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Pomerene Hospital

Millersburg, OH · 55 beds · 55 procedures priced

Sourced from this hospital's machine-readable file, posted Wed Jun 03 2026 00:00:00 GMT+0000 (Coordinated Universal Time) · data quality 98/100 · source file ↗

Category

Procedure ▲	Negotiated i	Cash i	Gross i
Basic Metabolic Panel	$8$8$65	$56	$70
Bone Marrow Biopsy	$1,531$153$1.6k	$1,337	$1,671
Breast Biopsy (Ultrasound-guided)	$2,192$435$3.8k	$2,016	$2,520
Carpal Tunnel Release Surgery	$1,847$449$5.8k	$4,109	$5,136
Chemotherapy Infusion (First Hour)	$312$120$640	$550	$688
Chest X-ray (2 Views)	$82$30$247	$213	$266
Colonoscopy with Biopsy	$1,132$441$3.5k	$3,035	$3,794
Complete Abdominal Ultrasound	$99$97$744	$640	$800
Complete Blood Count (CBC) with Differential	$8$8$55	$47	$59
Comprehensive Metabolic Panel	$10$9$131	$61	$76
Critical Care, First Hour	$678$141$1.5k	$968	$1,210
CT Abdomen and Pelvis with Contrast	$330$274$2.3k	$1,986	$2,483
CT Chest without Contrast	$99$97$1.1k	$940	$1,175
CT Head without Contrast	$99$97$1.0k	$900	$1,125
DEXA Bone Density Scan	$99$36$301	$259	$324
Diagnostic Colonoscopy	$879$349$3.1k	$2,649	$3,311
Diagnostic Mammogram (Both Breasts)	$101$99$243	$209	$261
Ear Tube Placement (Tympanostomy)	$1,467$204$3.2k	$2,734	$3,418
Echocardiogram (Complete with Doppler)	$507$48$1.6k	$1,299	$1,624
Emergency Room Visit (Level 3)	$213$38$573	$343	$429
Hemoglobin A1c (Diabetes Test)	$10$10$51	$44	$55
HIV Antibody Test	$9$9$35	$30	$38
Inguinal Hernia Repair (Open)	$3,386$483$9.3k	$7,972	$9,965
Knee Arthroscopy with Meniscectomy	$3,094$485$8.6k	$7,370	$9,213
Laparoscopic Appendectomy	$5,717$551$17k	$14,526	$18,157
Laparoscopic Gallbladder Removal	$5,717$603$13k	$11,266	$14,083
Lipid Panel (Cholesterol Test)	$13$13$103	$89	$111
Lumbar Epidural Steroid Injection	$668$250$2.3k	$1,469	$1,837
Lumbar Puncture (Spinal Tap)	$654$69$998	$796	$995
MRI Abdomen with and without Contrast	$330$307$2.8k	$2,400	$3,000
MRI Brain with and without Contrast	$330$290$2.9k	$2,475	$3,094
MRI Brain with Contrast	$330$246$2.1k	$1,822	$2,278
MRI Brain without Contrast	$226$179$1.9k	$1,635	$2,044
MRI Cervical Spine (Neck) without Contrast	$226$175$2.1k	$1,771	$2,214
MRI Knee without Contrast	$226$187$2.4k	$2,058	$2,573
MRI Lower Back (Lumbar Spine) without Contrast	$226$176$2.1k	$1,840	$2,300
MRI Thoracic Spine (Mid-back) without Contrast	$226$175$2.0k	$1,749	$2,186
Newborn Circumcision	$1,938$142$2.0k	$568	$710
Nuclear Cardiac Stress Test	$2,771$388$3.9k	$2,983	$3,729
Office Visit, Established Patient (Level 3)	$89$44$299	$177	$221
Office Visit, New Patient (Level 3)	$110$61$394	$126	$158
Pregnancy Ultrasound (Second or Third Trimester)	$99$97$410	$353	$441
PSA Prostate Cancer Screening	$55$18$72	$56	$71
Pulmonary Function Test with Bronchodilator	$346$10$1.1k	$402	$502
Screening Mammogram	$83$82$259	$223	$279
Sleep Study (In-lab Polysomnography)	$242$114$4.5k	$2,024	$2,531
Spirometry (Breathing Test)	$49$5$249	$129	$161
Tonsillectomy and Adenoidectomy (Age 12 and Over)	$3,135$258$6.0k	$5,172	$6,465
Tonsillectomy and Adenoidectomy (Under Age 12)	$5,489$247$5.7k	$4,930	$6,162
Total Hip Replacement	$12,142$1.1k$35k	$30,324	$37,905
Total Knee Replacement	$12,142$1.1k$47k	$33,012	$41,265
TSH Thyroid Function Test	$83$16$94	$79	$99
Upper GI Endoscopy (EGD)	$858$295$3.6k	$3,083	$3,853
Urinalysis with Microscopy	$3$3$37	$32	$40
Vitamin D Blood Test	$63$29$72	$61	$76

Median facility price per procedure. Negotiated shows the median across payers with the full range. Figures as reported in the hospital's file — not a quote.