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Procedure Pricing

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Procedure Pricing Procedure Pricing The information provided below by Lake Health is a comprehensive list of charges for each inpatient and outpatient service or item provided by our hospital, also known as a chargemaster. It is not a helpful tool for patients to comparison shop between hospitals or to estimate what health care services are going to cost them out of their own pocket. For more information about the cost of your care, please contact our Financial Counselor staff at 440-602-6682. *These prices are correct as of July 1, 2020. LH Default Tech Name Price 14.3.3 ETA PROTEIN, SERUM $ 336.00 5 HIAA URINE RANDOM $ 169.00 5-HIAA URINE 24HR $ 169.00 6 T G METABOLITE $ 378.00 6MMP METABOLITE $ 397.00 7C4 BILE ACID BY LC MS/MS $ 468.00 96372 IM SUG IM SUB Q ADMIN $ 205.00 A LINE INSERTION $ 1,050.00 ABD PARACENTESIS W/O IMAGING $ 1,445.00 ABD PARACENTESIS WITH IMAGING $ 1,775.00 ABDOMINAL BINDER LARGE $ 107.00 ABDOMINAL BINDER X-LARGE $ 20.00 ABLATE ARRHYTHMIA ADD ON $ 10,525.00 ABLATION AV NODE CHB $ 19,955.00 ABRASION SINGLE LESION $ 248.00 ACAPELLA_FLUTTER $ 111.00 ACCUPAP $ 79.00 ACETAMINOPHEN $ 222.00 ACETYLCHOLINE RECEPTOR BINDING AB $ 413.00 ACETYLCHOLINE RECP BLOCKING AB $ 393.00 ACETYLOCHOLINE RECP MOD AB $ 393.00 ACID AGAR $ 49.00 ACID FAST SMEAR $ 90.00 ACNE SURGERY $ 164.00 ACREMONIUM KILIENSE IGE ALLERGEN $ 16.00 ACT EACH $ 87.00 ACTH $ 244.00 ACTH STIMULATION PANEL $ 225.00 ACTIN,IHC $ 365.00 ACTIVATED PROTEIN C $ 101.00 ACTV WOUND MGMT W/DEBRIDEMENT FIRST 20 SQ CM $ 179.00 ACUTE HEPATITIS PANEL $ 244.00 ADDL IV MED PUSH SAME DRUG $ 277.00 ADD'L IV MED(PUSH)SAME DRUG>31MIN $ 277.00 ADDL IV PUSH SAME DRUG>31MIN $ 203.00 ADDNL IV PUSH MED $ 264.00 ADENOSINE STRESS W CARDIOLITE $ 1,593.00 ADENOVIRUS CULTURE $ 106.00 ADJ TIS TRAN ARMS_LEGS >10.1 SQCM $ 4,615.00 ADJ TIS TRANS/REARRNGMNT FACE $ 4,125.00 ADJ TIS TRANS_REARRNGMNT FACE $ 4,335.00 ADJ TIS TRANS_REARRNGMNT TRUNK $ 4,335.00 ADJ TIS TRNS_REARGMT EAR_NOSE_LID $ 4,335.00 ADMIN ADDNL IV TO 1 HR T,P,D $ 480.00 ADMIN HEPATITIS B VACCINE $ 62.00 ADMIN IV INF T P D EA ADDL HR $ 105.00 ADMIN IV INF T_P_D EA ADDL HR $ 154.00 ADMIN IV TO 1 HR T_P_D $ 482.00 ADMIN IV UP TO 1HR, T,P,D $ 575.00 ADMIN PNEUMOCOCCAL IMMUNIZATION VACCINE $ 62.00 ADMINISTRATION OF IM QTY 1 $ 213.00 ADMINISTRATION OF INFLUENZA VIRUS VACCINE $ 62.00 ADP MAX AGGREGATION $ 63.00 AE1/AE3.IHC $ 365.00 AEROSOL TREATMENT $ 79.00 AEROSOL TREATMENT INITIAL $ 105.00 AEROSOL TREATMENT SUBS $ 79.00 AFB CULTURE ONLY $ 96.00 AFB SUSCEPTIBILITY $ 102.00 AGENT NOS ASSAY W/OPTIC $ 35.00 AGGLUTINATION GROUPING $ 87.00 AGGLUTINATION GROUPING 2 $ 87.00 AGGLUTINATION GROUPING 3 $ 87.00 AGGLUTINATION GROUPING 4 $ 87.00 ALBUMIN, CSF $ 90.00 ALBUMIN, SERUM $ 38.00 ALDOLASE $ 353.00 ALDOSTERONE $ 353.00 ALDOSTERONE, URINE 24 HOUR $ 336.00 ALK PHOS ISOENZYMES. $ 153.00 ALKALINE PHOSPHATASE $ 72.00 ALKALINE PHOSPHATASE,BONE $ 141.00 ALLERGEN COMMON WASP $ 28.00 ALLERGEN HICKORY/PECAN TREE $ 26.00 ALLERGEN HONEY BEE $ 28.00 ALLERGEN JOHNSON GRASS $ 26.00 ALLERGEN PAPER WASP $ 28.00 ALLERGEN SPECIFIC IGE; QUANT OR SEMIQUANT $ 26.00 ALLERGEN WHITE FACED HORNET $ 28.00 ALLERGEN YELLOW HORNET $ 28.00 ALLERGEN, PENICILLINS IGE $ 42.00 ALLERGEN,ALMOND $ 28.00 ALLERGEN,ASPERGILLUS FUMIGATUS $ 28.00 ALLERGEN,ASPERGILLUS NIGER $ 28.00 ALLERGEN,AUSTRALIAN PINE $ 28.00 ALLERGEN,BAHIA GRASS $ 28.00 ALLERGEN,BANANA $ 28.00 ALLERGEN,BARLEY $ 27.00 ALLERGEN,BEEF $ 28.00 ALLERGEN,BERMUDA GRASS $ 28.00 ALLERGEN,BIRCH TREE $ 28.00 ALLERGEN,BOX ELDER $ 28.00 ALLERGEN,CANDIDA ALBICANS $ 28.00 ALLERGEN,CARROT $ 28.00 ALLERGEN,CELERY $ 28.00 ALLERGEN,CHEDDAR CHEESE $ 28.00 ALLERGEN,CHICKEN FEATHERS $ 28.00 ALLERGEN,CHICKEN MEAT $ 28.00 ALLERGEN,CLAM $ 26.00 ALLERGEN,COCKLEBUR IGE $ 28.00 ALLERGEN,COCKROACH $ 28.00 ALLERGEN,COCONUT $ 28.00 ALLERGEN,CODFISH $ 28.00 ALLERGEN,CORN $ 28.00 ALLERGEN,COTTONWOOD TREE $ 28.00 ALLERGEN,COW EPITHELIUM $ 28.00 ALLERGEN,COW MILK $ 28.00 ALLERGEN,CRAB $ 28.00 ALLERGEN,DERM.PTERONYSSINUS $ 28.00 ALLERGEN,DOG EPITHELIUM $ 28.00 ALLERGEN,EGG WHITES $ 28.00 ALLERGEN,ELM $ 28.00 ALLERGEN,ENGLISH PLANTAIN $ 28.00 ALLERGEN,FEATHER MIX $ 28.00 ALLERGEN,GIANT RAGWEED $ 28.00 ALLERGEN,GLUTEN $ 28.00 ALLERGEN,GOLDENROD $ 28.00 ALLERGEN,GOOSE FEATHERS $ 28.00 ALLERGEN,HELMINTHOSPOR HALODES $ 28.00 ALLERGEN,HORSE DANDER $ 28.00 ALLERGEN,HOUSE DUST (H-S) $ 28.00 ALLERGEN,LATEX $ 28.00 ALLERGEN,LETTUCE $ 28.00 ALLERGEN,LOBSTER $ 28.00 ALLERGEN,MOUNTAIN JUNIPER $ 28.00 ALLERGEN,MUCOR RACEMOSUS $ 28.00 ALLERGEN,OAT $ 28.00 ALLERGEN,ORANGE $ 28.00 ALLERGEN,ORCHARD GRASS $ 28.00 ALLERGEN,PARSLEY $ 28.00 ALLERGEN,PEANUT $ 28.00 ALLERGEN,PEAS $ 28.00 ALLERGEN,PECAN NUT $ 28.00 ALLERGEN,PENICILLIUM NOTATUM $ 28.00 ALLERGEN,PIGWEED $ 28.00 ALLERGEN,PORK $ 28.00 ALLERGEN,POTATO $ 28.00 ALLERGEN,RABBIT EPITHELIUM IGE $ 28.00 ALLERGEN,REDTOP GRASS $ 28.00 ALLERGEN,RICE $ 28.00 ALLERGEN,RYE $ 28.00 ALLERGEN,SCALLOP $ 26.00 ALLERGEN,SESAME SEED $ 28.00 ALLERGEN,SHEEP SORREL $ 28.00 ALLERGEN,SHRIMP $ 28.00 ALLERGEN,SOYBEAN $ 28.00 ALLERGEN,SWEET VERNAL GRASS $ 28.00 ALLERGEN,SYCAMORE TREE $ 28.00 ALLERGEN,TOMATO $ 28.00 ALLERGEN,TUNA $ 28.00 ALLERGEN,WALNUT IGE $ 26.00 ALLERGEN,WALNUT TREE $ 26.00 ALLERGEN,WHEAT $ 28.00 ALLERGEN,WHITE ASH TREE $ 28.00 ALLERGEN,WHITE BEAN $ 28.00 ALLERGEN,WHITE PINE TREE $ 28.00 ALLERGEN,WILLO TREE $ 28.00 ALLERGEN,YEAST $ 28.00 ALLOGENIC SKIN SUBST 1ST 25SQ CM $ 3,395.00 ALPHA 1 ANTITRYPSIN (SERPINA1) TARGETED GENOTYPING $ 83.00 ALPHA 1 ANTITRYPSIN PHENOTYPE $ 44.00 ALPHA-1 ANITRYPSIN, TOTAL $ 87.00 ALPHAFETOPROTEIN TUMOR MARKER $ 148.00 ALPHAFETOPROTEIN W/WO TRP CK $ 240.00 ALT (SGPT) $ 92.00 AMBULANCE SVC ALS EMERGENCY TRANS $ 775.00 AMBULANCE SVC ALS NON EMERGENCY $ 775.00 AMBULANCE SVC BLS NON EMERGENCY $ 775.00 AMG ALPHA 2 MACROGLOBUILIN BY NEPHELOMETRY $ 248.00 AMIKACIN $ 79.00 AMIODARONE SERUM $ 237.00 AML FISH PROFILE $ 431.00 AMMONIA, BLOOD $ 100.00 AMP FING SGL W NEU DR CL ADV FLP $ 4,035.00 AMP FING SGL W NEURODEC DIR CLOSE $ 3,840.00 AMPHETAMINES MECONIUM CONFIRMATION $ 148.00 AMPUTATION METATARSL W SINGL TOE $ 4,790.00 AMPUTATION TOE METATARSOPHALANGEAL JOINT $ 6,920.00 AMYLASE $ 149.00 ANA TITER BY IFA $ 53.00 ANA-ANTINUCLEAR ANTIBODY $ 79.00 ANA-FLUID $ 69.00 ANALGESICS NON-OPIOID 1 OR 2 $ 252.00 ANALYZE NEUROSTIM COMPLEX WITH PROGRAMMING $ 440.00 ANALYZE NEUROSTIM NO PROG $ 270.00 ANALYZE NEUROSTIM SIMPLE $ 630.00 ANASTOMOSIS ARTERIOVENOUS OPEN CEPHALIC VEIN $ 7,845.00 ANCA ELISA,IGG SPECIFIC $ 72.00 ANDROSTENEDIONE $ 185.00 ANESTHESIA GAS MODULE $ 96.00 ANESTHESIA VITAL SIGN MONITOR $ 224.00 ANG 1 ANGIOPOIETIN 1 $ 93.00 ANG 2 ANGIOPOIETIN 2 $ 93.00 ANGIOPLASTY BALLOON DIALYSIS W IMAGING $ 9,030.00 ANGIOPLASTY BALLOON TRANSLUM INITIAL VEIN $ 15,855.00 ANGIOPLASTY BALLOON TRNSLUM EA ADDL VEIN $ 7,930.00 ANGIOPLASTY BALLOON TRNSLUM INITIAL ARTERY $ 15,855.00 ANGIOTENSIN 1 CONV ENZ $ 207.00 ANIT FLAX ELISAIGG SPECIFIC $ 151.00 ANIT-CBIR1 ELISA $ 151.00 ANOSCOPY $ 115.00 ANOSCOPY (DIAGNOSTIC) $ 125.00 ANTI ENDOMYSIAL EMA IGA ANTIBODY BY IFA $ 290.00 ANTI HUMAN TISSUE TRANSGLUTAMINASE HU TTG ELISA IGA RECOMBINANT ANTIGEN $ 88.00 ANTI HU-TTG ELISA IGA RECOMB ANTI $ 90.00 ANTI MULLER HORMONE $ 150.00 ANTI-12 ELISA $ 50.00 ANTIBODY ELUTION. $ 229.00 ANTIBODY IDENTIFICATION $ 377.00 ANTIBODY SCREEN $ 198.00 ANTIBODY SCREEN,ALBUMIN $ 50.00 ANTIBODY SCREEN,LISS $ 50.00 ANTIBODY SCREEN,PEG $ 50.00 ANTIBODY TITER $ 200.00 ANTICENTROMERE AB TITER $ 194.00 ANTIDEP TRI/OTH CYCLIC 1 OR 2 $ 103.00 ANTIDEPRESSANTS NOT OTH SPEC $ 125.00 ANTIDEPRESSANTS SEROTONERGIC CLASS 3-5 $ 140.00 ANTIDEPRESSANTS TRICYCLIC/ OTH CYCLICALS 6 OR < $ 140.00 ANTIDIURETIC HORMONE $ 313.00 ANTI-ENDOMYSIAL IGA ANTIBODY IFA INITIAL STAIN $ 290.00 ANTIGEN TYPE - REAGENT/UNIT $ 290.00 ANTIGEN TYPING-SERUM/UNIT $ 66.00 ANTI-GIADIN ELISA IGA SPECIFIC $ 72.00 ANTI-GLIADIN ELISA IGG SPECIFIC $ 72.00 ANTIMITOCHONDRIAL ANTIBODY $ 101.00 ANTI-NEUTROPHIL ANTIBODY $ 485.00 ANTI-OMPC IGA ELISA $ 151.00 ANTIPARIETAL CELL AB $ 171.00 ANTISMOOTH MUSCLE ANTIBODY $ 92.00 ANTI-STREPTOLYSIN 0 TITER $ 49.00 ANTITHROMBIN 3 $ 119.00 ANTITHROMBIN III ANTIGEN $ 53.00 AORTOGRAM ABDOMINAL $ 2,832.00 APOLIPOPROTEIN A1 $ 42.00 APP MLAY COMPRS SYS ARM/HND $ 204.00 APP SKNSUB 1ST 25SQCM FT <100SQCM $ 1,658.00 APPL CAST ARM SHORT LT $ 725.00 APPL CAST ARM SHORT RT $ 725.00 APPL CAST LEG SHORT $ 438.00 APPL CAST LEG SHORT LT $ 725.00 APPL CAST LEG SHORT RT $ 725.00 APPL SPLINT ARM LONG BILAT $ 625.00 APPL SPLINT ARM LONG LT $ 415.00 APPL SPLINT ARM LONG RT $ 415.00 APPL SPLINT ARM SHORT STAT BILAT $ 670.00 APPL SPLINT ARM SHORT STAT LT $ 445.00 APPL SPLINT ARM SHORT STAT RT $ 445.00 APPL SPLINT FINGER STATIC LT 1 $ 188.00 APPL SPLINT FINGER STATIC LT 2 $ 188.00 APPL SPLINT FINGER STATIC LT 3 $ 188.00 APPL SPLINT FINGER STATIC LT 4 $ 188.00 APPL SPLINT FINGER STATIC LT 5 $ 188.00 APPL SPLINT FINGER STATIC RT 1 $ 188.00 APPL SPLINT FINGER STATIC RT 2 $ 188.00 APPL SPLINT FINGER STATIC RT 3 $ 188.00 APPL SPLINT FINGER STATIC RT 4 $ 188.00 APPL SPLINT FINGER STATIC RT 5 $ 188.00 APPL SPLINT LEG LONG BILAT $ 625.00 APPL SPLINT LEG LONG LT $ 415.00 APPL SPLINT LEG LONG RT $ 415.00 APPL SPLINT LEG SHORT BILAT $ 625.00 APPL SPLINT LEG SHORT LT $ 415.00 APPL SPLINT LEG SHORT RT $ 415.00 APPLICATION OF INFARED LIGHT THERAPY TO 1 OR MORE AREAS $ 25.00 APPLICATION OF SKIN SUB HANDS FEET DIGITS FACE SCALP NECK EARS GENITALIA EA ADDL 25 SQ $ 2,360.00 APPLICATION OF SKIN SUB HANDS FEET DIGITS FACE SCALP NECK EARS GENITALIA EA ADDL 100 SQ $ 2,035.00 APPLICATION OF SKIN SUB TRUNK ARMS LEGS EACH ADDITIONAL 100 SQ CM $ 5,630.00 APPLICATION OF SKIN SUB TRUNK ARMS LEGS FIRST 100 SQ CM OF
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