Does University Hospitals Samaritan Medical Center publish its standard charges and chargemaster?

Yes. University Hospitals Samaritan Medical Center publishes a machine-readable file with 66,046 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does University Hospitals Samaritan Medical Center charge for procedures?

University Hospitals Samaritan Medical Center (Ashland, OH) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · OH · CCN 360002

University Hospitals Samaritan Medical Center

Ashland, OH, 44805-4098

28 bedsAcute Care Hospitals2

Compliance grade

100/100

Rates published

66,046

last crawl 2026-05-24

Procedures tracked

158

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All OH hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://sthpiprd.blob.core.windows.net/machine-readable-files/7892/340714535-1902882939_university-hospitals-health-system_standardcharges.csv · CSV

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychoses	MS-DRG	885	17	—	—	$936	$10,989	0.86×	$19,780
Psychotherapy 30 minutes	CPT	90832	38	$264	$198	$93.46	$224.4	1.5×	$261.62
Psychotherapy 45 minutes	CPT	90834	38	$341	$255.75	$120.71	$286.44	1.8×	$337.93
Psychotherapy 60 minutes	CPT	90837	38	$421	$315.75	$137.87	$353.64	1.9×	$417.21
emergency
ED visit level 1	CPT	99281	38	$162	$121.5	$57.35	$137.7	0.98×	$364
ED visit level 2	CPT	99282	38	$278	$208.5	$98.41	$237.41	1.0×	$494
ED visit level 3	CPT	99283	38	$464	$348	$164.26	$396.26	0.98×	$832
ED visit level 4	CPT	99284	38	$727	$545.25	$257.36	$620.86	0.93×	$1,248
ED visit level 5	CPT	99285	38	$1,141	$855.75	$403.91	$974.42	0.93×	$1,560
Critical care, first hour	CPT	99291	38	$1,598	$1,198.5	$565.69	$1,358.3	1.3×	$1,583.62
imaging
CT head without contrast	CPT	70450	38	$1,996	$1,497	$95.07	$1,676.64	8.1×	$1,978.04
CT head with contrast	CPT	70460	38	$2,351	$1,763.25	$158.88	$1,974.84	8.4×	$2,329.84
CT head with and without contrast	CPT	70470	38	$2,206	$1,654.5	$158.88	$1,853.04	6.9×	$2,186.15
CT neck with contrast	CPT	70491	38	$2,504	$1,878	$158.88	$2,103.36	7.7×	$2,481.46
MRI brain without contrast	CPT	70551	38	$3,438	$2,578.5	$211.9	$2,887.92	7.2×	$3,407.06
MRI brain with contrast	CPT	70552	38	$3,660	$2,745	$332.56	$3,074.4	6.4×	$3,627.06
MRI brain with and without contrast	CPT	70553	38	$3,743	$2,807.25	$332.56	$3,144.12	5.3×	$3,709.31
Chest X-ray single view	CPT	71045	38	$315	$236.25	$78.58	$264.6	2.8×	$312.17
Chest X-ray 2 views	CPT	71046	38	$396	$297	$78.58	$332.64	3.4×	$392.44
Chest X-ray 3 views	CPT	71047	38	$445	$333.75	$78.58	$373.8	3.9×	$441
CT chest without contrast	CPT	71250	38	$1,996	$1,497	$95.07	$1,676.64	7.8×	$1,978.04
CT chest with contrast	CPT	71260	38	$2,218	$1,663.5	$158.88	$1,863.12	6.6×	$2,198.04
CT chest with and without contrast	CPT	71270	38	$2,874	$2,155.5	$158.88	$2,414.16	8.3×	$2,848.13
MRI chest without contrast	CPT	71550	38	$3,128	$2,346	$211.9	$2,627.52	6.1×	$3,099.85
MRI chest with contrast	CPT	71551	38	$3,308	$2,481	$692.39	$2,778.72	3.4×	$3,278.23
MRI chest with and without contrast	CPT	71552	38	$3,743	$2,807.25	$332.56	$3,144.12	5.2×	$3,709.31
Lumbosacral spine X-ray	CPT	72100	38	$376	$282	$95.07	$315.84	3.1×	$372.62
CT cervical spine without contrast	CPT	72125	38	$1,725	$1,293.75	$95.07	$1,449	7.2×	$1,709.48
CT thoracic spine without contrast	CPT	72128	38	$1,211	$908.25	$95.07	$1,017.24	5.1×	$1,200.1
CT lumbar spine without contrast	CPT	72131	38	$2,304	$1,728	$95.07	$1,935.36	9.5×	$2,283.26
MRI cervical spine without contrast	CPT	72141	38	$3,660	$2,745	$211.9	$3,074.4	7.7×	$3,627.06
MRI thoracic spine without contrast	CPT	72146	38	$3,651	$2,738.25	$211.9	$3,066.84	8.2×	$3,618.14
MRI lumbar spine without contrast	CPT	72148	38	$3,660	$2,745	$211.9	$3,074.4	8.2×	$3,627.06
MRI lumbar spine with and without contrast	CPT	72149	38	$3,838	$2,878.5	$332.56	$3,223.92	7.1×	$3,803.46
MRI cervical spine with and without contrast	CPT	72156	38	$3,743	$2,807.25	$332.56	$3,144.12	5.8×	$3,709.31
MRI lumbar spine with contrast	CPT	72158	38	$3,743	$2,807.25	$332.56	$3,144.12	5.7×	$3,709.31
CT pelvis without contrast	CPT	72192	38	$1,930	$1,447.5	$95.07	$1,621.2	8.1×	$1,912.63
CT pelvis with contrast	CPT	72193	38	$2,055	$1,541.25	$158.88	$1,726.2	6.1×	$2,036.51
Shoulder X-ray	CPT	73030	38	$354	$265.5	$78.58	$297.36	3.2×	$350.81
Humerus X-ray	CPT	73060	38	$303	$227.25	$78.58	$254.52	2.8×	$300.27
Hand X-ray 3 views	CPT	73130	38	$303	$227.25	$78.58	$254.52	2.7×	$300.27
MRI upper extremity joint without contrast	CPT	73221	38	$3,660	$2,745	$211.9	$3,074.4	7.4×	$3,627.06
MRI upper extremity joint with and without contrast	CPT	73223	38	$3,660	$2,745	$332.56	$3,074.4	5.0×	$3,627.06
Knee X-ray 1-2 views	CPT	73560	38	$237	$177.75	$78.58	$199.08	2.1×	$234.87
Ankle X-ray 3 views	CPT	73610	38	$303	$227.25	$78.58	$254.52	2.8×	$300.27
MRI lower extremity joint without contrast	CPT	73721	38	$3,660	$2,745	$211.9	$3,074.4	6.6×	$3,627.06
MRI lower extremity joint with and without contrast	CPT	73723	38	$3,660	$2,745	$332.56	$3,074.4	4.9×	$3,627.06
CT abdomen without contrast	CPT	74150	38	$1,891	$1,418.25	$95.07	$1,588.44	8.4×	$1,873.98
CT abdomen with contrast	CPT	74160	38	$2,186	$1,639.5	$158.88	$1,836.24	6.4×	$2,166.33
CT abdomen with and without contrast	CPT	74170	38	$2,625	$1,968.75	$158.88	$2,205	6.6×	$2,601.38
CT abdomen and pelvis without contrast	CPT	74176	38	$3,674	$2,755.5	$211.9	$3,086.16	8.5×	$3,640.93
CT abdomen and pelvis with contrast	CPT	74177	38	$4,078	$3,058.5	$332.56	$3,425.52	6.2×	$4,041.3
CT abdomen and pelvis with and without contrast	CPT	74178	38	$4,629	$3,471.75	$332.56	$3,888.36	6.8×	$4,587.34
MRI abdomen without contrast	CPT	74181	38	$3,128	$2,346	$211.9	$2,627.52	6.7×	$3,099.85
MRI abdomen with and without contrast	CPT	74183	38	$3,660	$2,745	$332.56	$3,074.4	5.4×	$3,627.06
Abdominal ultrasound complete	CPT	76700	38	$1,280	$960	$95.07	$1,075.2	7.2×	$1,268.48
Abdominal ultrasound limited	CPT	76705	38	$943	$707.25	$95.07	$792.12	5.4×	$934.51
Retroperitoneal ultrasound complete	CPT	76770	38	$1,034	$775.5	$95.07	$868.56	6.0×	$1,024.69
Obstetric ultrasound first trimester	CPT	76801	38	$783	$587.25	$95.07	$657.72	4.6×	$775.95
Obstetric ultrasound after first trimester	CPT	76805	38	$902	$676.5	$95.07	$757.68	5.0×	$893.88
Obstetric ultrasound with fetal anatomy	CPT	76811	38	$1,244	$933	$161.25	$1,044.96	4.4×	$1,232.8
Transvaginal ultrasound	CPT	76830	38	$903	$677.25	$95.07	$758.52	5.1×	$894.87
Pelvic ultrasound complete	CPT	76856	38	$944	$708	$95.07	$792.96	5.5×	$935.5
Scrotal ultrasound	CPT	76870	38	$944	$708	$95.07	$792.96	6.0×	$935.5
Diagnostic mammography unilateral	CPT	77065	38	$537	$402.75	$79.49	$451.08	3.0×	$532.17
Diagnostic mammography bilateral	CPT	77066	38	$672	$504	$101.97	$564.48	3.0×	$665.95
Screening mammography bilateral	CPT	77067	38	$569	$426.75	$84.04	$477.96	3.0×	$563.88
EKG tracing only	CPT	93005	38	$214	$160.5	$52.89	$179.76	1.5×	$212.07
Transthoracic echocardiogram complete	CPT	93306	38	$2,168	$1,626	$477.06	$1,821.12	3.0×	$2,148.49
Transthoracic echocardiogram	CPT	93307	38	$1,459	$1,094.25	$211.9	$1,225.56	5.0×	$1,445.87
Stress echocardiogram	CPT	93350	38	$1,756	$1,317	$477.06	$1,475.04	2.9×	$1,740.2
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	17	—	—	$15,443	$15,443	0.77×	$27,798
Intracranial hemorrhage/CVA w CC	MS-DRG	065	17	—	—	$7,971.21	$7,971.21	0.74×	$14,348
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	17	—	—	$5,445.91	$5,445.91	0.71×	$9,802.64
Respiratory infections & inflammations w MCC	MS-DRG	177	17	—	—	$12,579	$12,579	0.81×	$22,642
COPD w MCC	MS-DRG	190	17	—	—	$8,786.59	$8,786.59	0.78×	$15,816
COPD w CC	MS-DRG	191	17	—	—	$6,758.51	$6,758.51	0.77×	$12,165
COPD w/o CC/MCC	MS-DRG	192	17	—	—	$5,130.06	$5,130.06	0.73×	$9,234.11
Simple pneumonia & pleurisy w CC	MS-DRG	194	17	—	—	$6,458.02	$6,458.02	0.76×	$11,624
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	17	—	—	$4,941.76	$4,941.76	0.74×	$8,895.17
AMI discharged alive w MCC	MS-DRG	280	17	—	—	$12,770	$12,770	0.81×	$22,987
AMI discharged alive w CC	MS-DRG	281	17	—	—	$7,240.36	$7,240.36	0.75×	$13,033
AMI discharged alive w/o CC/MCC	MS-DRG	282	17	—	—	$5,728.71	$5,728.71	0.73×	$10,312
Heart failure & shock w MCC	MS-DRG	291	17	—	—	$10,184	$10,184	0.80×	$18,331
Heart failure & shock w CC	MS-DRG	292	17	—	—	$6,774.65	$6,774.65	0.76×	$12,194
Heart failure & shock w/o CC/MCC	MS-DRG	293	17	—	—	$4,373.07	$4,373.07	0.70×	$7,871.53
Cardiac arrhythmia w MCC	MS-DRG	308	17	—	—	$9,423.68	$9,423.68	0.78×	$16,963
Cardiac arrhythmia w CC	MS-DRG	309	17	—	—	$5,837.84	$5,837.84	0.75×	$10,508
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	17	—	—	$4,456.08	$4,456.08	0.72×	$8,020.94
GI hemorrhage w CC	MS-DRG	378	17	—	—	$7,732.97	$7,732.97	0.77×	$13,919
GI hemorrhage w/o CC/MCC	MS-DRG	379	17	—	—	$5,049.34	$5,049.34	0.74×	$9,088.81
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	17	—	—	$6,152.92	$6,152.92	0.76×	$11,075
Fractures of femur w/o MCC	MS-DRG	533	17	—	—	$11,875	$11,875	0.78×	$21,375
Kidney/UTI w MCC	MS-DRG	689	17	—	—	$9,150.08	$9,150.08	0.79×	$16,470
Kidney/UTI w/o MCC	MS-DRG	690	17	—	—	$6,324.29	$6,324.29	0.76×	$11,384
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	17	—	—	$15,235	$15,235	0.82×	$27,423
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	17	—	—	$8,079.56	$8,079.56	0.78×	$14,543
lab
Basic metabolic panel (BMP)	CPT	80048	38	$80	$60	$8.46	$67.2	2.1×	$79.28
Electrolyte panel	CPT	80051	38	$79	$59.25	$7.01	$66.36	2.8×	$78.29
Comprehensive metabolic panel	CPT	80053	38	$116	$87	$10.56	$97.44	2.2×	$114.96
Lipid panel	CPT	80061	38	$140	$105	$13.39	$53.49	1.4×	$138.74
Renal function panel	CPT	80069	38	$173	$129.75	$8.68	$145.32	5.3×	$171.44
Hepatic function panel	CPT	80076	38	$71	$53.25	$8.17	$59.64	2.2×	$70.36
Urinalysis non-automated	CPT	81002	38	$23	$17.25	$3.48	$19.32	2.8×	$22.79
Urinalysis automated	CPT	81003	38	$63	$47.25	$2.25	$52.92	3.8×	$62.43
Glucose quantitative	CPT	82947	38	$58	$43.5	$3.93	$43.2	2.5×	$57.48
Hemoglobin A1c	CPT	83036	38	$114	$85.5	$9.71	$95.76	3.6×	$112.97
Thyroid stimulating hormone (TSH)	CPT	84443	38	$199	$149.25	$16.8	$167.16	3.5×	$197.21
Complete blood count with automated differential	CPT	85025	38	$86	$64.5	$7.77	$72.24	2.7×	$85.23
Complete blood count without differential	CPT	85027	38	$86	$64.5	$6.47	$72.24	3.3×	$85.23
Urine culture bacterial	CPT	87086	38	$84	$63	$8.07	$70.56	3.0×	$83.24
Tissue exam by pathologist level IV	CPT	88305	38	$237	$177.75	$28.67	$74.68	0.73×	$234.87
maternity
Fetal non-stress test	CPT	59025	38	$522	$391.5	$172.32	$438.48	2.3×	$517.3
office
Office visit, established patient, 5 min	CPT	99211	37	$144	$108	$42.83	$110.11	1.7×	$205.76
Office visit, established patient, 10-19 min	CPT	99212	37	$216	$162	$76.46	$183.6	2.3×	$214.06
Office visit, established patient, 20-29 minutes	CPT	99213	37	$270	$202.5	$95.58	$229.5	2.0×	$267.57
Office visit, established patient, 30-39 minutes	CPT	99214	37	$300	$225	$105.14	$255	1.7×	$297.3
Office visit, established patient, 40-54 min	CPT	99215	37	$317	$237.75	$112.22	$269.45	1.4×	$314.15
preventive
Upper GI endoscopy diagnostic	CPT	43235	38	$2,382	$1,786.5	$783.89	$2,000.88	2.2×	$2,360.56
Upper GI endoscopy with biopsy	CPT	43239	38	$2,664	$1,998	$783.89	$2,237.76	2.3×	$2,640.02
Sigmoidoscopy diagnostic	CPT	45330	38	$1,713	$1,284.75	$606.4	$1,439.34	1.7×	$1,697.58
Sigmoidoscopy with biopsy	CPT	45331	38	$1,622	$1,216.5	$574.19	$1,382.35	1.5×	$1,607.4
Colonoscopy diagnostic	CPT	45378	38	$2,602	$1,951.5	$790.35	$2,185.68	2.5×	$2,578.58
Colonoscopy with biopsy	CPT	45380	38	$2,309	$1,731.75	$817.39	$1,939.56	1.6×	$2,288.22
Colonoscopy with polyp removal	CPT	45385	38	$2,404	$1,803	$851.02	$2,019.36	1.7×	$2,382.36
surgery
Shoulder arthroscopy with decompression	CPT	29826	1	—	—	$2,359	$2,359	7.2×	$2,359
Shoulder arthroscopy with rotator cuff repair	CPT	29827	1	—	—	$3,960	$3,960	1.2×	$3,960
Knee arthroscopy with meniscectomy	CPT	29881	1	—	—	$2,590	$2,590	1.3×	$2,590
ACL reconstruction	CPT	29888	1	—	—	$2,359	$2,359	0.71×	$2,359
Major small/large bowel procedures w MCC	MS-DRG	329	17	—	—	$35,445	$35,445	0.82×	$63,801
Major small/large bowel procedures w CC	MS-DRG	330	17	—	—	$18,321	$18,321	0.79×	$32,979
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	17	—	—	$12,844	$12,844	0.78×	$23,120
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	17	—	—	$12,901	$12,901	0.78×	$23,222
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	17	—	—	$10,282	$10,282	0.76×	$18,508
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	17	—	—	$27,281	$27,281	0.84×	$49,105
Major joint replacement w MCC	MS-DRG	469	17	—	—	$25,276	$25,276	0.85×	$45,497
Major joint replacement w/o MCC	MS-DRG	470	17	—	—	$14,646	$14,646	0.77×	$26,364
Hip & femur procedures except major joint w MCC	MS-DRG	480	17	—	—	$22,758	$22,758	0.81×	$40,964
Hip & femur procedures except major joint w CC	MS-DRG	481	17	—	—	$16,102	$16,102	0.79×	$28,984
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	17	—	—	$12,348	$12,348	0.77×	$22,226
Open umbilical hernia repair	CPT	49560	1	—	—	$2,590	$2,590	1.4×	$2,590
Umbilical hernia repair age 5+	CPT	49585	1	—	—	$2,590	$2,590	2.0×	$2,590
Lap inguinal hernia repair	CPT	49650	1	—	—	$2,590	$2,590	2.3×	$2,590
Lap-assisted vaginal hysterectomy	CPT	58550	1	—	—	$6,525	$6,525	4.4×	$6,525
Lap salpingo-oophorectomy	CPT	58661	1	—	—	$3,960	$3,960	1.9×	$3,960
OR procedure for obesity w MCC	MS-DRG	619	17	—	—	$21,110	$21,110	0.78×	$37,997
OR procedure for obesity w CC	MS-DRG	620	17	—	—	$12,429	$12,429	0.77×	$22,373
OR procedure for obesity w/o CC/MCC	MS-DRG	621	17	—	—	$11,390	$11,390	0.75×	$20,503
Complex cataract surgery	CPT	66982	1	—	—	$4,725	$4,725	2.1×	$4,725
Cataract surgery with lens implant	CPT	66984	1	—	—	$4,725	$4,725	2.2×	$4,725
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	17	—	—	$9,368.34	$9,368.34	0.76×	$16,863
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	17	—	—	$15,173	$15,173	0.79×	$27,311
PCI single major coronary artery	CPT	92920	38	$9,715	$7,286.25	$3,439.11	$8,335.47	1.5×	$14,352
PCI with drug-eluting stent	CPT	92928	38	$12,420	$9,315	$4,396.68	$10,607	1.1×	$17,124
PCI bypass graft	CPT	92937	38	$27,363	$20,522	$9,513.29	$22,985	2.1×	$27,117
Left heart catheterization	CPT	93452	38	$10,921	$8,190.75	$2,817.85	$9,326.54	3.0×	$14,352
Coronary angiography with cath	CPT	93455	38	$10,264	$7,698	$2,817.85	$8,765.46	2.8×	$14,352
Coronary angiography with bypass cath	CPT	93458	38	$10,278	$7,708.5	$2,817.85	$8,777.41	2.8×	$14,352

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 30)

Payer	Codes covered	Median rate
university health employee plan (contigo)	153	$728
Ambetter	147	$444.12
Aetna	147	$770.64
Anthem BCBS	147	$790.35
CareSource	147	$444.12
Cigna	147	$692.39
devoted health	147	$246.73
Humana	147	$246.73
Molina	147	$246.73
paramount	147	$254.13
perennial advantage of ohio	147	$259.07
primetime health plan	147	$246.73
summacare	147	$712.53
the health plan	147	$689.04
UnitedHealthcare	147	$832.57
valor health plans	147	$259.07
WellCare	147	$246.73
healthsmart	104	$1,089.9
amish aid community plan	104	$524.86
immergrun	104	$605.5
jp farley	104	$1,089.9
medical mutual of ohio	104	$857.18
medical mutual traditional/health ohio	104	$847.7
sunrise plain communities	104	$605.5
amish church fund and workers aid plan	104	$524.86
Multiplan	104	$1,089.9
aultcare	104	$1,089.9
beech street	104	$1,009.6
buckeye plain ministries	104	$524.86
ohio health choice	104	$1,043.38

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