Diley Ridge Medical Center

7911 Diley Road, Canal Winchester, OH 43110 · (614) 838-7911

Acute Care HospitalsVoluntary non-profit - PrivateColumbus, OH metro Part of Trinity Health · 52 hospitals Website ↗

Price file

Prices published

File dated 2026-03-31

18,123 price rows for 69 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 6 lines · metro median $53

$53

cash

$5 to $632

710 negotiated rates

$81

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 4 lines · metro median $1,932

$1,815

cash

$224 to $3,200

454 negotiated rates

$2,793

list

CT scan of the head, no contrast

CPT 70450 · lowest of 4 lines · metro median $845

$978

cash

$64 to $1,505

454 negotiated rates

$1,505

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 3 lines · metro median $1,119

$917

cash

$107 to $1,722

355 negotiated rates

$1,411

list

Cataract surgery with lens implant

CPT 66984

—

cash

$1,296 to $1,412

13 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$1,070 to $1,166

13 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$6,669 to $35,906

33 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 15 lines · metro median $59

$91

cash

$21 to $632

1775 negotiated rates

$140

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$900 to $982

13 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$900 to $982

13 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$900 to $982

13 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 3 lines · metro median $25

$25

cash

$5 to $632

355 negotiated rates

$38

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 3 lines · metro median $62

$51

cash

$6 to $632

355 negotiated rates

$79

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 3 lines · metro median $277

$222

cash

$89 to $632

335 negotiated rates

$341

list

Electrocardiogram (ECG) with interpretation

CPT 93000

—

cash

$104 to $113

13 negotiated rates

—

list

Established patient office visit (about 40 minutes)

CPT 99215

—

cash

$145 to $159

13 negotiated rates

—

list

Family psychotherapy with the patient

CPT 90847

—

cash

$210 to $229

13 negotiated rates

—

list

Family psychotherapy without the patient

CPT 90846

—

cash

$210 to $229

13 negotiated rates

—

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$2,861 to $3,118

13 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 15 lines · metro median $59

$93

cash

$21 to $632

1775 negotiated rates

$143

list

Group psychotherapy

CPT 90853

—

cash

$188 to $205

13 negotiated rates

—

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$14,677 to $51,800

28 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392 · metro median $21,830

$12,115

cash

$632 to $34,831

46 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$9,064 to $40,659

28 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$2,322 to $2,531

13 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$1,766 to $1,924

13 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$375 to $409

13 negotiated rates

—

list

Left heart catheterization

CPT 93452

—

cash

$1,873 to $2,041

13 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 3 lines · metro median $54

$54

cash

$8 to $632

355 negotiated rates

$83

list

Liver function panel

CPT 80076 · lowest of 3 lines · metro median $33

$33

cash

$5 to $632

355 negotiated rates

$51

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 3 lines · metro median $2,022

$2,022

cash

$224 to $3,111

355 negotiated rates

$3,111

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 6 lines · metro median $1,234

$1,169

cash

$202 to $2,849

645 negotiated rates

$1,798

list

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

CPT 72148 · lowest of 3 lines · metro median $1,309

$1,236

cash

$142 to $1,918

355 negotiated rates

$1,902

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 3 lines · metro median $1,282

$1,111

cash

$142 to $1,914

355 negotiated rates

$1,709

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$19,193 to $60,763

28 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483

—

cash

$602 to $656

13 negotiated rates

—

list

New patient office visit (about 30 minutes)

CPT 99203

—

cash

$145 to $159

13 negotiated rates

—

list

New patient office visit (about 45 minutes)

CPT 99204

—

cash

$145 to $159

13 negotiated rates

—

list

New patient office visit (about 60 minutes)

CPT 99205

—

cash

$145 to $159

13 negotiated rates

—

list

PSA test (prostate)

CPT 84153 · lowest of 9 lines · metro median $37

$77

cash

$11 to $632

1065 negotiated rates

$118

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 16 lines · metro median $38

$37

cash

$4 to $632

1979 negotiated rates

$57

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 2 lines · metro median $85

$85

cash

$25 to $632

215 negotiated rates

$131

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 3 lines · metro median $416

$475

cash

$64 to $3,643

355 negotiated rates

$730

list

Preventive visit, new patient age 18 to 39

CPT 99385

—

cash

$145 to $159

13 negotiated rates

—

list

Preventive visit, new patient age 40 to 64

CPT 99386

—

cash

$145 to $159

13 negotiated rates

—

list

Prostate biopsy

CPT 55700

—

cash

$1,119 to $1,220

13 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$3,101 to $3,380

13 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 12 lines · metro median $23

$25

cash

$3 to $632

1420 negotiated rates

$38

list

Psychotherapy, 30 minutes

CPT 90832

—

cash

$159 to $173

13 negotiated rates

—

list

Psychotherapy, 45 minutes

CPT 90834

—

cash

$178 to $194

13 negotiated rates

—

list

Psychotherapy, 60 minutes

CPT 90837

—

cash

$178 to $194

13 negotiated rates

—

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$1,031 to $1,123

13 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 5 lines · metro median $161

$79

cash

$52 to $632

550 negotiated rates

$122

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$1,766 to $1,924

13 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 3 lines · metro median $2,109

$1,687

cash

$608 to $3,244

350 negotiated rates

$2,595

list

Spinal fusion (not neck), no complications

MS-DRG 460

—

cash

$28,532 to $79,298

28 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322

—

cash

$602 to $656

13 negotiated rates

—

list

Spinal injection, lower back, with imaging guidance

CPT 62323

—

cash

$602 to $656

13 negotiated rates

—

list

TSH test (thyroid)

CPT 84443 · lowest of 3 lines · metro median $46

$63

cash

$10 to $632

355 negotiated rates

$97

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$1,401 to $1,527

13 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · lowest of 3 lines · metro median $521

$536

cash

$64 to $3,589

355 negotiated rates

$825

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 3 lines · metro median $520

$462

cash

$64 to $3,279

355 negotiated rates

$711

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$799 to $871

13 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$799 to $871

13 negotiated rates

—

list

Urinalysis with microscope

CPT 81001 · lowest of 4 lines · metro median $13

$13

cash

$2 to $632

454 negotiated rates

$20

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$1,504 to $1,639

13 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$5,104 to $32,799

33 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$1,504 to $1,639

13 negotiated rates

—

list

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

CPT 72110 · lowest of 3 lines · metro median $377

$377

cash

$64 to $1,499

355 negotiated rates

$580

list

Source files

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

https://hpt.trinity-health.org/342032340_diley-ridge-medical-center_standardcharges.zip
Diley Ridge Medical Center · parsed · tall v3.0.0 · file dated 2026-03-31 · 118.9 MB · 10515 price rows read · read Nov 2026
https://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/dileyridge
Diley Ridge Medical Center · parsed · tall v2.0.0 · file dated 2025-01-01 · 179.5 MB · 7608 price rows read · read Nov 2026