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 |
|---|---|---|---|---|
| Prev med cnsl indiv apprx 15 CPT 99401 | $104.25 | $139.00 | $37.78 – $68.00 | 16 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $216.00 | $288.00 | $62.20 – $111.96 | 16 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $320.25 | $427.00 | $85.00 – $153.01 | 16 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $130.50 | $174.00 | $136.02 – $244.84 | 16 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,533.00 | $2,044.00 | $1,687.37 – $3,037.27 | 16 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $2,709.00 | $3,612.00 | $1,687.37 – $3,037.27 | 16 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,716.75 | $2,289.00 | $415.32 – $747.58 | 16 |
| Prgrmg dev eval impltbl sys CPT 93260 | $336.75 | $449.00 | $38.13 – $68.63 | 16 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $204.00 | $272.00 | $38.13 – $68.63 | 16 |
| Prgrmg dev eval scrms ip CPT 93285 | $289.50 | $386.00 | $38.13 – $68.63 | 16 |
| Prgrmg eval implantable dfb CPT 93282 | $300.00 | $400.00 | $38.13 – $68.63 | 16 |
| Prgrmg eval implantable dfb CPT 93283 | $510.00 | $680.00 | $38.13 – $68.63 | 16 |
| Prgrmg eval implantable dfb CPT 93284 | $329.25 | $439.00 | $38.13 – $68.63 | 16 |
| Prgr stim/pace a/iv drug CPT 93623 | $5,091.75 | $6,789.00 | not published | 0 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $18,078.00 | $24,104.00 | $18,728.69 – $33,711.64 | 16 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $5,235.00 | $6,980.00 | $430.17 – $774.31 | 16 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $382.50 | $510.00 | $415.32 – $747.58 | 16 |
| Pr incision & drainage abscess simple/single CPT 10060 | $561.75 | $749.00 | $204.98 – $368.96 | 16 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $465.75 | $621.00 | $311.33 – $560.39 | 16 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $676.50 | $902.00 | $415.32 – $747.58 | 16 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $229.50 | $306.00 | $136.02 – $244.84 | 16 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $330.00 | $440.00 | $47.78 – $86.01 | 16 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $5,175.00 | $6,900.00 | not published | 0 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $1,611.15 | $2,148.19 | $214.81 – $386.66 | 17 |
| Procalcitonin CPT 84145 | $99.00 | $132.00 | $11.19 – $49.00 | 17 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $530.22 – $530.22 | 1 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $63.42 | $84.56 | $4.23 – $20.06 | 2 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.74 – $1.23 | 2 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | $1,989.75 | $2,653.00 | $1,222.56 – $2,200.61 | 16 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $2,371.50 | $3,162.00 | $950.10 – $1,710.18 | 16 |
| Proctosigmoidoscopy removal CPT 45308 | $2,967.75 | $3,957.00 | $2,835.78 – $5,104.40 | 16 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $2,566.50 | $3,422.00 | $1,222.56 – $2,200.61 | 16 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $3,251.25 | $4,335.00 | $2,835.78 – $5,104.40 | 16 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $214.27 – $642.60 | 2 |
| Progesterone CPT 84144 | $99.00 | $132.00 | $9.06 – $37.55 | 17 |
| Prolactin CPT 84146 | $162.00 | $216.00 | $9.17 – $34.88 | 17 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $42.00 | $56.00 | $31.17 – $56.11 | 16 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.32 – $0.32 | 1 |
| Promethazine hcl injection HCPCS J2550 | $10.99 | $14.65 | $4.80 – $13.20 | 2 |
| Proph rta dtchmnt pc CPT 67145 | $642.00 | $856.00 | $561.91 – $1,011.44 | 16 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $35.88 | $47.83 | $0.15 – $0.42 | 2 |
| _propoxygc/msur CPT 80367 | $240.00 | $320.00 | $0.03 – $56.00 | 3 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $16.46 | $21.94 | $34.79 – $34.79 | 1 |
| Prostate biopsy, any mthd HCPCS G0416 | $711.00 | $948.00 | $56.00 – $659.18 | 16 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $1,329.00 | $1,772.00 | $134.48 – $242.06 | 16 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $112.23 | $149.63 | $2.74 – $11.06 | 2 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $5,366.25 | $7,155.00 | $3,952.45 – $3,952.45 | 1 |
| Protein analysis w/probe CPT 88372 | not published | not published | $17.95 – $62.94 | 3 |
| Protein c activity CPT 85303 | $87.00 | $116.00 | $7.28 – $24.91 | 17 |
| Protein c concentrate HCPCS J2724 | not published | not published | $2.52 – $53.55 | 2 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $84.00 | $112.00 | $10.74 – $19.33 | 17 |
| Protein s total CPT 85305 | $181.50 | $242.00 | $6.16 – $20.90 | 17 |
| Protein total 24 hour urine CPT 84156 | $62.25 | $83.00 | $1.73 – $6.61 | 17 |
| Protein total body fluid CPT 84157 | $114.00 | $152.00 | $1.85 – $7.20 | 17 |
| Protein total serum plasma whole blood CPT 84155 | $46.50 | $62.00 | $1.73 – $6.61 | 17 |
| Protein western blot tissue CPT 88371 | not published | not published | $21.17 – $53.34 | 3 |
| Prothrombin complex kcentra HCPCS J7168 | $7,912.65 | $10,550.20 | $2.05 – $3.70 | 16 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $62.25 | $83.00 | $1.87 – $7.09 | 17 |
| Proton treatment complex CPT 77525 | not published | not published | $3,127.35 – $5,538.42 | 2 |
| Proton trmt intermediate CPT 77523 | not published | not published | $2,829.93 – $5,538.42 | 2 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $2,432.07 – $5,538.42 | 2 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $2,322.99 – $2,426.85 | 2 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $4.07 – $23.37 | 3 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $176.25 | $235.00 | $103.79 – $186.82 | 16 |
| Prq av fstl crt uxtr sep acs CPT 36837 | $20,328.00 | $27,104.00 | $18,728.69 – $33,711.64 | 16 |
| Prq card revasc mi 1 vsl CPT 92941 | $31,300.50 | $41,734.00 | $583.47 – $1,050.25 | 16 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $35,208.75 | $46,945.00 | not published | 0 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $29,319.00 | $39,092.00 | $11,794.23 – $21,229.61 | 16 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $12,034.50 | $16,046.00 | $11,794.23 – $21,229.61 | 16 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | $6,903.00 | $9,204.00 | $18,728.69 – $33,711.64 | 16 |
| Prq trlml c athrc st angiop1 CPT 92933 | $29,319.00 | $39,092.00 | $18,728.69 – $33,711.64 | 16 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | $32,826.75 | $43,769.00 | $11,794.23 – $21,229.61 | 16 |
| Prq trluml c angiop 1art&/br CPT 92920 | $9,413.25 | $12,551.00 | $5,814.84 – $10,466.71 | 16 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $9,140.25 | $12,187.00 | $11,794.23 – $21,229.61 | 16 |
| Prq trluml revsc ch occ ant CPT 92943 | $29,319.00 | $39,092.00 | $11,794.23 – $21,229.61 | 16 |
| Pr removal drug delivery implant CPT 11982 | $1,448.25 | $1,931.00 | $456.40 – $821.52 | 16 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $313.50 | $418.00 | $135.93 – $244.67 | 16 |
| Pr removal intrauterine device CPT 58301 | $270.75 | $361.00 | $311.33 – $560.39 | 16 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $980.25 | $1,307.00 | $415.32 – $747.58 | 16 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $317.25 | $423.00 | $204.98 – $368.96 | 16 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $335.25 | $447.00 | $204.98 – $368.96 | 16 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $330.00 | $440.00 | $204.98 – $368.96 | 16 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $352.50 | $470.00 | $204.98 – $368.96 | 16 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,108.25 | $2,811.00 | $1,608.25 – $2,894.85 | 16 |
| PSA (Prostate) Test CPT 84153 | $127.50 | $170.00 | $8.70 – $33.10 | 17 |
| Psychotherapy group therapy CPT 90853 | $271.50 | $362.00 | $103.79 – $186.82 | 16 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $193.50 | $258.00 | $181.34 – $326.41 | 16 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $267.00 | $356.00 | $181.34 – $326.41 | 16 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $328.50 | $438.00 | $181.34 – $326.41 | 16 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $316.50 | $422.00 | $220.60 – $397.08 | 16 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | $127.50 | $170.00 | $84.71 – $152.48 | 16 |
| Psycl/nrpsyc tech 1st CPT 96138 | $210.75 | $281.00 | $456.40 – $821.52 | 16 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $316.50 | $422.00 | $135.93 – $244.67 | 16 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $153.75 | $205.00 | $35.19 – $63.34 | 16 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | $102.00 | $136.00 | $32.32 – $58.18 | 16 |
| Psytx complex interactive CPT 90785 | $54.00 | $72.00 | $14.38 – $25.88 | 16 |
| Psytx pt w/e&m 16-37 min CPT 90833 | $290.25 | $387.00 | $79.60 – $143.28 | 16 |
| Psytx pt w/e&m 38-52 min CPT 90836 | $399.00 | $532.00 | $100.79 – $181.42 | 16 |
| Psytx pt w/e&m 53+ min CPT 90838 | $492.00 | $656.00 | $133.42 – $240.15 | 16 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $19.50 | $26.00 | $6.31 – $11.35 | 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.