University Hospitals Lake West Medical Center
36000 Euclid Avenue, Willoughby OH 44094|7590 Auburn Road, OH · University Hospitals · · NPI 1972689172
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 |
|---|---|---|---|---|
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $5,072.67 – $9,130.81 | 17 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $5,072.67 – $9,130.81 | 17 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $985.32 – $1,773.57 | 19 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,005.12 – $1,809.22 | 19 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $810.75 | $1,081.00 | $225.74 – $406.32 | 18 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $3,334.90 – $6,002.83 | 17 |
| Urethrocystography void s&i CPT 74455 | $880.50 | $1,174.00 | $225.74 – $406.32 | 18 |
| Uric acid blood CPT 84550 | $58.50 | $78.00 | $2.58 – $8.14 | 20 |
| Uric acid urine CPT 84560 | $55.50 | $74.00 | $2.90 – $9.14 | 20 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.70 – $8.46 | 19 |
| Urinalysis microscopic only CPT 81015 | not published | not published | $3.05 – $5.49 | 19 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.17 – $3.91 | 19 |
| Urinalysis (with microscopy) CPT 81001 | $123.00 | $164.00 | $1.81 – $5.71 | 20 |
| Urinalysis (without microscopy) CPT 81003 | $62.25 | $83.00 | $1.28 – $4.05 | 20 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $67.25 – $121.05 | 19 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $4.46 – $8.03 | 19 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $8.57 – $15.43 | 19 |
| Urinary reflex study CPT 51792 | not published | not published | $55.81 – $100.46 | 17 |
| Urinary suspensory HCPCS A5105 | not published | not published | $58.11 – $104.60 | 19 |
| Urine Culture Test CPT 87086 | $126.00 | $168.00 | $4.60 – $14.53 | 20 |
| Urine flow measurement 51736 CPT 51736 | $148.50 | $198.00 | $125.87 – $226.57 | 17 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $9.29 – $16.72 | 19 |
| Urine pregnancy test CPT 81025 | $69.75 | $93.00 | $4.91 – $15.50 | 20 |
| Urine screen for bacteria CPT 81007 | not published | not published | $29.98 – $53.96 | 19 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,073.64 – $1,932.55 | 19 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $8.83 – $16.81 | 19 |
| Urography, antegrade CPT 74425 | $808.50 | $1,078.00 | $330.06 – $594.11 | 18 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $165.94 – $298.70 | 17 |
| Use 1st target lesion CPT 76982 | $252.00 | $336.00 | $98.91 – $178.03 | 17 |
| User adjustable heel height HCPCS L5990 | not published | not published | $2,233.87 – $4,020.97 | 19 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $8,225.22 | $10,966.96 | $6.63 – $20.92 | 19 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $109,781.59 | $146,375.45 | not published | 0 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $12,146.38 – $21,863.49 | 17 |
| Vaccine Administration (one shot) CPT 90471 | $33.75 | $45.00 | $68.12 – $122.61 | 17 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $368.25 | $491.00 | $92.14 – $290.97 | 19 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $368.25 | $491.00 | $83.82 – $264.71 | 19 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $331.50 | $442.00 | $95.97 – $303.07 | 19 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $222.00 | $296.00 | $54.04 – $170.64 | 19 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $165.00 | $220.00 | $37.36 – $117.99 | 19 |
| Vaccine dtap < 7 years im CPT 90700 | $60.00 | $80.00 | not published | 0 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $233.91 | $311.87 | not published | 0 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $129.00 | $172.00 | not published | 0 |
| Vaccine dtap-ipv/hib im CPT 90698 | $25.50 | $34.00 | not published | 0 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $111.00 | $148.00 | not published | 0 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $45.33 | $60.44 | not published | 0 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $241.96 | $322.61 | not published | 0 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $354.74 | $472.98 | not published | 0 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $135.00 | $180.00 | not published | 0 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | $54.75 | $73.00 | $42.83 – $135.26 | 19 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $162.07 | $216.09 | $42.83 – $135.26 | 19 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $118.50 | $158.00 | $101.21 – $319.60 | 19 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $75.39 | $100.52 | $18.93 – $59.77 | 19 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $1,044.16 | $1,392.21 | not published | 0 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $599.25 | $799.00 | not published | 0 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $67.50 | $90.00 | $55.95 – $176.69 | 19 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $50.25 | $67.00 | $51.39 – $176.69 | 19 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $22.07 – $39.72 | 19 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $45.75 | $61.00 | $13.24 – $41.80 | 19 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $25.50 | $34.00 | $13.39 – $13.39 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $25.50 | $34.00 | $19.40 – $19.40 | 1 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $102.00 | $136.00 | $23.70 – $23.70 | 1 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $50.25 | $67.00 | $62.58 – $62.58 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $89.25 | $119.00 | $17.62 – $89.09 | 19 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $11.03 – $19.86 | 19 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $569.67 | $759.56 | not published | 0 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $747.00 | $996.00 | not published | 0 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $545.45 | $727.26 | not published | 0 |
| Vaccine mmr live subcutaneous CPT 90707 | $311.03 | $414.70 | not published | 0 |
| Vaccine mmrv live subcutaneous CPT 90710 | $957.30 | $1,276.39 | not published | 0 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $401.34 | $535.11 | $76.08 – $240.25 | 19 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $793.01 | $1,057.34 | $147.05 – $464.38 | 19 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $239.25 | $319.00 | $153.50 – $484.75 | 19 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $913.50 | $1,218.00 | $178.35 – $563.22 | 19 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $1,529.59 | $2,039.45 | not published | 0 |
| Vaccine rabies im CPT 90675 | $1,514.28 | $2,019.04 | $179.67 – $567.39 | 19 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $907.50 | $1,210.00 | not published | 0 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | $998.25 | $1,331.00 | not published | 0 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $504.00 | $672.00 | not published | 0 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $344.25 | $459.00 | not published | 0 |
| Vaccine tdap >=7 years im CPT 90715 | $140.25 | $187.00 | not published | 0 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $145.19 | $193.58 | not published | 0 |
| Vaccine typhoid vicps im CPT 90691 | $333.00 | $444.00 | not published | 0 |
| Vaccine varicella live subcutaneous CPT 90716 | $642.96 | $857.28 | not published | 0 |
| Vaccine yellow fever live subcutaneous CPT 90717 | $714.00 | $952.00 | not published | 0 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.02 | 19 |
| Vacuum drain bottle/tube kit HCPCS A7048 | $33.75 | $45.00 | $34.39 – $108.59 | 19 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | $2,592.00 | $3,456.00 | $328.57 – $1,037.59 | 19 |
| Vad cable power module dc input HCPCS Q0478 | not published | not published | $226.28 – $407.30 | 19 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $16,971.75 | $22,629.00 | $2,931.78 – $9,258.25 | 19 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $4,732.70 – $8,518.87 | 17 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $4,732.70 – $8,518.87 | 17 |
| Vag hyst including t/o CPT 58262 | not published | not published | $4,732.70 – $8,518.87 | 17 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $7,015.57 – $12,628.03 | 17 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $4,732.70 – $8,518.87 | 17 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $4,732.70 – $8,518.87 | 17 |
| Vaginal bx CPT 58999 | $231.00 | $308.00 | $191.27 – $344.28 | 17 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $3,062.57 – $5,512.63 | 17 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $2,162.78 – $3,893.01 | 19 |
| Vaginal hysterectomy CPT 58260 | $5,766.00 | $7,688.00 | $4,732.70 – $8,518.87 | 17 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $3,062.57 – $5,512.63 | 17 |
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.