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PricedCare

Wilson Memorial Hospital

915 West Michigan Street, Sidney, OH 45365 · (937) 498-5405

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 2/5Sidney, OH metroWebsite ↗

Price file

Prices published

File dated 2026-03-26

671 price rows for 41 procedures

Published prices

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

CPT 80048 · metro median $89

$89
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $2,499

$2,499
cash
CT scan of the head, no contrast

CPT 70450 · metro median $1,059

$1,059
cash
CT scan of the pelvis, with contrast

CPT 72193 · metro median $1,250

$1,250
cash
Cesarean section hospital stay, no complications

MS-DRG 788 · metro median $24,597

$24,597
cash
Chlamydia test (DNA)

CPT 87491 · metro median $113

$113
cash
Colonoscopy (diagnostic)

CPT 45378 · metro median $3,019

$3,019
cash
Colonoscopy with biopsy

CPT 45380 · metro median $3,413

$3,413
cash
Colonoscopy with polyp removal

CPT 45385 · metro median $7,613

$7,613
cash
Complete blood count (CBC) with differential

CPT 85025 · metro median $59

$59
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $152

$152
cash
Diagnostic mammogram (both breasts)

CPT 77066 · metro median $407

$407
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 2 lines · metro median $196

$196
cash
Gonorrhea test (DNA)

CPT 87591 · metro median $108

$108
cash
Hospital stay for digestive disorders, no complications

MS-DRG 392 · metro median $13,015

$13,015
cash
Hysterectomy for non-cancer reasons, no complications

MS-DRG 743 · metro median $16,016

$16,016
cash
Left heart catheterization

CPT 93452 · metro median $10,051

$10,051
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $113

$113
cash
Liver function panel

CPT 80076 · metro median $84

$84
cash
MRI of the brain, with and without contrast

CPT 70553 · metro median $2,402

$2,402
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · metro median $1,922

$1,922
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · metro median $1,922

$1,922
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $1,922

$1,922
cash
New patient office visit (about 30 minutes)

CPT 99203 · metro median $151

$151
cash
New patient office visit (about 45 minutes)

CPT 99204 · metro median $226

$226
cash
PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $131

$131
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $46

$46
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 2 lines · metro median $111

$111
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $594

$594
cash
Prostate biopsy

CPT 55700 · metro median $9,213

$9,213
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 2 lines · metro median $32

$32
cash
Screening mammogram (both breasts)

CPT 77067 · metro median $177

$177
cash
Sleep study (overnight, attended)

CPT 95810 · metro median $2,783

$2,783
cash
TSH test (thyroid)

CPT 84443 · metro median $120

$120
cash
Transvaginal ultrasound

CPT 76830 · metro median $651

$651
cash
Ultrasound of the abdomen (complete)

CPT 76700 · metro median $772

$772
cash
Upper endoscopy (EGD)

CPT 43235 · metro median $2,704

$2,704
cash
Upper endoscopy with biopsy

CPT 43239 · metro median $2,769

$2,769
cash
Urinalysis with microscope

CPT 81001 · metro median $43

$43
cash
Vaginal delivery hospital stay, no complications

MS-DRG 807 · metro median $7,299

$7,299
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $358

$358
cash

Source files

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