Dilate ic vasospasm ea add vsl diff territory cost in Ohio

HC DILATE IC VASOSPASM EA ADD VSL DIFF TERRITORY · CPT 61642

Hospital	City	Cash price	Negotiated range	Payers
University Hospitals Cleveland Medical Center	Cleveland OH 44106\|3999 Richmond Road	not published	$328.98 – $592.16	16
University Hospitals Portage Medical Center	Ravenna OH 44266	not published	$328.98 – $592.16	16
University Hospitals Parma Medical Center	Parma OH 44129\|7007 Powers Boulevard	not published	$328.98 – $592.16	17
University Hospitals Lake West Medical Center	Willoughby OH 44094\|7590 Auburn Road	not published	$328.98 – $592.16	19