▸ Hospital · OH · CCN 360145

University Hospitals - Elyria Medical Center

630 EAST RIVER STREET, ELYRIA, OH, 44035

197 bedsAcute Care Hospitals2

Compliance grade

100/100

Procedures tracked

193

of 209 target codes

Payers

with negotiated rates

Rates published

69,317

last crawl 2026-05-24

▸ Compare with other hospitals All OH hospitals JSON Full cost report on HCRIS.io →

Source MRF: https://sthpiprd.blob.core.windows.net/machine-readable-files/7903/340714612-1841299039_university-hospitals-health-system_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	20	—	—	$936	$10,007	$18,325
Psychiatric diagnostic evaluation	CPT	90791	17	—	—	$148.95	$148.95	$268.11
Psychiatric eval with medical services	CPT	90792	17	—	—	$148.95	$148.95	$268.11
Psychotherapy 30 minutes	CPT	90832	38	$248	$186	$81.1	$148.95	$268.11
Psychotherapy 45 minutes	CPT	90834	17	—	—	$148.95	$148.95	$268.11
Psychotherapy 60 minutes	CPT	90837	17	—	—	$148.95	$148.95	$268.11
Crisis psychotherapy 60 minutes	CPT	90839	17	—	—	$148.95	$148.95	$268.11
emergency
ED visit level 1	CPT	99281	38	$400	$300	$81.63	$200	$725
ED visit level 2	CPT	99282	38	$654	$490.5	$146.81	$327	$875
ED visit level 3	CPT	99283	38	$1,090	$817.5	$256.69	$545	$2,590
ED visit level 4	CPT	99284	38	$1,711	$1,283.25	$394.75	$855.5	$2,590
ED visit level 5	CPT	99285	38	$5,300	$3,975	$568.37	$2,104.96	$4,770
Critical care, first hour	CPT	99291	38	$3,766	$2,824.5	$781.13	$1,883	$5,898
imaging
CT head without contrast	CPT	70450	38	$1,612	$1,209	$98.58	$806	$1,843
CT head with contrast	CPT	70460	38	$1,918	$1,438.5	$165.03	$959	$1,843
CT head with and without contrast	CPT	70470	38	$2,088	$1,566	$165.03	$1,023.12	$1,879.2
CT neck with contrast	CPT	70491	38	$2,218	$1,663.5	$165.03	$1,086.82	$1,996.2
MRI brain without contrast	CPT	70551	38	$2,668	$2,001	$211	$1,334	$2,401.2
MRI brain with contrast	CPT	70552	38	$2,837	$2,127.75	$211	$1,418.5	$2,553.3
MRI brain with and without contrast	CPT	70553	38	$3,007	$2,255.25	$211	$1,503.5	$2,706.3
Chest X-ray single view	CPT	71045	38	$375	$281.25	$45.15	$183.75	$337.5
Chest X-ray 2 views	CPT	71046	38	$469	$351.75	$61.65	$229.81	$422.1
Chest X-ray 3 views	CPT	71047	38	$641	$480.75	$78.18	$314.09	$576.9
CT chest without contrast	CPT	71250	38	$1,948	$1,461	$98.58	$974	$1,843
CT chest with contrast	CPT	71260	38	$2,240	$1,680	$165.03	$1,097.6	$2,016
CT chest with and without contrast	CPT	71270	38	$2,345	$1,758.75	$165.03	$1,149.05	$2,110.5
MRI chest without contrast	CPT	71550	38	$2,331	$1,748.25	$211	$1,165.5	$2,258
MRI chest with contrast	CPT	71551	38	$2,699	$2,024.25	$211	$1,349.5	$2,429.1
MRI chest with and without contrast	CPT	71552	38	$3,689	$2,766.75	$211	$1,770.72	$3,320.1
Lumbosacral spine X-ray	CPT	72100	38	$563	$422.25	$77.25	$275.87	$506.7
CT cervical spine without contrast	CPT	72125	38	$2,011	$1,508.25	$98.58	$985.39	$1,843
CT thoracic spine without contrast	CPT	72128	38	$1,877	$1,407.75	$98.58	$938.5	$1,843
CT lumbar spine without contrast	CPT	72131	38	$2,224	$1,668	$98.58	$1,089.76	$2,001.6
MRI cervical spine without contrast	CPT	72141	38	$2,813	$2,109.75	$211	$1,406.5	$2,531.7
MRI thoracic spine without contrast	CPT	72146	38	$2,905	$2,178.75	$211	$1,452.5	$2,614.5
MRI lumbar spine without contrast	CPT	72148	38	$2,905	$2,178.75	$211	$1,452.5	$2,614.5
MRI lumbar spine with and without contrast	CPT	72149	38	$3,130	$2,347.5	$211	$1,533.7	$2,817
MRI cervical spine with and without contrast	CPT	72156	38	$3,321	$2,490.75	$211	$1,594.08	$2,988.9
MRI lumbar spine with contrast	CPT	72158	38	$3,321	$2,490.75	$211	$1,594.08	$2,988.9
CT pelvis without contrast	CPT	72192	38	$1,786	$1,339.5	$98.58	$893	$1,843
CT pelvis with contrast	CPT	72193	38	$2,193	$1,644.75	$165.03	$1,074.57	$1,973.7
Shoulder X-ray	CPT	73030	38	$591	$443.25	$67.17	$289.59	$531.9
Humerus X-ray	CPT	73060	38	$466	$349.5	$64.41	$228.34	$419.4
Hand X-ray 3 views	CPT	73130	38	$553	$414.75	$74.49	$270.97	$497.7
MRI upper extremity joint without contrast	CPT	73221	38	$2,727	$2,045.25	$211	$1,363.5	$2,454.3
MRI upper extremity joint with and without contrast	CPT	73223	38	$3,370	$2,527.5	$211	$1,617.6	$3,033
Knee X-ray 1-2 views	CPT	73560	38	$363	$272.25	$69.9	$177.87	$326.7
Ankle X-ray 3 views	CPT	73610	38	$509	$381.75	$75.42	$249.41	$458.1
MRI lower extremity joint without contrast	CPT	73721	38	$3,370	$2,527.5	$211	$1,617.6	$3,033
MRI lower extremity joint with and without contrast	CPT	73723	38	$3,370	$2,527.5	$211	$1,617.6	$3,033
CT abdomen without contrast	CPT	74150	38	$2,208	$1,656	$98.58	$1,081.92	$1,987.2
CT abdomen with contrast	CPT	74160	38	$2,516	$1,887	$165.03	$1,207.68	$2,264.4
CT abdomen with and without contrast	CPT	74170	38	$2,627	$1,970.25	$165.03	$1,260.96	$2,364.3
CT abdomen and pelvis without contrast	CPT	74176	38	$3,101	$2,325.75	$224.08	$1,380	$2,790.9
CT abdomen and pelvis with contrast	CPT	74177	38	$3,197	$2,397.75	$331.07	$1,380	$2,877.3
CT abdomen and pelvis with and without contrast	CPT	74178	38	$3,340	$2,505	$331.07	$1,380	$3,006
MRI abdomen without contrast	CPT	74181	38	$2,930	$2,197.5	$211	$1,465	$2,637
MRI abdomen with and without contrast	CPT	74183	38	$3,371	$2,528.25	$211	$1,618.08	$3,033.9
Abdominal ultrasound complete	CPT	76700	38	$1,436	$1,077	$98.58	$703.64	$1,292.4
Abdominal ultrasound limited	CPT	76705	38	$965	$723.75	$98.58	$472.85	$868.5
Retroperitoneal ultrasound complete	CPT	76770	38	$1,247	$935.25	$98.58	$611.03	$1,122.3
Obstetric ultrasound first trimester	CPT	76801	38	$1,028	$771	$98.58	$503.72	$925.2
Obstetric ultrasound after first trimester	CPT	76805	38	$1,112	$834	$98.58	$544.88	$1,000.8
Obstetric ultrasound with fetal anatomy	CPT	76811	38	$1,174	$880.5	$161.25	$575.26	$1,056.6
Transvaginal ultrasound	CPT	76830	38	$1,125	$843.75	$98.58	$551.25	$1,012.5
Pelvic ultrasound complete	CPT	76856	38	$1,179	$884.25	$98.58	$577.71	$1,061.1
Scrotal ultrasound	CPT	76870	38	$943	$707.25	$98.58	$462.07	$848.7
Diagnostic mammography unilateral	CPT	77065	38	$644	$483	$77.58	$296.24	$579.6
Diagnostic mammography bilateral	CPT	77066	38	$840	$630	$98.8	$386.4	$756
Screening mammography bilateral	CPT	77067	38	$653	$489.75	$81.66	$300.38	$587.7
EKG tracing only	CPT	93005	38	$375	$281.25	$55.07	$187.5	$337.5
Transthoracic echocardiogram complete	CPT	93306	38	$2,726	$2,044.5	$508.3	$1,363	$2,453.4
Transthoracic echocardiogram	CPT	93307	38	$1,639	$1,229.25	$224.08	$819.5	$1,475.1
Stress echocardiogram	CPT	93350	38	$2,499	$1,874.25	$508.3	$1,249.5	$2,249.1
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	20	—	—	$13,821	$18,858	$28,197
Intracranial hemorrhage/CVA w CC	MS-DRG	065	20	—	—	$7,422.16	$9,640.21	$14,415
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	20	—	—	$5,259.57	$6,525.08	$9,756.65
Respiratory infections & inflammations w MCC	MS-DRG	177	20	—	—	$11,368	$15,324	$22,914
COPD w MCC	MS-DRG	190	20	—	—	$8,120.41	$10,646	$15,919
COPD w CC	MS-DRG	191	20	—	—	$6,383.64	$8,144.27	$12,178
COPD w/o CC/MCC	MS-DRG	192	20	—	—	$4,989.07	$6,135.46	$9,174.06
Simple pneumonia & pleurisy w CC	MS-DRG	194	20	—	—	$6,126.33	$7,773.6	$11,624
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	20	—	—	$4,827.85	$5,903.2	$8,826.77
AMI discharged alive w MCC	MS-DRG	280	20	—	—	$11,532	$15,560	$23,267
AMI discharged alive w CC	MS-DRG	281	20	—	—	$6,796.28	$8,738.66	$13,067
AMI discharged alive w/o CC/MCC	MS-DRG	282	20	—	—	$5,501.76	$6,873.95	$10,278
Heart failure & shock w MCC	MS-DRG	291	20	—	—	$9,316.88	$12,370	$18,496
Heart failure & shock w CC	MS-DRG	292	20	—	—	$6,397.46	$8,164.18	$12,208
Heart failure & shock w/o CC/MCC	MS-DRG	293	20	—	—	$4,340.83	$5,201.68	$7,813.49
Cardiac arrhythmia w MCC	MS-DRG	308	20	—	—	$8,665.99	$11,432	$17,094
Cardiac arrhythmia w CC	MS-DRG	309	20	—	—	$5,595.2	$7,008.56	$10,480
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	20	—	—	$4,411.9	$5,304.06	$7,941.42
GI hemorrhage w CC	MS-DRG	378	20	—	—	$7,218.13	$9,346.33	$13,975
GI hemorrhage w/o CC/MCC	MS-DRG	379	20	—	—	$4,919.98	$6,035.92	$9,025.22
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	20	—	—	$5,865.05	$7,397.24	$11,061
Fractures of femur w/o MCC	MS-DRG	533	20	—	—	$10,765	$14,456	$21,615
Kidney/UTI w MCC	MS-DRG	689	20	—	—	$8,431.7	$11,094	$16,589
Kidney/UTI w/o MCC	MS-DRG	690	20	—	—	$6,011.8	$7,608.65	$11,377
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	20	—	—	$13,643	$18,601	$27,813
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	20	—	—	$7,514.95	$9,773.88	$14,614
lab
Basic metabolic panel (BMP)	CPT	80048	38	$158	$118.5	$8.46	$75.84	$142.2
General health panel	CPT	80050	1	—	—	$99.39	$99.39	$99.39
Electrolyte panel	CPT	80051	38	$154	$115.5	$7.01	$73.92	$138.6
Comprehensive metabolic panel	CPT	80053	38	$254	$190.5	$10.56	$121.92	$228.6
Lipid panel	CPT	80061	38	$184	$138	$13.39	$50.74	$165.6
Renal function panel	CPT	80069	38	$241	$180.75	$8.68	$115.68	$216.9
Hepatic function panel	CPT	80076	38	$182	$136.5	$8.17	$87.36	$163.8
Urinalysis non-automated	CPT	81002	17	—	—	$3.48	$3.48	$8.34
Urinalysis automated	CPT	81003	38	$83	$62.25	$2.25	$39.84	$74.7
Glucose quantitative	CPT	82947	38	$58	$43.5	$3.93	$27.84	$52.2
Hemoglobin A1c	CPT	83036	38	$147	$110.25	$9.71	$70.56	$132.3
Thyroid stimulating hormone (TSH)	CPT	84443	38	$175	$131.25	$16.8	$84	$157.5
Complete blood count with automated differential	CPT	85025	38	$134	$100.5	$7.77	$64.32	$120.6
Complete blood count without differential	CPT	85027	38	$116	$87	$6.47	$55.68	$104.4
Urine culture bacterial	CPT	87086	38	$162	$121.5	$8.07	$77.76	$145.8
Urine culture identification	CPT	87088	17	—	—	$8.09	$8.09	$19.41
Tissue exam by pathologist level IV	CPT	88305	38	$424	$318	$49.53	$203.52	$381.6
maternity
Fetal non-stress test	CPT	59025	17	—	—	$186.49	$186.49	$1,437.61
Routine obstetric care including vaginal delivery	CPT	59400	1	—	—	$2,443.63	$2,443.63	$2,443.63
Vaginal delivery only	CPT	59409	38	$2,612	$1,959	$854.12	$2,167.96	$5,305.59
Vaginal delivery with postpartum	CPT	59410	2	—	—	$2,443.63	$2,443.63	$2,547.19
Routine obstetric care with C-section	CPT	59510	1	—	—	$2,443.63	$2,443.63	$2,443.63
C-section delivery only	CPT	59514	2	—	—	$2,443.63	$2,443.63	$3,181.67
C-section with postpartum	CPT	59515	2	—	—	$2,443.63	$2,443.63	$5,784.48
office
Office visit, established patient, 5 min	CPT	99211	37	$140	$105	$31	$88.2	$215.04
Office visit, established patient, 10-19 min	CPT	99212	37	$146	$109.5	$31	$102.2	$215.04
Office visit, established patient, 20-29 minutes	CPT	99213	37	$162	$121.5	$31	$113.4	$215.04
Office visit, established patient, 30-39 minutes	CPT	99214	37	$189	$141.75	$31	$119.47	$215.04
Office visit, established patient, 40-54 min	CPT	99215	37	$216	$162	$31	$119.47	$215.04
preventive
Upper GI endoscopy diagnostic	CPT	43235	38	$3,224	$2,418	$869.16	$1,612	$2,901.6
Upper GI endoscopy with biopsy	CPT	43239	38	$3,160	$2,370	$869.16	$1,580	$3,601.91
Sigmoidoscopy diagnostic	CPT	45330	38	$2,261	$1,695.75	$739.35	$1,153.11	$2,547.19
Sigmoidoscopy with biopsy	CPT	45331	38	$2,490	$1,867.5	$814.23	$1,287.4	$2,547.19
Colonoscopy diagnostic	CPT	45378	38	$3,337	$2,502.75	$845.19	$1,668.5	$3,601.91
Colonoscopy with biopsy	CPT	45380	38	$3,254	$2,440.5	$1,064.06	$1,789.7	$3,601.91
Colonoscopy with polyp removal	CPT	45385	38	$3,170	$2,377.5	$1,036.59	$1,743.5	$3,601.91
surgery
Total shoulder arthroplasty	CPT	23472	17	—	—	$2,097.94	$17,048	$30,687
PCI w drug-eluting stent w MCC	MS-DRG	246	2	—	—	$35,488	$38,355	$39,431
PCI w drug-eluting stent w/o MCC	MS-DRG	247	2	—	—	$32,832	$37,537	$38,595
Hip hemiarthroplasty	CPT	27125	4	—	—	$3,181.67	$8,798.09	$26,260
Total hip replacement	CPT	27130	17	—	—	$3,181.67	$11,928	$26,260
Total knee replacement	CPT	27447	17	—	—	$3,181.67	$12,524	$26,260
Knee revision arthroplasty single component	CPT	27486	4	—	—	$3,181.67	$14,351	$26,260
Knee revision arthroplasty all components	CPT	27487	4	—	—	$3,181.67	$14,351	$26,260
Shoulder arthroscopy with decompression	CPT	29826	5	—	—	$870.22	$2,573.97	$4,084.98
Shoulder arthroscopy with rotator cuff repair	CPT	29827	18	—	—	$3,813.06	$6,622.52	$11,921
Knee arthroscopy with meniscectomy	CPT	29881	18	—	—	$2,693.6	$3,007.88	$5,414.19
ACL reconstruction	CPT	29888	18	—	—	$2,097.94	$6,622.52	$11,921
Major small/large bowel procedures w MCC	MS-DRG	329	20	—	—	$30,950	$43,531	$65,090
Major small/large bowel procedures w CC	MS-DRG	330	20	—	—	$16,286	$22,408	$33,505
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	20	—	—	$11,595	$15,651	$23,403
CABG single arterial graft	CPT	33533	3	—	—	$1,757.87	$3,181.67	$7,748.01
CABG 2 arterial grafts	CPT	33534	3	—	—	$1,757.87	$3,181.67	$7,748.01
CABG 3 arterial grafts	CPT	33535	3	—	—	$1,757.87	$3,181.67	$7,748.01
CABG 4+ arterial grafts	CPT	33536	3	—	—	$1,757.87	$3,181.67	$7,748.01
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	20	—	—	$11,644	$15,722	$23,508
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	20	—	—	$9,401.11	$12,491	$18,677
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	20	—	—	$23,958	$33,460	$50,031
Open appendectomy	CPT	44950	17	—	—	$3,091.54	$5,784.5	$10,412
Laparoscopic appendectomy	CPT	44970	17	—	—	$3,181.67	$5,408.69	$9,735.63
Spinal fusion (non-cervical) w MCC	MS-DRG	459	1	—	—	$28,766	$30,364	$31,962
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	2	—	—	$23,794	$35,712	$44,986
Major joint replacement w MCC	MS-DRG	469	20	—	—	$18,291	$23,354	$46,334
Major joint replacement w/o MCC	MS-DRG	470	20	—	—	$13,139	$18,291	$26,727
Laparoscopic cholecystectomy	CPT	47562	17	—	—	$4,312.84	$5,408.69	$9,735.63
Lap cholecystectomy with cholangiography	CPT	47563	17	—	—	$4,312.84	$5,408.69	$9,735.63
Hip & femur procedures except major joint w MCC	MS-DRG	480	20	—	—	$20,085	$27,881	$41,689
Hip & femur procedures except major joint w CC	MS-DRG	481	20	—	—	$14,385	$19,670	$29,412
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	20	—	—	$11,170	$15,039	$22,487
Open umbilical hernia repair	CPT	49560	3	—	—	$2,693.6	$3,091.54	$3,181.67
Umbilical hernia repair age 5+	CPT	49585	3	—	—	$2,693.6	$3,091.54	$3,181.67
Lap inguinal hernia repair	CPT	49650	18	—	—	$2,693.6	$5,408.69	$9,735.63
Lap incisional hernia repair	CPT	49652	2	—	—	$4,830.34	$5,679.76	$6,529.17
Total abdominal hysterectomy	CPT	58150	4	—	—	$3,181.67	$3,950.1	$8,037.09
Vaginal hysterectomy	CPT	58260	17	—	—	$3,554.19	$4,576.29	$8,237.32
Lap-assisted vaginal hysterectomy	CPT	58550	18	—	—	$4,830.34	$5,408.69	$9,735.63
Lap-assisted vaginal hysterectomy >250g	CPT	58552	17	—	—	$3,813.06	$9,651.62	$17,373
Lap salpingo-oophorectomy	CPT	58661	18	—	—	$3,813.06	$5,408.69	$9,735.63
OR procedure for obesity w MCC	MS-DRG	619	20	—	—	$18,673	$22,795	$38,648
OR procedure for obesity w CC	MS-DRG	620	20	—	—	$11,240	$15,140	$26,330
OR procedure for obesity w/o CC/MCC	MS-DRG	621	20	—	—	$10,350	$13,858	$26,330
Complex cataract surgery	CPT	66982	18	—	—	$2,114.33	$2,177.76	$7,715.73
Cataract surgery with lens implant	CPT	66984	18	—	—	$2,114.33	$2,177.76	$7,715.73
Intravitreal injection	CPT	67028	17	—	—	$307.49	$312.1	$2,547.19
Vitrectomy mechanical	CPT	67042	17	—	—	$3,554.19	$3,729.35	$6,712.83
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	20	—	—	$8,618.61	$11,364	$16,992
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	20	—	—	$13,589	$18,524	$27,698
PCI single major coronary artery	CPT	92920	38	$12,068	$9,051	$3,946.24	$6,758.08	$16,525
PCI with drug-eluting stent	CPT	92928	38	$15,429	$11,572	$5,045.28	$10,513	$18,924
PCI bypass graft	CPT	92937	38	$39,092	$29,319	$8,335.3	$18,924	$35,183
Left heart catheterization	CPT	93452	38	$15,603	$11,702	$2,981.74	$7,997.31	$16,525
Coronary angiography with cath	CPT	93455	38	$17,249	$12,937	$2,981.74	$8,624.5	$16,525
Coronary angiography with bypass cath	CPT	93458	38	$21,371	$16,028	$2,981.74	$10,593	$19,234

Payer mix (top 30)

Payer	Codes covered	Median rate
Anthem BCBS	191	$1,508
Cigna	184	$1,133.58
UnitedHealthcare	184	$1,242
Aetna	179	$1,843
WellCare	171	$331.07
Ambetter	171	$595.93
CareSource	171	$595.93
devoted health	171	$331.07
Humana	171	$331.07
medical mutual of ohio	171	$903.87
Molina	171	$331.07
paramount	171	$341.01
perennial advantage of ohio	171	$347.63
primetime health plan	171	$331.07
summacare	171	$1,200
the health plan	171	$1,378.08
valor health plans	171	$347.63
university health employee plan (contigo)	150	$728
aultcare	144	$1,377
jp farley	144	$1,595
private healthcare system	101	$1,649.48
medical mutual traditional/health ohio	101	$1,342.6
Multiplan	101	$1,726.2
ohio health choice	101	$1,430.33
ohio preferred network	101	$1,582.9
beech street	101	$1,582.9
buckeye plain ministries	101	$600
sunrise plan communities	101	$959
century health network	101	$1,630.3
christian healthcare ministries	101	$900