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Union Hospital

659 Boulevard, Dover, OH 44622 · (330) 343-3311

Acute Care HospitalsVoluntary non-profit - OtherCMS rating 3/5New Philadelphia, OH metroPart of THE Cleveland Clinic Foundation · 4 hospitalsWebsite ↗

Price file

Prices published

File dated 2026-06-15

92,281 price rows for 68 procedures

Published prices

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

CPT 80048 · lowest of 14 lines · metro median $38

$38
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 21 lines · metro median $1,602

$1,602
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 14 lines · metro median $477

$477
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 14 lines · metro median $798

$798
cash
Cataract surgery with lens implant

CPT 66984 · lowest of 7 lines · metro median $2,102

$2,102
cash
Cesarean delivery with prenatal and postpartum care

CPT 59510 · lowest of 7 lines · metro median $10,673

$10,673
cash
—
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 98 lines · metro median $157

$157
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 21 lines · metro median $410

$410
cash
Colonoscopy with biopsy

CPT 45380 · lowest of 21 lines · metro median $459

$459
cash
Colonoscopy with polyp removal

CPT 45385 · lowest of 21 lines · metro median $631

$631
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 21 lines · metro median $35

$35
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 21 lines · metro median $47

$47
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 14 lines · metro median $459

$459
cash
Electrocardiogram (ECG) with interpretation

CPT 93000 · lowest of 14 lines · metro median $270

$270
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 42 lines · metro median $16

$16
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 35 lines · metro median $313

$313
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 21 lines · metro median $313

$313
cash
Gallbladder removal (laparoscopic)

CPT 47562 · lowest of 21 lines · metro median $914

$914
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 70 lines · metro median $157

$157
cash
Group psychotherapy

CPT 90853 · lowest of 140 lines · metro median $169

$169
cash
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cash
—
cash
—
cash
Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 21 lines · metro median $683

$683
cash
Knee arthroscopy with meniscus repair

CPT 29881 · lowest of 7 lines · metro median $2,010

$2,010
cash
Laser treatment after cataract surgery (YAG)

CPT 66821 · lowest of 14 lines · metro median $1,641

$1,641
cash
Left heart catheterization

CPT 93452 · lowest of 14 lines · metro median $12,021

$12,021
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 70 lines · metro median $60

$60
cash
Liver function panel

CPT 80076 · lowest of 21 lines · metro median $36

$36
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 14 lines · metro median $1,602

$1,602
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 14 lines · metro median $1,084

$1,084
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 14 lines · metro median $1,084

$1,084
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 14 lines · metro median $1,084

$1,084
cash
—
cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 14 lines · metro median $3,993

$3,993
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 42 lines · metro median $16

$16
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 42 lines · metro median $16

$16
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 35 lines · metro median $16

$16
cash
PSA test (prostate)

CPT 84153 · lowest of 63 lines · metro median $83

$83
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 28 lines · metro median $27

$27
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 140 lines · metro median $29

$29
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 14 lines · metro median $477

$477
cash
Preventive visit, new patient age 18 to 39

CPT 99385 · lowest of 28 lines · metro median $16

$16
cash
Preventive visit, new patient age 40 to 64

CPT 99386 · lowest of 28 lines · metro median $16

$16
cash
—
cash
Prostate removal (laparoscopic)

CPT 55866 · lowest of 7 lines · metro median $6,423

$6,423
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 98 lines · metro median $20

$20
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 28 lines · metro median $313

$313
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 28 lines · metro median $313

$313
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 28 lines · metro median $313

$313
cash
Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 21 lines · metro median $427

$427
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 14 lines · metro median $396

$396
cash
Shoulder arthroscopy with decompression

CPT 29826 · lowest of 7 lines · metro median $858

$858
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 14 lines · metro median $4,563

$4,563
cash
Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 14 lines · metro median $3,993

$3,993
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 14 lines · metro median $3,106

$3,106
cash
TSH test (thyroid)

CPT 84443 · lowest of 28 lines · metro median $75

$75
cash
Tonsils and adenoids removal (under age 12)

CPT 42820 · lowest of 7 lines · metro median $1,097

$1,097
cash
Transvaginal ultrasound

CPT 76830 · lowest of 14 lines · metro median $477

$477
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 14 lines · metro median $477

$477
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 21 lines · metro median $304

$304
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 21 lines · metro median $330

$330
cash
Urinalysis with microscope

CPT 81001 · lowest of 35 lines · metro median $14

$14
cash
Vaginal delivery after a previous cesarean

CPT 59610 · lowest of 7 lines · metro median $10,065

$10,065
cash
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cash
Vaginal delivery with prenatal and postpartum care

CPT 59400 · lowest of 7 lines · metro median $9,620

$9,620
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 14 lines · metro median $477

$477
cash

Source files

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