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 |
|---|---|---|---|---|
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $11,913.61 | $15,884.81 | $28.57 – $51.42 | 17 |
| Oropharyngeal biopsy 42800 CPT 42800 | $3,186.00 | $4,248.00 | $1,585.19 – $2,853.34 | 16 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $31.68 | $42.24 | $15.86 – $55.69 | 2 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $129.00 | $172.00 | $322.97 – $581.35 | 16 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $26.25 | $35.00 | $302.90 – $545.22 | 16 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $389.25 | $519.00 | $359.28 – $646.70 | 16 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $52.50 | $70.00 | $302.90 – $545.22 | 16 |
| Orthopantogram CPT 70355 | $270.00 | $360.00 | $23.79 – $160.04 | 17 |
| Orthovisc inj per dose HCPCS J7324 | $443.85 | $591.80 | $109.09 – $196.37 | 17 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $153.00 | $204.00 | $398.43 – $717.17 | 16 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $72.75 | $97.00 | $1,109.16 – $1,996.49 | 16 |
| Oscillation chest wall mechanical per session CPT 94669 | $237.75 | $317.00 | $223.72 – $402.70 | 16 |
| Osmolality blood CPT 83930 | $77.25 | $103.00 | $3.13 – $11.90 | 17 |
| Osmolality urine CPT 83935 | $75.75 | $101.00 | $3.22 – $12.28 | 17 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $125.25 | $167.00 | $22.06 – $39.71 | 16 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | $147.00 | $196.00 | $22.06 – $39.71 | 16 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | $183.75 | $245.00 | $22.06 – $39.71 | 16 |
| Other immunoelectrophoresis CPT 86325 | $186.00 | $248.00 | $17.59 – $41.63 | 17 |
| Oth resp proc, group HCPCS G0239 | $187.50 | $250.00 | $38.16 – $68.69 | 16 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $138.00 | $184.00 | $47.17 – $84.90 | 16 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | $104.25 | $139.00 | $26.78 – $48.20 | 16 |
| Ot re-evaluation patient/family CPT 97168 | $212.25 | $283.00 | $65.34 – $117.61 | 16 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $98.25 | $131.00 | $20.61 – $37.09 | 16 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $98.25 | $131.00 | $21.92 – $39.45 | 16 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $483.46 – $483.46 | 1 |
| Ovulation tests CPT 84830 | not published | not published | $5.23 – $30.48 | 3 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $1.38 – $10.43 | 2 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $342.84 | $457.11 | $0.15 – $1.37 | 2 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $11.17 – $11.17 | 1 |
| Oxytetracycline injection HCPCS J2460 | not published | not published | $2.80 – $2.80 | 1 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $35.06 | $46.74 | $1.53 – $5.01 | 2 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $1,088.40 – $1,088.40 | 1 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $289.41 – $328.80 | 2 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $57,937.50 | $77,250.00 | not published | 0 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $34.43 | $45.90 | $0.17 – $1.19 | 2 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $5,416.36 | $7,221.81 | $6.02 – $20.36 | 17 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $1,429.12 – $1,623.60 | 2 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $636.61 – $723.24 | 2 |
| Palifermin injection HCPCS J2425 | $11,767.98 | $15,690.63 | $36.72 – $66.09 | 17 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $599.00 – $2,409.75 | 2 |
| Palingen or promatrx HCPCS Q4174 | not published | not published | $4,444.65 – $4,444.65 | 1 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $6,272.41 | $8,363.21 | $15.08 – $27.14 | 17 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $9,797.53 | $13,063.37 | $436.75 – $786.15 | 16 |
| Palonosetron hcl HCPCS J2469 | $184.88 | $246.50 | $0.74 – $8.93 | 2 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $148.35 | $197.80 | $18.75 – $73.99 | 2 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $27,287.26 | $36,383.01 | $174.39 – $313.89 | 17 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $18.49 | $24.65 | $16.24 – $16.24 | 1 |
| Papaverin hcl injection HCPCS J2440 | $143.71 | $191.61 | $133.88 – $133.88 | 1 |
| Parathormone (pth) intact CPT 83970 | $500.25 | $667.00 | $19.53 – $74.30 | 17 |
| Parathyrd planar w/spect&ct CPT 78072 | $2,445.00 | $3,260.00 | $554.73 – $998.51 | 17 |
| Parathyroid planar imaging CPT 78070 | $1,436.25 | $1,915.00 | $408.43 – $735.17 | 17 |
| Parathyroid planar img w/tomo spect CPT 78071 | $2,424.75 | $3,233.00 | $408.43 – $735.17 | 17 |
| Paricalcitol HCPCS J2501 | $35.52 | $47.35 | $1.13 – $7.14 | 2 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $291.75 | $389.00 | $204.98 – $368.96 | 16 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $7,702.14 | $10,269.51 | $4.28 – $11.41 | 2 |
| Passy muir valve metal trach HCPCS L8501 | $1,016.73 | $1,355.64 | $147.88 – $266.18 | 16 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $191.52 – $204.54 | 2 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $101.63 – $108.84 | 2 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $91.39 – $97.77 | 2 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $47.52 – $50.55 | 2 |
| Pathogen reduced plasma pool HCPCS P9070 | not published | not published | $262.95 – $262.95 | 1 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $200.00 – $612.12 | 3 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $550.86 – $1,026.83 | 2 |
| Pdgfra gene CPT 81314 | $618.00 | $824.00 | $56.00 – $593.12 | 17 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | $7.50 | $10.00 | $28.11 – $50.60 | 16 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $618.17 – $1,239.28 | 2 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $2,645.51 – $2,645.51 | 1 |
| Pegaspargase injection HCPCS J9266 | $82,241.50 | $109,655.33 | $28,424.06 – $51,163.31 | 17 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $16,623.78 | $22,165.04 | $98.10 – $229.28 | 17 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $221.81 – $1,167.71 | 2 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $11,163.13 | $14,884.17 | $135.89 – $244.60 | 17 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $384.90 – $1,279.32 | 2 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $6,455.84 | $8,607.78 | $79.50 – $174.22 | 17 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $250.67 – $743.75 | 2 |
| Peginesatide injection HCPCS J0890 | not published | not published | $38.57 – $38.57 | 1 |
| Peg interferon alfa-2a/180 HCPCS S0145 | $3,504.65 | $4,672.86 | $3,974.92 – $3,974.92 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $113,672.22 | $151,562.95 | $3,824.52 – $6,884.14 | 17 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $386.85 – $790.51 | 2 |
| Pelvic control pelvic sling HCPCS L2580 | $299.25 | $399.00 | $533.32 – $959.98 | 16 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,881.00 | $2,508.00 | $179.20 – $322.56 | 16 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,710.75 | $2,281.00 | $179.20 – $322.56 | 16 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,392.75 | $1,857.00 | $106.81 – $192.26 | 16 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,590.50 | $3,454.00 | $356.43 – $641.57 | 16 |
| Pelvic MRI (with contrast) CPT 72196 | $2,373.75 | $3,165.00 | $356.43 – $641.57 | 16 |
| Pelvic MRI (without contrast) CPT 72195 | $2,221.50 | $2,962.00 | $243.77 – $438.79 | 16 |
| Pelvic Ultrasound (complete) CPT 76856 | $919.50 | $1,226.00 | $106.81 – $192.26 | 17 |
| Pelvic Ultrasound (limited) CPT 76857 | $567.00 | $756.00 | $72.00 – $192.26 | 17 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $300.00 | $400.00 | $53.79 – $192.26 | 17 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $355.50 | $474.00 | $82.92 – $192.26 | 17 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $21,806.82 | $29,075.76 | $61.25 – $110.25 | 17 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $13,859.24 | $18,478.98 | $4.04 – $7.27 | 17 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $29.16 – $72.31 | 2 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $2,592.13 | $3,456.17 | $31.47 – $56.64 | 17 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $203.37 | $271.15 | $1.46 – $5.46 | 2 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $72.86 – $164.05 | 2 |
| Penile injection CPT 54235 | $306.75 | $409.00 | $255.26 – $459.47 | 16 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $26,765.44 | $35,687.25 | not published | 0 |
| Penile vascular study CPT 93980 | $1,240.50 | $1,654.00 | $106.81 – $192.26 | 16 |
| Penile vascular study CPT 93981 | $792.00 | $1,056.00 | $106.81 – $192.26 | 16 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | $572.10 | $762.79 | not published | 0 |
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.