Hospital price profile
ASHTABULA COUNTY MEDICAL CENTER
2420 LAKE AVENUE, Ashtabula, OH 44004 · (440) 997-2262 · Map and directions
CMS quality snapshot
Overall hospital rating3 of 5 stars
Safety measures vs. national result2 better · 3 same · 0 worse
PSI-90 patient safetyNo Different Than the National Value
The hospital star rating is overall, not procedure-specific. PSI-90 reflects qualifying Medicare inpatient stays, not every outpatient encounter. View CMS source.
| Procedure | Context | Published cash | Comparison | Source |
|---|---|---|---|---|
| Hip replacementCPT 27130 · ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT | BOTH / PROFESSIONAL1 observed cash value(s) | $1,297.80 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Knee replacementCPT 27447 · ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS | BOTH / PROFESSIONAL1 observed cash value(s) | $1,296.40 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Knee arthroscopyCPT 29881 · ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | BOTH / PROFESSIONAL1 observed cash value(s) | $559.29 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Blood drawCPT 36415 · ROUTINE VENIPUNCTURE | INPATIENT / FACILITY3 observed cash value(s) | $9.10MRF range $6.00–$30.80 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| Blood drawCPT 36415 · ROUTINE VENIPUNCTURE | OUTPATIENT / FACILITY3 observed cash value(s) | $9.10MRF range $6.00–$30.80 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| Upper GI endoscopyCPT 43235 · ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | BOTH / PROFESSIONAL1 observed cash value(s) | $360.50 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Upper GI endoscopy with biopsyCPT 43239 · EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | BOTH / PROFESSIONAL1 observed cash value(s) | $264.60 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| ColonoscopyCPT 45378 · COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | BOTH / PROFESSIONAL1 observed cash value(s) | $357.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Colonoscopy with biopsyCDM 45380 · DOFETILIDE 250 MCG CAPSULE | INPATIENT / FACILITY1 observed cash value(s) | $17.68 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Colonoscopy with biopsyCDM 45380 · DOFETILIDE 250 MCG CAPSULE | OUTPATIENT / FACILITY1 observed cash value(s) | $17.68 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Colonoscopy with biopsyCPT 45380 · COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | BOTH / PROFESSIONAL1 observed cash value(s) | $456.40 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Colonoscopy with polyp removalCPT 45385 · COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | BOTH / PROFESSIONAL1 observed cash value(s) | $592.90 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Gallbladder surgeryCPT 47562 · LAPAROSCOPY SURG CHOLECYSTECTOMY | BOTH / PROFESSIONAL1 observed cash value(s) | $1,231.30 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Inguinal hernia repairCPT 49505 · RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE | BOTH / PROFESSIONAL1 observed cash value(s) | $633.50 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Carpal tunnel surgeryCPT 64721 · NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE | BOTH / PROFESSIONAL1 observed cash value(s) | $454.30 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Cataract surgeryCPT 66984 · XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP | BOTH / PROFESSIONAL1 observed cash value(s) | $909.30 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| CT headCPT 70450 · CT HEAD/BRAIN W/O DYE | INPATIENT / FACILITY1 observed cash value(s) | $1,769.60 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| CT headCPT 70450 · CT HEAD/BRAIN W/O DYE | OUTPATIENT / FACILITY1 observed cash value(s) | $1,769.60 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| CT head with contrastCPT 70460 · CT HEAD/BRAIN W/DYE | INPATIENT / FACILITY1 observed cash value(s) | $2,216.90 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| CT head with contrastCPT 70460 · CT HEAD/BRAIN W/DYE | OUTPATIENT / FACILITY1 observed cash value(s) | $2,216.90 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| CT head with/without contrastCPT 70470 · CT HEAD/BRAIN W/O & W/DYE | INPATIENT / FACILITY1 observed cash value(s) | $1,005.20 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| CT head with/without contrastCPT 70470 · CT HEAD/BRAIN W/O & W/DYE | OUTPATIENT / FACILITY1 observed cash value(s) | $1,005.20 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| MRI brain without contrastCPT 70551 · MRI BRAIN STEM W/O DYE | INPATIENT / FACILITY1 observed cash value(s) | $3,224.90 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| MRI brain without contrastCPT 70551 · MRI BRAIN STEM W/O DYE | OUTPATIENT / FACILITY1 observed cash value(s) | $3,224.90 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| MRI brainCPT 70553 · MRI BRAIN STEM W/O & W/DYE | INPATIENT / FACILITY1 observed cash value(s) | $4,770.50 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| MRI brainCPT 70553 · MRI BRAIN STEM W/O & W/DYE | OUTPATIENT / FACILITY1 observed cash value(s) | $4,770.50 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Chest X-rayCPT 71046 · X-RAY EXAM CHEST 2 VIEWS | INPATIENT / FACILITY1 observed cash value(s) | $385.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Chest X-rayCPT 71046 · X-RAY EXAM CHEST 2 VIEWS | OUTPATIENT / FACILITY1 observed cash value(s) | $385.00 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| CT chest without contrastCPT 71250 · CT THORAX DX C- | INPATIENT / FACILITY1 observed cash value(s) | $1,727.60 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| CT chest without contrastCPT 71250 · CT THORAX DX C- | OUTPATIENT / FACILITY1 observed cash value(s) | $1,727.60 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| CT chestCPT 71260 · CT THORAX DX C+ | INPATIENT / FACILITY1 observed cash value(s) | $2,189.60 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| CT chestCPT 71260 · CT THORAX DX C+ | OUTPATIENT / FACILITY1 observed cash value(s) | $2,189.60 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| CT angiography chestCPT 71275 · CT ANGIOGRAPHY CHEST | INPATIENT / FACILITY1 observed cash value(s) | $384.30 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| CT angiography chestCPT 71275 · CT ANGIOGRAPHY CHEST | OUTPATIENT / FACILITY1 observed cash value(s) | $384.30 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| MRI cervical spineCPT 72141 · MRI NECK SPINE W/O DYE | INPATIENT / FACILITY1 observed cash value(s) | $1,085.70 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| MRI cervical spineCPT 72141 · MRI NECK SPINE W/O DYE | OUTPATIENT / FACILITY1 observed cash value(s) | $1,085.70 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| MRI thoracic spineCPT 72146 · MRI CHEST SPINE W/O DYE | INPATIENT / FACILITY1 observed cash value(s) | $3,138.80 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| MRI thoracic spineCPT 72146 · MRI CHEST SPINE W/O DYE | OUTPATIENT / FACILITY1 observed cash value(s) | $3,138.80 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| MRI lumbar spineCPT 72148 · MRI LUMBAR SPINE W/O DYE | INPATIENT / FACILITY1 observed cash value(s) | $3,828.30 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| MRI lumbar spineCPT 72148 · MRI LUMBAR SPINE W/O DYE | OUTPATIENT / FACILITY1 observed cash value(s) | $3,828.30 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Shoulder X-rayCPT 73030 · X-RAY EXAM OF SHOULDER | INPATIENT / FACILITY1 observed cash value(s) | $385.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Shoulder X-rayCPT 73030 · X-RAY EXAM OF SHOULDER | OUTPATIENT / FACILITY1 observed cash value(s) | $385.00 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| MRI shoulder / upper jointCPT 73221 · MRI JOINT UPR EXTREM W/O DYE | INPATIENT / FACILITY1 observed cash value(s) | $3,656.80 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| MRI shoulder / upper jointCPT 73221 · MRI JOINT UPR EXTREM W/O DYE | OUTPATIENT / FACILITY1 observed cash value(s) | $3,656.80 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Knee X-rayCPT 73562 · X-RAY EXAM OF KNEE 3 | INPATIENT / FACILITY1 observed cash value(s) | $385.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Knee X-rayCPT 73562 · X-RAY EXAM OF KNEE 3 | OUTPATIENT / FACILITY1 observed cash value(s) | $385.00 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Ankle X-rayCPT 73610 · X-RAY EXAM OF ANKLE | INPATIENT / FACILITY1 observed cash value(s) | $321.30 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Ankle X-rayCPT 73610 · X-RAY EXAM OF ANKLE | OUTPATIENT / FACILITY1 observed cash value(s) | $321.30 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| MRI knee / lower jointCPT 73721 · MRI JNT OF LWR EXTRE W/O DYE | INPATIENT / FACILITY2 observed cash value(s) | $2,100.69MRF range $511.00–$3,690.40 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| MRI knee / lower jointCPT 73721 · MRI JNT OF LWR EXTRE W/O DYE | OUTPATIENT / FACILITY2 observed cash value(s) | $2,100.69MRF range $511.00–$3,690.40 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| CT abdomen & pelvis without contrastCPT 74176 · CT ABD & PELVIS W/O CONTRAST | INPATIENT / FACILITY1 observed cash value(s) | $653.10 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| CT abdomen & pelvis without contrastCPT 74176 · CT ABD & PELVIS W/O CONTRAST | OUTPATIENT / FACILITY1 observed cash value(s) | $653.10 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| CT abdomen & pelvisCPT 74177 · CT ABD & PELV W/CONTRAST | INPATIENT / FACILITY1 observed cash value(s) | $777.70 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| CT abdomen & pelvisCPT 74177 · CT ABD & PELV W/CONTRAST | OUTPATIENT / FACILITY1 observed cash value(s) | $777.70 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| CT abdomen & pelvis with/without contrastCPT 74178 · CT ABD & PELV 1/> REGNS | INPATIENT / FACILITY1 observed cash value(s) | $777.70 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| CT abdomen & pelvis with/without contrastCPT 74178 · CT ABD & PELV 1/> REGNS | OUTPATIENT / FACILITY1 observed cash value(s) | $777.70 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Breast ultrasoundCPT 76641 · ULTRASOUND BREAST COMPLETE | INPATIENT / FACILITY1 observed cash value(s) | $231.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Breast ultrasoundCPT 76641 · ULTRASOUND BREAST COMPLETE | OUTPATIENT / FACILITY1 observed cash value(s) | $231.00 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Transvaginal ultrasoundCPT 76830 · TRANSVAGINAL US NON-OB | INPATIENT / FACILITY1 observed cash value(s) | $231.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Transvaginal ultrasoundCPT 76830 · TRANSVAGINAL US NON-OB | OUTPATIENT / FACILITY1 observed cash value(s) | $231.00 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Pelvic ultrasoundCPT 76856 · US EXAM PELVIC COMPLETE | INPATIENT / FACILITY1 observed cash value(s) | $231.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Pelvic ultrasoundCPT 76856 · US EXAM PELVIC COMPLETE | OUTPATIENT / FACILITY1 observed cash value(s) | $231.00 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Diagnostic mammogramCPT 77065 · DX MAMMO INCL CAD UNI | INPATIENT / FACILITY1 observed cash value(s) | $253.40 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Diagnostic mammogramCPT 77065 · DX MAMMO INCL CAD UNI | OUTPATIENT / FACILITY1 observed cash value(s) | $253.40 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Screening mammogramCPT 77067 · SCR MAMMO BI INCL CAD | INPATIENT / FACILITY1 observed cash value(s) | $259.70 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Screening mammogramCPT 77067 · SCR MAMMO BI INCL CAD | OUTPATIENT / FACILITY1 observed cash value(s) | $259.70 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Nuclear stress imagingCPT 78452 · HT MUSCLE IMAGE SPECT MULT | INPATIENT / FACILITY1 observed cash value(s) | $2,780.40 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Nuclear stress imagingCPT 78452 · HT MUSCLE IMAGE SPECT MULT | OUTPATIENT / FACILITY1 observed cash value(s) | $2,780.40 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Comprehensive metabolic panelCPT 80053 · COMPREHEN METABOLIC PANEL | INPATIENT / FACILITY4 observed cash value(s) | $8.94MRF range $5.43–$210.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| Comprehensive metabolic panelCPT 80053 · COMPREHEN METABOLIC PANEL | OUTPATIENT / FACILITY4 observed cash value(s) | $8.94MRF range $5.43–$210.00 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| Lipid panelCPT 80061 · LIPID PANEL | INPATIENT / FACILITY3 observed cash value(s) | $89.74MRF range $5.43–$170.10 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| Lipid panelCPT 80061 · LIPID PANEL | OUTPATIENT / FACILITY3 observed cash value(s) | $89.74MRF range $5.43–$170.10 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| UrinalysisCPT 81001 · URINALYSIS AUTO W/SCOPE | INPATIENT / FACILITY3 observed cash value(s) | $11.20MRF range $2.22–$38.50 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| UrinalysisCPT 81001 · URINALYSIS AUTO W/SCOPE | OUTPATIENT / FACILITY3 observed cash value(s) | $11.20MRF range $2.22–$38.50 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| Vitamin D testCPT 82306 · VITAMIN D 25 HYDROXY | INPATIENT / FACILITY3 observed cash value(s) | $120.40MRF range $20.72–$242.90 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| Vitamin D testCPT 82306 · VITAMIN D 25 HYDROXY | OUTPATIENT / FACILITY3 observed cash value(s) | $120.40MRF range $20.72–$242.90 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| Ferritin testCPT 82728 · ASSAY OF FERRITIN | INPATIENT / FACILITY3 observed cash value(s) | $43.40MRF range $9.55–$144.19 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| Ferritin testCPT 82728 · ASSAY OF FERRITIN | OUTPATIENT / FACILITY3 observed cash value(s) | $43.40MRF range $9.55–$144.19 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| Hemoglobin A1cCPT 83036 · GLYCOSYLATED HEMOGLOBIN TEST | INPATIENT / FACILITY4 observed cash value(s) | $24.24MRF range $6.80–$133.69 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| Hemoglobin A1cCPT 83036 · GLYCOSYLATED HEMOGLOBIN TEST | OUTPATIENT / FACILITY4 observed cash value(s) | $24.24MRF range $6.80–$133.69 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| Iron testCPT 83540 · ASSAY OF IRON | INPATIENT / FACILITY2 observed cash value(s) | $49.51MRF range $4.53–$94.50 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| Iron testCPT 83540 · ASSAY OF IRON | OUTPATIENT / FACILITY2 observed cash value(s) | $49.51MRF range $4.53–$94.50 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| TIBC testCPT 83550 · IRON BINDING TEST | INPATIENT / FACILITY2 observed cash value(s) | $69.56MRF range $6.12–$133.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| TIBC testCPT 83550 · IRON BINDING TEST | OUTPATIENT / FACILITY2 observed cash value(s) | $69.56MRF range $6.12–$133.00 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| PSA testCPT 84153 · ASSAY OF PSA TOTAL | INPATIENT / FACILITY4 observed cash value(s) | $105.81MRF range $8.58–$198.10 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| PSA testCPT 84153 · ASSAY OF PSA TOTAL | OUTPATIENT / FACILITY4 observed cash value(s) | $105.81MRF range $8.58–$198.10 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| TSH testCPT 84443 · ASSAY THYROID STIM HORMONE | INPATIENT / FACILITY3 observed cash value(s) | $11.76MRF range $9.80–$91.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| TSH testCPT 84443 · ASSAY THYROID STIM HORMONE | OUTPATIENT / FACILITY3 observed cash value(s) | $11.76MRF range $9.80–$91.00 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| Pregnancy blood testCPT 84702 · CHORIONIC GONADOTROPIN TEST | INPATIENT / FACILITY2 observed cash value(s) | $91.70MRF range $27.30–$91.70 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| Pregnancy blood testCPT 84702 · CHORIONIC GONADOTROPIN TEST | OUTPATIENT / FACILITY2 observed cash value(s) | $91.70MRF range $27.30–$91.70 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| CBC with differentialCPT 85025 · COMPLETE CBC W/AUTO DIFF WBC | INPATIENT / FACILITY4 observed cash value(s) | $7.62MRF range $5.43–$35.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| CBC with differentialCPT 85025 · COMPLETE CBC W/AUTO DIFF WBC | OUTPATIENT / FACILITY4 observed cash value(s) | $7.62MRF range $5.43–$35.00 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| Urine cultureCPT 87086 · URINE CULTURE/COLONY COUNT | INPATIENT / FACILITY3 observed cash value(s) | $34.29MRF range $5.65–$114.80 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| Urine cultureCPT 87086 · URINE CULTURE/COLONY COUNT | OUTPATIENT / FACILITY3 observed cash value(s) | $34.29MRF range $5.65–$114.80 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| EKGCPT 93000 · ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | BOTH / PROFESSIONAL1 observed cash value(s) | $77.70 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| EchocardiogramCPT 93306 · ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D | BOTH / PROFESSIONAL1 observed cash value(s) | $264.60 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| EchocardiogramCPT 93306 · ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D | INPATIENT / FACILITY2 observed cash value(s) | $992.95MRF range $865.90–$1,120.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| EchocardiogramCPT 93306 · ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D | OUTPATIENT / FACILITY2 observed cash value(s) | $992.95MRF range $865.90–$1,120.00 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| SpirometryCPT 94010 · SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ | BOTH / PROFESSIONAL1 observed cash value(s) | $29.40 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| SpirometryCPT 94010 · SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ | INPATIENT / FACILITY1 observed cash value(s) | $289.10 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| SpirometryCPT 94010 · SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ | OUTPATIENT / FACILITY1 observed cash value(s) | $289.10 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Lung diffusion testCPT 94729 · DIFFUSING CAPACITY | BOTH / PROFESSIONAL1 observed cash value(s) | $58.80 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Lung diffusion testCPT 94729 · DIFFUSING CAPACITY | INPATIENT / FACILITY1 observed cash value(s) | $342.30 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Lung diffusion testCPT 94729 · DIFFUSING CAPACITY | OUTPATIENT / FACILITY1 observed cash value(s) | $342.30 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Sleep studyCPT 95810 · POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | BOTH / PROFESSIONAL1 observed cash value(s) | $292.60 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Sleep studyCPT 95810 · POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | INPATIENT / FACILITY1 observed cash value(s) | $4,102.70 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Sleep studyCPT 95810 · POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | OUTPATIENT / FACILITY1 observed cash value(s) | $4,102.70 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Physical therapy exerciseCPT 97110 · THERAPEUTIC EXERCISES | INPATIENT / FACILITY2 observed cash value(s) | $122.15MRF range $121.10–$123.20 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| Physical therapy exerciseCPT 97110 · THERAPEUTIC EXERCISES | OUTPATIENT / FACILITY2 observed cash value(s) | $122.15MRF range $121.10–$123.20 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-11-02Confidence 90/100 · ingestion 1835144d… |
| Manual therapyCPT 97140 · MANUAL THERAPY 1/> REGIONS | INPATIENT / FACILITY1 observed cash value(s) | $117.60 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Manual therapyCPT 97140 · MANUAL THERAPY 1/> REGIONS | OUTPATIENT / FACILITY1 observed cash value(s) | $117.60 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| PT evaluation, low complexityCPT 97161 · PT EVAL LOW COMPLEX 20 MIN | INPATIENT / FACILITY1 observed cash value(s) | $185.50 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| PT evaluation, low complexityCPT 97161 · PT EVAL LOW COMPLEX 20 MIN | OUTPATIENT / FACILITY1 observed cash value(s) | $185.50 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| PT evaluation, moderate complexityCPT 97162 · PT EVAL MOD COMPLEX 30 MIN | INPATIENT / FACILITY1 observed cash value(s) | $194.60 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| PT evaluation, moderate complexityCPT 97162 · PT EVAL MOD COMPLEX 30 MIN | OUTPATIENT / FACILITY1 observed cash value(s) | $194.60 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Therapeutic activitiesCPT 97530 · THERAPEUTIC ACTIVITIES | INPATIENT / FACILITY1 observed cash value(s) | $129.50 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
| Therapeutic activitiesCPT 97530 · THERAPEUTIC ACTIVITIES | OUTPATIENT / FACILITY1 observed cash value(s) | $129.50 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-11-02Confidence 100/100 · ingestion 1835144d… |
About these prices
Every amount on this page comes from the hospital’s machine-readable file and remains tied to its exact billing code, care setting, and billing class. Rows with multiple published amounts show the source range and are not ranked as a single comparable price.