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 |
|---|---|---|---|---|
| Frozen blood thaw CPT 86931 | not published | not published | $36.50 – $187.14 | 3 |
| Frozen cell preparation CPT 88241 | not published | not published | $4.62 – $29.01 | 3 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $2.46 – $2.46 | 1 |
| Fructosamine glycated protein CPT 82985 | $76.50 | $102.00 | $6.46 – $30.17 | 17 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $34.22 – $3,569.70 | 3 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $53.60 – $166.86 | 3 |
| Ftl cgen abnor four anal CPT 81511 | not published | not published | $46.48 – $368.40 | 3 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $26.50 – $133.29 | 3 |
| Ftl cgen abnor two proteins CPT 81508 | not published | not published | $14.24 – $130.32 | 3 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $116.58 – $985.19 | 2 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $378.00 | $504.00 | $106.81 – $192.26 | 17 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $2,910.75 | $3,881.00 | $2,107.97 – $3,794.35 | 16 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $19.53 | $26.04 | $0.03 – $0.18 | 2 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $580.58 – $659.58 | 2 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $289.41 – $328.80 | 2 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $580.58 – $659.58 | 2 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $391.24 – $444.48 | 2 |
| G6pc gene CPT 81250 | not published | not published | $60.88 – $140.37 | 3 |
| G6pd full gene sequence CPT 81249 | not published | not published | $1,267.50 – $1,440.00 | 2 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $369.30 – $419.55 | 2 |
| G6pd known familial variant CPT 81248 | not published | not published | $792.71 – $900.60 | 2 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | not published | not published | $482.02 – $482.02 | 1 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $156.00 | $208.00 | $49.63 – $96.13 | 17 |
| Gabapentin non-blood CPT 80355 | $51.75 | $69.00 | $0.03 – $56.00 | 3 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $177.43 | $236.57 | $0.44 – $2.10 | 2 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $2.47 – $18.76 | 2 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $119.29 | $159.05 | $0.18 – $0.70 | 2 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $486.60 | $648.79 | $24.70 – $50.68 | 2 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $85.50 | $114.00 | $11.18 – $37.93 | 17 |
| Galactokinase - sendout CPT 82759 | not published | not published | $8.52 – $51.54 | 3 |
| Galactose transferase test CPT 82776 | not published | not published | $4.41 – $28.17 | 3 |
| Galectin-3 CPT 82777 | $280.50 | $374.00 | $7.12 – $79.65 | 17 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,494.00 | $1,992.00 | $408.43 – $735.17 | 17 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $2,326.50 | $3,102.00 | $554.73 – $998.51 | 17 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $27.06 – $27.06 | 1 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $2,718.94 – $2,718.94 | 1 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $2,776.97 – $2,776.97 | 1 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $3,688.51 – $3,688.51 | 1 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $2,941.68 – $2,941.68 | 1 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $7.14 – $7.14 | 1 |
| Galsulfase injection HCPCS J1458 | not published | not published | $849.24 – $1,750.00 | 2 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $280.66 – $1,697.15 | 2 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $81.35 – $169.72 | 2 |
| Gammaglobulin iga CPT 82784 | $183.00 | $244.00 | $4.40 – $16.74 | 17 |
| Gammaglobulin ige CPT 82785 | $148.50 | $198.00 | $7.79 – $29.63 | 17 |
| Gamma glutamyltransferase CPT 82977 | $77.25 | $103.00 | $3.41 – $12.96 | 17 |
| Gammagraft HCPCS Q4111 | not published | not published | $11.94 – $20.93 | 2 |
| Gammaplex injection HCPCS J1557 | not published | not published | $104.93 – $304.75 | 2 |
| Gamunex-c/gammaked HCPCS J1561 | $8,519.04 | $11,358.72 | $49.73 – $89.51 | 17 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $94.28 | $125.70 | $66.54 – $257.04 | 2 |
| Ganciclovir long act implant HCPCS J7310 | not published | not published | $57,120.00 – $57,120.00 | 1 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $17.13 – $84.21 | 3 |
| Gardner vag dna quant CPT 87512 | not published | not published | $17.13 – $100.23 | 3 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $3.07 – $16.11 | 3 |
| Gastric emptying imag study CPT 78265 | not published | not published | $858.63 – $1,613.97 | 2 |
| Gastric emptying imag study CPT 78266 | not published | not published | $984.30 – $2,095.20 | 2 |
| Gastric motility studies CPT 91020 | $1,942.50 | $2,590.00 | $381.24 – $686.23 | 16 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $430.92 – $1,613.97 | 2 |
| Gastrin test CPT 82938 | $138.00 | $184.00 | $9.34 – $31.84 | 17 |
| Gastroesophageal reflux study CPT 78262 | $1,232.25 | $1,643.00 | $408.43 – $735.17 | 17 |
| Gastroesophageal reflux test CPT 91034 | $1,635.75 | $2,181.00 | $381.24 – $686.23 | 16 |
| Gated heart multiple CPT 78473 | not published | not published | $549.18 – $1,613.97 | 2 |
| Gba gene CPT 81251 | not published | not published | $99.81 – $133.71 | 3 |
| Gefitinib oral HCPCS J8565 | not published | not published | $500.54 – $500.54 | 1 |
| Gel-one HCPCS J7326 | not published | not published | $880.34 – $4,105.50 | 2 |
| Gel-syn injection 0.1 mg HCPCS J7328 | $1,330.04 | $1,773.38 | $0.68 – $1.22 | 17 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $168.02 | $224.02 | $4.96 – $38.05 | 2 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $37,698.54 | $50,264.71 | $240.17 – $432.30 | 17 |
| General health panel CPT 80050 | not published | not published | $17.10 – $88.05 | 3 |
| Generator barostim neo2 2014 HCPCS C1767 | $83,687.18 | $111,582.90 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $61,875.00 | $82,500.00 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | $11,208.75 | $14,945.00 | $56.00 – $4,407.41 | 16 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | $43,200.00 | $57,600.00 | not published | 0 |
| Genome re-evaluation CPT 81427 | not published | not published | $0.03 – $4,938.28 | 3 |
| Genome sequence analysis CPT 81425 | $8,306.25 | $11,075.00 | $0.03 – $9,056.16 | 16 |
| Genome sequence analysis CPT 81426 | $5,081.25 | $6,775.00 | $0.03 – $4,877.91 | 16 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $85.57 | $114.09 | $4.38 – $10.85 | 2 |
| Gentamicin peak therapeutic drug level CPT 80170 | $156.75 | $209.00 | $8.52 – $29.48 | 17 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $10.11 – $56.98 | 2 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,684.50 | $2,246.00 | $877.34 – $1,579.21 | 16 |
| Ghs abscess perianal iandd CPT 46050 | $2,153.25 | $2,871.00 | $950.10 – $1,710.18 | 16 |
| Ghs abscess postoperative iandd complex CPT 10180 | $4,318.50 | $5,758.00 | $2,967.63 – $5,341.73 | 16 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $133.50 | $178.00 | $4.00 – $17.66 | 17 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $858.00 | $1,144.00 | $8.41 – $30.80 | 17 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | not published | not published | $97.89 – $245.43 | 3 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $829.50 | $1,106.00 | $135.93 – $244.67 | 16 |
| Ghs antibodies (torch) igm CPT 86694 | $131.25 | $175.00 | $6.81 – $25.90 | 17 |
| Ghs bladder cath - complex-foley CPT 51703 | $277.50 | $370.00 | $131.46 – $236.63 | 16 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $2.13 – $11.58 | 3 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $1,471.50 | $1,962.00 | $721.17 – $1,298.11 | 16 |
| Ghs central line insert < age 5, failed CPT 36555 | $2,676.75 | $3,569.00 | $3,225.87 – $5,806.57 | 16 |
| Ghs change cysto/gastrost CPT 43762 | $909.00 | $1,212.00 | $255.26 – $459.47 | 16 |
| Ghs chemo >8 hrs CPT 96416 | $862.50 | $1,150.00 | $337.46 – $607.43 | 16 |
| Ghs chemo IV push, ea addtl CPT 96411 | $736.50 | $982.00 | $73.56 – $132.41 | 16 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $744.75 | $993.00 | $17.13 – $63.16 | 17 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $630.00 | $840.00 | $252.01 – $453.62 | 16 |
| Ghs closed reduction ankle dislocation CPT 27840 | $732.75 | $977.00 | $252.01 – $453.62 | 16 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,198.50 | $1,598.00 | $1,642.82 – $2,957.08 | 16 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $273.00 | $364.00 | $252.01 – $453.62 | 16 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,547.25 | $2,063.00 | $1,642.82 – $2,957.08 | 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.