Promedica Defiance Regional Hospital

1200 Ralston Avenue, Defiance, OH 43512 · (419) 783-6955

Critical Access HospitalsVoluntary non-profit - PrivateCMS rating 5/5Defiance, OH metro

Price file

Prices published

File dated 2026-03-25

3,463 price rows for 39 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $49

$172

cash

$5 to $264

64 negotiated rates

$264

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $2,015

$2,541

cash

$191 to $3,909

61 negotiated rates

$3,909

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $589

$1,485

cash

$57 to $2,285

61 negotiated rates

$2,285

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $1,269

$1,269

cash

$96 to $1,953

61 negotiated rates

$1,953

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$2,990 to $27,667

9 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $92

$141

cash

$19 to $217

64 negotiated rates

$217

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $23

$109

cash

$4 to $167

64 negotiated rates

$167

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $35

$239

cash

$6 to $368

64 negotiated rates

$368

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $212

$634

cash

$54 to $975

61 negotiated rates

$975

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 10 lines · metro median $100

$100

cash

$28 to $154

315 negotiated rates

$154

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $64

$141

cash

$19 to $217

64 negotiated rates

$217

list

Group psychotherapy

CPT 90853 · lowest of 4 lines · metro median $320

$320

cash

$16 to $492

128 negotiated rates

$492

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$2,990 to $55,660

9 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$2,990 to $22,496

9 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$2,990 to $35,802

9 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $53

$158

cash

$7 to $243

64 negotiated rates

$243

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $49

$176

cash

$4 to $271

64 negotiated rates

$271

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $1,752

$3,154

cash

$191 to $4,853

61 negotiated rates

$4,853

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 2 lines · metro median $1,009

$2,282

cash

$131 to $3,510

61 negotiated rates

$3,510

list

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

CPT 72148 · lowest of 2 lines · metro median $1,078

$2,282

cash

$131 to $3,510

61 negotiated rates

$3,510

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $1,080

$2,282

cash

$131 to $3,510

61 negotiated rates

$3,510

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$2,990 to $70,446

9 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 4 lines · metro median $1,641

$1,641

cash

$147 to $3,352

128 negotiated rates

$2,524

list

PSA test (prostate)

CPT 84153 · lowest of 4 lines · metro median $73

$121

cash

$10 to $186

128 negotiated rates

$186

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $32

$58

cash

$3 to $89

64 negotiated rates

$89

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 6 lines · metro median $64

$107

cash

$15 to $164

192 negotiated rates

$164

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 4 lines · metro median $628

$628

cash

$57 to $966

122 negotiated rates

$966

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 6 lines · metro median $29

$31

cash

$2 to $48

192 negotiated rates

$48

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 4 lines · metro median $154

$601

cash

$45 to $925

122 negotiated rates

$925

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 4 lines · metro median $5,862

$5,862

cash

$470 to $9,019

122 negotiated rates

$9,019

list

Spinal fusion (not neck), no complications

MS-DRG 460

—

cash

$2,990 to $5,836

7 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 2 lines · metro median $1,731

$1,731

cash

$132 to $3,352

61 negotiated rates

$2,663

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 4 lines · metro median $2,573

$2,573

cash

$245 to $3,959

122 negotiated rates

$3,959

list

TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $57

$98

cash

$9 to $151

64 negotiated rates

$151

list

Transvaginal ultrasound

CPT 76830 · lowest of 4 lines · metro median $628

$628

cash

$57 to $966

122 negotiated rates

$966

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $161

$805

cash

$57 to $1,238

61 negotiated rates

$1,238

list

Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $27

$45

cash

$2 to $69

64 negotiated rates

$69

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$2,990 to $19,455

9 negotiated rates

—

list

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

CPT 72110 · lowest of 2 lines · metro median $223

$345

cash

$48 to $530

61 negotiated rates

$530

list

Source files

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

https://promedica.canto.com/direct/document/ugje031dpt2gn2vnl1fhnghu12/lnVzZyylDZ8frqxu_DeCnbjHZhM/original?content-type=text%2Fcsv&name=344446484_defiance-hospital-inc_standardcharges+4.csv
ProMedica Defiance Regional Hospital · parsed · wide v3.0.0 · file dated 2026-03-25 · 17.8 MB · 3463 price rows read · read Nov 2026