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 |
|---|---|---|---|---|
| Warde vitamin c (ascorbic acid) CPT 82180 | $36.75 | $49.00 | $4.68 – $17.80 | 17 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $193.50 | $258.00 | $20.01 – $69.30 | 17 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $52.50 | $70.00 | $6.71 – $25.52 | 17 |
| Warde zinc CPT 84630 | $90.00 | $120.00 | $5.39 – $20.50 | 17 |
| Warfarin respon genetic test HCPCS G9143 | not published | not published | $255.03 – $255.03 | 1 |
| Wbc automated CPT 85048 | $63.00 | $84.00 | $1.20 – $4.57 | 17 |
| Wcd device interrogate CPT 93292 | $170.25 | $227.00 | $38.13 – $68.63 | 16 |
| Western blot test CPT 84181 | $603.00 | $804.00 | $17.03 – $30.65 | 17 |
| Wet mounts/ w preparations HCPCS Q0111 | not published | not published | $4.96 – $33.64 | 2 |
| Whfo w/joint(s) custom fab HCPCS L3806 | $428.25 | $571.00 | $508.03 – $914.45 | 16 |
| Whole blood for transfusion HCPCS P9010 | not published | not published | $93.15 – $93.15 | 1 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | not published | not published | $998.28 – $998.28 | 1 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | not published | not published | $1,332.72 – $1,332.72 | 1 |
| Whole-Body Bone Scan (Nuclear Medicine) CPT 78306 | $2,499.75 | $3,333.00 | $408.43 – $735.17 | 17 |
| Whole mitochondrial genome CPT 81460 | not published | not published | $800.00 – $3,088.80 | 3 |
| Whole mitochondrial genome CPT 81465 | not published | not published | $800.00 – $2,246.40 | 3 |
| Whole Skeleton X-ray Survey CPT 77075 | $963.75 | $1,285.00 | $106.81 – $192.26 | 17 |
| Wilate injection HCPCS J7183 | not published | not published | $2.13 – $2.13 | 1 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | $1,496.25 | $1,995.00 | $119.36 – $214.85 | 16 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | $578.25 | $771.00 | $204.98 – $368.96 | 16 |
| Woundfix biowound plus xplus HCPCS Q4217 | not published | not published | $534.24 – $4,313.75 | 2 |
| Wound pouch each HCPCS A6154 | $40.48 | $53.97 | $19.86 – $35.75 | 16 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $729.00 | $972.00 | $415.32 – $747.58 | 16 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $822.75 | $1,097.00 | $415.32 – $747.58 | 16 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $318.75 | $425.00 | $204.98 – $368.96 | 16 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $414.75 | $553.00 | $415.32 – $747.58 | 16 |
| Wrist X-ray CPT 73110 | $461.25 | $615.00 | $87.52 – $160.04 | 17 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $355.50 | $474.00 | $71.07 – $160.04 | 17 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $46.41 – $46.41 | 1 |
| Xe133 xenon 10mci HCPCS A9558 | not published | not published | $910.70 – $910.70 | 1 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $800.00 – $2,193.60 | 3 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $0.03 – $1,930.83 | 3 |
| Xm archive tissue molec anal CPT 88363 | $51.75 | $69.00 | $29.55 – $53.19 | 16 |
| X-ray abdomen >=3 views CPT 74021 | $502.50 | $670.00 | $82.92 – $192.26 | 17 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $1,134.00 | $1,512.00 | $287.61 – $642.95 | 17 |
| X-ray assay calculus CPT 82370 | not published | not published | $5.51 – $30.06 | 3 |
| X-ray bone length studies CPT 77073 | $287.25 | $383.00 | $88.38 – $192.26 | 17 |
| X-ray bone survey infant CPT 77076 | $403.50 | $538.00 | $106.81 – $192.26 | 17 |
| X-ray consultation CPT 76140 | not published | not published | $377.94 – $377.94 | 1 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $381.75 | $509.00 | $106.81 – $192.26 | 17 |
| X-ray exam entire spi 6/> vw CPT 72084 | $341.25 | $455.00 | $106.81 – $192.26 | 17 |
| X-ray exam of arm infant CPT 73092 | $299.25 | $399.00 | $65.61 – $192.26 | 17 |
| X-ray exam of femur 1 CPT 73551 | $295.50 | $394.00 | $58.35 – $160.04 | 17 |
| X-ray exam of jaw joint CPT 70328 | $429.00 | $572.00 | $71.07 – $160.04 | 17 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $156.60 – $985.19 | 2 |
| X-ray exam of mastoids CPT 70120 | $374.25 | $499.00 | $81.09 – $192.26 | 17 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $122.94 – $2,068.79 | 2 |
| X-ray exam of penis CPT 74445 | not published | not published | $291.24 – $466.11 | 2 |
| X-ray exam of perineum CPT 74775 | $284.25 | $379.00 | $161.25 – $438.79 | 17 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $81.09 – $346.32 | 2 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $648.78 – $985.19 | 2 |
| X-ray exam of teeth CPT 70300 | not published | not published | $21.96 – $346.32 | 2 |
| X-ray exam of teeth CPT 70310 | not published | not published | $89.28 – $985.19 | 2 |
| X-ray exam si joints CPT 72200 | not published | not published | $69.27 – $466.11 | 2 |
| X-ray exam thorac spine4/>vw CPT 72074 | $616.50 | $822.00 | $90.18 – $192.26 | 17 |
| X-ray eye detection foreign body (both sides) CPT 70030 | not published | not published | $66.54 – $346.32 | 2 |
| X-ray fallopian tube CPT 74742 | $940.50 | $1,254.00 | $146.52 – $146.52 | 1 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $22.86 – $346.32 | 2 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $531.00 | $708.00 | $106.81 – $192.26 | 17 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $683.25 | $911.00 | $106.81 – $192.26 | 17 |
| X-ray joint survey 1 view CPT 77077 | $393.75 | $525.00 | $83.82 – $192.26 | 17 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $375.75 | $501.00 | $65.61 – $160.04 | 17 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $408.00 | $544.00 | $81.99 – $192.26 | 17 |
| X-ray male genital tract CPT 74440 | not published | not published | $218.46 – $985.19 | 2 |
| X-ray mandible ltd <4 views CPT 70100 | $319.50 | $426.00 | $82.92 – $160.04 | 17 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $346.32 – $346.32 | 1 |
| X-ray nose to rectum for foreign body child CPT 76010 | $367.50 | $490.00 | $57.45 – $160.04 | 17 |
| X-ray of mammary ducts CPT 77054 | $634.50 | $846.00 | $233.00 – $438.79 | 16 |
| X-ray optic foramina CPT 70190 | $426.75 | $569.00 | $73.80 – $160.04 | 17 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $810.75 | $1,081.00 | $147.51 – $642.95 | 17 |
| X-ray ribs 2 views left CPT 71100 | $448.50 | $598.00 | $72.00 – $160.04 | 17 |
| X-ray sella turcica CPT 70240 | not published | not published | $65.61 – $346.32 | 2 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $944.25 | $1,259.00 | $96.57 – $1,004.85 | 17 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $1,032.75 | $1,377.00 | $106.81 – $192.26 | 17 |
| X-ray small intestine follow-through study CPT 74248 | $422.25 | $563.00 | $74.71 – $134.48 | 16 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $527.25 | $703.00 | $84.72 – $160.04 | 17 |
| X-ray surgical specimen CPT 76098 | $432.75 | $577.00 | $75.63 – $1,004.85 | 17 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $367.50 | $490.00 | $82.92 – $160.04 | 17 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $183.90 – $764.78 | 2 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | $558.75 | $745.00 | $65.54 – $117.98 | 16 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $6,341.61 – $10,174.50 | 2 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $4.51 – $30.99 | 3 |
| Xyntha inj HCPCS J7185 | not published | not published | $2.59 – $2.59 | 1 |
| Yersinia antibody CPT 86793 | not published | not published | $6.98 – $31.65 | 3 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $238,492.59 – $238,492.59 | 1 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $139.73 – $3,391.50 | 2 |
| Ziconotide injection HCPCS J2278 | $4,530.00 | $6,039.99 | $10.46 – $18.84 | 17 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $100.06 | $133.41 | $1.51 – $2.72 | 17 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $5.43 – $5.43 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | $219.00 | $292.00 | $51.31 – $92.36 | 17 |
| Zika virus igm antibody CPT 86794 | $128.25 | $171.00 | $16.85 – $30.33 | 17 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | $26.68 | $35.57 | $1.79 – $3.22 | 16 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $32.46 | $43.27 | $5.26 – $58.45 | 2 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $13.39 – $57.12 | 2 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $56.36 – $56.36 | 1 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $146.06 | $194.74 | $8.74 – $69.16 | 2 |
| Zoster vaccine-live inj CPT 90736 | $436.50 | $582.00 | $759.22 – $759.22 | 1 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $408.23 – $463.80 | 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.