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 |
|---|---|---|---|---|
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $36.98 | $49.30 | $3.39 – $14.70 | 2 |
| Dextrose 5 % IV bolus HCPCS J7070 | $22.19 | $29.58 | $5.11 – $19.25 | 2 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $249.75 | $333.00 | $10.52 – $40.01 | 17 |
| Diabetes (HbA1c) Test CPT 83036 | $114.75 | $153.00 | $9.00 – $17.48 | 17 |
| Diab manage trn ind/group HCPCS G0109 | $57.75 | $77.00 | $15.40 – $27.71 | 16 |
| Diag bronchoscope/catheter CPT 31643 | $4,125.75 | $5,501.00 | $1,818.45 – $3,273.21 | 16 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $181.50 | $242.00 | $135.93 – $244.67 | 16 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $70.50 | $94.00 | $233.00 – $475.16 | 2 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $57.00 | $76.00 | $233.00 – $372.78 | 2 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $592.50 | $790.00 | $203.93 – $367.07 | 16 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $381.00 | $508.00 | $203.93 – $367.07 | 16 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $655.50 | $874.00 | $146.43 – $263.57 | 16 |
| Diagnostic Mammogram (one breast) CPT 77065 | $502.50 | $670.00 | $115.62 – $208.12 | 16 |
| Diagnostic radio unlisted proc CPT 76499 | $564.75 | $753.00 | $87.52 – $160.04 | 17 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $10,461.00 | $13,948.00 | $1,672.43 – $3,010.38 | 16 |
| Dialysis repeated eval CPT 90947 | $4,711.50 | $6,282.00 | $104.66 – $188.39 | 16 |
| Dialysis training incompl CPT 90993 | $2,907.00 | $3,876.00 | not published | 0 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $58.24 | $77.65 | $0.12 – $0.39 | 2 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $143.84 | $191.78 | $10.37 – $43.93 | 2 |
| Dicyclomine injection HCPCS J0500 | $310.41 | $413.88 | $19.61 – $124.95 | 2 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.84 – $0.84 | 1 |
| Diffusing capacity CPT 94729 | $504.00 | $672.00 | $58.56 – $105.40 | 16 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $472.14 | $629.51 | $6.72 – $20.93 | 2 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $17,050.66 | $22,734.21 | $5,166.99 – $9,300.58 | 17 |
| Digoxin total therapeutic drug level CPT 80162 | $138.75 | $185.00 | $6.28 – $23.90 | 17 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $297.86 | $397.14 | $163.08 – $300.62 | 2 |
| Dilate esophagus 1/mult pass CPT 43450 | $1,548.00 | $2,064.00 | $926.63 – $1,667.93 | 16 |
| Dilate urethra stricture CPT 53600 | $513.00 | $684.00 | $255.26 – $459.47 | 16 |
| Dilation/female urethra/initial 53660 CPT 53660 | $387.75 | $517.00 | $131.46 – $236.63 | 16 |
| Dilation of rectal stricture 45910 CPT 45910 | $1,375.50 | $1,834.00 | $1,222.56 – $2,200.61 | 16 |
| Dilator fascial 10fx20cm HCPCS C2627 | $291.87 | $389.16 | not published | 0 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $107.23 | $142.97 | $0.05 – $0.05 | 1 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $190.93 – $190.93 | 1 |
| Dimenhydrinate injection HCPCS J1240 | $17.32 | $23.09 | $13.00 – $46.90 | 2 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $2,501.55 | $3,335.40 | $748.98 – $1,348.16 | 17 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $36.98 | $49.30 | $0.07 – $0.07 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $5.92 | $7.89 | $1.51 – $4.24 | 2 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $235.06 – $235.06 | 1 |
| Dipyridamole injection HCPCS J1245 | $64.49 | $85.98 | $6.48 – $14.14 | 2 |
| Disability dlco CPT 94727 | $340.50 | $454.00 | $220.60 – $397.08 | 16 |
| Disaccharidases CPT 82657 | $1,265.25 | $1,687.00 | $8.54 – $39.91 | 17 |
| Discography cerv/thor spine CPT 72285 | $2,691.00 | $3,588.00 | $210.27 – $3,591.04 | 17 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $0.03 – $8.31 | 2 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $6,681.75 | $8,909.00 | $262.85 – $473.13 | 16 |
| Dmd dup/delet analysis CPT 81161 | $2,106.00 | $2,808.00 | $56.00 – $502.20 | 17 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $580.58 – $659.58 | 2 |
| Dmpk gene detc abnor allele CPT 81234 | $613.50 | $818.00 | $56.00 – $246.60 | 16 |
| Dna antibody native/double stranded CPT 86225 | $131.25 | $175.00 | $6.50 – $24.73 | 17 |
| Dna gardnerella CPT 87510 | not published | not published | $9.49 – $48.12 | 3 |
| Dna probe chlamydia CPT 87490 | not published | not published | $9.49 – $54.60 | 3 |
| Dna probe gc CPT 87590 | not published | not published | $9.49 – $64.50 | 3 |
| Dna trichomonas CPT 87660 | not published | not published | $9.49 – $48.12 | 3 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $130.35 | $173.79 | $13.39 – $24.75 | 2 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $1,164.72 | $1,552.95 | $0.62 – $7.14 | 2 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $82.44 – $176.72 | 2 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $10.43 – $20.93 | 2 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $215.32 – $215.32 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $98.91 | $131.88 | $1.09 – $2.10 | 2 |
| Doppler echo complete CPT 93320 | $498.00 | $664.00 | $48.10 – $86.58 | 16 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $3,066.75 | $4,089.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $946.50 | $1,262.00 | $220.60 – $397.08 | 16 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $885.00 | $1,180.00 | $135.93 – $244.67 | 16 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $2.84 – $2.84 | 1 |
| Dornase alfa non-comp unit HCPCS J7639 | $479.80 | $639.73 | $92.65 – $191.03 | 2 |
| Dornhoffer fixed part w/window HCPCS L8614 | $77,636.25 | $103,515.00 | $24,109.81 – $43,397.66 | 16 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $409.62 – $842.14 | 2 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $901.65 | $1,202.19 | $4.57 – $25.17 | 2 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $183.59 – $571.48 | 2 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $89.34 | $119.11 | $0.18 – $0.63 | 2 |
| Dpyd gene common variants CPT 81232 | $354.00 | $472.00 | $56.00 – $314.66 | 17 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $820.50 | $1,094.00 | $723.47 – $1,302.25 | 16 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $820.50 | $1,094.00 | $723.47 – $1,302.25 | 16 |
| Drainage external ear complex 69005 CPT 69005 | $4,074.75 | $5,433.00 | $1,687.37 – $3,037.27 | 16 |
| Drainage external ear simple 69000 CPT 69000 | $741.00 | $988.00 | $723.47 – $1,302.25 | 16 |
| Drainage mouth roof lesion CPT 42000 | $282.00 | $376.00 | $241.98 – $435.56 | 16 |
| Drainage of arm bursa 23931 CPT 23931 | $2,638.50 | $3,518.00 | $1,687.37 – $3,037.27 | 16 |
| Drainage of eye CPT 65810 | $2,702.25 | $3,603.00 | $2,357.81 – $4,244.06 | 16 |
| Drainage of kidney lesion CPT 50390 | $1,989.75 | $2,653.00 | $723.47 – $1,302.25 | 16 |
| Drainage of mouth lesion CPT 41008 | $3,731.25 | $4,975.00 | $3,387.27 – $6,097.09 | 16 |
| Drainage of mouth lesion CPT 41017 | $3,946.50 | $5,262.00 | $3,387.27 – $6,097.09 | 16 |
| Drainage of nose lesion int 30000 CPT 30000 | $283.50 | $378.00 | $241.98 – $435.56 | 16 |
| Drainage of nose lesion sept 30020 CPT 30020 | $637.50 | $850.00 | $551.01 – $991.82 | 16 |
| Drain blood from under nail 11740 CPT 11740 | $257.25 | $343.00 | $135.93 – $244.67 | 16 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $2,976.00 | $3,968.00 | $1,687.37 – $3,037.27 | 16 |
| Drain cath image guided visceral pq CPT 49405 | $3,255.75 | $4,341.00 | $1,687.37 – $3,037.27 | 16 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,416.75 | $1,889.00 | $721.17 – $1,298.11 | 16 |
| Drain finger abscess;simple 26010 CPT 26010 | $228.75 | $305.00 | $204.98 – $368.96 | 16 |
| Drain lower leg lesion 27603 CPT 27603 | $3,269.25 | $4,359.00 | $2,967.63 – $5,341.73 | 16 |
| Drain neck/chest lesion 21501 CPT 21501 | $3,293.25 | $4,391.00 | $2,967.63 – $5,341.73 | 16 |
| Drain ovarn cyst abd CPT 58805 | $4,305.75 | $5,741.00 | $3,307.24 – $5,953.03 | 16 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $350.25 | $467.00 | $204.98 – $368.96 | 16 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $338.25 | $451.00 | $204.98 – $368.96 | 16 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $417.00 | $556.00 | $415.32 – $747.58 | 16 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $716.25 | $955.00 | $755.08 – $1,359.14 | 16 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $9,875.23 | $13,166.97 | $127.14 – $228.85 | 16 |
| Drng of eyelid abscess 67700 CPT 67700 | $335.25 | $447.00 | $324.28 – $583.70 | 16 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,253.25 | $1,671.00 | $1,687.37 – $3,037.27 | 16 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | $3,624.75 | $4,833.00 | $3,307.24 – $5,953.03 | 16 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,897.50 | $2,530.00 | $1,687.37 – $3,037.27 | 16 |
| Drng salivary gland submax/subling 42310 CPT 42310 | $596.25 | $795.00 | $551.01 – $991.82 | 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.