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 |
|---|---|---|---|---|
| Tbs techl calculation only CPT 77091 | not published | not published | $76.53 – $346.32 | 2 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $7.41 – $346.32 | 2 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $460.50 | $614.00 | $34.89 – $180.00 | 17 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | not published | not published | $31.09 – $148.74 | 3 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $13,088.78 – $13,088.78 | 1 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $249.90 – $249.90 | 1 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $6,118.88 – $6,118.88 | 1 |
| Tc-99m exametazime diag HCPCS A9521 | not published | not published | $6,118.88 – $6,118.88 | 1 |
| Tc-99m labeled rbc HCPCS A9560 | not published | not published | $333.45 – $333.45 | 1 |
| Tc-99m maa HCPCS A9540 | not published | not published | $107.10 – $107.10 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | $1,248.75 | $1,664.99 | $197.47 – $197.47 | 1 |
| Tc-99m medronate HCPCS A9503 | not published | not published | $46.41 – $46.41 | 1 |
| Tc-99m mertiatide HCPCS A9562 | $4,717.50 | $6,289.99 | not published | 0 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $157.08 – $157.08 | 1 |
| Tc-99m pentetate dtpa HCPCS A9539 | $975.00 | $1,300.00 | $111.86 – $111.86 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | not published | not published | $6.06 – $6.06 | 1 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | not published | not published | $228.66 – $228.66 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $6,044.97 | $8,059.96 | not published | 0 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $2,139.94 – $2,139.94 | 1 |
| Tc-99m sulfur colloid HCPCS A9541 | $3,734.48 | $4,979.30 | $954.49 – $954.49 | 1 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | not published | not published | $304.43 – $304.43 | 1 |
| Tc-99m tilmanocept diag HCPCS A9520 | not published | not published | $2,361.84 – $2,361.84 | 1 |
| Tcd emboli detect w/inj CPT 93893 | $1,061.25 | $1,415.00 | $106.81 – $192.26 | 16 |
| Tcd emboli detect without inj CPT 93892 | $1,269.00 | $1,692.00 | $106.81 – $192.26 | 16 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | not published | not published | $22.23 – $112.74 | 3 |
| T cells absolute cd 4 count CPT 86361 | not published | not published | $22.98 – $64.26 | 3 |
| T cells total count CPT 86359 | $108.00 | $144.00 | $27.09 – $67.91 | 17 |
| Tcranial magn stim tx deli CPT 90868 | $354.00 | $472.00 | $220.60 – $397.08 | 16 |
| Tcranial magn stim tx plan CPT 90867 | $354.00 | $472.00 | $220.60 – $397.08 | 16 |
| Tcran magn stim redetemine CPT 90869 | $354.00 | $472.00 | $220.60 – $397.08 | 16 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $364.69 – $731.15 | 2 |
| Tee w or without fol w/cont,cong HCPCS C8926 | $1,826.25 | $2,435.00 | $800.90 – $1,441.62 | 16 |
| Tee w or without fol w/cont, mon HCPCS C8927 | $1,165.50 | $1,554.00 | $800.90 – $1,441.62 | 16 |
| Telavancin injection HCPCS J3095 | $2,428.05 | $3,237.39 | $7.03 – $12.66 | 17 |
| Telehealth original site facility fee HCPCS Q3014 | $151.50 | $202.00 | not published | 0 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $357.66 – $1,449.86 | 2 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $197.61 – $1,449.86 | 2 |
| Temozolomide HCPCS J8700 | $1,918.68 | $2,558.23 | $0.60 – $9.45 | 2 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $3,438.61 | $4,584.81 | $10.40 – $18.72 | 17 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $54.23 – $184.17 | 2 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $29,758.74 | $39,678.32 | $197.44 – $355.39 | 17 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $4,444.78 – $8,910.55 | 2 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $68.57 | $91.42 | $4.60 – $44.10 | 2 |
| Teriparatide injection HCPCS J3110 | not published | not published | $179.69 – $179.69 | 1 |
| Tert gene targeted seq alys CPT 81345 | $347.25 | $463.00 | $56.00 – $333.36 | 16 |
| Test for chlorohydrocarbons CPT 82441 | $225.00 | $300.00 | $3.18 – $10.82 | 17 |
| Test for porphobilinogen CPT 84106 | not published | not published | $2.15 – $13.98 | 3 |
| Test for urine cystines CPT 82615 | not published | not published | $3.39 – $22.92 | 3 |
| Testicular imaging w/vasc flow CPT 78761 | $1,209.75 | $1,613.00 | $408.43 – $735.17 | 17 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $375.34 – $375.34 | 1 |
| Testosterone response panel CPT 80414 | $387.00 | $516.00 | $18.98 – $92.95 | 17 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $3.34 – $9.42 | 2 |
| Test pathogen(s) for platelets reference HCPCS P9100 | not published | not published | $120.09 – $154.74 | 2 |
| Test stress cardiovascular tracing only CPT 93017 | $1,012.50 | $1,350.00 | $220.60 – $397.08 | 16 |
| Test urine for lactose CPT 83633 | not published | not published | $2.87 – $27.00 | 3 |
| Test urine for porphyrins CPT 84119 | not published | not published | $3.59 – $32.07 | 3 |
| Test urine urobilinogen CPT 84578 | not published | not published | $1.64 – $10.74 | 3 |
| Tetanus ig im CPT 90389 | not published | not published | $2,317.53 – $2,317.53 | 1 |
| Tetanus immune globulin inj HCPCS J1670 | $1,939.05 | $2,585.40 | $558.12 – $1,004.61 | 17 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $30.74 – $74.27 | 2 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $289.41 – $328.80 | 2 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $1,822.86 – $1,822.86 | 1 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $7,007.04 – $7,007.04 | 1 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $1,434.99 – $1,434.99 | 1 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $34.14 – $500.00 | 3 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $116.61 – $500.00 | 3 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $69.00 – $500.00 | 3 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $49.98 – $500.00 | 3 |
| Theophylline therapeutic drug level CPT 80198 | $111.00 | $148.00 | $6.69 – $25.45 | 17 |
| Therapy activation ipnss CPT 93150 | $108.00 | $144.00 | $97.13 – $174.83 | 16 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $156.75 | $209.00 | $33.33 – $59.99 | 16 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $143.25 | $191.00 | $27.87 – $50.17 | 16 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $65.25 | $87.00 | $35.12 – $63.21 | 16 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $65.25 | $87.00 | $30.31 – $54.56 | 16 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $208.50 | $278.00 | $179.20 – $356.07 | 17 |
| Ther/proph/diag inj ia CPT 96373 | $380.25 | $507.00 | $217.31 – $391.16 | 16 |
| Ther radiology tx plng cplx CPT 77263 | not published | not published | $467.16 – $467.16 | 1 |
| Ther radiology tx plng intrm CPT 77262 | not published | not published | $300.69 – $300.69 | 1 |
| Ther radiology tx plng smpl CPT 77261 | not published | not published | $196.32 – $196.32 | 1 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $23.67 | $31.56 | $2.99 – $11.73 | 2 |
| Thiethylperazine maleate inj HCPCS J3280 | not published | not published | $13.58 – $13.58 | 1 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $300.75 | $401.00 | $73.80 – $160.04 | 17 |
| Thiotepa injection HCPCS J9340 | not published | not published | $1,071.00 – $1,071.00 | 1 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,687.50 | $2,250.00 | $640.89 – $1,153.60 | 16 |
| Thoracotomy with cardiac massage CPT 32160 | $4,610.25 | $6,147.00 | $751.99 – $1,353.58 | 16 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $2,543.25 | $3,391.00 | $408.43 – $735.17 | 17 |
| Throat x-ray & fluoroscopy CPT 70370 | not published | not published | $240.30 – $346.32 | 2 |
| Thrombectmy crnry perq mechanical CPT 92973 | $4,489.50 | $5,986.00 | $80.65 – $145.16 | 16 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $6,205.50 | $8,274.00 | $5,814.84 – $10,466.71 | 16 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $10,103.25 | $13,471.00 | $11,794.23 – $21,229.61 | 16 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $15,313.50 | $20,418.00 | $18,728.69 – $33,711.64 | 16 |
| Thrombin time CPT 85670 | $87.00 | $116.00 | $2.26 – $10.39 | 17 |
| Thrombin time titer CPT 85675 | not published | not published | $3.69 – $16.44 | 3 |
| Thrombomodulin CPT 85337 | not published | not published | $5.44 – $41.46 | 3 |
| Thromboplastin inhibition CPT 85705 | not published | not published | $4.51 – $23.10 | 3 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $99.75 | $133.00 | $6.47 – $11.65 | 17 |
| Thromboxane urine CPT 84431 | not published | not published | $4.46 – $84.27 | 3 |
| Thyroglobulin antibody CPT 86800 | $47.25 | $63.00 | $7.52 – $28.64 | 17 |
| Thyroid imaging CPT 78013 | not published | not published | $421.71 – $1,613.97 | 2 |
| Thyroid met imaging CPT 78015 | not published | not published | $493.56 – $1,613.97 | 2 |
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.