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Memorial Hospital

715 South Taft Avenue, Fremont, OH 43420 · (419) 334-6617

Acute Care HospitalsVoluntary non-profit - OtherCMS rating 4/5Fremont, OH metroWebsite ↗

Price file

Prices published

File dated 2026-03-25

15,110 price rows for 37 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 10 lines · metro median $150

$150
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 10 lines · metro median $3,415

$3,415
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 10 lines · metro median $1,251

$1,251
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 10 lines · metro median $1,708

$1,708
cash
—
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 10 lines · metro median $139

$139
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 10 lines · metro median $62

$62
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 10 lines · metro median $217

$217
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 10 lines · metro median $392

$392
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 40 lines · metro median $100

$100
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 10 lines · metro median $139

$139
cash
—
cash
—
cash
—
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 10 lines · metro median $148

$148
cash
Liver function panel

CPT 80076 · lowest of 10 lines · metro median $111

$111
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 10 lines · metro median $3,522

$3,522
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 10 lines · metro median $3,013

$3,013
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 10 lines · metro median $3,013

$3,013
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 10 lines · metro median $3,013

$3,013
cash
—
cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 10 lines · metro median $680

$680
cash
PSA test (prostate)

CPT 84153 · lowest of 20 lines · metro median $103

$103
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 10 lines · metro median $57

$57
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 30 lines · metro median $105

$105
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 10 lines · metro median $1,030

$1,030
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 20 lines · metro median $58

$58
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 20 lines · metro median $277

$277
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 20 lines · metro median $5,249

$5,249
cash
—
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 10 lines · metro median $1,097

$1,097
cash
TSH test (thyroid)

CPT 84443 · lowest of 10 lines · metro median $101

$101
cash
Transvaginal ultrasound

CPT 76830 · lowest of 10 lines · metro median $580

$580
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 10 lines · metro median $1,472

$1,472
cash
Urinalysis with microscope

CPT 81001 · lowest of 10 lines · metro median $59

$59
cash
—
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 10 lines · metro median $518

$518
cash

Source files

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