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Adena Pike Medical Center

Waverly, OH · 25 beds · 86 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 99/100 · source file ↗

Category

Procedure ▲	Negotiated i	Cash i	Gross i
Abdominal Hysterectomy	$1,480	—	—
ACL Reconstruction (Arthroscopic)	$7,285	—	—
Basic Metabolic Panel	$28$10$80	$20	$40
Bone Marrow Biopsy	$3,856$1.4k$5.4k	$2,835	$5,671
Breast Biopsy (Ultrasound-guided)	$4,537$1.6k$6.3k	$3,336	$6,672
Bunion Correction Surgery	$4,100	—	—
Cardiac Ablation for Atrial Fibrillation	$26,586$7.2k$36k	$18,990	$37,979
Cardiac Catheterization (Left Heart)	$16,221$4.9k$23k	$11,927	$23,854
Carpal Tunnel Release Surgery	$3,365	—	—
Cataract Surgery with Lens Implant	$3,365	—	—
Cervical Spinal Fusion (Anterior)	$7,285	—	—
Chemotherapy Infusion (First Hour)	$813$279$1.1k	$580	$1,161
Chest X-ray (2 Views)	$243$83$330	$173	$347
Colonoscopy with Biopsy	$4,321$1.5k$6.0k	$3,178	$6,355
Complete Abdominal Ultrasound	$573$196$777	$409	$818
Complete Blood Count (CBC) with Differential	$30$10$80	$21	$43
Comprehensive Metabolic Panel	$41$14$80	$29	$58
Coronary Angioplasty with Stent	$39,517$6.9k$57k	$29,937	$59,875
Critical Care, First Hour	$2,005$708$2.8k	$1,475	$2,949
CT Abdomen and Pelvis with Contrast	$2,661$968$3.8k	$2,016	$4,032
CT Cardiac Calcium Scoring	$249$85$1.3k	$178	$356
CT Chest without Contrast	$1,070$367$1.5k	$764	$1,529
CT Head without Contrast	$1,070$367$1.5k	$764	$1,529
DEXA Bone Density Scan	$409$140$555	$292	$584
Diagnostic Colonoscopy	$3,873$1.4k$5.4k	$2,848	$5,696
Diagnostic Mammogram (Both Breasts)	$525$180$712	$375	$750
Ear Tube Placement (Tympanostomy)	$2,665	—	—
Echocardiogram (Complete with Doppler)	$2,789$874$4.5k	$2,105	$4,210
Emergency Room Visit (Level 3)	$761$261$1.0k	$544	$1,087
Group Therapy Session	$267$91$362	$191	$381
Hemoglobin A1c (Diabetes Test)	$32$11$80	$23	$46
HIV Antibody Test	$30$10$80	$21	$42
Home Sleep Study	$1,996$684$2.7k	$1,426	$2,852
Individual Therapy Session (45 Minutes)	$394$135$534	$281	$562
Inguinal Hernia Repair (Open)	$4,100	—	—
Intensity-modulated Radiation Therapy (IMRT) Treatment	$3,072$1.1k$4.2k	$2,194	$4,388
IUD Insertion	$975	—	—
IUD Removal	$745$256$1.0k	$532	$1,065
Knee Arthroscopy with Meniscectomy	$4,100	—	—
Laparoscopic Appendectomy	$7,285	—	—
Laparoscopic Gallbladder Removal	$7,285	—	—
Laparoscopic Tubal Ligation	$7,285	—	—
Lipid Panel (Cholesterol Test)	$49$17$96	$35	$70
Lumbar Epidural Steroid Injection	$3,026$1.1k$4.2k	$2,225	$4,450
Lumbar Puncture (Spinal Tap)	$1,648$582$2.3k	$1,212	$2,424
Lumbar Spinal Fusion (Posterior)	$7,285	—	—
Lumpectomy (Partial Mastectomy)	$3,365	—	—
MRI Abdomen with and without Contrast	$2,080$756$3.0k	$1,576	$3,151
MRI Brain with and without Contrast	$2,000$718$2.8k	$1,495	$2,990
MRI Brain with Contrast	$1,762$604$2.4k	$1,259	$2,517
MRI Brain without Contrast	$1,624$557$2.2k	$1,160	$2,320
MRI Cervical Spine (Neck) without Contrast	$1,611$552$2.2k	$1,151	$2,302
MRI Knee without Contrast	$2,793$1.0k$4.0k	$2,116	$4,232
MRI Lower Back (Lumbar Spine) without Contrast	$1,602$549$2.2k	$1,144	$2,289
MRI Thoracic Spine (Mid-back) without Contrast	$1,618$555$2.2k	$1,156	$2,311
Newborn Circumcision	$5,019$1.7k$6.8k	$3,585	$7,170
Nuclear Cardiac Stress Test	$4,502$1.5k$6.1k	$3,216	$6,431
Office Visit, Established Patient (Level 3)	$89$32$125	$66	$131
Office Visit, New Patient (Level 3)	$123$43$172	$90	$181
Pacemaker Insertion (Dual Chamber)	$24,215$7.2k$34k	$17,805	$35,610
PET/CT Scan, Whole Body	$4,725$1.6k$6.4k	$3,375	$6,750
Pregnancy Ultrasound (Second or Third Trimester)	$573$196$777	$409	$818
Prostate Biopsy	$2,665	—	—
PSA Prostate Cancer Screening	$61$21$132	$44	$88
Pulmonary Function Test with Bronchodilator	$763$262$1.0k	$545	$1,090
Rotator Cuff Repair (Arthroscopic)	$7,285	—	—
Screening Mammogram	$201$69$273	$144	$288
Septoplasty (Deviated Septum Repair)	$3,365	—	—
Sinus Surgery (Endoscopic, with Tissue Removal)	$4,100	—	—
Skin Biopsy (Tangential)	$514$176$975	$367	$734
Skin Lesion Removal (Benign, up to 0.5 cm)	$1,480	—	—
Sleep Study (In-lab Polysomnography)	$3,597$1.2k$4.9k	$2,569	$5,139
Spinal Cord Stimulator Trial	$15,620$5.5k$22k	$11,485	$22,970
Spirometry (Breathing Test)	$487$167$661	$348	$696
Tonsillectomy and Adenoidectomy (Age 12 and Over)	$3,365	—	—
Tonsillectomy and Adenoidectomy (Under Age 12)	$3,365	—	—
Total Hip Replacement	$6,905	—	—
Total Knee Replacement	$6,905	—	—
Total Mastectomy	$4,100	—	—
TSH Thyroid Function Test	$56$19$121	$40	$80
TURP (Transurethral Prostate Resection)	$4,915	—	—
Upper GI Endoscopy (EGD)	$3,361$1.2k$4.7k	$2,471	$4,943
Urinalysis with Microscopy	$12$4$80	$9	$17
Vaginal Hysterectomy	$4,100	—	—
Vasectomy	$3,365	—	—
Vitamin D Blood Test	$96$34$213	$71	$141

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.