Home › Hospitals › Aultman Orrville Hospital Posts prices for 32 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-07.
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Procedure Posted cash Posted gross × Medicare
Epidural injection, lumbar/sacral (with imaging) (62322) $1,619.10
$3,598
1.9×
Transforaminal epidural injection, lumbar/sacral (64483) $1,395.90
$3,102
1.7×
CT head/brain without contrast (70450) $623.70
$1,386
6.3×
MRI brain without contrast (70551) $1,405.80
$3,124
6.2×
MRI brain with contrast (70552) $2,214
$4,920
6.7×
MRI brain without and with contrast (70553) $2,757.15
$6,127
8.4×
X-ray lower spine, 4+ views (72110) $378.45
$841
3.8×
MRI lumbar spine without contrast (72148) $1,682.55
$3,739
7.5×
CT pelvis with contrast (72193) $821.70
$1,826
5.0×
MRI lower-extremity joint without contrast (73721) $1,850.40
$4,112
8.2×
CT abdomen and pelvis with contrast (74177) $1,413.90
$3,142
4.3×
Ultrasound, abdomen complete (76700) $505.35
$1,123
5.1×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $216.45
$481
2.2×
Ultrasound, transvaginal (76830) $364.50
$810
3.7×
Mammography, one breast (diagnostic) (77065) $129.60
$288
1.5×
Mammography, both breasts (diagnostic) (77066) $145.80
$324
1.3×
Mammography, screening (bilateral) (77067) $155.70
$346
1.7×
Basic metabolic panel (80048) $56.25
$125
6.6×
Comprehensive metabolic panel (80053) $77.40
$172
7.3×
Lipid panel (80061) $90.45
$201
6.8×
Renal function panel (80069) $68.40
$152
7.9×
Hepatic function panel (80076) $58.95
$131
7.2×
Thyroid stimulating hormone (TSH) (84443) $80.55
$179
4.8×
CBC with automated differential (85025) $27.90
$62
3.6×
CBC, automated (85027) $40.05
$89
6.2×
Prothrombin time (PT) (85610) $27.45
$61
6.4×
Partial thromboplastin time (PTT) (85730) $39.60
$88
6.6×
Sleep study (attended polysomnography) (95810) range across 5 matching MRF lines $292.50–$3,456.90
$650–$7,682
varies
Physical therapy, therapeutic exercise (per 15 min) (97110) $72.90
$162
2.5×
Office visit, new patient (low complexity, ~30 min) (99203) $239.40
$532
1.9×
Office visit, new patient (moderate complexity, ~45 min) (99204) $289.80
$644
2.3×
Office visit, new patient (high complexity, ~60 min) (99205) $318.60
$708
2.5×
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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