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Pomerene Hospital

981 Wooster Road, Millersburg, OH 44654 · (330) 674-1015

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 3/5Website ↗

Price file

Prices published

File dated 2026-03-24

2,386 price rows for 47 procedures

Published prices

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

CPT 80048 · lowest of 4 lines

$56
cash
$1,986
cash
$900
cash
$1,226
cash
$9,953
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 6 lines

$113
cash
$2,649
cash
$3,035
cash
$3,056
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 4 lines

$47
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 4 lines

$9
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 8 lines

$209
cash
$222
cash
$11,266
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines

$121
cash
$31,006
cash
$9,553
cash
$17,917
cash
$7,972
cash
$7,370
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 3 lines

$89
cash
Liver function panel

CPT 80076 · lowest of 2 lines

$36
cash
$2,475
cash
$1,840
cash
$1,771
cash
$1,080
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 3 lines

$82
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 3 lines

$134
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 3 lines

$173
cash
PSA test (prostate)

CPT 84153 · lowest of 4 lines

$51
cash
$39
cash
$353
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 3 lines

$24
cash
$3,905
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 8 lines

$223
cash
$19,372
cash
$3,870
cash
$971
cash
TSH test (thyroid)

CPT 84443 · lowest of 6 lines

$78
cash
$4,930
cash
$468
cash
$640
cash
$3,083
cash
$3,120
cash
Urinalysis with microscope

CPT 81001 · lowest of 2 lines

$32
cash
$6,324
cash
$421
cash

Source files

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