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 |
|---|---|---|---|---|
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $99.32 | $152.80 | $5.92 – $33.75 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $121.03 | $186.20 | $5.92 – $33.75 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $58.96 | $90.70 | $5.92 – $33.75 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $162.89 | $250.60 | $7.10 – $33.75 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $87.69 | $134.90 | $5.10 – $33.75 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $243.23 | $374.20 | $5.67 – $33.75 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $166.40 | $256.00 | $5.92 – $33.75 | 10 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $2,260.77 | $3,478.10 | $19.88 – $68.18 | 10 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $206.70 | $318.00 | $19.88 – $68.18 | 10 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $162.83 | $250.50 | $17.33 – $68.18 | 10 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $167.51 | $257.70 | $17.33 – $68.18 | 10 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $89.57 | $137.80 | $17.33 – $68.18 | 10 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $306.80 | $472.00 | $17.33 – $68.18 | 10 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $219.12 | $337.10 | $19.88 – $68.18 | 10 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $113.69 | $174.90 | $41.32 – $68.18 | 9 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $227.37 | $349.80 | $41.32 – $68.18 | 9 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $74.69 | $114.90 | $17.13 – $68.18 | 10 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $82.36 | $126.70 | $19.15 – $68.18 | 10 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $300.30 | $462.00 | $60.39 – $205.82 | 10 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $245.31 | $377.40 | $60.39 – $105.40 | 10 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $387.79 | $596.60 | $21.15 – $68.18 | 10 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $155.55 | $239.30 | $21.15 – $68.18 | 10 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $269.75 | $415.00 | $21.15 – $68.18 | 10 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $383.44 | $589.90 | $41.32 – $68.18 | 10 |
| Initiation & management bipap/cpap initial day CPT 94660 | $432.77 | $665.80 | $99.72 – $164.53 | 9 |
| Injection for bladder x-ray CPT 51600 | $353.34 | $543.60 | $50.38 – $166.24 | 9 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $328.25 | $505.00 | $177.76 – $586.60 | 9 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $102.12 | $157.10 | $55.97 – $92.34 | 9 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $102.12 | $157.10 | $55.97 – $92.34 | 9 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $188.24 | $289.60 | $55.97 – $92.34 | 9 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $188.24 | $289.60 | $55.97 – $92.34 | 9 |
| Insertion catheter bladder non indwelling CPT 51701 | $123.57 | $190.10 | $30.52 – $100.73 | 9 |
| Insertion catheter bladder temporary simple CPT 51702 | $123.57 | $190.10 | $30.52 – $100.73 | 9 |
| Insitu hybridization manual CPT 88368 | $862.94 | $1,327.60 | $84.17 – $138.87 | 10 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $138.19 | $212.60 | $45.95 – $75.81 | 10 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $341.90 | $526.00 | $84.17 – $138.87 | 10 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $321.69 | $494.90 | $174.96 – $577.35 | 9 |
| Insulin total CPT 83525 | $105.43 | $162.20 | $5.64 – $44.61 | 10 |
| Intrinsic factor antibody CPT 86340 | $142.55 | $219.30 | $7.44 – $46.80 | 10 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $131.90 | $202.93 | $30.70 – $50.66 | 9 |
| Iron CPT 83540 | $61.04 | $93.90 | $3.20 – $23.83 | 10 |
| Iron binding capacity CPT 83550 | $82.42 | $126.80 | $4.32 – $23.83 | 10 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $143.46 | $220.71 | $64.13 – $105.82 | 9 |
| Irradiation of blood product each unit reference CPT 86945 | $61.95 | $95.30 | $12.38 – $130.07 | 10 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $118.89 | $182.90 | $55.97 – $92.34 | 9 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $79.56 | $122.40 | $341.07 – $562.77 | 9 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $100.62 | $154.80 | $341.07 – $562.77 | 9 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $79.56 | $122.40 | $480.46 – $792.76 | 9 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $238.10 | $366.30 | $341.07 – $562.77 | 9 |
| IV inj ra drug dx study CPT 78808 | $397.54 | $611.60 | $100.75 – $166.24 | 9 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $632.19 | $972.60 | $175.25 – $289.16 | 9 |
| Jak2 targeted sequence analysis CPT 81279 | $1,272.96 | $1,958.40 | $143.14 – $236.19 | 9 |
| Ketogenic steroids fract CPT 83582 | $107.06 | $164.70 | $7.00 – $44.61 | 10 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $45.63 | $70.20 | $3.59 – $23.83 | 10 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $2.35 | $3.61 | $11.85 – $19.55 | 9 |
| Kidney imag w/bld flow multi CPT 78709 | $2,226.25 | $3,425.00 | $382.58 – $631.25 | 9 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,113.26 | $1,712.70 | $382.58 – $631.25 | 9 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $673.40 | $1,036.00 | $184.65 – $304.67 | 9 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $31.27 | $48.10 | $20.85 – $34.40 | 9 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $862.42 | $1,326.80 | $246.91 – $407.40 | 9 |
| Kit gene analys d816 variant CPT 81273 | $897.78 | $1,381.20 | $49.95 – $170.19 | 10 |
| Kit lead specify 5-6-5 HCPCS C1778 | $9,149.14 | $14,075.60 | $246.91 – $407.40 | 9 |
| Knee MRI (with and without contrast) CPT 73723 | $2,486.90 | $3,826.00 | $474.40 – $782.76 | 9 |
| Knee MRI (with contrast) CPT 73722 | $2,291.84 | $3,525.90 | $474.40 – $782.76 | 9 |
| Knee MRI (without contrast) CPT 73721 | $2,096.84 | $3,225.90 | $313.93 – $517.98 | 9 |
| Knee X-ray CPT 73564 | $318.50 | $490.00 | $69.78 – $115.13 | 9 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $20.66 | $31.78 | $11.85 – $19.55 | 9 |
| Lactate dehydrogenase (ldh) CPT 83615 | $57.01 | $87.70 | $2.98 – $23.83 | 10 |
| Lactic acid CPT 83605 | $99.65 | $153.30 | $5.05 – $36.80 | 10 |
| Lactoferrin fecal qualitative CPT 83630 | $180.90 | $278.30 | $9.70 – $36.80 | 10 |
| Lead capillary CPT 83655 | $113.95 | $175.30 | $7.00 – $32.88 | 10 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $780.39 | $1,200.60 | $184.65 – $304.67 | 9 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $583.18 | $897.20 | $246.91 – $407.40 | 9 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $11,958.13 | $18,397.13 | $2,240.86 – $3,697.43 | 9 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $5,017.42 | $7,719.11 | $1,721.64 – $2,840.71 | 9 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $8.19 | $12.60 | $11.85 – $19.55 | 9 |
| Levetiracetam therapeutic drug level CPT 80177 | $140.60 | $216.30 | $6.54 – $37.13 | 10 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $5.03 | $7.74 | $11.85 – $19.55 | 9 |
| Liberta rc ipg HCPCS C1820 | $42,129.75 | $64,815.00 | $246.91 – $407.40 | 9 |
| Liletta, 52 mg HCPCS J7297 | $1,441.96 | $2,218.40 | $891.76 – $1,471.41 | 9 |
| Lipase CPT 83690 | $64.94 | $99.90 | $3.40 – $23.83 | 10 |
| Lipoprotein blood high res frac & quant CPT 83701 | $142.09 | $218.60 | $13.54 – $42.31 | 10 |
| Lipoprotein blood quant CPT 83704 | $129.55 | $199.30 | $15.58 – $42.31 | 10 |
| Lipoprotein direct measurement hdl CPT 83718 | $77.16 | $118.70 | $3.87 – $23.83 | 10 |
| Lipoprotein direct measurement ldl CPT 83721 | $77.16 | $118.70 | $4.51 – $23.83 | 10 |
| Lithium therapeutic drug level CPT 80178 | $62.27 | $95.80 | $3.13 – $37.13 | 10 |
| Liver Function Test CPT 80076 | $68.77 | $105.80 | $4.04 – $39.88 | 10 |
| Liver imaging CPT 78201 | $445.38 | $685.20 | $1,092.00 – $1,801.79 | 9 |
| Liver/spleen imag static only CPT 78215 | $445.38 | $685.20 | $1,092.00 – $1,801.79 | 9 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $2.94 | $4.52 | $11.85 – $19.55 | 9 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,171.20 | $3,340.30 | $483.82 – $798.30 | 9 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,976.13 | $3,040.20 | $483.82 – $798.30 | 9 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,780.94 | $2,739.90 | $225.69 – $372.40 | 9 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,486.90 | $3,826.00 | $474.40 – $782.76 | 9 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,291.84 | $3,525.90 | $474.40 – $782.76 | 9 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,096.84 | $3,225.90 | $313.93 – $517.98 | 9 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $333.32 | $512.80 | $69.78 – $115.13 | 9 |
| Lumbar diskogram s&i CPT 72295 | $796.38 | $1,225.20 | $467.67 – $771.65 | 9 |
| Lung Function Test (Spirometry) CPT 94010 | $191.49 | $294.60 | $79.85 – $131.75 | 9 |
| Lung perfusion imaging CPT 78580 | $445.38 | $685.20 | $1,092.00 – $1,801.79 | 9 |
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.