Hospital price profile
MOUNT CARMEL DUBLIN
4105 EMERALD PKWY, Dublin, OH 43016 · (380) 898-9000 · Map and directions
CMS quality snapshot
Overall hospital ratingNot available
Safety measures vs. national result0 better · 0 same · 0 worse
PSI-90 patient safetyNot Available
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 |
|---|---|---|---|---|
| Knee replacementCPT 27447 · HC Arthro Knee/Condyle/Plateau Med/Lat W/or W/O Patella Resurf (Tka) Lt(Rest Method II CAH) | OUTPATIENT / FACILITY1 observed cash value(s) | $55,436.32 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Knee arthroscopyCPT 29881 · HC Arthro Knee W/Mnsc Med or Lat Incl/Chndrplsty Same/Sep Compart Lt (Rest Method II CAH) | OUTPATIENT / FACILITY1 observed cash value(s) | $27,975.80 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Blood drawCPT 36415 · HC Collection of Venous Blood by Venipuncture | BOTH / FACILITY1 observed cash value(s) | $18.85 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Upper GI endoscopyCPT 43235 · PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing|MULTIPLE PROCEDURES | BOTH / PROFESSIONAL2 observed cash value(s) | $154.86MRF range $42.72–$267.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 90/100 · ingestion 509c3ba3… |
| Upper GI endoscopyCPT 43235 · PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing|MULTIPLE PROCEDURES | OUTPATIENT / PROFESSIONAL1 observed cash value(s) | $267.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Upper GI endoscopyCPT 43235 · PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing|MULTIPLE PROCEDURES | INPATIENT / PROFESSIONAL1 observed cash value(s) | $303.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Upper GI endoscopy with biopsyCPT 43239 · HC Egd Flexible Transoral W/Bx Single/Mult (Restricted Method II CAH) | BOTH / PROFESSIONAL1 observed cash value(s) | $301.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Upper GI endoscopy with biopsyCPT 43239 · HC Egd Flexible Transoral W/Bx Single/Mult (Restricted Method II CAH) | OUTPATIENT / PROFESSIONAL1 observed cash value(s) | $301.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Upper GI endoscopy with biopsyCPT 43239 · HC Egd Flexible Transoral W/Bx Single/Mult (Restricted Method II CAH) | INPATIENT / PROFESSIONAL1 observed cash value(s) | $360.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Upper GI endoscopy with biopsyCPT 43239 · HC Egd Flexible Transoral W/Bx Single/Mult (Restricted Method II CAH) | OUTPATIENT / FACILITY1 observed cash value(s) | $3,273.14 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| ColonoscopyCPT 45378 · HC Colon Flexible Dx W/Collection of Specimen(S) by Brushing/Washing (Restricted Method II CAH) | INPATIENT / PROFESSIONAL1 observed cash value(s) | $457.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| ColonoscopyCPT 45378 · HC Colon Flexible Dx W/Collection of Specimen(S) by Brushing/Washing (Restricted Method II CAH) | OUTPATIENT / PROFESSIONAL1 observed cash value(s) | $457.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| ColonoscopyCPT 45378 · HC Colon Flexible Dx W/Collection of Specimen(S) by Brushing/Washing (Restricted Method II CAH) | OUTPATIENT / FACILITY1 observed cash value(s) | $2,887.33 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Colonoscopy with biopsyCPT 45380 · HC Colonoscopy Flexible With Biopsy Single/Multiple (Restricted Method II CAH) | INPATIENT / PROFESSIONAL1 observed cash value(s) | $546.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Colonoscopy with biopsyCPT 45380 · HC Colonoscopy Flexible With Biopsy Single/Multiple (Restricted Method II CAH) | OUTPATIENT / PROFESSIONAL1 observed cash value(s) | $546.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Colonoscopy with biopsyCPT 45380 · HC Colonoscopy Flexible With Biopsy Single/Multiple (Restricted Method II CAH) | OUTPATIENT / FACILITY1 observed cash value(s) | $4,604.57 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Colonoscopy with polyp removalCPT 45385 · PR Colonoscopy Flexible With Removal Tumor/Polyp/Other Lesion by Snare Tech | BOTH / PROFESSIONAL1 observed cash value(s) | $551.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Colonoscopy with polyp removalCPT 45385 · PR Colonoscopy Flexible With Removal Tumor/Polyp/Other Lesion by Snare Tech | OUTPATIENT / PROFESSIONAL1 observed cash value(s) | $551.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Colonoscopy with polyp removalCPT 45385 · PR Colonoscopy Flexible With Removal Tumor/Polyp/Other Lesion by Snare Tech | INPATIENT / PROFESSIONAL1 observed cash value(s) | $635.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Colonoscopy with polyp removalCPT 45385 · PR Colonoscopy Flexible With Removal Tumor/Polyp/Other Lesion by Snare Tech | OUTPATIENT / FACILITY1 observed cash value(s) | $4,264.75 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Gallbladder surgeryCPT 47562 · HC Cholecystectomy W/Laparoscopy (Restricted Method II CAH) | OUTPATIENT / FACILITY1 observed cash value(s) | $39,223.44 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Inguinal hernia repairCPT 49505 · HC Repr Hernia Ing Init >=5yr Bl (Restricted Method II CAH) | OUTPATIENT / FACILITY1 observed cash value(s) | $55,510.42 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Carpal tunnel surgeryCPT 64721 · HC Neuroplasty Median Nerve Carpal Rt | OUTPATIENT / FACILITY1 observed cash value(s) | $10,302.86 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| CT headCPT 70450 · HC CT Head/Brain W/O Contrast | BOTH / FACILITY1 observed cash value(s) | $978.25 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| CT headCPT 70450 · HC CT Head/Brain W/O Contrast | OUTPATIENT / FACILITY1 observed cash value(s) | $978.25 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| CT head with contrastCPT 70460 · HC CT Head/Brain W/Contrast | BOTH / FACILITY1 observed cash value(s) | $1,004.90 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| CT head with/without contrastCPT 70470 · HC CT Head/Brain W/O & W/Contrast | BOTH / FACILITY1 observed cash value(s) | $1,055.59 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| MRI brain without contrastCPT 70551 · HC MRI Brain W/O Contrast | BOTH / FACILITY1 observed cash value(s) | $1,344.20 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| MRI brain with contrastCPT 70552 · HC MRI Brain W/Contrast | BOTH / FACILITY1 observed cash value(s) | $1,407.25 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| MRI brainCPT 70553 · HC MRI Brain W/O & W/Contrast | BOTH / FACILITY1 observed cash value(s) | $2,022.15 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Chest X-rayCPT 71046 · HC Xr Chest 2 Views | BOTH / FACILITY1 observed cash value(s) | $442.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| CT chest without contrastCPT 71250 · HC CT Thorax Diagnostic W/O Contrast | BOTH / FACILITY1 observed cash value(s) | $1,018.55 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| CT chestCPT 71260 · HC CT Thorax Diagnostic W/Contrast | BOTH / FACILITY1 observed cash value(s) | $1,418.30 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| CT angiography chestCPT 71275 · HC Cta Chest W/O & W/Contrast | BOTH / FACILITY1 observed cash value(s) | $1,587.30 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| MRI cervical spineCPT 72141 · HC MRI Cervical Spine W/O Contrast | BOTH / FACILITY1 observed cash value(s) | $1,127.09 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| MRI thoracic spineCPT 72146 · HC MRI Thoracic Spine W/O Contrast | BOTH / FACILITY1 observed cash value(s) | $1,075.09 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| MRI lumbar spineCPT 72148 · HC MRI Lumbar Spine W/O Contrast | BOTH / FACILITY1 observed cash value(s) | $1,236.30 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Shoulder X-rayCPT 73030 · HC Xr Shoulder > 2 Views Rt | BOTH / FACILITY2 observed cash value(s) | $258.05MRF range $258.05–$387.40 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 90/100 · ingestion 509c3ba3… |
| Shoulder X-rayCPT 73030 · HC Xr Shoulder > 2 Views Rt | OUTPATIENT / FACILITY2 observed cash value(s) | $557.37MRF range $387.40–$727.35 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-18Confidence 90/100 · ingestion 509c3ba3… |
| MRI shoulder / upper jointCPT 73221 · HC MRI Upper Extremity Joint W/O Contrast Bl | BOTH / FACILITY2 observed cash value(s) | $1,213.55MRF range $1,213.55–$1,820.65 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 90/100 · ingestion 509c3ba3… |
| Knee X-rayCPT 73562 · HC Xr Knee 3 Views Lt | BOTH / FACILITY2 observed cash value(s) | $224.90MRF range $224.90–$337.35 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 90/100 · ingestion 509c3ba3… |
| Ankle X-rayCPT 73610 · HC Xr Ankle > 3 Views Bl | BOTH / FACILITY2 observed cash value(s) | $319.14MRF range $319.14–$479.05 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 90/100 · ingestion 509c3ba3… |
| MRI knee / lower jointCPT 73721 · HC MRI Lower Extremity Joint W/O Contrast Bl | BOTH / FACILITY2 observed cash value(s) | $1,234.34MRF range $1,234.34–$1,851.85 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 90/100 · ingestion 509c3ba3… |
| CT abdomen & pelvis without contrastCPT 74176 · HC CT Abdomen & Pelvis W/O Contrast | BOTH / FACILITY1 observed cash value(s) | $1,851.20 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| CT abdomen & pelvisCPT 74177 · HC CT Abdomen & Pelvis W/Contrast | BOTH / FACILITY1 observed cash value(s) | $2,080.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| CT abdomen & pelvis with/without contrastCPT 74178 · HC CT Abdomen & Pelvis W/O & W/Contrast | BOTH / FACILITY1 observed cash value(s) | $2,334.80 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Breast ultrasoundCPT 76641 · HC US Breast Unilateral Complete Lt | BOTH / FACILITY2 observed cash value(s) | $85.80MRF range $85.80–$86.45 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 90/100 · ingestion 509c3ba3… |
| Transvaginal ultrasoundCPT 76830 · HC US Transvaginal Non Obstetric | BOTH / FACILITY1 observed cash value(s) | $536.25 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Pelvic ultrasoundCPT 76856 · HC US Pelvis Non Obstetric Complete | BOTH / FACILITY1 observed cash value(s) | $317.85 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Pelvic ultrasoundCPT 76856 · HC US Pelvis Non Obstetric Complete | OUTPATIENT / FACILITY1 observed cash value(s) | $854.10 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Diagnostic mammogramCPT 77065 · HC Mammography Diagnostic Unilateral Lt | BOTH / FACILITY1 observed cash value(s) | $220.35 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Screening mammogramCPT 77067 · HC Mammography Screen Bilateral | BOTH / FACILITY1 observed cash value(s) | $79.30 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Nuclear stress imagingCPT 78452 · HC NM Imaging Myocardial Perfusion Tomographic (Spect) Multiple Studies at Rest or Stress | BOTH / FACILITY1 observed cash value(s) | $2,581.80 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Comprehensive metabolic panelCPT 80053 · HC Comprehensive Metabolic Panel | BOTH / FACILITY1 observed cash value(s) | $61.75 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Lipid panelCPT 80061 · HC Lipid Panel | BOTH / FACILITY1 observed cash value(s) | $53.95 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| UrinalysisCPT 81001 · HC Urinalysis With Microscopy Automated | BOTH / FACILITY1 observed cash value(s) | $13.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| UrinalysisCPT 81001 · HC Urinalysis With Microscopy Automated | OUTPATIENT / FACILITY1 observed cash value(s) | $766.35 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Vitamin D testCPT 82306 · HC Warde Vitamin D 25-Hydroxy | BOTH / FACILITY1 observed cash value(s) | $73.45 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Ferritin testCPT 82728 · HC Ferritin | BOTH / FACILITY1 observed cash value(s) | $76.05 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Hemoglobin A1cCPT 83036 · HC Warde Hemoglobin Glycosylated (A1c) | BOTH / FACILITY1 observed cash value(s) | $59.80 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Iron testCPT 83540 · HC Warde Iron Liver | BOTH / FACILITY1 observed cash value(s) | $25.35 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| TIBC testCPT 83550 · HC Iron Binding Capacity | BOTH / FACILITY1 observed cash value(s) | $25.35 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| PSA testCPT 84153 · HC Warde Prostate Specific Antigen Total | BOTH / FACILITY1 observed cash value(s) | $76.70 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| TSH testCPT 84443 · HC Thyroid Stimulating Hormone | BOTH / FACILITY1 observed cash value(s) | $66.95 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Pregnancy blood testCPT 84702 · HC Warde Hcg Quantitative | BOTH / FACILITY1 observed cash value(s) | $55.90 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| CBC with differentialCPT 85025 · HC POCT Cbc Automated/Differential Wbc Automated | BOTH / FACILITY1 observed cash value(s) | $31.20 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Urine cultureCPT 87086 · HC Culture Colony Count Urine | BOTH / FACILITY1 observed cash value(s) | $41.60 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| EchocardiogramCPT 93306 · HC Echocardiography Transthoracic 2d Complete W/M-Mode & Doppler | INPATIENT / PROFESSIONAL1 observed cash value(s) | $155.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| EchocardiogramCPT 93306 · HC Echocardiography Transthoracic 2d Complete W/M-Mode & Doppler | OUTPATIENT / PROFESSIONAL1 observed cash value(s) | $236.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| EchocardiogramCPT 93306 · HC Echocardiography Transthoracic 2d Complete W/M-Mode & Doppler | BOTH / FACILITY1 observed cash value(s) | $2,639.65 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| SpirometryCPT 94010 · HC Spirometry | BOTH / FACILITY1 observed cash value(s) | $201.50 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Lung diffusion testCPT 94729 · HC Diffusing Capacity | BOTH / FACILITY1 observed cash value(s) | $152.75 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Sleep studyCPT 95810 · HC Polysomnography Sleep Staging >=4 Parameters Age >=6 Years | BOTH / FACILITY1 observed cash value(s) | $2,108.60 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Physical therapy exerciseCPT 97110 · HC Ot Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes | BOTH / FACILITY1 observed cash value(s) | $85.15 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Manual therapyCPT 97140 · HC Ot Manual Therpy Techniques >=1 Region Each 15 Minutes | BOTH / FACILITY1 observed cash value(s) | $98.80 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| PT evaluation, low complexityCPT 97161 · HC Pt Evaluation Low Complexity Patient/Family | BOTH / FACILITY1 observed cash value(s) | $324.35 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| PT evaluation, moderate complexityCPT 97162 · HC Pt Evaluation Moderate Complexity Patient/Family | BOTH / FACILITY1 observed cash value(s) | $474.50 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Therapeutic activitiesCPT 97530 · HC Ot Therapeutic Activities Direct Patient Contact Each 15 Minutes | BOTH / FACILITY1 observed cash value(s) | $165.10 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
| Therapeutic activitiesCPT 97530 · HC Ot Therapeutic Activities Direct Patient Contact Each 15 Minutes | OUTPATIENT / FACILITY1 observed cash value(s) | $56,690.50 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-18Confidence 100/100 · ingestion 509c3ba3… |
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.