Grand Lake Health System
Saint Marys, OH
Posts prices for 34 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-07.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Transforaminal epidural injection, lumbar/sacral (64483) range across 2 matching MRF lines |
$2,046.60–$2,890.80 | $2,274–$3,212 | varies |
| CT head/brain without contrast (70450) | $1,740.60 | $1,934 | 16.8× |
| MRI brain without contrast (70551) | $3,036.60 | $3,374 | 12.8× |
| MRI brain with contrast (70552) | $2,997 | $3,330 | 8.7× |
| MRI brain without and with contrast (70553) range across 2 matching MRF lines |
$3,932.10–$4,128.30 | $4,369–$4,587 | varies |
| X-ray lower spine, 4+ views (72110) | $522 | $580 | 5.0× |
| MRI lumbar spine without contrast (72148) | $3,294.90 | $3,661 | 13.9× |
| CT pelvis with contrast (72193) | $2,202.30 | $2,447 | 12.7× |
| MRI lower-extremity joint without contrast (73721) | $2,931.30 | $3,257 | 12.4× |
| CT abdomen and pelvis with contrast (74177) | $3,305.70 | $3,673 | 9.6× |
| Ultrasound, abdomen complete (76700) | $1,206.90 | $1,341 | 11.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $1,352.70 | $1,503 | 13.1× |
| Ultrasound, transvaginal (76830) | $547.20 | $608 | 5.3× |
| Mammography, one breast (diagnostic) (77065) | $337.50 | $375 | 3.9× |
| Mammography, both breasts (diagnostic) (77066) | $390.60 | $434 | 3.5× |
| Mammography, screening (bilateral) (77067) range across 3 matching MRF lines |
$233.10–$324.90 | $259–$361 | varies |
| Basic metabolic panel (80048) | $194.40 | $216 | 23.0× |
| Comprehensive metabolic panel (80053) | $268.20 | $298 | 25.4× |
| Obstetric panel (80055) | $716.40 | $796 | 15.0× |
| Lipid panel (80061) | $167.40 | $186 | 12.5× |
| Renal function panel (80069) | $191.70 | $213 | 22.1× |
| Hepatic function panel (80076) | $189 | $210 | 23.1× |
| Urinalysis, non-automated, without microscopy (81002) | $26.10 | $29 | 7.5× |
| PSA, total (84153) range across 3 matching MRF lines |
$144–$162 | $160–$180 | varies |
| Thyroid stimulating hormone (TSH) (84443) | $180.90 | $201 | 10.8× |
| CBC with automated differential (85025) | $94.50 | $105 | 12.2× |
| CBC, automated (85027) | $81.90 | $91 | 12.7× |
| Prothrombin time (PT) (85610) range across 6 matching MRF lines |
$51.30–$111.60 | $57–$124 | varies |
| Partial thromboplastin time (PTT) (85730) range across 3 matching MRF lines |
$81.90–$99 | $91–$110 | varies |
| Sleep study (attended polysomnography) (95810) range across 2 matching MRF lines |
$348.30–$3,572.10 | $387–$3,969 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 14 matching MRF lines |
$92.70–$171 | $103–$190 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 3 matching MRF lines |
$146.70–$459.90 | $163–$511 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 3 matching MRF lines |
$213.30–$612 | $237–$680 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 3 matching MRF lines |
$272.70–$834.30 | $303–$927 | varies |
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.
More prices at this hospital
- Imaging: 271 codes with posted prices and Medicare benchmarks
- Lab & pathology: 526 codes with posted prices and Medicare benchmarks
- Visits & medical services: 155 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 373 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 14 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 21.4 MB) ↓ — captured 2026-10-07
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.