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 |
|---|---|---|---|---|
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $971.25 | $1,295.00 | $73.56 – $132.41 | 16 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $857.25 | $1,143.00 | $337.46 – $607.43 | 16 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $736.50 | $982.00 | $337.46 – $607.43 | 16 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $629.25 | $839.00 | $73.56 – $132.41 | 16 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $645.75 | $861.00 | $73.56 – $132.41 | 16 |
| Administration immunization each additional component CPT 90461 | $63.00 | $84.00 | $8.48 – $15.27 | 16 |
| Administration immunization each additional vaccine CPT 90472 | $33.75 | $45.00 | $15.11 – $27.19 | 16 |
| Administration immunization first component each vaccine CPT 90460 | $63.00 | $84.00 | $22.08 – $39.74 | 16 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $56.25 | $75.00 | $73.56 – $132.41 | 16 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $43.50 | $58.00 | $11.75 – $21.15 | 16 |
| Administration vaccine hepatitis b HCPCS G0010 | $38.25 | $51.00 | $47.84 – $86.11 | 16 |
| Administration vaccine influenza virus HCPCS G0008 | $38.25 | $51.00 | $47.84 – $86.11 | 16 |
| Administration vaccine pneumococcal HCPCS G0009 | $38.25 | $51.00 | $47.84 – $86.11 | 16 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $23,602.63 | $31,470.17 | $42.20 – $75.96 | 17 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $1,013.40 – $5,594.99 | 2 |
| Adrenalin epinephrine inject HCPCS J0171 | $28.46 | $37.94 | $3.68 – $3.68 | 1 |
| Aep hearing status deter i&r CPT 92651 | $568.50 | $758.00 | $220.60 – $397.08 | 16 |
| Aep neurodiagnostic i&r CPT 92653 | $1,471.50 | $1,962.00 | $220.60 – $397.08 | 16 |
| Aep thrshld est mlt freq i&r CPT 92652 | $1,308.00 | $1,744.00 | $220.60 – $397.08 | 16 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $11,247.57 – $11,247.57 | 1 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $1,294,641.60 – $1,294,641.60 | 1 |
| _afb id by dna probe rflx ast CPT 87149 | $150.00 | $200.00 | $9.85 – $36.09 | 17 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $2.77 – $17.55 | 3 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | not published | not published | $11.71 – $276.87 | 3 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $289.41 – $328.80 | 2 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $580.58 – $659.58 | 2 |
| Aflibercept injection HCPCS J0178 | not published | not published | $1,327.25 – $3,384.82 | 2 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $57.12 – $57.12 | 1 |
| After cataract laser surgery CPT 66821 | $1,499.25 | $1,999.00 | $561.91 – $1,011.44 | 16 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $28,942.08 | $38,589.43 | $227.58 – $409.64 | 17 |
| Ag detect nos ia single CPT 87450 | not published | not published | $4.53 – $4.53 | 1 |
| Air conduction bilat CPT 92552 | $106.50 | $142.00 | $135.93 – $244.67 | 16 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $425.25 | $567.00 | $131.46 – $236.63 | 16 |
| Albumin body fluid quantitative each specimen CPT 82042 | $43.50 | $58.00 | $2.93 – $14.00 | 17 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $295.80 | $394.40 | $53.08 – $95.54 | 17 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $35.67 – $98.74 | 3 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $295.80 | $394.40 | $53.08 – $95.54 | 17 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $17.82 – $117.08 | 3 |
| Albumin ischemia modified CPT 82045 | not published | not published | $17.03 – $81.45 | 3 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $85.50 | $114.00 | $3.39 – $10.40 | 17 |
| Albumin serum plasma or whole blood CPT 82040 | $43.50 | $58.00 | $2.71 – $8.91 | 17 |
| Albuterol comp con HCPCS J7610 | not published | not published | $4.31 – $4.31 | 1 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $1.79 – $1.79 | 1 |
| Albuterol ipratrop non-comp HCPCS J7620 | $2.43 | $3.23 | $0.34 – $1.44 | 2 |
| Albuterol non-comp con HCPCS J7611 | $44.56 | $59.41 | $0.27 – $1.86 | 2 |
| Albuterol non-comp unit HCPCS J7613 | $2.43 | $3.23 | $0.12 – $1.89 | 2 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $60.75 | $81.00 | $17.27 – $31.09 | 16 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $0.03 – $5.62 | 2 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $8,340.54 – $21,634.20 | 2 |
| Aldosterone suppression eval CPT 80408 | $672.00 | $896.00 | $56.00 – $225.90 | 17 |
| Alefacept HCPCS J0215 | not published | not published | $140.25 – $140.25 | 1 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $112,036.08 | $149,381.43 | $2,440.42 – $4,392.75 | 17 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | $59.44 | $79.25 | $23.44 – $42.19 | 16 |
| Alginate drsg wound filler HCPCS A6199 | $23.50 | $31.33 | $7.52 – $13.54 | 16 |
| Alglucerase injection HCPCS J0205 | not published | not published | $141.54 – $141.54 | 1 |
| Alglucosidase alfa injection HCPCS J0220 | not published | not published | $696.15 – $696.15 | 1 |
| Alkaline phosphatase CPT 84075 | $51.75 | $69.00 | $2.45 – $9.32 | 17 |
| Allergen alpha lactalbumin ige CPT 86008 | $110.25 | $147.00 | $17.93 – $32.27 | 17 |
| Allergen egg white ige CPT 86003 | $81.00 | $108.00 | $5.22 – $9.40 | 17 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $39.00 | $52.00 | $3.59 – $14.35 | 17 |
| Allergy injections; 2 or more 95117 CPT 95117 | $66.75 | $89.00 | $47.84 – $86.11 | 16 |
| Allergy injection; single 95115 CPT 95115 | $42.75 | $57.00 | $47.84 – $86.11 | 16 |
| Allergy Skin Testing CPT 95004 | $97.50 | $130.00 | $877.34 – $1,579.21 | 16 |
| Allg patch or app # of tests 95044 CPT 95044 | $780.00 | $1,040.00 | $877.34 – $1,579.21 | 16 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | not published | not published | $28.64 – $28.64 | 1 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $13,768.09 | $18,357.45 | $127.14 – $228.85 | 17 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $13,478.20 | $17,970.93 | $127.14 – $228.85 | 16 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $911.25 | $1,215.00 | not published | 0 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $9,702.00 | $12,936.00 | $127.14 – $228.85 | 16 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $30,615.48 | $40,820.64 | $51.56 – $228.85 | 17 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $10,046.28 | $13,395.03 | $127.14 – $252.55 | 17 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $6,367.50 | $8,490.00 | $127.14 – $228.85 | 16 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $1,887.75 | $2,517.00 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $6,075.00 | $8,100.00 | $127.14 – $228.85 | 17 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $4,038.75 | $5,385.00 | $127.14 – $406.32 | 17 |
| Alloskin HCPCS Q4115 | not published | not published | $24.31 – $25.13 | 2 |
| Alloskin ac, 1 cm HCPCS Q4141 | not published | not published | $108.76 – $333.34 | 2 |
| All tstg perq&iq drugs/biol CPT 95018 | $70.50 | $94.00 | $38.16 – $68.69 | 16 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $8.70 – $19.88 | 2 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $32.32 – $154.59 | 3 |
| Alpha-fetoprotein amniotic CPT 82106 | $61.50 | $82.00 | $7.94 – $30.60 | 17 |
| Alpha-fetoprotein tumor marker CPT 82105 | $168.75 | $225.00 | $7.94 – $30.19 | 17 |
| Alprostadil for injection HCPCS J0270 | $800.48 | $1,067.30 | $36.68 – $36.68 | 1 |
| Alprostadil urethral suppos HCPCS J0275 | not published | not published | $76.51 – $76.51 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $31,563.16 | $42,084.21 | $95.09 – $171.16 | 17 |
| Alt/sgpt CPT 84460 | $63.75 | $85.00 | $2.51 – $9.54 | 17 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $7.85 – $19.53 | 2 |
| Aluminum - quest CPT 82108 | $168.00 | $224.00 | $12.05 – $45.86 | 17 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $1,410.00 | $1,880.00 | $97.13 – $174.83 | 16 |
| Amantadine (symmetrel)-sendout CPT 80375 | $240.00 | $320.00 | $0.03 – $56.00 | 3 |
| Ambl bp mntr w/sw a/r CPT 93788 | $368.25 | $491.00 | $135.93 – $244.67 | 16 |
| Amifostine HCPCS J0207 | not published | not published | $3,824.94 – $3,824.94 | 1 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $79.87 | $106.49 | $1.02 – $5.53 | 2 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $1.78 – $14.37 | 3 |
| Amino acid screen, urine CPT 82128 | not published | not published | $6.56 – $33.30 | 3 |
| Amino acid single qual CPT 82127 | not published | not published | $6.46 – $34.02 | 3 |
| Amino acids quant 2-5 CPT 82136 | $239.25 | $319.00 | $7.98 – $35.30 | 17 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $35.21 | $46.94 | $2.50 – $5.81 | 2 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $3.04 – $6.48 | 2 |
| Aminolevulinic acid delta CPT 82135 | $570.00 | $760.00 | $7.22 – $29.61 | 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.