Adams County Regional Medical Center

Seaman, OH · Critical Access Hospital

Posts prices for 48 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-07.

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ProcedurePosted cashPosted gross× Medicare
Shoulder arthroscopy with decompression (29826)
range across 2 matching MRF lines
— $1,214–$2,427 —
Knee arthroscopy with meniscectomy (29881)
range across 2 matching MRF lines
— $1,050–$2,098 —
Tonsillectomy and adenoidectomy (under age 12) (42820) — $1,145 —
Upper GI endoscopy (EGD), diagnostic (43235) — $800 —
Upper GI endoscopy (EGD) with biopsy (43239) — $927 —
Diagnostic colonoscopy (45378) — $1,375 —
Colonoscopy with biopsy (45380) — $1,694 —
Colonoscopy with lesion removal (45385) — $1,694 —
Transforaminal epidural injection, lumbar/sacral (64483) — $3,107 —
CT head/brain without contrast (70450)
range across 2 matching MRF lines
— $1,888–$2,149 —
MRI brain without contrast (70551) — $2,639 —
MRI brain with contrast (70552) — $3,071 —
MRI brain without and with contrast (70553)
range across 2 matching MRF lines
— $3,686–$3,687 —
X-ray lower spine, 4+ views (72110) — $434 —
MRI lumbar spine without contrast (72148) — $2,702 —
CT pelvis with contrast (72193) — $1,823 —
MRI lower-extremity joint without contrast (73721)
range across 7 matching MRF lines
— $2,350–$2,588 —
CT abdomen and pelvis with contrast (74177)
range across 3 matching MRF lines
— $4,160–$4,645 —
Ultrasound, abdomen complete (76700) — $946 —
Ultrasound, pregnant uterus (≥14 weeks) (76805) — $335 —
Ultrasound, transvaginal (76830) — $828 —
Mammography, one breast (diagnostic) (77065) — $459 —
Mammography, both breasts (diagnostic) (77066) — $520 —
Mammography, screening (bilateral) (77067) — $328 —
Basic metabolic panel (80048)
range across 2 matching MRF lines
— $75–$81 —
Comprehensive metabolic panel (80053)
range across 3 matching MRF lines
— $7–$159 —
Lipid panel (80061)
range across 7 matching MRF lines
— $7–$200 —
Renal function panel (80069) — $93 —
Hepatic function panel (80076)
range across 2 matching MRF lines
— $42–$84 —
PSA, total (84153)
range across 6 matching MRF lines
— $12–$269 —
Thyroid stimulating hormone (TSH) (84443)
range across 5 matching MRF lines
— $7–$105 —
CBC with automated differential (85025)
range across 2 matching MRF lines
— $42–$77 —
CBC, automated (85027)
range across 2 matching MRF lines
— $7–$57 —
Prothrombin time (PT) (85610)
range across 6 matching MRF lines
— $32–$186 —
Partial thromboplastin time (PTT) (85730)
range across 7 matching MRF lines
— $73–$232 —
Psychotherapy, 30 minutes (90832)
range across 3 matching MRF lines
— $146–$641 —
Psychotherapy, 45 minutes (90834)
range across 3 matching MRF lines
— $218–$794 —
Psychotherapy, 60 minutes (90837)
range across 2 matching MRF lines
— $444–$809 —
Family psychotherapy, without patient (50 min) (90846)
range across 2 matching MRF lines
— $218–$846 —
Family psychotherapy, with patient (50 min) (90847)
range across 2 matching MRF lines
— $259–$887 —
Group psychotherapy (90853)
range across 2 matching MRF lines
— $265–$772 —
Sleep study (attended polysomnography) (95810) — $3,653 —
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 5 matching MRF lines
— $90–$188 —
Office visit, new patient (low complexity, ~30 min) (99203)
range across 10 matching MRF lines
— $189–$642 —
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 7 matching MRF lines
— $225–$490 —
Office visit, new patient (high complexity, ~60 min) (99205)
range across 15 matching MRF lines
— $279–$1,364 —
Preventive visit, new patient (age 18–39) (99385) — $398 —
Preventive visit, new patient (age 40–64) (99386) — $398 —

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.

As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.

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Download the machine-readable file (ZIP, 142.8 MB) ↓ — captured 2026-10-07

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