Hospital price profile
MOUNT CARMEL ST ANN'S
500 SOUTH CLEVELAND AVENUE, Westerville, OH 43081 · (614) 546-4034 · Map and directions
CMS quality snapshot
Overall hospital rating3 of 5 stars
Safety measures vs. national result1 better · 7 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 · HC Arthoplasty Acetabular & Proximal Femoral Prosthetic Repl Rt (Restricted Method II CAH) | OUTPATIENT / FACILITY1 observed cash value(s) | $50,445.33 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| Knee replacementCPT 27447 · HC Arthro Knee/Condyle/Plateau Med/Lat W/or W/O Patella Resurf (Tka) Lt(Rest Method II CAH)|BILATERAL PROCEDURE | OUTPATIENT / FACILITY2 observed cash value(s) | $66,937.20MRF range $50,180.52–$83,693.89 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-30Confidence 90/100 · ingestion 72d71a8a… |
| 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) | $36,438.31 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| Blood drawCPT 36415 · PR Collection of Venous Blood by Venipuncture | OUTPATIENT / PROFESSIONAL1 observed cash value(s) | $14.83 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| Blood drawCPT 36415 · PR Collection of Venous Blood by Venipuncture | INPATIENT / PROFESSIONAL1 observed cash value(s) | $18.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| Blood drawCPT 36415 · PR 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| Blood drawCPT 36415 · PR Collection of Venous Blood by Venipuncture | OUTPATIENT / FACILITY1 observed cash value(s) | $10,030.64 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| Upper GI endoscopyCPT 43235 · PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF ANESTHESIA | OUTPATIENT / FACILITY2 observed cash value(s) | $2,095.56MRF range $2,078.34–$2,112.79 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-30Confidence 90/100 · ingestion 72d71a8a… |
| Upper GI endoscopy with biopsyCPT 43239 · HC Egd Flexible Transoral W/Bx Single/Mult (Restricted Method II CAH) | OUTPATIENT / FACILITY1 observed cash value(s) | $3,870.42 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| ColonoscopyCPT 45378 · HC Colon Flexible Dx W/Collection of Specimen(S) by Brushing/Washing (Restricted Method II CAH) | OUTPATIENT / PROFESSIONAL1 observed cash value(s) | $567.60 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| ColonoscopyCPT 45378 · HC Colon Flexible Dx W/Collection of Specimen(S) by Brushing/Washing (Restricted Method II CAH) | OUTPATIENT / FACILITY1 observed cash value(s) | $2,849.37 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| Colonoscopy with biopsyCPT 45380 · HC Colonoscopy Flexible With Biopsy Single/Multiple (Restricted Method II CAH)|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF ANESTHESIA | 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| Colonoscopy with biopsyCPT 45380 · HC Colonoscopy Flexible With Biopsy Single/Multiple (Restricted Method II CAH)|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF ANESTHESIA | OUTPATIENT / PROFESSIONAL1 observed cash value(s) | $678.92 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| Colonoscopy with biopsyCPT 45380 · HC Colonoscopy Flexible With Biopsy Single/Multiple (Restricted Method II CAH)|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF ANESTHESIA | OUTPATIENT / FACILITY2 observed cash value(s) | $4,899.78MRF range $4,620.13–$5,179.43 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-30Confidence 90/100 · ingestion 72d71a8a… |
| Colonoscopy with polyp removalCPT 45385 · HC Colon Flex W/Rem Tumor(S)/Polyp(S)/Other Lesion(S) by Snare Tech (Restricted Method II CAH) | INPATIENT / PROFESSIONAL2 observed cash value(s) | $551.00MRF range $551.00–$635.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-30Confidence 90/100 · ingestion 72d71a8a… |
| Colonoscopy with polyp removalCPT 45385 · HC Colon Flex W/Rem Tumor(S)/Polyp(S)/Other Lesion(S) by Snare Tech (Restricted Method II CAH) | OUTPATIENT / PROFESSIONAL2 observed cash value(s) | $1,247.98MRF range $984.00–$1,247.98 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-30Confidence 90/100 · ingestion 72d71a8a… |
| Colonoscopy with polyp removalCPT 45385 · HC Colon Flex W/Rem Tumor(S)/Polyp(S)/Other Lesion(S) by Snare Tech (Restricted Method II CAH) | OUTPATIENT / FACILITY1 observed cash value(s) | $4,189.67 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| Gallbladder surgeryCPT 47562 · HC Cholecystectomy W/Laparoscopy (Restricted Method II CAH) | INPATIENT / PROFESSIONAL3 observed cash value(s) | $232.16MRF range $232.16–$1,513.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-30Confidence 90/100 · ingestion 72d71a8a… |
| Gallbladder surgeryCPT 47562 · HC Cholecystectomy W/Laparoscopy (Restricted Method II CAH) | OUTPATIENT / PROFESSIONAL6 observed cash value(s) | $379.76MRF range $279.30–$1,950.83 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-30Confidence 90/100 · ingestion 72d71a8a… |
| Gallbladder surgeryCPT 47562 · HC Cholecystectomy W/Laparoscopy (Restricted Method II CAH) | OUTPATIENT / FACILITY2 observed cash value(s) | $52,649.41MRF range $49,975.49–$55,323.33 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-30Confidence 90/100 · ingestion 72d71a8a… |
| Inguinal hernia repairCPT 49505 · HC Repr Hernia Ing Init >=5yr Bl (Restricted Method II CAH) | OUTPATIENT / FACILITY1 observed cash value(s) | $21,606.85 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| Carpal tunnel surgeryCPT 64721 · HC Neuroplasty Median Nerve Carpal Rt | OUTPATIENT / FACILITY1 observed cash value(s) | $20,206.41 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| CT headCPT 70450 · HC CT Head/Brain W/O Contrast|NC | 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| CT headCPT 70450 · HC CT Head/Brain W/O Contrast|NC | OUTPATIENT / FACILITY2 observed cash value(s) | $978.25MRF range $978.25–$4,207.12 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-30Confidence 90/100 · ingestion 72d71a8a… |
| 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| MRI brain without contrastCPT 70551 · HC MRI Brain W/O Contrast|REDUCED SERVICES | 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| MRI brainCPT 70553 · HC MRI Brain W/O & W/Contrast|REDUCED SERVICES | 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| Chest X-rayCPT 71046 · HC Xr Chest 2 Views | OUTPATIENT / FACILITY1 observed cash value(s) | $442.00 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| CT angiography chestCPT 71275 · HC Cta Chest W/O & W/Contrast | OUTPATIENT / FACILITY2 observed cash value(s) | $2,904.52MRF range $69.61–$2,904.52 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-30Confidence 90/100 · ingestion 72d71a8a… |
| MRI cervical spineCPT 72141 · HC MRI Cervical Spine W/O Contrast|REDUCED SERVICES | 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| MRI thoracic spineCPT 72146 · HC MRI Thoracic Spine W/O Contrast|REDUCED SERVICES | 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| MRI lumbar spineCPT 72148 · HC MRI Lumbar Spine W/O Contrast|REDUCED SERVICES | 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| Shoulder X-rayCPT 73030 · HC Xr Shoulder > 2 Views Rt|BILATERAL PROCEDURE | 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. | 2026-10-30Confidence 90/100 · ingestion 72d71a8a… |
| Shoulder X-rayCPT 73030 · HC Xr Shoulder > 2 Views Rt|BILATERAL PROCEDURE | OUTPATIENT / FACILITY2 observed cash value(s) | $322.72MRF range $258.05–$387.40 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-30Confidence 90/100 · ingestion 72d71a8a… |
| MRI shoulder / upper jointCPT 73221 · HC MRI Upper Extremity Joint W/O Contrast Rt|REDUCED SERVICES | 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. | 2026-10-30Confidence 90/100 · ingestion 72d71a8a… |
| MRI shoulder / upper jointCPT 73221 · HC MRI Upper Extremity Joint W/O Contrast Rt|REDUCED SERVICES | OUTPATIENT / FACILITY2 observed cash value(s) | $1,213.55MRF range $1,213.55–$1,820.65 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-30Confidence 90/100 · ingestion 72d71a8a… |
| 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. | 2026-10-30Confidence 90/100 · ingestion 72d71a8a… |
| Ankle X-rayCPT 73610 · HC Xr Ankle > 3 Views Rt | 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. | 2026-10-30Confidence 90/100 · ingestion 72d71a8a… |
| Ankle X-rayCPT 73610 · HC Xr Ankle > 3 Views Rt | OUTPATIENT / FACILITY2 observed cash value(s) | $715.97MRF range $532.35–$899.60 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-30Confidence 90/100 · ingestion 72d71a8a… |
| 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. | 2026-10-30Confidence 90/100 · ingestion 72d71a8a… |
| CT abdomen & pelvis without contrastCPT 74176 · HC CT Abdomen & Pelvis W/O Contrast | OUTPATIENT / FACILITY1 observed cash value(s) | $1,851.20 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| CT abdomen & pelvisCPT 74177 · HC CT Abdomen & Pelvis W/Contrast | OUTPATIENT / FACILITY1 observed cash value(s) | $2,156.05 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| Breast ultrasoundCPT 76641 · HC US Breast Unilateral Complete Bl | 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. | 2026-10-30Confidence 90/100 · ingestion 72d71a8a… |
| 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| Pelvic ultrasoundCPT 76856 · HC US Pelvis Non Obstetric Complete | OUTPATIENT / FACILITY2 observed cash value(s) | $695.17MRF range $536.25–$854.10 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-30Confidence 90/100 · ingestion 72d71a8a… |
| Diagnostic mammogramCPT 77065 · HC Mammography Diagnostic Unilateral Rt | 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| Screening mammogramCPT 77067 · HC Mammography Screen Bilateral|REDUCED SERVICES | 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| Screening mammogramCPT 77067 · HC Mammography Screen Bilateral|REDUCED SERVICES | OUTPATIENT / FACILITY2 observed cash value(s) | $126.42MRF range $117.00–$135.85 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-30Confidence 90/100 · ingestion 72d71a8a… |
| Nuclear stress imagingCPT 78452 · HC NM Imaging Myocardial Perfusion Tomographic (Spect) Multiple Studies at Rest or Stress | INPATIENT / PROFESSIONAL2 observed cash value(s) | $570.00MRF range $172.00–$968.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-30Confidence 90/100 · ingestion 72d71a8a… |
| Nuclear stress imagingCPT 78452 · HC NM Imaging Myocardial Perfusion Tomographic (Spect) Multiple Studies at Rest or Stress | OUTPATIENT / PROFESSIONAL2 observed cash value(s) | $744.70MRF range $246.23–$1,243.17 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-30Confidence 90/100 · ingestion 72d71a8a… |
| 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| Comprehensive metabolic panelCPT 80053 · HC Comprehensive Metabolic Panel | OUTPATIENT / FACILITY1 observed cash value(s) | $2,322.06 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| UrinalysisCPT 81001 · HC Urinalysis With Microscopy Automated | OUTPATIENT / FACILITY1 observed cash value(s) | $4,277.58 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| Vitamin D testCPT 82306 · HC 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| Hemoglobin A1cCPT 83036 · PR Hemoglobin Glycosylated (A1c) | BOTH / PROFESSIONAL1 observed cash value(s) | $19.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| Hemoglobin A1cCPT 83036 · PR 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| Iron testCPT 83540 · HC Iron | 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| CBC with differentialCPT 85025 · HC 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| Urine cultureCPT 87086 · HC Culture Colony Count Urine | OUTPATIENT / FACILITY1 observed cash value(s) | $20,157.70 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| EKGCPT 93000 · PR Ecg 12 Lead Interpretation & Report | BOTH / PROFESSIONAL1 observed cash value(s) | $32.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| EchocardiogramCPT 93306 · HC Echocardiography Transthoracic 2d Complete W/M-Mode & Doppler|REDUCED SERVICES | OUTPATIENT / PROFESSIONAL1 observed cash value(s) | $143.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| EchocardiogramCPT 93306 · HC Echocardiography Transthoracic 2d Complete W/M-Mode & Doppler|REDUCED SERVICES | 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| EchocardiogramCPT 93306 · HC Echocardiography Transthoracic 2d Complete W/M-Mode & Doppler|REDUCED SERVICES | 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| SpirometryCPT 94010 · HC Spirometry | OUTPATIENT / PROFESSIONAL2 observed cash value(s) | $44.78MRF range $26.00–$63.57 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-30Confidence 90/100 · ingestion 72d71a8a… |
| SpirometryCPT 94010 · HC Spirometry | INPATIENT / PROFESSIONAL2 observed cash value(s) | $49.50MRF range $19.00–$80.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-30Confidence 90/100 · ingestion 72d71a8a… |
| 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| Lung diffusion testCPT 94729 · HC Diffusing Capacity | INPATIENT / PROFESSIONAL1 observed cash value(s) | $22.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| Lung diffusion testCPT 94729 · HC Diffusing Capacity | OUTPATIENT / PROFESSIONAL1 observed cash value(s) | $37.13 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| Physical therapy exerciseCPT 97110 · HC Pt 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| Manual therapyCPT 97140 · HC Pt 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| Therapeutic activitiesCPT 97530 · HC Pt Therapeutic Activities Direct Patient Contact Each 15 Minutes|CQ | 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. | 2026-10-30Confidence 100/100 · ingestion 72d71a8a… |
| Therapeutic activitiesCPT 97530 · HC Pt Therapeutic Activities Direct Patient Contact Each 15 Minutes|CQ | OUTPATIENT / FACILITY2 observed cash value(s) | $1,794.97MRF range $1,226.55–$2,363.40 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-30Confidence 90/100 · ingestion 72d71a8a… |
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.