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 |
|---|---|---|---|---|
| Sigmoidoscopy w/ultrasound CPT 45341 | $3,027.00 | $4,036.00 | $950.10 – $1,710.18 | 16 |
| Sigmoidoscopy w/us guide bx CPT 45342 | $4,014.75 | $5,353.00 | $1,222.56 – $2,200.61 | 16 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $2,535.00 | $3,380.00 | $950.10 – $1,710.18 | 16 |
| Sig w/tndsc balloon dilation CPT 45340 | $2,738.25 | $3,651.00 | $1,222.56 – $2,200.61 | 16 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.95 – $0.95 | 1 |
| Simple cystometrogram 51725 CPT 51725 | $759.00 | $1,012.00 | $255.26 – $459.47 | 16 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $456.17 | $608.22 | $228.43 – $465.47 | 2 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,576.50 | $2,102.00 | $179.20 – $322.56 | 16 |
| Sinus CT scan (with contrast) CPT 70487 | $1,519.50 | $2,026.00 | $179.20 – $322.56 | 16 |
| Sinus CT scan (without contrast) CPT 70486 | $1,303.50 | $1,738.00 | $106.81 – $192.26 | 16 |
| Sinus/juglr venogram s&i CPT 75860 | $2,489.25 | $3,319.00 | $199.47 – $5,806.57 | 17 |
| Sinus X-ray (complete) CPT 70220 | $629.25 | $839.00 | $74.73 – $160.04 | 17 |
| Sinus X-ray (limited) CPT 70210 | $444.75 | $593.00 | $65.61 – $160.04 | 17 |
| Sipuleucel-t - su HCPCS Q2043 | $95,750.46 | $127,667.28 | $56,269.19 – $101,284.55 | 17 |
| Sirolimus, oral HCPCS J7520 | $12,667.27 | $16,889.69 | $1.60 – $35.42 | 2 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $141.99 – $284.83 | 2 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $375.75 | $501.00 | $0.03 – $56.00 | 3 |
| Skel musc relaxant 3 or more CPT 80370 | $27.75 | $37.00 | $0.03 – $56.00 | 3 |
| Skin Biopsy CPT 11102 | $300.00 | $400.00 | $415.32 – $747.58 | 16 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $1.92 – $13.92 | 3 |
| Skull X-ray (1 to 3 views) CPT 70250 | $377.25 | $503.00 | $74.73 – $192.26 | 17 |
| Skull X-ray (complete) CPT 70260 | $749.25 | $999.00 | $85.65 – $192.26 | 17 |
| Skyla, 13.5 mg HCPCS J7301 | $3,739.59 | $4,986.11 | $3,610.64 – $3,610.64 | 1 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $369.30 – $419.55 | 2 |
| Sleep study attended CPT 95807 | $404.25 | $539.00 | $381.24 – $686.23 | 16 |
| Sleep Study (Polysomnography) CPT 95810 | $6,070.50 | $8,094.00 | $877.34 – $1,579.21 | 16 |
| Sleep study unattended CPT 95806 | $594.00 | $792.00 | $220.60 – $397.08 | 16 |
| Sleeve fing rolyan med HCPCS L3933 | $32.25 | $43.00 | $238.64 – $429.55 | 16 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $30.35 | $40.46 | $10.98 – $19.76 | 16 |
| Sling suprapubic suburetheral HCPCS C1771 | $21,217.50 | $28,290.00 | not published | 0 |
| Slp pure tone screening CPT 92551 | $64.50 | $86.00 | $12.23 – $22.01 | 16 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $58,129.89 – $58,129.89 | 1 |
| Small animal inoculation CPT 87003 | not published | not published | $8.82 – $40.41 | 3 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $709.50 | $946.00 | $161.25 – $322.56 | 17 |
| Small bowel endoscopy CPT 44360 | $2,597.25 | $3,463.00 | $1,960.47 – $3,528.85 | 16 |
| Small bowel endoscopy CPT 44364 | $3,657.00 | $4,876.00 | $1,960.47 – $3,528.85 | 16 |
| Small bowel endoscopy CPT 44366 | $3,970.50 | $5,294.00 | $1,960.47 – $3,528.85 | 16 |
| Small bowel endoscopy CPT 44369 | $3,175.50 | $4,234.00 | $1,960.47 – $3,528.85 | 16 |
| Small bowel endoscopy CPT 44376 | $3,048.00 | $4,064.00 | $1,960.47 – $3,528.85 | 16 |
| Small bowel endoscopy CPT 44378 | $4,077.00 | $5,436.00 | $1,960.47 – $3,528.85 | 16 |
| Small bowel endoscopy CPT 44382 | $2,467.50 | $3,290.00 | $926.63 – $1,667.93 | 16 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | $3,096.75 | $4,129.00 | $1,960.47 – $3,528.85 | 16 |
| Small bowel endoscopy 44365 CPT 44365 | $3,540.00 | $4,720.00 | $1,960.47 – $3,528.85 | 16 |
| Small bowel endoscopy/biopsy CPT 44361 | $4,161.00 | $5,548.00 | $1,960.47 – $3,528.85 | 16 |
| Small bowel endoscopy/biopsy CPT 44377 | $2,205.75 | $2,941.00 | $1,960.47 – $3,528.85 | 16 |
| Small bowel endoscopy br/wa CPT 44380 | $2,166.75 | $2,889.00 | $926.63 – $1,667.93 | 16 |
| Small bowel endoscopy br/wa CPT 44381 | $2,218.50 | $2,958.00 | $1,960.47 – $3,528.85 | 16 |
| Small bowel endoscopy/stent 44370 CPT 44370 | $6,607.50 | $8,810.00 | $6,202.39 – $11,164.30 | 16 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | $2.43 | $3.23 | $0.01 – $0.02 | 16 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $81.00 | $108.00 | $2.54 – $9.70 | 17 |
| Smear gram stain CPT 87205 | $66.00 | $88.00 | $2.02 – $7.69 | 17 |
| Smear nasal eosinophil CPT 89190 | $46.50 | $62.00 | $1.58 – $10.42 | 17 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $52.50 | $70.00 | $5.99 – $10.78 | 17 |
| Smear wet mount CPT 87210 | $88.50 | $118.00 | $5.54 – $10.48 | 17 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $636.61 – $723.24 | 2 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $391.24 – $444.48 | 2 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $87.68 – $112.80 | 3 |
| Snrpn/ube3a gene CPT 81331 | $376.50 | $502.00 | $41.02 – $91.93 | 17 |
| Sodium 24 hour urine CPT 84300 | $60.00 | $80.00 | $2.30 – $9.11 | 17 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $33.28 | $44.37 | $3.81 – $19.64 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $20.34 | $27.12 | $2.30 – $15.05 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $19.42 | $25.89 | $1.19 – $15.33 | 2 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $11.10 | $14.79 | $0.60 – $0.60 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $28.46 | $37.94 | $3.65 – $14.53 | 2 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $651.32 | $868.42 | $123.28 – $339.15 | 2 |
| Sodium serum/plasma/whole blood CPT 84295 | $57.00 | $76.00 | $2.28 – $8.66 | 17 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $2.87 – $2.87 | 1 |
| So gsap cll fr dna/dna&rna CPT 81462 | $2,242.50 | $2,990.00 | $56.00 – $2,152.49 | 16 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | $1,580.25 | $2,107.00 | $56.00 – $1,883.43 | 16 |
| Somatosensory testing CPT 95927 | $1,404.00 | $1,872.00 | $220.60 – $397.08 | 16 |
| Somatropin injection HCPCS J2941 | $2,600.83 | $3,467.77 | $554.96 – $554.96 | 1 |
| Sotalol hydrochloride IV HCPCS C9482 | $13,396.05 | $17,861.39 | $86.21 – $86.21 | 1 |
| Special casting material HCPCS A4590 | $357.75 | $477.00 | not published | 0 |
| Special physics consult CPT 77370 | not published | not published | $380.79 – $543.29 | 2 |
| Special radiation dosimetry CPT 77331 | not published | not published | $50.76 – $543.29 | 2 |
| Special radiation treatment CPT 77470 | not published | not published | $94.56 – $2,322.99 | 2 |
| Special teletx port plan CPT 77321 | not published | not published | $117.15 – $1,449.86 | 2 |
| Specific gravity body fluid CPT 84315 | not published | not published | $1.23 – $7.86 | 3 |
| Specimen fat stain CPT 89125 | $60.75 | $81.00 | $2.15 – $10.58 | 17 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $387.00 | $516.00 | $217.95 – $392.30 | 16 |
| Speech audiometry complete CPT 92556 | $104.25 | $139.00 | $60.27 – $108.49 | 16 |
| Speech evaluation complex CPT 70371 | $1,077.00 | $1,436.00 | $186.63 – $438.79 | 17 |
| Speech recep thresh CPT 92555 | $104.25 | $139.00 | $60.27 – $108.49 | 16 |
| Speech Therapy Session (one-on-one) CPT 92507 | $332.25 | $443.00 | $73.34 – $132.01 | 16 |
| Sperm antibody test CPT 89325 | not published | not published | $5.44 – $25.62 | 3 |
| Sperm evaluation test CPT 89329 | not published | not published | $10.98 – $47.01 | 3 |
| Sperm identification CPT 89257 | not published | not published | $107.22 – $1,246.32 | 3 |
| Sperm isolation complex CPT 89261 | not published | not published | $83.30 – $320.19 | 3 |
| Sperm isolation simple CPT 89260 | not published | not published | $81.00 – $352.26 | 3 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,416.00 | $1,888.00 | $721.17 – $1,298.11 | 16 |
| Spine X-ray (single view, one level) CPT 72020 | $360.00 | $480.00 | $45.60 – $160.04 | 17 |
| Spirometry up to 2 yrs old CPT 94011 | $1,005.75 | $1,341.00 | $131.46 – $236.63 | 16 |
| Spleen imaging CPT 78185 | $469.50 | $626.00 | $379.86 – $735.17 | 17 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $48.75 | $65.00 | $566.79 – $1,020.22 | 16 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $93.00 | $124.00 | $73.47 – $132.25 | 16 |
| Splint finger frog med HCPCS L3927 | $73.50 | $98.00 | $39.15 – $70.47 | 16 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $35.25 | $47.00 | $108.04 – $194.47 | 16 |
| Split blood or products CPT 86985 | $606.00 | $808.00 | $6.40 – $313.31 | 16 |
| Sputum specimen collection CPT 89220 | $337.50 | $450.00 | $15.15 – $313.31 | 16 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $13,387.50 – $13,387.50 | 1 |
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.