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 |
|---|---|---|---|---|
| Dronabinol 2.5mg oral HCPCS Q0167 | $1,907.03 | $2,542.70 | $2.81 – $7.00 | 2 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | not published | not published | $9.00 – $34.58 | 2 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $1,956.48 | $2,608.64 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $20.80 – $44.63 | 2 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $530.83 | $707.76 | $19.66 – $228.85 | 17 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $983.03 | $1,310.70 | $4.17 – $228.85 | 17 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | $639.00 | $852.00 | not published | 0 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $529.45 – $529.45 | 1 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $28.41 – $85.37 | 2 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $26,932.05 | $35,909.40 | $90.30 – $228.85 | 17 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $22,027.50 | $29,370.00 | $127.14 – $228.85 | 16 |
| Drug admin & hemodynmic meas CPT 93463 | $3,098.25 | $4,131.00 | $93.63 – $168.54 | 16 |
| Drug assay caffeine CPT 80155 | $59.25 | $79.00 | $7.72 – $69.43 | 17 |
| Drug assay posaconazole CPT 80187 | $186.00 | $248.00 | $27.11 – $48.80 | 16 |
| Drug assay rufinamide CPT 80210 | $135.75 | $181.00 | $27.11 – $48.80 | 16 |
| Drug assay vedolizumab CPT 80280 | $949.50 | $1,266.00 | $38.57 – $69.43 | 16 |
| Drug assay voriconazole CPT 80285 | $186.00 | $248.00 | $27.11 – $48.80 | 16 |
| Drug asy hydroxychloroquine CPT 80220 | $531.75 | $709.00 | $18.64 – $33.55 | 16 |
| Drug of abuse screen urine CPT 80305 | $63.75 | $85.00 | $12.60 – $22.68 | 17 |
| Drug screening tapentadol CPT 80372 | $50.25 | $67.00 | $0.03 – $56.00 | 3 |
| Drug screen quant tiagabine CPT 80199 | $260.25 | $347.00 | $9.85 – $48.80 | 17 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $0.03 – $9.14 | 2 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $419.84 – $419.84 | 1 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $241.74 – $241.74 | 1 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $521.63 – $521.63 | 1 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $330.79 – $330.79 | 1 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $131.27 – $131.27 | 1 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $36.21 – $41.13 | 2 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $732.00 | $976.00 | $56.00 – $111.85 | 17 |
| Drvvt confirm - quest CPT 85597 | $255.75 | $341.00 | $9.23 – $32.36 | 17 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $1,746.75 | $2,329.00 | $1,995.02 – $3,591.04 | 16 |
| Ductogram sgl duct CPT 77053 | $515.25 | $687.00 | $233.00 – $438.79 | 16 |
| Duodenal motility study CPT 91022 | $1,729.50 | $2,306.00 | $381.24 – $686.23 | 16 |
| Duplex scan bilateral study 93985 CPT 93985 | $657.75 | $877.00 | $243.77 – $438.79 | 16 |
| Duplex scan unilateral study 93986 CPT 93986 | $124.50 | $166.00 | $106.81 – $192.26 | 16 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $835.50 | $1,114.00 | $106.81 – $192.26 | 16 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $963.75 | $1,285.00 | $220.60 – $397.08 | 16 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $782.25 | $1,043.00 | $243.77 – $438.79 | 16 |
| Duragen 1x1 5ea/bx HCPCS C9354 | not published | not published | $67.83 – $67.83 | 1 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | $23,482.80 | $31,310.40 | $127.14 – $228.85 | 16 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $143.22 – $300.62 | 2 |
| Dxa bone density axl vrt fx CPT 77085 | $591.75 | $789.00 | $106.81 – $192.26 | 17 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | $183.00 | $244.00 | $131.46 – $236.63 | 16 |
| Dx aly aud oi snd prcsr each CPT 92623 | $45.75 | $61.00 | $19.26 – $34.66 | 16 |
| Dx bronchoscope/brush 31623 CPT 31623 | $2,283.00 | $3,044.00 | $1,818.45 – $3,273.21 | 16 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $2,886.75 | $3,849.00 | $1,818.45 – $3,273.21 | 16 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,734.50 | $3,646.00 | $1,818.45 – $3,273.21 | 16 |
| Ear and throat examination CPT 92502 | $579.00 | $772.00 | $551.01 – $991.82 | 16 |
| Ear canal biopsy 69105 CPT 69105 | $1,768.50 | $2,358.00 | $1,585.19 – $2,853.34 | 16 |
| Ear irrigation 69209 CPT 69209 | $216.75 | $289.00 | $60.27 – $108.49 | 16 |
| Ecallantide injection HCPCS J1290 | not published | not published | $974.37 – $2,037.25 | 2 |
| Ecg < 30 days transmission & analysis CPT 93271 | $624.75 | $833.00 | $97.13 – $174.83 | 16 |
| Ecg external < 48 hours recording CPT 93225 | $500.25 | $667.00 | $135.93 – $244.67 | 16 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $567.00 | $756.00 | $60.27 – $108.49 | 16 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $238.50 | $318.00 | $38.16 – $68.69 | 16 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $238.50 | $318.00 | $38.16 – $68.69 | 16 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,126.25 | $2,835.00 | $558.25 – $1,004.85 | 16 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $939.00 | $1,252.00 | $243.77 – $438.79 | 16 |
| Echocardiography doppler color flow mapping CPT 93325 | $407.25 | $543.00 | $21.85 – $39.34 | 16 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,126.25 | $2,835.00 | $800.90 – $1,441.62 | 16 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $939.00 | $1,252.00 | $356.43 – $641.57 | 16 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $350.25 | $467.00 | $23.64 – $42.56 | 16 |
| Echo exam of eye CPT 76516 | not published | not published | $67.44 – $466.11 | 2 |
| Echo exam of eye CPT 76519 | not published | not published | $104.73 – $466.11 | 2 |
| Echo exam of eye CPT 76529 | not published | not published | $147.51 – $346.32 | 2 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $10.14 – $105.75 | 2 |
| Echo exam of fetal heart CPT 76825 | $644.25 | $859.00 | $501.63 – $1,004.85 | 17 |
| Echo exam of fetal heart CPT 76826 | $480.75 | $641.00 | $243.77 – $438.79 | 17 |
| Echo exam of fetal heart CPT 76827 | $576.75 | $769.00 | $106.81 – $192.26 | 17 |
| Echo exam of fetal heart CPT 76828 | $300.75 | $401.00 | $61.98 – $192.26 | 17 |
| Echo exam uterus 76831- CPT 76831 | $825.75 | $1,101.00 | $224.82 – $438.79 | 17 |
| Echograp trans r pros study CPT 76873 | not published | not published | $274.08 – $466.11 | 2 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $75.63 – $75.63 | 1 |
| Echo guidance radiotherapy HCPCS G6001 | not published | not published | $623.03 – $623.03 | 1 |
| Echo guide for amniocentesis CPT 76946 | $680.25 | $907.00 | $32.28 – $58.10 | 16 |
| Echo guide for artery repair CPT 76936 | $1,386.00 | $1,848.00 | $220.60 – $397.08 | 17 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $164.85 – $164.85 | 1 |
| Echo guide for transfusion CPT 76941 | $317.25 | $423.00 | $147.45 – $147.45 | 1 |
| Echo guide ova aspiration CPT 76948 | not published | not published | $134.76 – $134.76 | 1 |
| Echo guide villus sampling CPT 76945 | $693.75 | $925.00 | $152.91 – $152.91 | 1 |
| Echo stress CPT 93350 | $1,949.25 | $2,599.00 | $558.25 – $1,004.85 | 16 |
| Echo tee guidance CPT 93355 | $2,007.00 | $2,676.00 | $189.62 – $341.31 | 16 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $2,282.25 | $3,043.00 | $558.25 – $1,004.85 | 16 |
| Echo transesophageal CPT 93315 | $1,826.25 | $2,435.00 | $558.25 – $1,004.85 | 16 |
| Echo transesophageal intraop CPT 93318 | $1,165.50 | $1,554.00 | $558.25 – $1,004.85 | 16 |
| Echo transthoracic CPT 93303 | $1,922.25 | $2,563.00 | $558.25 – $1,004.85 | 16 |
| Echo transthoracic CPT 93304 | $1,341.75 | $1,789.00 | $558.25 – $1,004.85 | 16 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,278.75 | $1,705.00 | $243.77 – $438.79 | 16 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | $4,409.25 | $5,879.00 | $206.33 – $371.39 | 16 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | $4,324.50 | $5,766.00 | $214.18 – $385.53 | 16 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $3,066.75 | $4,089.00 | $304.72 – $548.49 | 16 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $4,324.50 | $5,766.00 | $276.24 – $497.23 | 16 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $15,762.00 | $21,016.00 | $380.18 – $684.32 | 16 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $5.67 – $30.39 | 3 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $22,430.49 | $29,907.31 | $44.70 – $80.46 | 17 |
| Edetate calcium disodium inj HCPCS J0600 | $20,833.61 | $27,778.14 | $6,102.87 – $10,985.16 | 17 |
| Edetate disodium per 150 mg HCPCS J3520 | not published | not published | $4.45 – $4.45 | 1 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $1,081.50 | $1,442.00 | $220.60 – $397.08 | 16 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $1,116.75 | $1,489.00 | $381.24 – $686.23 | 16 |
| Eeg during surgery CPT 95955 | $1,512.75 | $2,017.00 | $183.54 – $330.37 | 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.