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 |
|---|---|---|---|---|
| Salivary gland imaging CPT 78230 | $585.00 | $780.00 | $389.85 – $735.17 | 17 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $228.06 – $1,613.97 | 2 |
| Salmonella antibody CPT 86768 | $29.25 | $39.00 | $6.98 – $23.74 | 17 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $4.34 – $4.34 | 1 |
| Sargramostim injection HCPCS J2820 | $1,092.15 | $1,456.20 | $61.89 – $111.40 | 17 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $126.39 – $126.39 | 1 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $271.37 – $505.86 | 2 |
| Sarscov coronavirus ag ia CPT 87426 | $59.25 | $79.00 | $35.33 – $63.59 | 16 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $220.47 – $220.47 | 1 |
| S bowel endoscope w/stent CPT 44379 | $4,379.25 | $5,839.00 | $6,202.39 – $11,164.30 | 16 |
| Sbrt management CPT 77435 | not published | not published | $1,785.75 – $1,785.75 | 1 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $994.50 | $1,326.00 | $243.77 – $438.79 | 16 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $724.50 | $966.00 | $106.81 – $192.26 | 16 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $127.50 | $170.00 | $106.81 – $192.26 | 16 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $999.75 | $1,333.00 | $106.81 – $192.26 | 16 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $830.25 | $1,107.00 | $106.81 – $192.26 | 16 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $779.25 | $1,039.00 | $106.81 – $192.26 | 16 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $1,810.50 | $2,414.00 | $1,687.37 – $3,037.27 | 16 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $7,863.75 | $10,485.00 | not published | 0 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $10.20 – $33.64 | 2 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $10.20 – $67.47 | 2 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $23.50 – $92.89 | 2 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $23.50 – $55.97 | 2 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $23.50 – $57.14 | 2 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $23.50 – $42.80 | 2 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $2,602.50 | $3,470.00 | $950.10 – $1,710.18 | 16 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $2,602.50 | $3,470.00 | $950.10 – $1,710.18 | 16 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $12.00 – $38.12 | 2 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $59.74 – $59.74 | 1 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $7.49 – $97.92 | 2 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $50.86 – $50.86 | 1 |
| Screening Mammogram CPT 77067 | $509.25 | $679.00 | $117.58 – $211.64 | 16 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $54.36 – $54.36 | 1 |
| Screening prostate cancer PSA HCPCS G0103 | not published | not published | $9.40 – $40.79 | 2 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $12.28 – $42.63 | 3 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $26.25 | $35.00 | $3.08 – $5.55 | 16 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $28,563.75 | $38,085.00 | not published | 0 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $735.75 | $981.00 | $106.81 – $192.26 | 17 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $8,255.25 | $11,007.00 | $1,073.96 – $1,933.14 | 16 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $667.50 | $890.00 | $61.07 – $109.93 | 16 |
| Sedimentation rate erythrocyte automated CPT 85652 | $75.00 | $100.00 | $2.05 – $4.86 | 17 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $8,641.36 – $8,641.36 | 1 |
| Select picture audiometry CPT 92583 | $67.50 | $90.00 | $60.27 – $108.49 | 16 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $138.75 | $185.00 | $30.92 – $55.66 | 16 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | $135.00 | $180.00 | $14.36 – $25.86 | 16 |
| Semen analysis HCPCS G0027 | not published | not published | $9.00 – $13.75 | 2 |
| Semen analysis presence/motility CPT 89321 | not published | not published | $5.70 – $28.92 | 3 |
| Semen analysis w/count CPT 89310 | not published | not published | $9.13 – $20.67 | 3 |
| Sensorimotor examination CPT 92060 | $109.50 | $146.00 | $60.27 – $108.49 | 16 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $405.60 – $460.80 | 2 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $5.36 – $5.36 | 1 |
| Serpina1 gene CPT 81332 | not published | not published | $51.68 – $104.76 | 3 |
| Sertraline (zoloft) - sendout CPT 80332 | $101.25 | $135.00 | $0.03 – $56.00 | 3 |
| Set radiation therapy field CPT 77280 | not published | not published | $543.29 – $607.98 | 2 |
| Set radiation therapy field CPT 77285 | not published | not published | $1,008.09 – $1,449.86 | 2 |
| Set radiation therapy field CPT 77290 | not published | not published | $959.31 – $1,449.86 | 2 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $0.04 – $0.04 | 1 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | $638.94 | $851.91 | $0.18 – $0.18 | 1 |
| Sex chromatin identification CPT 88130 | not published | not published | $8.00 – $43.14 | 3 |
| Sex chromatin identification CPT 88140 | not published | not published | $4.10 – $19.17 | 3 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $408.23 – $463.80 | 2 |
| Sgmdsc w/band ligation CPT 45350 | $1,380.00 | $1,840.00 | $1,222.56 – $2,200.61 | 16 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $987.75 | $1,317.00 | $204.98 – $368.96 | 16 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $935.25 | $1,247.00 | $204.98 – $368.96 | 16 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $935.25 | $1,247.00 | $415.32 – $747.58 | 16 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $582.75 | $777.00 | $415.32 – $747.58 | 16 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $219.00 | $292.00 | $204.98 – $368.96 | 16 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $231.75 | $309.00 | $204.98 – $368.96 | 16 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $252.00 | $336.00 | $204.98 – $368.96 | 16 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $367.50 | $490.00 | $415.32 – $747.58 | 16 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $311.25 | $415.00 | $415.32 – $747.58 | 16 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $206.25 | $275.00 | $204.98 – $368.96 | 16 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $304.50 | $406.00 | $204.98 – $368.96 | 16 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $7,076.25 | $9,435.00 | not published | 0 |
| Sheath laser cavaclear 14f HCPCS C1603 | $11,238.75 | $14,985.00 | not published | 0 |
| Shigella antibody CPT 86771 | not published | not published | $6.98 – $58.74 | 3 |
| Shoe post-op mens m HCPCS L3260 | $29.76 | $39.67 | not published | 0 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $174.00 | $232.00 | $73.56 – $132.41 | 16 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $525.75 | $701.00 | $54.72 – $160.04 | 17 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $255.00 | $340.00 | $41.97 – $192.26 | 17 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,628.75 | $3,505.00 | $356.43 – $641.57 | 16 |
| Shoulder MRI (with contrast) CPT 73222 | $2,259.00 | $3,012.00 | $800.90 – $1,441.62 | 16 |
| Shoulder MRI (without contrast) CPT 73221 | $2,127.00 | $2,836.00 | $243.77 – $438.79 | 16 |
| Shoulder X-ray CPT 73030 | $461.25 | $615.00 | $71.07 – $160.04 | 17 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $244.50 | $326.00 | $39.24 – $160.04 | 17 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $4,050.00 | $5,400.00 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $539.25 | $719.00 | $106.81 – $192.26 | 17 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $23.66 – $29.34 | 3 |
| Sialography s&i CPT 70390 | not published | not published | $267.60 – $985.19 | 2 |
| Sialolithotomy 42330 CPT 42330 | $3,732.75 | $4,977.00 | $3,387.27 – $6,097.09 | 16 |
| Sickling rbc CPT 85660 | $90.75 | $121.00 | $2.77 – $9.92 | 17 |
| Sigmoidoscopy and biopsy CPT 45331 | $1,942.50 | $2,590.00 | $950.10 – $1,710.18 | 16 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $1,058.25 | $1,411.00 | $950.10 – $1,710.18 | 16 |
| Sigmoidoscopy for bleeding CPT 45334 | $2,765.25 | $3,687.00 | $1,222.56 – $2,200.61 | 16 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $2,389.50 | $3,186.00 | $950.10 – $1,710.18 | 16 |
| Sigmoidoscopy w/ablation CPT 45346 | $2,604.00 | $3,472.00 | $1,222.56 – $2,200.61 | 16 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $1,370.25 | $1,827.00 | $1,222.56 – $2,200.61 | 16 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | $4,379.25 | $5,839.00 | $6,202.39 – $11,164.30 | 16 |
| Sigmoidoscopy w/resection CPT 45349 | $3,254.25 | $4,339.00 | $2,835.78 – $5,104.40 | 16 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $2,502.75 | $3,337.00 | $1,222.56 – $2,200.61 | 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.