Hospital price profile

ASHTABULA COUNTY MEDICAL CENTER

2420 LAKE AVENUE, Ashtabula, OH 44004 · (440) 997-2262 · Map and directions

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117Published rows
Acute Care HospitalsFacility type
Health system
2026-11-02Oldest source date
2026-11-05Serving refresh

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.

ProcedureContextPublished cashComparisonSource
Hip replacementCPT 27130 · ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFTBOTH / PROFESSIONAL1 observed cash value(s)$1,297.80InformationalThis 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 COMPARTMENTSBOTH / PROFESSIONAL1 observed cash value(s)$1,296.40InformationalThis 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/SHVGBOTH / PROFESSIONAL1 observed cash value(s)$559.29InformationalThis 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 VENIPUNCTUREINPATIENT / FACILITY3 observed cash value(s)$9.10MRF range $6.00–$30.80InformationalThis 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 VENIPUNCTUREOUTPATIENT / FACILITY3 observed cash value(s)$9.10MRF range $6.00–$30.80Needs 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 DIAGNOSTICBOTH / PROFESSIONAL1 observed cash value(s)$360.50InformationalThis 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/MULTIPLEBOTH / PROFESSIONAL1 observed cash value(s)$264.60InformationalThis 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 PFRMDBOTH / PROFESSIONAL1 observed cash value(s)$357.00InformationalThis 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 CAPSULEINPATIENT / FACILITY1 observed cash value(s)$17.68InformationalThis 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 CAPSULEOUTPATIENT / FACILITY1 observed cash value(s)$17.68ComparableSame 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/MULTIPLEBOTH / PROFESSIONAL1 observed cash value(s)$456.40InformationalThis 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 TQBOTH / PROFESSIONAL1 observed cash value(s)$592.90InformationalThis 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 CHOLECYSTECTOMYBOTH / PROFESSIONAL1 observed cash value(s)$1,231.30InformationalThis 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/> REDUCIBLEBOTH / PROFESSIONAL1 observed cash value(s)$633.50InformationalThis 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 TUNNEBOTH / PROFESSIONAL1 observed cash value(s)$454.30InformationalThis 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 ECPBOTH / PROFESSIONAL1 observed cash value(s)$909.30InformationalThis 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 DYEINPATIENT / FACILITY1 observed cash value(s)$1,769.60InformationalThis 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 DYEOUTPATIENT / FACILITY1 observed cash value(s)$1,769.60ComparableSame 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/DYEINPATIENT / FACILITY1 observed cash value(s)$2,216.90InformationalThis 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/DYEOUTPATIENT / FACILITY1 observed cash value(s)$2,216.90ComparableSame 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/DYEINPATIENT / FACILITY1 observed cash value(s)$1,005.20InformationalThis 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/DYEOUTPATIENT / FACILITY1 observed cash value(s)$1,005.20ComparableSame 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 DYEINPATIENT / FACILITY1 observed cash value(s)$3,224.90InformationalThis 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 DYEOUTPATIENT / FACILITY1 observed cash value(s)$3,224.90ComparableSame 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/DYEINPATIENT / FACILITY1 observed cash value(s)$4,770.50InformationalThis 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/DYEOUTPATIENT / FACILITY1 observed cash value(s)$4,770.50ComparableSame 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 VIEWSINPATIENT / FACILITY1 observed cash value(s)$385.00InformationalThis 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 VIEWSOUTPATIENT / FACILITY1 observed cash value(s)$385.00ComparableSame 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)$1,727.60InformationalThis 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)$1,727.60ComparableSame 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)$2,189.60InformationalThis 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)$2,189.60ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-11-02Confidence 100/100 · ingestion 1835144d…
CT angiography chestCPT 71275 · CT ANGIOGRAPHY CHESTINPATIENT / FACILITY1 observed cash value(s)$384.30InformationalThis 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 CHESTOUTPATIENT / FACILITY1 observed cash value(s)$384.30ComparableSame 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 DYEINPATIENT / FACILITY1 observed cash value(s)$1,085.70InformationalThis 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 DYEOUTPATIENT / FACILITY1 observed cash value(s)$1,085.70ComparableSame 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 DYEINPATIENT / FACILITY1 observed cash value(s)$3,138.80InformationalThis 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 DYEOUTPATIENT / FACILITY1 observed cash value(s)$3,138.80ComparableSame 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 DYEINPATIENT / FACILITY1 observed cash value(s)$3,828.30InformationalThis 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 DYEOUTPATIENT / FACILITY1 observed cash value(s)$3,828.30ComparableSame 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 SHOULDERINPATIENT / FACILITY1 observed cash value(s)$385.00InformationalThis 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 SHOULDEROUTPATIENT / FACILITY1 observed cash value(s)$385.00ComparableSame 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 DYEINPATIENT / FACILITY1 observed cash value(s)$3,656.80InformationalThis 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 DYEOUTPATIENT / FACILITY1 observed cash value(s)$3,656.80ComparableSame 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 3INPATIENT / FACILITY1 observed cash value(s)$385.00InformationalThis 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 3OUTPATIENT / FACILITY1 observed cash value(s)$385.00ComparableSame 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 ANKLEINPATIENT / FACILITY1 observed cash value(s)$321.30InformationalThis 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 ANKLEOUTPATIENT / FACILITY1 observed cash value(s)$321.30ComparableSame 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 DYEINPATIENT / FACILITY2 observed cash value(s)$2,100.69MRF range $511.00–$3,690.40InformationalThis 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 DYEOUTPATIENT / FACILITY2 observed cash value(s)$2,100.69MRF range $511.00–$3,690.40Needs 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 CONTRASTINPATIENT / FACILITY1 observed cash value(s)$653.10InformationalThis 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 CONTRASTOUTPATIENT / FACILITY1 observed cash value(s)$653.10ComparableSame 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/CONTRASTINPATIENT / FACILITY1 observed cash value(s)$777.70InformationalThis 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/CONTRASTOUTPATIENT / FACILITY1 observed cash value(s)$777.70ComparableSame 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/> REGNSINPATIENT / FACILITY1 observed cash value(s)$777.70InformationalThis 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/> REGNSOUTPATIENT / FACILITY1 observed cash value(s)$777.70ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-11-02Confidence 100/100 · ingestion 1835144d…
Breast ultrasoundCPT 76641 · ULTRASOUND BREAST COMPLETEINPATIENT / FACILITY1 observed cash value(s)$231.00InformationalThis 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 COMPLETEOUTPATIENT / FACILITY1 observed cash value(s)$231.00ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-11-02Confidence 100/100 · ingestion 1835144d…
Transvaginal ultrasoundCPT 76830 · TRANSVAGINAL US NON-OBINPATIENT / FACILITY1 observed cash value(s)$231.00InformationalThis 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-OBOUTPATIENT / FACILITY1 observed cash value(s)$231.00ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-11-02Confidence 100/100 · ingestion 1835144d…
Pelvic ultrasoundCPT 76856 · US EXAM PELVIC COMPLETEINPATIENT / FACILITY1 observed cash value(s)$231.00InformationalThis 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 COMPLETEOUTPATIENT / FACILITY1 observed cash value(s)$231.00ComparableSame 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 UNIINPATIENT / FACILITY1 observed cash value(s)$253.40InformationalThis 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 UNIOUTPATIENT / FACILITY1 observed cash value(s)$253.40ComparableSame 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 CADINPATIENT / FACILITY1 observed cash value(s)$259.70InformationalThis 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 CADOUTPATIENT / FACILITY1 observed cash value(s)$259.70ComparableSame 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 MULTINPATIENT / FACILITY1 observed cash value(s)$2,780.40InformationalThis 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 MULTOUTPATIENT / FACILITY1 observed cash value(s)$2,780.40ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-11-02Confidence 100/100 · ingestion 1835144d…
Comprehensive metabolic panelCPT 80053 · COMPREHEN METABOLIC PANELINPATIENT / FACILITY4 observed cash value(s)$8.94MRF range $5.43–$210.00InformationalThis 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 PANELOUTPATIENT / FACILITY4 observed cash value(s)$8.94MRF range $5.43–$210.00Needs 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 PANELINPATIENT / FACILITY3 observed cash value(s)$89.74MRF range $5.43–$170.10InformationalThis 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 PANELOUTPATIENT / FACILITY3 observed cash value(s)$89.74MRF range $5.43–$170.10Needs 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/SCOPEINPATIENT / FACILITY3 observed cash value(s)$11.20MRF range $2.22–$38.50InformationalThis 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/SCOPEOUTPATIENT / FACILITY3 observed cash value(s)$11.20MRF range $2.22–$38.50Needs 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 HYDROXYINPATIENT / FACILITY3 observed cash value(s)$120.40MRF range $20.72–$242.90InformationalThis 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 HYDROXYOUTPATIENT / FACILITY3 observed cash value(s)$120.40MRF range $20.72–$242.90Needs 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 FERRITININPATIENT / FACILITY3 observed cash value(s)$43.40MRF range $9.55–$144.19InformationalThis 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 FERRITINOUTPATIENT / FACILITY3 observed cash value(s)$43.40MRF range $9.55–$144.19Needs 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 TESTINPATIENT / FACILITY4 observed cash value(s)$24.24MRF range $6.80–$133.69InformationalThis 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 TESTOUTPATIENT / FACILITY4 observed cash value(s)$24.24MRF range $6.80–$133.69Needs 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 IRONINPATIENT / FACILITY2 observed cash value(s)$49.51MRF range $4.53–$94.50InformationalThis 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 IRONOUTPATIENT / FACILITY2 observed cash value(s)$49.51MRF range $4.53–$94.50Needs 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 TESTINPATIENT / FACILITY2 observed cash value(s)$69.56MRF range $6.12–$133.00InformationalThis 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 TESTOUTPATIENT / FACILITY2 observed cash value(s)$69.56MRF range $6.12–$133.00Needs 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 TOTALINPATIENT / FACILITY4 observed cash value(s)$105.81MRF range $8.58–$198.10InformationalThis 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 TOTALOUTPATIENT / FACILITY4 observed cash value(s)$105.81MRF range $8.58–$198.10Needs 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 HORMONEINPATIENT / FACILITY3 observed cash value(s)$11.76MRF range $9.80–$91.00InformationalThis 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 HORMONEOUTPATIENT / FACILITY3 observed cash value(s)$11.76MRF range $9.80–$91.00Needs 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 TESTINPATIENT / FACILITY2 observed cash value(s)$91.70MRF range $27.30–$91.70InformationalThis 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 TESTOUTPATIENT / FACILITY2 observed cash value(s)$91.70MRF range $27.30–$91.70Needs 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 WBCINPATIENT / FACILITY4 observed cash value(s)$7.62MRF range $5.43–$35.00InformationalThis 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 WBCOUTPATIENT / FACILITY4 observed cash value(s)$7.62MRF range $5.43–$35.00Needs 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 COUNTINPATIENT / FACILITY3 observed cash value(s)$34.29MRF range $5.65–$114.80InformationalThis 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 COUNTOUTPATIENT / FACILITY3 observed cash value(s)$34.29MRF range $5.65–$114.80Needs 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&RBOTH / PROFESSIONAL1 observed cash value(s)$77.70InformationalThis 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 DBOTH / PROFESSIONAL1 observed cash value(s)$264.60InformationalThis 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 DINPATIENT / FACILITY2 observed cash value(s)$992.95MRF range $865.90–$1,120.00InformationalThis 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 DOUTPATIENT / FACILITY2 observed cash value(s)$992.95MRF range $865.90–$1,120.00Needs 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 VNTJBOTH / PROFESSIONAL1 observed cash value(s)$29.40InformationalThis 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 VNTJINPATIENT / FACILITY1 observed cash value(s)$289.10InformationalThis 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 VNTJOUTPATIENT / FACILITY1 observed cash value(s)$289.10ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-11-02Confidence 100/100 · ingestion 1835144d…
Lung diffusion testCPT 94729 · DIFFUSING CAPACITYBOTH / PROFESSIONAL1 observed cash value(s)$58.80InformationalThis 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 CAPACITYINPATIENT / FACILITY1 observed cash value(s)$342.30InformationalThis 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 CAPACITYOUTPATIENT / FACILITY1 observed cash value(s)$342.30ComparableSame 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 ATTNDBOTH / PROFESSIONAL1 observed cash value(s)$292.60InformationalThis 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 ATTNDINPATIENT / FACILITY1 observed cash value(s)$4,102.70InformationalThis 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 ATTNDOUTPATIENT / FACILITY1 observed cash value(s)$4,102.70ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-11-02Confidence 100/100 · ingestion 1835144d…
Physical therapy exerciseCPT 97110 · THERAPEUTIC EXERCISESINPATIENT / FACILITY2 observed cash value(s)$122.15MRF range $121.10–$123.20InformationalThis 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 EXERCISESOUTPATIENT / FACILITY2 observed cash value(s)$122.15MRF range $121.10–$123.20Needs 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/> REGIONSINPATIENT / FACILITY1 observed cash value(s)$117.60InformationalThis 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/> REGIONSOUTPATIENT / FACILITY1 observed cash value(s)$117.60ComparableSame 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 MININPATIENT / FACILITY1 observed cash value(s)$185.50InformationalThis 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 MINOUTPATIENT / FACILITY1 observed cash value(s)$185.50ComparableSame 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 MININPATIENT / FACILITY1 observed cash value(s)$194.60InformationalThis 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 MINOUTPATIENT / FACILITY1 observed cash value(s)$194.60ComparableSame exact code, outpatient setting, facility billing, and one published cash value.2026-11-02Confidence 100/100 · ingestion 1835144d…
Therapeutic activitiesCPT 97530 · THERAPEUTIC ACTIVITIESINPATIENT / FACILITY1 observed cash value(s)$129.50InformationalThis 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 ACTIVITIESOUTPATIENT / FACILITY1 observed cash value(s)$129.50ComparableSame 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.