Mount Carmel Dublin

4105 Emerald Pkwy, Dublin, OH 43016 · (380) 898-9000

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

Price file

Prices published

File dated 2026-03-31

36,930 price rows for 50 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $53

$66

cash

$7 to $101

264 negotiated rates

$101

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $1,932

$2,080

cash

$296 to $3,200

132 negotiated rates

$3,200

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $845

$978

cash

$89 to $1,505

164 negotiated rates

$1,505

list

CT scan of the pelvis, with contrast

CPT 72193 · metro median $1,119

$1,119

cash

$149 to $1,722

132 negotiated rates

$1,722

list

Chlamydia test (DNA)

CPT 87491 · lowest of 5 lines · metro median $59

$91

cash

$31 to $145

660 negotiated rates

$140

list

Colonoscopy (diagnostic)

CPT 45378 · lowest of 3 lines · metro median $2,876

$457

cash

$53 to $6,061

3110 negotiated rates

$457

list

Colonoscopy with biopsy

CPT 45380 · lowest of 3 lines · metro median $3,199

$546

cash

$57 to $6,061

3106 negotiated rates

$546

list

Colonoscopy with polyp removal

CPT 45385 · lowest of 3 lines · metro median $3,321

$551

cash

$71 to $6,061

3106 negotiated rates

$551

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $25

$31

cash

$7 to $69

264 negotiated rates

$48

list

Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $62

$62

cash

$9 to $95

132 negotiated rates

$95

list

Diagnostic mammogram (both breasts)

CPT 77066 · metro median $277

$277

cash

$89 to $426

132 negotiated rates

$426

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 2 lines · metro median $298

$306

cash

$80 to $325

3080 negotiated rates

$306

list

Gallbladder removal (laparoscopic)

CPT 47562 · metro median $3,012

$39,223

cash

$4,641 to $19,748

32 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 5 lines · metro median $59

$93

cash

$31 to $145

660 negotiated rates

$143

list

Hospital stay for digestive disorders, no complications

MS-DRG 392 · metro median $21,830

$25,644

cash

$4,959 to $18,394

32 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505 · metro median $16,114

$55,510

cash

$4,508 to $34,722

32 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881 · metro median $26,245

$27,976

cash

$2,774 to $12,804

32 negotiated rates

—

list

Left heart catheterization

CPT 93452 · metro median $4,786

$4,328

cash

$2,748 to $26,674

132 negotiated rates

$6,659

list

Lipid panel (cholesterol test)

CPT 80061 · metro median $54

$54

cash

$12 to $83

132 negotiated rates

$83

list

Liver function panel

CPT 80076 · metro median $33

$33

cash

$7 to $69

132 negotiated rates

$51

list

MRI of the brain, with and without contrast

CPT 70553 · metro median $2,022

$2,022

cash

$296 to $3,111

132 negotiated rates

$3,111

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 3 lines · metro median $1,234

$1,234

cash

$202 to $2,849

396 negotiated rates

$1,899

list

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

CPT 72148 · metro median $1,309

$1,236

cash

$202 to $1,904

132 negotiated rates

$1,902

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $1,282

$1,127

cash

$202 to $1,904

132 negotiated rates

$1,734

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473 · metro median $80,957

$80,957

cash

$15,527 to $57,600

32 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 3 lines · metro median $2,127

$2,127

cash

$750 to $4,910

396 negotiated rates

$3,273

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 2 lines · metro median $175

$175

cash

$46 to $187

3226 negotiated rates

$175

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 2 lines · metro median $285

$285

cash

$75 to $302

3226 negotiated rates

$285

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 2 lines · metro median $388

$388

cash

$102 to $410

3080 negotiated rates

$388

list

PSA test (prostate)

CPT 84153 · lowest of 3 lines · metro median $37

$77

cash

$16 to $118

396 negotiated rates

$118

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 6 lines · metro median $38

$41

cash

$5 to $69

792 negotiated rates

$63

list

Physical therapy, therapeutic exercise (15 minutes)

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

$85

cash

$25 to $283

264 negotiated rates

$131

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $416

$475

cash

$89 to $763

132 negotiated rates

$730

list

Preventive visit, new patient age 18 to 39

CPT 99385 · metro median $88

$88

cash

$29 to $198

114 negotiated rates

$135

list

Prostate biopsy

CPT 55700 · lowest of 2 lines · metro median $1,395

$2,395

cash

$304 to $6,254

147 negotiated rates

$3,684

list

Prostate removal (laparoscopic)

CPT 55866 · metro median $55,149

$60,518

cash

$4,641 to $34,722

32 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 4 lines · metro median $23

$31

cash

$4 to $69

528 negotiated rates

$48

list

Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 3 lines · metro median $2,768

$2,768

cash

$1,912 to $12,790

396 negotiated rates

$4,259

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $161

$79

cash

$55 to $220

264 negotiated rates

$122

list

Shoulder arthroscopy with decompression

CPT 29826 · metro median $52,606

$54,744

cash

$3,400 to $29,619

32 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810 · metro median $2,109

$2,109

cash

$728 to $3,244

128 negotiated rates

$3,244

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · metro median $1,107

$1,107

cash

$765 to $4,201

113 negotiated rates

$1,703

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · metro median $2,036

$2,036

cash

$598 to $4,201

132 negotiated rates

$3,133

list

TSH test (thyroid)

CPT 84443 · metro median $46

$67

cash

$15 to $103

132 negotiated rates

$103

list

Transvaginal ultrasound

CPT 76830 · metro median $521

$536

cash

$89 to $825

132 negotiated rates

$825

list

Ultrasound of the abdomen (complete)

CPT 76700 · metro median $520

$578

cash

$89 to $889

132 negotiated rates

$889

list

Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines · metro median $2,490

$267

cash

$35 to $303

3078 negotiated rates

$267

list

Upper endoscopy with biopsy

CPT 43239 · lowest of 3 lines · metro median $2,738

$301

cash

$39 to $6,061

3112 negotiated rates

$301

list

Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $13

$13

cash

$3 to $435

164 negotiated rates

$20

list

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

CPT 72110 · metro median $377

$377

cash

$89 to $580

132 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/311439334-1710752183_Mount-Carmel-Dublin_standardcharges.zip
Mount Carmel Dublin Hospital · parsed · tall v3.0.0 · file dated 2026-03-31 · 117.7 MB · 36930 price rows read · read Nov 2026