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 |
|---|---|---|---|---|
| Lab pathology consultation CPT 80500 | not published | not published | $15.21 – $15.21 | 1 |
| Lab pathology consultation CPT 80502 | not published | not published | $49.23 – $49.23 | 1 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $237.75 | $317.00 | $0.70 – $0.70 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | $65.25 | $87.00 | $2.86 – $10.87 | 17 |
| Lactated ringers intravenous solution HCPCS J7120 | $22.19 | $29.58 | $4.13 – $31.64 | 2 |
| Lactic acid CPT 83605 | $209.25 | $279.00 | $5.05 – $20.83 | 17 |
| Lactoferrin fecal qualitative CPT 83630 | $72.75 | $97.00 | $9.28 – $35.46 | 17 |
| Lactoferrin fecal quant CPT 83631 | not published | not published | $9.85 – $47.10 | 3 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $35,355.50 | $47,140.66 | $35.72 – $64.30 | 17 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | $2,066.54 | $2,755.38 | $0.14 – $0.14 | 1 |
| Laparoscopye procstom 43659 CPT 43659 | $6,827.25 | $9,103.00 | $6,176.47 – $11,117.65 | 16 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $696.00 | $928.00 | $313.60 – $564.48 | 16 |
| Largsc w/laser dstrj les CPT 31572 | $6,297.75 | $8,397.00 | $3,809.10 – $6,856.38 | 16 |
| Largsc w/njx augmentation CPT 31574 | $3,180.00 | $4,240.00 | $1,818.45 – $3,273.21 | 16 |
| Largsc w/removal lesion CPT 31578 | $8,732.25 | $11,643.00 | $3,809.10 – $6,856.38 | 16 |
| Largsc w/ther injection CPT 31573 | $3,151.50 | $4,202.00 | $1,818.45 – $3,273.21 | 16 |
| Laronidase injection HCPCS J1931 | $4,116.73 | $5,488.97 | $39.95 – $71.92 | 17 |
| Laryngeal function studies CPT 92520 | $360.00 | $480.00 | $135.93 – $244.67 | 16 |
| Laryngoscope w/vc inj CPT 31570 | $4,485.00 | $5,980.00 | $3,809.10 – $6,856.38 | 16 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $1,968.00 | $2,624.00 | $1,818.45 – $3,273.21 | 16 |
| Laryngoscopy telescopic CPT 31579 | $1,185.75 | $1,581.00 | $399.59 – $719.26 | 16 |
| Laryngoscopy w/exc of tumor CPT 31540 | $7,290.00 | $9,720.00 | $3,809.10 – $6,856.38 | 16 |
| Laryngoscopy w/fb removal CPT 31530 | $2,017.50 | $2,690.00 | $1,818.45 – $3,273.21 | 16 |
| Laryngoscopy with biopsy CPT 31576 | $8,027.25 | $10,703.00 | $1,818.45 – $3,273.21 | 16 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $473.25 | $631.00 | $399.59 – $719.26 | 16 |
| Lavage cannulation maxillary sinus CPT 31000 | $1,871.25 | $2,495.00 | $241.98 – $435.56 | 16 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $4,863.24 | $6,484.32 | not published | 0 |
| Lead capillary CPT 83655 | $101.25 | $135.00 | $7.00 – $21.80 | 17 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $7,616.25 | $10,155.00 | not published | 0 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $13,488.75 | $17,985.00 | not published | 0 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $1,207.50 | $1,610.00 | $243.77 – $438.79 | 16 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $1,553.25 | $2,071.00 | $179.20 – $322.56 | 16 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $1,372.50 | $1,830.00 | $106.81 – $192.26 | 16 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $9.64 – $48.12 | 3 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $17.13 – $100.23 | 3 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,209.00 | $1,612.00 | $243.77 – $438.79 | 16 |
| Leishmania antibody CPT 86717 | $182.25 | $243.00 | $6.77 – $22.05 | 17 |
| Lens, intraocular (new tech) HCPCS C1780 | $2,238.75 | $2,985.00 | not published | 0 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $2,238.75 | $2,985.00 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $1,136.25 | $1,515.00 | $145.73 – $262.31 | 16 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $191.25 | $255.00 | $145.73 – $262.31 | 16 |
| Lepirudin HCPCS J1945 | not published | not published | $1,921.54 – $1,921.54 | 1 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $83.13 | $110.83 | $6.62 – $35.70 | 2 |
| Leukacyte transfusion CPT 86950 | not published | not published | $32.30 – $162.31 | 3 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $4.10 – $24.93 | 3 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $30,791.46 | $41,055.27 | $176.20 – $317.16 | 17 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $42,325.47 | $56,433.96 | $1,765.57 – $3,178.03 | 17 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $16,909.90 – $16,909.90 | 1 |
| Leuprolide acetate injeciton HCPCS J9218 | $1,901.89 | $2,535.85 | $14.97 – $180.50 | 2 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $370.84 – $1,612.56 | 2 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $86.35 – $362.95 | 2 |
| Levalbuterol comp unit HCPCS J7615 | not published | not published | $5.04 – $5.04 | 1 |
| Levalbuterol non-comp con HCPCS J7612 | $9.80 | $13.06 | $0.50 – $7.63 | 2 |
| Levalbuterol non-comp unit HCPCS J7614 | $5.40 | $7.19 | $0.13 – $4.52 | 2 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $97.62 | $130.16 | $0.07 – $0.25 | 2 |
| Levetiracetam therapeutic drug level CPT 80177 | $215.25 | $287.00 | $7.24 – $23.85 | 17 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $47.70 | $63.60 | $3.28 – $30.35 | 2 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $652.50 | $870.00 | $12.92 – $33.99 | 2 |
| Liberta rc ipg HCPCS C1820 | $63,376.43 | $84,501.90 | not published | 0 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $74.62 | $99.49 | $0.04 – $0.04 | 1 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $25.89 | $34.51 | $0.04 – $0.04 | 1 |
| Lidocaine therapeutic drug level CPT 80176 | $78.00 | $104.00 | $6.95 – $26.44 | 17 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $38,415.18 | $51,220.24 | not published | 0 |
| Lig/band angioaccess av fistula CPT 37607 | $3,213.75 | $4,285.00 | $3,225.87 – $5,806.57 | 16 |
| Liletta, 52 mg HCPCS J7297 | $3,445.08 | $4,593.43 | $3,326.30 – $3,326.30 | 1 |
| Limited autopsy CPT 88036 | not published | not published | $101.50 – $230.70 | 3 |
| Limited autopsy CPT 88037 | not published | not published | $101.50 – $205.23 | 3 |
| Limited visual field xm CPT 92081 | $96.75 | $129.00 | $60.27 – $108.49 | 16 |
| Lincomycin injection HCPCS J2010 | not published | not published | $9.42 – $33.92 | 2 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $119.81 | $159.74 | $5.83 – $22.61 | 2 |
| Lipase CPT 83690 | $177.75 | $237.00 | $3.26 – $12.40 | 17 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $12.45 – $81.27 | 3 |
| Lipoprotein blood quant CPT 83704 | $254.25 | $339.00 | $15.83 – $61.54 | 17 |
| Lipoprotein direct measurement hdl CPT 83718 | $93.75 | $125.00 | $3.87 – $14.74 | 17 |
| Lipoprotein direct measurement ldl CPT 83721 | $104.25 | $139.00 | $4.51 – $18.90 | 17 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $72.22 – $82.05 | 2 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $909,947.89 – $909,947.89 | 1 |
| Listeria monocytogenes CPT 86723 | not published | not published | $6.36 – $31.65 | 3 |
| Lithium therapeutic drug level CPT 80178 | $94.50 | $126.00 | $3.13 – $11.90 | 17 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $3,650.25 | $4,867.00 | $120.71 – $217.27 | 16 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $812.25 | $1,083.00 | $56.00 – $317.14 | 16 |
| Liver elastography 91200 CPT 91200 | $552.75 | $737.00 | $131.46 – $236.63 | 16 |
| Liver Function Test CPT 80076 | $141.75 | $189.00 | $2.99 – $14.71 | 17 |
| Liver imaging CPT 78201 | $1,241.25 | $1,655.00 | $428.97 – $1,694.37 | 17 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $468.09 – $2,095.20 | 2 |
| Liver/spleen imag static only CPT 78215 | $1,856.25 | $2,475.00 | $408.43 – $735.17 | 17 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $279.90 – $1,613.97 | 2 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $2.38 – $3.02 | 2 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $433.72 – $433.72 | 1 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | $104,719.60 | $139,626.13 | $221.49 – $398.69 | 17 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $49.14 | $65.52 | $2.20 – $5.04 | 2 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $187.50 | $250.00 | $106.81 – $192.26 | 16 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,817.25 | $2,423.00 | $179.20 – $322.56 | 16 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,829.25 | $2,439.00 | $356.43 – $641.57 | 16 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,734.75 | $2,313.00 | $106.81 – $192.26 | 16 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,590.50 | $3,454.00 | $356.43 – $641.57 | 16 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,441.25 | $3,255.00 | $356.43 – $641.57 | 16 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,265.75 | $3,021.00 | $243.77 – $438.79 | 16 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $439.50 | $586.00 | $80.19 – $192.26 | 17 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $548.25 | $731.00 | $106.81 – $192.26 | 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.