St Elizabeth Boardman Hospital
8401 Market St., Youngstown, OH · Mercy · · NPI 1790868982
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 |
|---|---|---|---|---|
| Insert multi-comp penis pros CPT 54405 | $68,901.33 | $114,835.55 | $19,608.51 – $20,000.68 | 4 |
| Insert uteri tandem/ovoids CPT 57155 | $5,065.20 | $8,442.00 | not published | 0 |
| Insitu hybridization auto CPT 88367 | $198.60 | $331.00 | not published | 0 |
| Insitu hybridization (fish) CPT 88366 | $616.20 | $1,027.00 | not published | 0 |
| Insitu hybridization manual CPT 88368 | $337.80 | $563.00 | not published | 0 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $165.60 | $276.00 | not published | 0 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $165.60 | $276.00 | not published | 0 |
| Insole orthotic freedom sz6 6816 HCPCS L3060 | $264.25 | $440.42 | not published | 0 |
| Ins pq tunnld ip cath w/img CPT 49418 | $7,448.40 | $12,414.00 | not published | 0 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | $77,529.79 | $129,216.32 | $18,354.00 – $18,721.08 | 4 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $12,028.42 | $20,047.37 | $3,334.90 – $3,401.60 | 3 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $3,039.60 | $5,066.00 | not published | 0 |
| Insulin suppression panel CPT 80432 | $438.00 | $730.00 | not published | 0 |
| Insulin total CPT 83525 | $26.40 | $44.00 | not published | 0 |
| Ins vag brachytx device CPT 57156 | $1,020.00 | $1,700.00 | not published | 0 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $18,357.89 | $30,596.48 | not published | 0 |
| Integra meshed bil wound mat HCPCS C9363 | $60,214.21 | $100,357.01 | not published | 0 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | $19,868.40 | $33,114.00 | not published | 0 |
| Interfyl, 1 mg HCPCS Q4171 | $7,947.36 | $13,245.60 | not published | 0 |
| Int hrhc lig 1 hroid without img CPT 46945 | $7,766.58 | $12,944.30 | $2,625.99 – $2,678.51 | 4 |
| Intracranial angioplasty CPT 61630 | $8,075.40 | $13,459.00 | not published | 0 |
| Intrinsic factor antibody CPT 86340 | $57.00 | $95.00 | not published | 0 |
| Intro long gi tube w/mult fluo CPT 74340 | $426.60 | $711.00 | not published | 0 |
| Intubation endotracheal emergency procedure CPT 31500 | $1,624.80 | $2,708.00 | not published | 0 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $168.14 | $280.23 | not published | 0 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $11,641.76 | $19,402.93 | $330.06 – $336.66 | 4 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $108,656.64 | $181,094.40 | not published | 0 |
| Ipratropium bromide non-comp HCPCS J7644 | $3.00 | $5.00 | not published | 0 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $159.12 | $265.20 | not published | 0 |
| Iron CPT 83540 | $111.60 | $186.00 | not published | 0 |
| Iron binding capacity CPT 83550 | $21.60 | $36.00 | not published | 0 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $90.00 | $150.00 | not published | 0 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $169.50 | $282.50 | not published | 0 |
| Irradiation of blood product each unit reference CPT 86945 | $127.20 | $212.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $102.60 | $171.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $66.60 | $111.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $67.80 | $113.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $679.80 | $1,133.00 | not published | 0 |
| IV inj ra drug dx study CPT 78808 | $657.60 | $1,096.00 | not published | 0 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $1,384.80 | $2,308.00 | not published | 0 |
| Jak2 targeted sequence analysis CPT 81279 | $489.60 | $816.00 | not published | 0 |
| John cunningham antibody CPT 86711 | $132.60 | $221.00 | not published | 0 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | $2,607.45 | $4,345.75 | not published | 0 |
| Kafo dbl solid stirrup without j HCPCS L2030 | $2,562.92 | $4,271.53 | not published | 0 |
| Kafo fem fx cast molded to p HCPCS L2128 | $3,838.16 | $6,396.93 | not published | 0 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | $2,726.67 | $4,544.45 | not published | 0 |
| Kafo fem fx cast thermoplas HCPCS L2126 | $2,710.45 | $4,517.42 | not published | 0 |
| Kafo femoral fx cast rigid HCPCS L2136 | $2,983.95 | $4,973.25 | not published | 0 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | $4,806.65 | $8,011.09 | not published | 0 |
| Kafo plas sing free knee mol HCPCS L2037 | $3,923.78 | $6,539.64 | not published | 0 |
| Kafo plastic pediatric size HCPCS L2035 | $620.69 | $1,034.48 | not published | 0 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | $2,646.89 | $4,411.49 | not published | 0 |
| Kafo sng/dbl mechanical act HCPCS L2005 | $9,695.60 | $16,159.33 | not published | 0 |
| Kafo sng solid stirrup without j HCPCS L2010 | $2,064.55 | $3,440.92 | not published | 0 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $28.80 | $48.00 | not published | 0 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $20.28 | $33.80 | not published | 0 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,323.00 | $2,205.00 | not published | 0 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $510.60 | $851.00 | not published | 0 |
| Kit case 4.2mm spinejack HCPCS C1062 | $16,550.38 | $27,583.96 | not published | 0 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $12,333.83 | $20,556.39 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | $330.60 | $551.00 | not published | 0 |
| Kit hfx iq ipg bundle HCPCS C1822 | $104,905.15 | $174,841.92 | not published | 0 |
| Kit ipg optimizer smart HCPCS C1824 | $103,315.68 | $172,192.80 | not published | 0 |
| Kit lead specify 5-6-5 HCPCS C1778 | $43,710.48 | $72,850.80 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $2,920.66 | $4,867.76 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $53,950.61 | $89,917.69 | not published | 0 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $31,351.55 | $52,252.59 | not published | 0 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $2,056.52 | $3,427.54 | not published | 0 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $62,826.28 | $104,710.47 | $3,095.56 – $3,157.48 | 4 |
| Knee arthroscopy/surgery CPT 29873 | $37,526.36 | $62,543.93 | $3,095.56 – $3,157.48 | 4 |
| Knee arthroscopy/surgery CPT 29880 | $39,510.08 | $65,850.13 | $3,095.56 – $3,157.48 | 4 |
| Knee arthroscopy/surgery CPT 29882 | $94,297.55 | $157,162.58 | $12,146.38 – $12,389.31 | 4 |
| Knee arthroscopy/surgery CPT 29888 | $94,297.55 | $157,162.58 | $6,864.94 – $7,002.24 | 4 |
| Knee arthroscopy/surgery CPT 29889 | $72,145.00 | $120,241.67 | $12,146.38 – $12,389.31 | 4 |
| Knee control condylar pad HCPCS L2810 | $292.62 | $487.70 | not published | 0 |
| Knee control full kneecap HCPCS L2795 | $293.81 | $489.69 | not published | 0 |
| Knee disc/dial lock/adj flex HCPCS L2425 | $513.60 | $856.00 | not published | 0 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | $896.40 | $1,494.00 | not published | 0 |
| Knee joint cam lock each joi HCPCS L2415 | $435.28 | $725.46 | not published | 0 |
| Knee joint drop lock ea jnt HCPCS L2405 | $544.80 | $908.00 | not published | 0 |
| Knee lift loop drop lock rin HCPCS L2492 | $420.22 | $700.36 | not published | 0 |
| Knee orth pos locking joint HCPCS L1831 | $1,054.46 | $1,757.43 | not published | 0 |
| Knee X-ray CPT 73564 | $617.40 | $1,029.00 | not published | 0 |
| Ko dbl upright w/air pre cst HCPCS L1847 | $1,360.92 | $2,268.20 | not published | 0 |
| Ko dbl upright w/air pre ots HCPCS L1848 | $1,360.92 | $2,268.20 | not published | 0 |
| Ko derot ant cruciate custom HCPCS L1840 | $2,225.10 | $3,708.50 | not published | 0 |
| Ko elastic w/joints pre ots HCPCS L1812 | $288.92 | $481.54 | not published | 0 |
| Ko rigid without joints pre ots HCPCS L1836 | $478.00 | $796.66 | not published | 0 |
| Ko single upright prefab ots HCPCS L1851 | $2,123.02 | $3,538.37 | not published | 0 |
| Ko supracondylar socket mold HCPCS L1860 | $2,950.46 | $4,917.44 | not published | 0 |
| Ko swedish type pre ots HCPCS L1850 | $1,020.72 | $1,701.20 | not published | 0 |
| Ko w/0 joint rigid molded to HCPCS L1834 | $1,892.06 | $3,153.44 | not published | 0 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | $2,768.42 | $4,614.03 | not published | 0 |
| Kras gene addl variants CPT 81276 | $397.20 | $662.00 | not published | 0 |
| Kras gene variants exon 2 CPT 81275 | $397.20 | $662.00 | not published | 0 |
| Kyphosis pad HCPCS L1020 | $386.08 | $643.47 | not published | 0 |
| Kyphosis pad floating HCPCS L1025 | $557.03 | $928.38 | not published | 0 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $12.30 | $20.50 | not published | 0 |
| Lacer molded to patient mode HCPCS L2330 | $1,315.45 | $2,192.41 | not published | 0 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $133.80 | $223.00 | not published | 0 |
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.