Aultman Orrville Hospital

832 South Main Street, Orrville, OH 44667 · (330) 682-3010

Critical Access HospitalsVoluntary non-profit - PrivateWooster, OH metro Website ↗Website taken from the domain of its price file

Price file

Prices published

File dated 2026-04-01

346 price rows for 51 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · metro median $56

$56

cash

$3 to $17

9 negotiated rates

$125

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $1,414

$1,414

cash

$660 to $1,192

2 negotiated rates

$3,142

list

CT scan of the head, no contrast

CPT 70450 · metro median $624

$624

cash

$198 to $357

2 negotiated rates

$1,386

list

CT scan of the pelvis, with contrast

CPT 72193 · metro median $822

$822

cash

$332 to $599

2 negotiated rates

$1,826

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$8,811 to $16,111

2 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $30

$30

cash

$11 to $70

9 negotiated rates

$66

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$1,760 to $3,176

2 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$2,264 to $4,087

2 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$2,264 to $4,087

2 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · metro median $28

$28

cash

$5 to $16

9 negotiated rates

$62

list

Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $77

$77

cash

$6 to $21

9 negotiated rates

$172

list

Diagnostic mammogram (both breasts)

CPT 77066 · metro median $146

$146

cash

—

$324

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 2 lines · metro median $385

$385

cash

$272 to $272

1 negotiated rates

$856

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$11,439 to $20,648

2 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $30

$30

cash

$8 to $70

9 negotiated rates

$66

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$17,727 to $32,411

2 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$7,165 to $13,100

2 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$11,402 to $20,847

2 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$6,775 to $12,229

2 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$6,191 to $11,175

2 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061 · metro median $90

$90

cash

$6 to $27

9 negotiated rates

$201

list

Liver function panel

CPT 80076 · metro median $59

$59

cash

$4 to $16

9 negotiated rates

$131

list

MRI of the brain, with and without contrast

CPT 70553 · metro median $2,757

$2,757

cash

$660 to $1,192

2 negotiated rates

$6,127

list

MRI of the knee or other lower joint, no contrast

CPT 73721

—

cash

$451 to $815

2 negotiated rates

—

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · metro median $1,683

$1,683

cash

$451 to $815

2 negotiated rates

$3,739

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $2,079

$2,079

cash

$451 to $815

2 negotiated rates

$4,619

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$22,436 to $41,021

2 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · metro median $1,396

$1,396

cash

$1,674 to $3,021

2 negotiated rates

$3,102

list

New patient office visit (about 30 minutes)

CPT 99203 · metro median $239

$239

cash

$114 to $114

1 negotiated rates

$532

list

New patient office visit (about 45 minutes)

CPT 99204 · metro median $290

$290

cash

$145 to $145

1 negotiated rates

$644

list

New patient office visit (about 60 minutes)

CPT 99205 · metro median $319

$319

cash

$195 to $195

1 negotiated rates

$708

list

PSA test (prostate)

CPT 84153

—

cash

$10 to $37

9 negotiated rates

—

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · metro median $40

$40

cash

$4 to $151

9 negotiated rates

$88

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $216

$216

cash

$198 to $357

2 negotiated rates

$481

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$20,113 to $36,306

2 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 2 lines · metro median $27

$27

cash

$3 to $9

9 negotiated rates

$61

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$7,409 to $13,373

2 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · metro median $156

$156

cash

—

$346

list

Sleep study (overnight, attended)

CPT 95810 · metro median $3,457

$3,457

cash

$1,625 to $2,933

2 negotiated rates

$7,682

list

Spinal fusion (not neck), no complications

MS-DRG 460

—

cash

$33,616 to $61,464

2 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · metro median $1,619

$1,619

cash

$1,674 to $3,021

2 negotiated rates

$3,598

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · metro median $2,126

$2,126

cash

$1,336 to $2,411

2 negotiated rates

$4,724

list

TSH test (thyroid)

CPT 84443 · metro median $81

$81

cash

$9 to $34

9 negotiated rates

$179

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$11,201 to $20,219

2 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · metro median $365

$365

cash

$198 to $357

2 negotiated rates

$810

list

Ultrasound of the abdomen (complete)

CPT 76700 · metro median $505

$505

cash

$198 to $357

2 negotiated rates

$1,123

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$1,716 to $3,098

2 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$1,716 to $3,098

2 negotiated rates

—

list

Urinalysis with microscope

CPT 81001 · metro median $31

$31

cash

$2 to $6

9 negotiated rates

$69

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$6,196 to $11,329

2 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $378

$378

cash

$198 to $357

2 negotiated rates

$841

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://aultman.org/pricing-transparency/2026/1891718375_aultman-orrville-hospital_standardcharges.json
Aultman Orrville Hospital · parsed · json v3.0.0 · file dated 2026-04-01 · 23.2 MB · 346 price rows read · read Nov 2026