Mary Rutan Health
Bellefontaine, OH
Posts prices for 37 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-07.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Colonoscopy with endoscopic ultrasound (45391) | $2,734.40 | $3,418 | 2.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) range across 3 matching MRF lines |
$2,136.80–$4,979.20 | $2,671–$6,224 | varies |
| CT head/brain without contrast (70450) range across 4 matching MRF lines |
$968–$1,211.20 | $1,210–$1,514 | varies |
| MRI brain without contrast (70551) | $1,897.60 | $2,372 | 8.1× |
| MRI brain with contrast (70552) | $3,609.60 | $4,512 | 10.5× |
| MRI brain without and with contrast (70553) | $3,609.60 | $4,512 | 10.5× |
| X-ray lower spine, 4+ views (72110) range across 3 matching MRF lines |
$752.80–$941.60 | $941–$1,177 | varies |
| MRI lumbar spine without contrast (72148) | $2,086.40 | $2,608 | 8.9× |
| CT pelvis with contrast (72193) range across 2 matching MRF lines |
$2,443.20–$3,053.60 | $3,054–$3,817 | varies |
| MRI lower-extremity joint without contrast (73721) | $2,086.40 | $2,608 | 8.9× |
| CT abdomen and pelvis with contrast (74177) range across 2 matching MRF lines |
$3,092.80–$3,865.60 | $3,866–$4,832 | varies |
| Ultrasound, abdomen complete (76700) | $1,204 | $1,505 | 11.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $1,309.60 | $1,637 | 12.7× |
| Ultrasound, transvaginal (76830) | $1,191.20 | $1,489 | 11.6× |
| Mammography, one breast (diagnostic) (77065) | $484.80 | $606 | 5.6× |
| Mammography, both breasts (diagnostic) (77066) | $614.40 | $768 | 5.6× |
| Mammography, screening (bilateral) (77067) range across 2 matching MRF lines |
$450.40–$494.40 | $563–$618 | varies |
| Basic metabolic panel (80048) range across 3 matching MRF lines |
$16–$166.40 | $20–$208 | varies |
| Comprehensive metabolic panel (80053) range across 6 matching MRF lines |
$8–$312 | $10–$390 | varies |
| Obstetric panel (80055) range across 2 matching MRF lines |
$204.80–$256.80 | $256–$321 | varies |
| Lipid panel (80061) range across 5 matching MRF lines |
$16–$185.60 | $20–$232 | varies |
| Renal function panel (80069) range across 3 matching MRF lines |
$167.20–$209.60 | $209–$262 | varies |
| Hepatic function panel (80076) range across 3 matching MRF lines |
$29.60–$169.60 | $37–$212 | varies |
| PSA, total (84153) range across 5 matching MRF lines |
$28–$58.40 | $35–$73 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 3 matching MRF lines |
$24–$69.60 | $30–$87 | varies |
| CBC with automated differential (85025) range across 6 matching MRF lines |
$4–$40.80 | $5–$51 | varies |
| CBC, automated (85027) range across 6 matching MRF lines |
$4–$34.40 | $5–$43 | varies |
| Prothrombin time (PT) (85610) | $27.20 | $34 | 6.3× |
| Partial thromboplastin time (PTT) (85730) | $36 | $45 | 6.0× |
| Electrocardiogram (ECG), complete (93000) | $64 | $80 | 1.1× |
| Left heart catheterization (93452) range across 2 matching MRF lines |
$527.20–$13,852.80 | $659–$17,316 | varies |
| Sleep study (attended polysomnography) (95810) range across 3 matching MRF lines |
$928.80–$5,557.60 | $1,161–$6,947 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $171.20 | $214 | 5.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 15 matching MRF lines |
$55.20–$276.80 | $69–$346 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 19 matching MRF lines |
$55.20–$367.20 | $69–$459 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 17 matching MRF lines |
$55.20–$461.60 | $69–$577 | varies |
| Preventive visit, new patient (age 18–39) (99385) | $192 | $240 | — |
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: 261 codes with posted prices and Medicare benchmarks
- Lab & pathology: 442 codes with posted prices and Medicare benchmarks
- Visits & medical services: 176 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 368 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 23 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (JSON, 22.4 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.