Selby General Hospital

Marietta, OH · Critical Access Hospital

Posts prices for 53 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-07.

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ProcedurePosted cashPosted gross× Medicare
Breast lesion removal (open) (19120) $721.76 $1,202.93 0.2×
Diagnostic colonoscopy (45378) $304.33 $507.21 0.3×
Colonoscopy with biopsy (45380) $237.46 $395.77 0.2×
Colonoscopy with lesion removal (45385) $630.72 $1,051.20 0.6×
Colonoscopy with endoscopic ultrasound (45391) $294.13 $490.21 0.3×
Inguinal hernia repair (age 5+) (49505)
range across 4 matching MRF lines
$886.49–$1,950.29 $1,477.49–$3,250.49 varies
Epidural injection, lumbar/sacral (with imaging) (62322)
range across 2 matching MRF lines
$2,196.77–$2,804.03 $3,661.29–$4,673.39 varies
Transforaminal epidural injection, lumbar/sacral (64483)
range across 4 matching MRF lines
$354.60–$981.56 $591–$1,635.94 varies
After-cataract laser surgery (YAG capsulotomy) (66821)
range across 4 matching MRF lines
$288.04–$1,252.31 $480.07–$2,087.18 varies
CT head/brain without contrast (70450)
range across 4 matching MRF lines
$1,164–$1,208.22 $1,940–$2,013.70 varies
MRI brain without contrast (70551)
range across 6 matching MRF lines
$1,920–$2,270.40 $3,200–$3,784 varies
MRI brain with contrast (70552)
range across 10 matching MRF lines
$1,739.91–$2,179.58 $2,899.85–$3,632.64 varies
MRI brain without and with contrast (70553)
range across 6 matching MRF lines
$1,920–$2,270.40 $3,200–$3,784 varies
X-ray lower spine, 4+ views (72110)
range across 2 matching MRF lines
$374.45–$468.06 $624.08–$780.10 varies
MRI lumbar spine without contrast (72148)
range across 2 matching MRF lines
$1,920–$2,270.40 $3,200–$3,784 varies
CT pelvis with contrast (72193)
range across 2 matching MRF lines
$1,164–$1,529.96 $1,940–$2,549.94 varies
MRI lower-extremity joint without contrast (73721)
range across 20 matching MRF lines
$1,920–$2,270.40 $3,200–$3,784 varies
CT abdomen and pelvis with contrast (74177)
range across 8 matching MRF lines
$1,164–$1,529.96 $1,940–$2,549.94 varies
Ultrasound, abdomen complete (76700)
range across 2 matching MRF lines
$704.63–$880.79 $1,174.39–$1,467.99 varies
Ultrasound, pregnant uterus (≥14 weeks) (76805)
range across 2 matching MRF lines
$293.69–$367.11 $489.48–$611.85 varies
Ultrasound, transvaginal (76830)
range across 4 matching MRF lines
$281.84–$760.99 $469.74–$1,268.31 varies
Mammography, one breast (diagnostic) (77065)
range across 4 matching MRF lines
$199.61–$249.51 $332.68–$415.85 varies
Mammography, both breasts (diagnostic) (77066)
range across 2 matching MRF lines
$249.33–$311.66 $415.55–$519.44 varies
Mammography, screening (bilateral) (77067)
range across 6 matching MRF lines
$102.78–$256.93 $171.30–$428.22 varies
Basic metabolic panel (80048)
range across 3 matching MRF lines
$65.12–$86.82 $108.53–$144.70 varies
Comprehensive metabolic panel (80053)
range across 4 matching MRF lines
$12.67–$126.64 $21.12–$211.06 varies
Lipid panel (80061)
range across 4 matching MRF lines
$9–$39.83 $15–$66.38 varies
Renal function panel (80069)
range across 3 matching MRF lines
$78.26–$104.34 $130.43–$173.90 varies
Hepatic function panel (80076)
range across 3 matching MRF lines
$55.56–$74.08 $92.60–$123.46 varies
Urinalysis, non-automated, with microscopy (81000) $4.82 $8.04 1.2×
Urinalysis, non-automated, without microscopy (81002)
range across 3 matching MRF lines
$4.18–$23.45 $6.96–$39.08 varies
PSA, total (84153)
range across 3 matching MRF lines
$45.28–$60.37 $75.46–$100.61 varies
Thyroid stimulating hormone (TSH) (84443)
range across 4 matching MRF lines
$6–$100.60 $10–$167.67 varies
CBC with automated differential (85025)
range across 4 matching MRF lines
$10.96–$56.04 $18.27–$93.40 varies
CBC, automated (85027)
range across 3 matching MRF lines
$42.03–$56.04 $70.05–$93.40 varies
Prothrombin time (PT) (85610)
range across 12 matching MRF lines
$5.24–$47.02 $8.74–$78.37 varies
Partial thromboplastin time (PTT) (85730)
range across 11 matching MRF lines
$11.01–$45.02 $18.35–$75.04 varies
Psychotherapy, 30 minutes (90832)
range across 4 matching MRF lines
$54.72–$185.98 $91.20–$309.96 varies
Psychotherapy, 45 minutes (90834)
range across 4 matching MRF lines
$70.85–$246.75 $118.08–$411.25 varies
Psychotherapy, 60 minutes (90837)
range across 4 matching MRF lines
$74.05–$246.75 $123.41–$411.25 varies
Family psychotherapy, without patient (50 min) (90846)
range across 3 matching MRF lines
$81.64–$151.57 $136.07–$252.61 varies
Family psychotherapy, with patient (50 min) (90847)
range across 5 matching MRF lines
$77.75–$188.71 $129.58–$314.52 varies
Group psychotherapy (90853) $146.72 $244.54 1.5×
Electrocardiogram (ECG), complete (93000)
range across 2 matching MRF lines
$31.23–$46.73 $52.05–$77.89 varies
Left heart catheterization (93452) $9,334.19 $15,556.99 3.0×
Sleep study (attended polysomnography) (95810)
range across 4 matching MRF lines
$288.86–$3,149.15 $481.44–$5,248.59 varies
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 16 matching MRF lines
$99.94–$121.90 $166.56–$203.16 varies
Office visit, new patient (low complexity, ~30 min) (99203)
range across 8 matching MRF lines
$117.23–$152.24 $195.38–$253.73 varies
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 9 matching MRF lines
$181.37–$212.29 $302.28–$353.81 varies
Office visit, new patient (high complexity, ~60 min) (99205)
range across 7 matching MRF lines
$235.01–$257.32 $391.68–$428.86 varies
Office consultation (moderate complexity, ~40 min) (99244) $206.15 $343.59 1.6×
Preventive visit, new patient (age 18–39) (99385)
range across 3 matching MRF lines
$51–$187.15 $85–$311.91 varies
Preventive visit, new patient (age 40–64) (99386)
range across 2 matching MRF lines
$69–$159.97 $115–$266.62 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.

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