Morrow County Hospital
651 W Marion Rd, Mount Gilead, OH · OhioHealth · · NPI 1790775161
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| New Patient Office Visit (level 3) CPT 99203 | $128.77 | $198.10 | $84.46 – $139.35 | 9 |
| New Patient Office Visit (level 4) CPT 99204 | $219.90 | $338.30 | $84.46 – $139.35 | 9 |
| New Patient Office Visit (level 5) CPT 99205 | $285.16 | $438.70 | $84.46 – $139.35 | 9 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $46.62 | $71.72 | $11.85 – $19.55 | 9 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,447.10 | $2,226.30 | $382.58 – $631.25 | 9 |
| Nm imaging bone/joint whole body CPT 78306 | $1,224.47 | $1,883.80 | $382.58 – $631.25 | 9 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,393.73 | $2,144.20 | $382.58 – $631.25 | 9 |
| Nm imaging gastric emptying study CPT 78264 | $445.38 | $685.20 | $382.58 – $631.25 | 9 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $445.38 | $685.20 | $1,092.00 – $1,801.79 | 9 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $1,224.47 | $1,883.80 | $382.58 – $631.25 | 9 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,780.94 | $2,739.90 | $382.58 – $631.25 | 9 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $2,226.25 | $3,425.00 | $1,092.00 – $1,801.79 | 9 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,335.88 | $2,055.20 | $382.58 – $631.25 | 9 |
| Nuclear Stress Test (Heart) CPT 78452 | $2,003.63 | $3,082.50 | $1,092.00 – $1,801.79 | 9 |
| Observation direct referral from physician office for admission HCPCS G0379 | $860.73 | $1,324.20 | $84.46 – $139.35 | 9 |
| Observation per hour HCPCS G0378 | $79.69 | $122.60 | $220.00 – $363.00 | 9 |
| Obstetrics panel CPT 80055 | $586.63 | $902.50 | $23.61 – $39.88 | 10 |
| Obtaining screen pap smear HCPCS Q0091 | $40.95 | $63.00 | $18.78 – $30.99 | 9 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $10.92 | $16.80 | $11.85 – $19.55 | 9 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $96.76 | $148.86 | $64.13 – $105.82 | 9 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $1.37 | $2.10 | $11.85 – $19.55 | 9 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $27.30 | $42.00 | $11.85 – $19.55 | 9 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $490.56 | $754.70 | $431.79 – $712.45 | 9 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | $592.48 | $911.50 | $822.95 – $1,357.86 | 9 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $584.22 | $898.80 | $409.25 – $675.26 | 9 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $414.83 | $638.20 | $431.79 – $712.45 | 9 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $563.68 | $867.20 | $112.17 – $185.07 | 9 |
| Oscillation chest wall mechanical per session CPT 94669 | $78.00 | $120.00 | $79.85 – $131.75 | 9 |
| Osmolality blood CPT 83930 | $62.27 | $95.80 | $3.26 – $23.83 | 10 |
| Osmolality urine CPT 83935 | $64.22 | $98.80 | $3.37 – $23.83 | 10 |
| Ot evaluation high complexity patient/family CPT 97167 | $186.29 | $286.60 | $158.95 – $262.27 | 9 |
| Ot evaluation low complexity patient/family CPT 97165 | $155.22 | $238.80 | $158.95 – $262.27 | 9 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $170.69 | $262.60 | $158.95 – $262.27 | 9 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $88.21 | $135.70 | $104.54 – $172.50 | 9 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $105.50 | $162.30 | $104.54 – $172.50 | 9 |
| Ot re-evaluation patient/family CPT 97168 | $87.82 | $135.10 | $158.95 – $262.27 | 9 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $80.54 | $123.90 | $104.54 – $172.50 | 9 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $236.54 | $363.90 | $104.54 – $172.50 | 9 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $106.99 | $164.60 | $104.54 – $172.50 | 9 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $65.33 | $100.50 | $104.54 – $172.50 | 9 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $67.54 | $103.90 | $38.22 – $63.06 | 9 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $3.41 | $5.25 | $11.85 – $19.55 | 9 |
| Parathormone (pth) intact CPT 83970 | $216.91 | $333.70 | $20.38 – $56.14 | 10 |
| Parathyroid planar imaging CPT 78070 | $556.73 | $856.50 | $1,092.00 – $1,801.79 | 9 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,706.77 | $2,625.80 | $483.82 – $798.30 | 9 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,511.71 | $2,325.70 | $483.82 – $798.30 | 9 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,316.71 | $2,025.70 | $225.69 – $372.40 | 9 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,486.90 | $3,826.00 | $474.40 – $782.76 | 9 |
| Pelvic MRI (with contrast) CPT 72196 | $2,291.84 | $3,525.90 | $474.40 – $782.76 | 9 |
| Pelvic MRI (without contrast) CPT 72195 | $1,789.65 | $2,753.30 | $313.93 – $517.98 | 9 |
| Pelvic Ultrasound (complete) CPT 76856 | $442.91 | $681.40 | $184.65 – $304.67 | 9 |
| Pelvic Ultrasound (limited) CPT 76857 | $319.74 | $491.90 | $120.06 – $198.10 | 9 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $693.86 | $1,067.47 | $174.28 – $287.57 | 9 |
| Perit-vens shunt pat tst CPT 78291 | $612.43 | $942.20 | $382.58 – $631.25 | 9 |
| Pet CT skull-mid thgh initial CPT 78815 | $8,021.39 | $12,340.60 | $1,438.39 – $2,373.34 | 9 |
| Pet CT whole body initial CPT 78816 | $8,021.39 | $12,340.60 | $1,438.39 – $2,373.34 | 9 |
| Pet fdg brain metoblic eval sb CPT 78608 | $5,986.18 | $9,209.50 | $1,438.39 – $2,373.34 | 9 |
| Pet image w/ct lmtd CPT 78814 | $8,021.39 | $12,340.60 | $1,438.39 – $2,373.34 | 9 |
| Pet not otherwise specified HCPCS G0235 | $5,986.18 | $9,209.50 | $1,438.39 – $2,373.34 | 9 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $16,248.51 | $24,997.70 | $246.91 – $407.40 | 9 |
| Ph body fluid CPT 83986 | $33.80 | $52.00 | $1.77 – $23.83 | 10 |
| Phencyclidine (pcp) CPT 83992 | $107.84 | $165.90 | $7.20 – $32.88 | 10 |
| Phenobarbital therapeutic drug level CPT 80184 | $88.34 | $135.90 | $6.12 – $37.13 | 10 |
| Phentolaine mesylate inj HCPCS J2760 | $1,114.69 | $1,714.90 | $246.56 – $406.83 | 9 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $16.50 | $25.38 | $11.85 – $19.55 | 9 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $4.53 | $6.97 | $11.85 – $19.55 | 9 |
| Phenytoin total therapeutic drug level CPT 80185 | $124.87 | $192.10 | $6.54 – $37.13 | 10 |
| Phlebotomy therapeutic CPT 99195 | $232.25 | $357.30 | $43.90 – $72.43 | 9 |
| Phosphorus CPT 84100 | $44.72 | $68.80 | $2.34 – $23.83 | 10 |
| Phosphorus 24 hour urine CPT 84105 | $48.82 | $75.10 | $2.56 – $23.83 | 10 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $111.41 | $171.40 | $64.13 – $105.82 | 9 |
| Pinworm exam CPT 87172 | $50.70 | $78.00 | $2.11 – $33.75 | 10 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $42.00 | $64.61 | $11.85 – $19.55 | 9 |
| Platelet aggregation each agent teg CPT 85576 | $128.83 | $198.20 | $10.61 – $95.34 | 10 |
| Platelet automated CPT 85049 | $26.00 | $40.00 | $2.21 – $17.22 | 10 |
| Platelet pheresis each unit HCPCS P9034 | $995.22 | $1,531.10 | $421.45 – $695.39 | 9 |
| Platelet pheresis irr ea HCPCS P9036 | $1,062.49 | $1,634.60 | $421.45 – $695.39 | 9 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $125.78 | $193.50 | $421.45 – $695.39 | 9 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $992.49 | $1,526.90 | $421.45 – $695.39 | 9 |
| #pnh-flow cytometry interp CPT 88187 | $60.78 | $93.50 | $46.92 – $92.19 | 10 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $169.20 | $260.30 | $10.43 – $42.31 | 10 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,483.42 | $5,359.10 | $865.79 – $1,428.56 | 9 |
| Potassium 24 hour urine CPT 84133 | $40.50 | $62.30 | $2.13 – $23.83 | 10 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $8.99 | $13.83 | $11.85 – $19.55 | 9 |
| Potassium serum/plasma/whole blood CPT 84132 | $19.37 | $29.80 | $2.27 – $23.83 | 10 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $48.43 | $74.50 | $50.78 – $83.78 | 9 |
| Prealbumin CPT 84134 | $135.01 | $207.70 | $7.20 – $36.80 | 10 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $2,830.04 | $4,353.90 | $479.39 – $1,581.98 | 9 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $662.94 | $1,019.90 | $143.63 – $237.00 | 9 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $662.94 | $1,019.90 | $143.63 – $237.00 | 9 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $86.84 | $133.60 | $14.83 – $130.07 | 10 |
| Pretreat rbc absorption reference CPT 86978 | $124.02 | $190.80 | $14.83 – $130.07 | 10 |
| Pretreat rbc density gradient separation reference CPT 86972 | $222.56 | $342.40 | $17.28 – $130.07 | 10 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $85.93 | $132.20 | $12.38 – $130.07 | 10 |
| Pretreat rbc w enzyme reference CPT 86971 | $18.59 | $28.60 | $9.94 – $130.07 | 10 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $539.44 | $829.90 | $42.15 – $139.08 | 9 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $193.38 | $297.50 | $64.13 – $105.82 | 9 |
| Procalcitonin CPT 84145 | $240.83 | $370.50 | $13.23 – $44.61 | 10 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $12.06 | $18.55 | $11.85 – $19.55 | 9 |
| Progesterone CPT 84144 | $180.51 | $277.70 | $10.30 – $44.61 | 10 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.