University Hospitals Portage Medical Center — price list
← Hospital overviewVerified from University Hospitals Portage Medical Center’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
9 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION Inpatient | J0131 HCPCS | $30.90 | $23.18 | $12.42 – $27.81 | — | |
| ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION Inpatient | J0136 HCPCS | $36.05 | $27.04 | $14.49 – $32.45 | — | |
| ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION Inpatient | J0132 HCPCS | $720 | $540 | $289 – $648 | — | |
| ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION Inpatient | J0133 HCPCS | $53.93 | $40.45 | $21.68 – $48.54 | — | |
| ADALIMUMAB 40 MG/0.4 ML SUBCUTANEOUS PEN KIT Inpatient | J0135 HCPCS | $14,905 | $11,179 | $5,992 – $13,415 | — | |
| ADALIMUMAB 40 MG/0.4 ML SUBCUTANEOUS SYRINGE KIT Inpatient | J0135 HCPCS | $17,197 | $12,898 | $6,913 – $15,477 | — | |
| ADALIMUMAB 40 MG/0.8 ML SUBCUTANEOUS PEN KIT Inpatient | J0135 HCPCS | $17,197 | $12,898 | $6,913 – $15,477 | — | |
| ADALIMUMAB 40 MG/0.8 ML SUBCUTANEOUS SYRINGE KIT Inpatient | J0135 HCPCS | $17,197 | $12,898 | $6,913 – $15,477 | — | |
| ADALIMUMAB 80 MG/0.8 ML SUBCUTANEOUS PEN KIT Inpatient | J0135 HCPCS | $37,145 | $27,859 | $14,932 – $33,431 | — |