Supplies, drugs & other prices at University Hospitals Samaritan Medical Center

Ashland, OH · every code in this section with a posted price and a Medicare benchmark.

80 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,724.25 $2,299 2.3×
2d tte w or w/o fol w/con,co (C8923) $1,137.75 $1,517 1.5×
2d tte w or w/o fol w/con,fu (C8924) $512.25 $683 1.5×
3D contour simulaj trgt lvr les&mrgn micrwv ablt (0944T) $236.25 $315 1.0×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $1,870.50 $2,494 1.0×
Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) $1,866 $2,488 1.0×
Admin hepatitis b vaccine (G0010) $41.25 $55 0.9×
Admin influenza virus vac (G0008) $41.25 $55 0.9×
Admin pneumococcal vaccine (G0009) $41.25 $55 0.9×
Ca screen;flexi sigmoidscope (G0104) $1,296 $1,728 1.4×
Ca screen;pelvic/breast exam (G0101) $123.75 $165 1.3×
Catheterize for urine spec (P9612) $33.75 $45 3.6×
Colon ca scrn not hi rsk ind (G0121) $2,478.75 $3,305 2.7×
Colorectal scrn; hi risk ind (G0105) $1,761.75 $2,349 2.0×
Diab manage trn per indiv (G0108) $101.25 $135 1.8×
Diab manage trn ind/group (G0109) $57.75 $77 3.6×
Direct refer hospital observ (G0379) $465.75 $621 0.8×
Egd flexible transnasal dx w/collj spec br/wa (0652T) $1,838.25 $2,451 1.0×
Egd flexible transnasal w/biopsy single/multiple (0653T) $1,742.25 $2,323 0.9×
Egd flexible transnasal w/insj intral tube/cath (0654T) $3,699.75 $4,933 1.0×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) $27,885.75 $37,181 0.7×
Extrnl counterpulse, per tx (G0166) $573.75 $765 4.4×
Fecal microbiota prep instil (G0455) $883.50 $1,178 1.0×
Glyca nuc mr spectroscopy quantitative (0024U) $34.50 $46 1.0×
Hbot, full body chamber, 30m (G0277) $615.75 $821 4.6×
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U)
range across 2 matching MRF lines
$129–$223.50 $172–$298 varies
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $58,312.50 $77,750 1.9×
Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) $20,633.25 $27,511 2.6×
Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) $20,633.25 $27,511 2.6×
Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) $58,312.50 $77,750 2.7×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $31,785 $42,380 1.0×
Interrog dev eval impl ccm-d system in person (0927T) $36 $48 1.0×
Ire Abltj 1+Tum Organ Perq (0600T) $9,945 $13,260 1.0×
Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) $576.75 $769 1.1×
Mra, w/dye, upper extremity (C8934) $2,424 $3,232 7.2×
Mra, w/o&w/dye, spinal canal (C8933) $348 $464 1.0×
N-invas assmt car rsk augmnt sw alys fat w/CT (0993T) $84 $112 0.4×
N-invas assmt car rsk augmnt sw alys fat w/o CT (0992T) $84 $112 0.4×
N-Invas Detcj Heart Failure Drv Augmnt Alys Echo (0932T) $292.50 $390 1.0×
Obtaining screen pap smear (Q0091) $21.75 $29 0.8×
Onc merkel cell carc detcj antb serum reprtd +/- (0059U) $671.25 $895 2.1×
Onc Merkel Cll Carc Srm Quan (0058U) $691.50 $922 2.1×
Ortho impl mvmt alys pair CT (0946T) $102.75 $137 1.0×
Oth resp proc, group (G0239) $184.50 $246 5.1×
Perc d-e cor stent ather s (C9602) $23,085 $30,780 1.3×
Perc drug-el cor stent sing (C9600) $11,380.50 $15,174 1.0×
Perq Sacral Augmt Bilat Inj (0201T) $6,950.25 $9,267 1.0×
Perq Sacral Augmt Unilat Inj (0200T) $6,911.25 $9,215 1.0×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $5,781 $7,708 0.5×
Ppps, initial visit (G0438) $243 $324 1.4×
Ppps, subseq visit (G0439) $160.50 $214 1.2×
Programming device eval impl ccm-d sys in person (0926T) $36 $48 1.0×
Prostate biopsy, any mthd (G0416) $525 $700 1.5×
Quan MRI alys brain with diagnostic MRI (0866T) $237 $316 1.0×
Remote interrog dev eval ccm-d sys <90d tech (0929T) $36 $48 1.0×
Revasc intra lithotrip-ather (C9766) $16,941 $22,588 1.0×
Revasc intra lithotrip-stent (C9765) $16,941 $22,588 1.0×
Revasc intravasc lithotripsy (C9764) $10,628.25 $14,171 0.9×
Revasc lith-sten-ath tib/per (C9775) $16,941 $22,588 1.0×
Revasc lithotr-ather tib/per (C9774) $16,941 $22,588 1.0×
Revasc lithotr-stent tib/per (C9773) $16,941 $22,588 1.0×
Revasc lithotrip tibi/perone (C9772) $10,628.25 $14,171 0.9×
Revasc lithotrip-stent-ather (C9767) $16,941 $22,588 1.0×
Rmvl Car Modulj Tranvns Elt (0413T) $8,707.50 $11,610 2.4×
Rmvl Cardiac Modulj Pls Gen (0412T) $8,707.50 $11,610 2.4×
Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) $3,261.75 $4,349 1.0×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $5,521.50 $7,362 1.0×
Tee w or w/o fol w/cont, mon (C8927) $900 $1,200 1.2×
Tee w or w/o fol w/cont,cong (C8926) $1,626 $2,168 2.1×
Tpmt and Nudt15 Genotype (0034U) $741.75 $989 1.6×
Transcatheter Renal Sympath Denervation Bilat (0339T) $5,559 $7,412 1.0×
Transcatheter renal sympath denervation unilat (0338T) $5,559 $7,412 1.0×
Trim nail(s) (G0127) $57.75 $77 1.0×
Trluml Perip Athrc Brchiocph (0237T) $10,628.25 $14,171 0.9×
Trluml Perip Athrc Iliac Art (0238T) $16,941 $22,588 1.0×
Tte w or w/o fol w/con,stres (C8928) $1,369.50 $1,826 1.8×
Tte w or w/o fol w/cont, com (C8921) $1,142.25 $1,523 1.5×
Tte w or w/o fol w/cont, f/u (C8922) $693.75 $925 0.9×
Tte w or wo fol wcon,doppler (C8929) $1,691.25 $2,255 2.2×
Vasc emb/occ w/prs cath (C9797) $17,508 $23,344 1.0×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.