 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $67.50 | $90.00 | $16.31 – $29.36 | 16 |
| Acoustic immitance testing CPT 92570 | $141.75 | $189.00 | $131.46 – $236.63 | 16 |
| Acoustic refl threshold tst CPT 92568 | $120.75 | $161.00 | $38.16 – $68.69 | 16 |
| Acth stimulation panel CPT 80402 | $343.50 | $458.00 | $42.89 – $156.53 | 17 |
| Acth stimulation panel CPT 80406 | $430.50 | $574.00 | $48.63 – $140.87 | 17 |
| Actinotherapy uv light CPT 96900 | $138.75 | $185.00 | $38.16 – $68.69 | 16 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | $45.75 | $61.00 | $29.55 – $53.19 | 16 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | $36.00 | $48.00 | $27.69 – $49.84 | 16 |
| Acup 1/> without estim ea add 15 CPT 97811 | $36.00 | $48.00 | $27.35 – $49.23 | 16 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | $45.75 | $61.00 | $29.55 – $53.19 | 16 |
| Acute hepatitis panel CPT 80074 | $480.00 | $640.00 | $21.53 – $85.73 | 17 |
| Acute venous thrombus image CPT 78456 | $873.75 | $1,165.00 | $663.03 – $2,380.84 | 17 |
| Acyclovir 400 mg tablet HCPCS J8499 | $100,424.10 | $133,898.80 | not published | 0 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $77.65 | $103.53 | $0.03 – $0.42 | 2 |
| #acylcarnitineprfl CPT 82017 | $110.25 | $147.00 | $7.70 – $30.37 | 17 |
| Acylcarnitines qual CPT 82016 | not published | not published | $6.46 – $39.57 | 3 |
| Adapter b 8 channel 10cm HCPCS C1883 | $29,250.00 | $39,000.00 | not published | 0 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $528.78 | $705.04 | $0.76 – $7.28 | 2 |
| Adenovirus ag ia CPT 87301 | not published | not published | $5.75 – $28.74 | 3 |
| Adenovirus antibody,serum - quest CPT 86603 | $63.00 | $84.00 | $6.36 – $23.17 | 17 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $5.87 – $52.23 | 3 |
| Adh-sendout CPT 84588 | $663.75 | $885.00 | $17.96 – $61.09 | 17 |
| Adj gastric band via subq port CPT 43999 | $4,266.00 | $5,688.00 | $926.63 – $1,667.93 | 16 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $5,046.43 | $6,728.57 | $0.81 – $1.50 | 2 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $472.50 | $630.00 | $73.56 – $132.41 | 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.