University Hospitals Samaritan Medical Center — price list
← Hospital overviewVerified from University Hospitals Samaritan 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.
1,500 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 14ML TUBE PS 17X100 ST SNAP Inpatient | 0270 RC | $1.03 | $0.78 | $0.47 – $1.02 | — | |
| 3 EAST GRIEVING, ANTICIPATORY R/T ANTICIPATED DIVORCE OR SEPARATION (UHC/RHH) Inpatient | 0270 RC | $26.94 | $20.21 | $12.39 – $26.70 | — | |
| ABACAVIR 20 MG/ML ORAL SOLUTION Inpatient | 0250 RC | $606 | $454 | $279 – $600 | — | |
| ABACAVIR 300 MG TABLET Inpatient | 0250 RC | $13.61 | $10.21 | $6.26 – $13.49 | — | |
| ABACAVIR 600 MG-DOLUTEGRAVIR 50 MG-LAMIVUDINE 300 MG TABLET Inpatient | 0250 RC | $571 | $428 | $263 – $566 | — | |
| ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION Inpatient | J0129 HCPCS | $6,683 | $5,012 | $3,074 – $6,623 | — | |
| ABATACEPT (WITH MALTOSE) 250 MG/10 ML SWFI IV INJECTION - RECONSTITUTED 25 MG/ML Inpatient | J0129 HCPCS | $6,683 | $5,012 | $3,074 – $6,623 | — | |
| ABATACEPT 125 MG/ML SUBCUTANEOUS SYRINGE Inpatient | J0129 HCPCS | $6,504 | $4,878 | $2,992 – $6,446 | — | |
| ABDOMINAL PAIN Inpatient | 2511 APR-DRG | — | — | $4,013 – $4,131 | — | |
| ABDOMINAL PAIN Inpatient | 2512 APR-DRG | — | — | $4,963 – $5,109 | — | |
| ABDOMINAL PAIN Inpatient | 2513 APR-DRG | — | — | $6,974 – $7,179 | — | |
| ABDOMINAL PAIN Inpatient | 2514 APR-DRG | — | — | $6,974 – $7,179 | — | |
| ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Inpatient | 5431 APR-DRG | — | — | $3,245 – $3,341 | — | |
| ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Inpatient | 5432 APR-DRG | — | — | $4,192 – $4,316 | — | |
| ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Inpatient | 5433 APR-DRG | — | — | $5,328 – $5,485 | — | |
| ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Inpatient | 5434 APR-DRG | — | — | $9,661 – $9,945 | — | |
| ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Inpatient | 5641 APR-DRG | — | — | $2,761 – $2,842 | — | |
| ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Inpatient | 5642 APR-DRG | — | — | $3,521 – $3,625 | — | |
| ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Inpatient | 5643 APR-DRG | — | — | $6,759 – $6,958 | — | |
| ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Inpatient | 5644 APR-DRG | — | — | $6,759 – $6,958 | — | |
| ABSORBATACK, 5MM WITH 30 ABSORBABLE TACKS Inpatient | 0272 RC | $2,654 | $1,990 | $1,221 – $2,630 | — | |
| ABUTMENT, 9MM BAHA3 Inpatient | L8690 HCPCS | $4,806 | $3,604 | $2,211 – $4,762 | — | |
| ACAMPROSATE 333 MG TABLET,DELAYED RELEASE Inpatient | 0250 RC | $9.74 | $7.31 | $4.48 – $9.65 | — | |
| ACARBOSE 25 MG TABLET Inpatient | 0250 RC | $3.23 | $2.43 | $1.49 – $3.20 | — | |
| ACARBOSE 50 MG TABLET Inpatient | 0250 RC | $3.23 | $2.43 | $1.49 – $3.20 | — | |
| ACCESS KIT, CATHETER Inpatient | 0272 RC | $180 | $135 | $82.80 – $178 | — | |
| ACCESS SYS, KII BLADED, Z-THREAD, 5X55CM, LOW PROFILE Inpatient | 0270 RC | $43.50 | $32.63 | $20.01 – $43.11 | — | |
| ACCESSORY PACK, 1.8MM SLEEVE Inpatient | 0270 RC | $36.86 | $27.65 | $16.96 – $36.53 | — | |
| ACEBUTOLOL 200 MG CAPSULE Inpatient | 0250 RC | $3.23 | $2.43 | $1.49 – $3.20 | — | |
| ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION Inpatient | J0136 HCPCS | $36.05 | $27.04 | $16.58 – $35.73 | — |