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 |
|---|---|---|---|---|
| Ghs o2 saturation CPT 82810 | $106.50 | $142.00 | $9.77 – $17.59 | 17 |
| Ghs o2 uptake rest & indirect CPT 94690 | $433.50 | $578.00 | $60.27 – $108.49 | 16 |
| Ghs opcc repair cvp without subq port CPT 36575 | $2,205.00 | $2,940.00 | $640.89 – $1,153.60 | 16 |
| Ghs opcc repair cvp w subq port CPT 36576 | $5,914.50 | $7,886.00 | $1,608.25 – $2,894.85 | 16 |
| Ghs optokenetic CPT 92544 | $256.50 | $342.00 | $131.46 – $236.63 | 16 |
| Ghs oscillating trac CPT 92545 | $256.50 | $342.00 | $220.60 – $397.08 | 16 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $54.00 | $72.00 | $22.06 – $39.71 | 16 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $88.50 | $118.00 | $22.06 – $39.71 | 16 |
| Ghs ot dds rom CPT 95851 | $196.50 | $262.00 | $24.28 – $43.71 | 16 |
| Ghs ot prosthetic training/15 min CPT 97761 | $138.75 | $185.00 | $38.38 – $69.09 | 16 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $138.75 | $185.00 | $56.93 – $102.47 | 16 |
| Ghs pacing - transcutaneous CPT 92953 | $940.50 | $1,254.00 | $675.26 – $1,215.47 | 16 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $1,236.75 | $1,649.00 | $96.88 – $174.39 | 16 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,053.00 | $1,404.00 | $93.37 – $168.06 | 16 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $15.21 – $54.36 | 3 |
| Ghs peritonsillar abscess i andd CPT 42700 | $765.75 | $1,021.00 | $241.98 – $435.56 | 16 |
| Ghs phenylketonurid CPT 84030 | $148.50 | $198.00 | $2.60 – $9.90 | 17 |
| Ghs picc line insert < 5 CPT 36568 | $6,876.75 | $9,169.00 | $1,608.25 – $2,894.85 | 16 |
| Ghs plngl fx pm cl CPT 26725 | $418.50 | $558.00 | $252.01 – $453.62 | 16 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $2.05 – $10.35 | 3 |
| Ghs pos nystagmus CPT 92542 | $678.00 | $904.00 | $135.93 – $244.67 | 16 |
| Ghs ppd (tb intradermal) CPT 86580 | $52.50 | $70.00 | $6.96 – $53.19 | 16 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $87.00 | $116.00 | $5.13 – $17.39 | 17 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $2.57 – $13.47 | 3 |
| Ghs protoporphyrins fract CPT 84202 | $60.75 | $81.00 | $7.49 – $25.83 | 17 |
| Ghs pr without cont pulse ox CPT 94625 | $134.25 | $179.00 | $60.27 – $108.49 | 16 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $138.75 | $185.00 | $6.46 – $22.05 | 17 |
| Ghs quinidine CPT 80194 | not published | not published | $7.49 – $35.04 | 3 |
| Ghs refill of implantable pump CPT 95990 | $870.75 | $1,161.00 | $337.46 – $607.43 | 16 |
| Ghs removal intranasal foreign body CPT 30300 | $531.75 | $709.00 | $135.93 – $244.67 | 16 |
| Ghs removal pharyngeal foreign body CPT 42809 | $478.50 | $638.00 | $456.40 – $821.52 | 16 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $6.77 – $38.13 | 3 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $2.03 – $10.35 | 3 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $5.67 – $33.39 | 3 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $1.68 – $10.26 | 3 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $15.49 – $29.55 | 3 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $11.59 – $23.61 | 3 |
| Ghs sensitivity (per antimicro) CPT 87184 | $78.75 | $105.00 | $3.26 – $13.46 | 17 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $368.25 | $491.00 | $415.32 – $747.58 | 16 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $368.25 | $491.00 | $415.32 – $747.58 | 16 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $374.25 | $499.00 | $415.32 – $747.58 | 16 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $374.25 | $499.00 | $415.32 – $747.58 | 16 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $364.50 | $486.00 | $204.98 – $368.96 | 16 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $362.25 | $483.00 | $204.98 – $368.96 | 16 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $364.50 | $486.00 | $204.98 – $368.96 | 16 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $381.75 | $509.00 | $204.98 – $368.96 | 16 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $381.75 | $509.00 | $204.98 – $368.96 | 16 |
| Ghs somatosensory testing lower extremit CPT 95926 | $1,464.00 | $1,952.00 | $220.60 – $397.08 | 16 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $2,091.75 | $2,789.00 | $877.34 – $1,579.21 | 16 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $230.25 | $307.00 | $45.64 – $82.16 | 16 |
| Ghs sphenopalatine ganglion block CPT 64505 | $2,005.50 | $2,674.00 | $313.60 – $564.48 | 16 |
| Ghs spont nystagmus CPT 92541 | $256.50 | $342.00 | $135.93 – $244.67 | 16 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $365.25 | $487.00 | $98.01 – $176.42 | 16 |
| Ghs st - eval for alt comm CPT 92567 | $99.75 | $133.00 | $38.16 – $68.69 | 16 |
| Ghs strapping shoulder - 29240 CPT 29240 | $257.25 | $343.00 | $135.93 – $244.67 | 16 |
| Ghs st - re-eval for alt comm CPT 92597 | $468.00 | $624.00 | $68.59 – $123.47 | 16 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $269.25 | $359.00 | $217.31 – $391.16 | 16 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $728.25 | $971.00 | $755.08 – $1,359.14 | 16 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $471.75 | $629.00 | $415.32 – $747.58 | 16 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $3.80 – $17.52 | 3 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $405.75 | $541.00 | $252.01 – $453.62 | 16 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $10.26 – $58.32 | 3 |
| Ghs urine, porphyrins quant CPT 84120 | $499.50 | $666.00 | $7.49 – $26.48 | 17 |
| Ghs vaginal delivery only CPT 59409 | $2,361.75 | $3,149.00 | $3,307.24 – $5,953.03 | 16 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $2,699.25 | $3,599.00 | $381.24 – $686.23 | 16 |
| Giardia ag if CPT 87269 | not published | not published | $5.67 – $32.67 | 3 |
| Giardia lamblia antibody CPT 86674 | $147.00 | $196.00 | $7.59 – $26.50 | 17 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $648.78 – $985.19 | 2 |
| Gi inhouse confirmation CPT 87045 | $79.50 | $106.00 | $4.46 – $16.99 | 17 |
| Gi protein loss CPT 78282 | not published | not published | $1,091.82 – $1,613.97 | 2 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,745.00 | $3,660.00 | $926.63 – $1,667.93 | 16 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $213.62 – $299.46 | 3 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $114.80 – $147.66 | 3 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $38.48 – $84.00 | 3 |
| Glassia injection HCPCS J0257 | $2,551.28 | $3,401.70 | $5.66 – $10.19 | 17 |
| Glove finger flexion right lg xl HCPCS L3912 | $36.75 | $49.00 | $117.84 – $212.11 | 16 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $328.93 – $612.61 | 2 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $509.06 | $678.74 | $135.00 – $243.40 | 17 |
| Glucagon plasma - sendout CPT 82943 | $63.00 | $84.00 | $6.76 – $25.72 | 17 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $24.11 – $110.58 | 3 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $23.89 – $121.20 | 3 |
| Glucagon tolerance test CPT 82946 | not published | not published | $5.98 – $42.66 | 3 |
| Glucose 1 hr post dose CPT 82950 | $168.00 | $224.00 | $2.25 – $8.55 | 17 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $55.50 | $74.00 | $2.87 – $10.89 | 17 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $39.00 | $52.00 | $3.27 – $5.90 | 17 |
| Glucose blood quantitative CPT 82947 | $45.00 | $60.00 | $3.93 – $7.07 | 17 |
| Glucose body fluid CPT 82945 | $72.75 | $97.00 | $2.05 – $7.07 | 17 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $201.75 | $269.00 | $4.63 – $23.17 | 17 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $63.00 | $84.00 | $1.80 – $7.06 | 17 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $102.50 | $136.66 | $0.72 – $4.48 | 2 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $52.08 – $52.08 | 1 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $7,166.65 | $9,555.53 | $11.29 – $20.32 | 17 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $187.50 | $250.00 | $8.79 – $33.44 | 17 |
| Gonadotropin hormone panel CPT 80426 | $1,263.75 | $1,685.00 | $56.00 – $267.14 | 17 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $129.00 | $172.00 | $8.76 – $33.34 | 17 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $11,433.78 | $15,245.04 | $1,233.37 – $3,753.51 | 2 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $3,026.25 | $4,035.00 | $50.90 – $228.85 | 17 |
| Graft axiofill 1000mg HCPCS J3590 | $675,000.00 | $900,000.00 | not published | 0 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $1,999.92 – $4,998.00 | 2 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $17,736.75 | $23,649.00 | $111.40 – $228.85 | 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.