Pomerene Hospital
Millersburg, OH · Critical Access Hospital
Posts prices for 45 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-07.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Breast lesion removal (open) (19120) | $3,904.80 | $4,881 | 1.1× |
| Shoulder arthroscopy with decompression (29826) | $19,372.03 | $24,215.04 | — |
| Knee arthroscopy with meniscectomy (29881) | $7,370.46 | $9,213.07 | 2.4× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) | $4,929.89 | $6,162.36 | 0.9× |
| Upper GI endoscopy (EGD), diagnostic (43235) | $3,082.76 | $3,853.45 | 3.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $3,120.37 | $3,900.46 | 3.6× |
| Diagnostic colonoscopy (45378) | $2,649.03 | $3,311.29 | 3.0× |
| Colonoscopy with biopsy (45380) | $3,035.35 | $3,794.19 | 2.7× |
| Colonoscopy with lesion removal (45385) | $3,055.64 | $3,819.55 | 2.7× |
| Laparoscopic gallbladder removal (47562) | $11,266.21 | $14,082.76 | 2.0× |
| Inguinal hernia repair (age 5+) (49505) | $7,971.70 | $9,964.63 | 2.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) | $1,958.86 | $2,448.57 | 2.3× |
| CT head/brain without contrast (70450) | $900 | $1,125 | 9.1× |
| MRI brain without contrast (70551) | $1,635.20 | $2,044 | 7.2× |
| MRI brain with contrast (70552) | $1,822.40 | $2,278 | 5.5× |
| MRI brain without and with contrast (70553) | $2,475.20 | $3,094 | 7.5× |
| X-ray lower spine, 4+ views (72110) | $420.80 | $526 | 4.3× |
| MRI lumbar spine without contrast (72148) | $1,840 | $2,300 | 8.2× |
| CT pelvis with contrast (72193) | $1,225.60 | $1,532 | 7.4× |
| MRI lower-extremity joint without contrast (73721) | $2,058.40 | $2,573 | 9.1× |
| CT abdomen and pelvis with contrast (74177) | $1,986.40 | $2,483 | 6.0× |
| Ultrasound, abdomen complete (76700) | $640 | $800 | 6.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $352.80 | $441 | 3.6× |
| Ultrasound, transvaginal (76830) | $468 | $585 | 4.7× |
| Mammography, one breast (diagnostic) (77065) | $184 | $230 | 2.1× |
| Mammography, both breasts (diagnostic) (77066) | $208.80 | $261 | 1.9× |
| Mammography, screening (bilateral) (77067) | $223.20 | $279 | 2.4× |
| Basic metabolic panel (80048) | $56 | $70 | 6.6× |
| Comprehensive metabolic panel (80053) range across 4 matching MRF lines |
$8.80–$112.80 | $11–$141 | varies |
| Obstetric panel (80055) | $88 | $110 | 1.8× |
| Lipid panel (80061) | $88.80 | $111 | 6.6× |
| Renal function panel (80069) range across 3 matching MRF lines |
$61.60–$63.20 | $77–$79 | varies |
| Hepatic function panel (80076) range across 2 matching MRF lines |
$36–$70.40 | $45–$88 | varies |
| Urinalysis, non-automated, without microscopy (81002) | $18.40 | $23 | 5.3× |
| PSA, total (84153) range across 4 matching MRF lines |
$51.20–$61.60 | $64–$77 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 6 matching MRF lines |
$77.60–$80.80 | $97–$101 | varies |
| CBC with automated differential (85025) | $47.20 | $59 | 6.1× |
| CBC, automated (85027) | $37.60 | $47 | 5.8× |
| Prothrombin time (PT) (85610) | $24 | $30 | 5.6× |
| Partial thromboplastin time (PTT) (85730) | $39.20 | $49 | 6.5× |
| Sleep study (attended polysomnography) (95810) range across 2 matching MRF lines |
$179.20–$3,869.60 | $224–$4,837 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $96 | $120 | 3.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 7 matching MRF lines |
$82.40–$339.20 | $103–$424 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 7 matching MRF lines |
$133.60–$500.80 | $167–$626 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 7 matching MRF lines |
$172.80–$607.20 | $216–$759 | 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.
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.
More prices at this hospital
- Imaging: 233 codes with posted prices and Medicare benchmarks
- Lab & pathology: 621 codes with posted prices and Medicare benchmarks
- Visits & medical services: 142 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 311 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 43 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 92.0 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.