ProMedica Memorial Hospital

Fremont, OH

Posts prices for 30 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-07.

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ProcedurePosted cashPosted gross× Medicare
Transforaminal epidural injection, lumbar/sacral (64483) $679.90 $1,046 0.8×
CT head/brain without contrast (70450) $1,250.60 $1,924 12.6×
MRI brain without contrast (70551) $2,464.15 $3,791 10.9×
MRI brain with contrast (70552) $3,363.10 $5,174 10.2×
MRI brain without and with contrast (70553) $3,522.35 $5,419 10.7×
X-ray lower spine, 4+ views (72110) $518.05 $797 5.2×
MRI lumbar spine without contrast (72148) $3,012.75 $4,635 13.3×
CT pelvis with contrast (72193) $1,708.20 $2,628 10.3×
MRI lower-extremity joint without contrast (73721) $3,012.75 $4,635 13.3×
CT abdomen and pelvis with contrast (74177) $3,415.10 $5,254 10.3×
Ultrasound, abdomen complete (76700) $1,471.60 $2,264 14.9×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $1,029.60 $1,584 10.4×
Ultrasound, transvaginal (76830) $580.45 $893 5.9×
Mammography, one breast (diagnostic) (77065) $323.70 $498 3.8×
Mammography, both breasts (diagnostic) (77066) $391.95 $603 3.5×
Mammography, screening (bilateral) (77067) $276.90 $426 3.0×
Basic metabolic panel (80048) $150.15 $231 17.7×
Comprehensive metabolic panel (80053) $217.10 $334 20.6×
Lipid panel (80061) $148.20 $228 11.1×
Renal function panel (80069) $185.25 $285 21.3×
Hepatic function panel (80076) $111.15 $171 13.6×
Urinalysis, non-automated, without microscopy (81002) $9.75 $15 2.8×
PSA, total (84153) $102.70 $158 5.6×
Thyroid stimulating hormone (TSH) (84443) $101.40 $156 6.0×
CBC with automated differential (85025) $62.40 $96 8.0×
CBC, automated (85027) $42.90 $66 6.6×
Prothrombin time (PT) (85610) $57.85 $89 13.5×
Partial thromboplastin time (PTT) (85730) $56.55 $87 9.4×
Sleep study (attended polysomnography) (95810) $5,248.75 $8,075 6.5×
Physical therapy, therapeutic exercise (per 15 min) (97110) $104.65 $161 3.6×

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