Upper Valley Medical Center
Troy, OH
Posts prices for 42 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 3 matching MRF lines |
$8,324–$16,646 | $8,324–$16,646 | varies |
| CT head/brain without contrast (70450) | $1,396 | $1,396 | 13.6× |
| MRI brain without contrast (70551) | $2,220 | $2,220 | 9.5× |
| MRI brain with contrast (70552) | $3,687 | $3,687 | 10.8× |
| MRI brain without and with contrast (70553) | $3,687 | $3,687 | 10.8× |
| X-ray lower spine, 4+ views (72110) | $1,057 | $1,057 | 10.3× |
| MRI lumbar spine without contrast (72148) | $2,048 | $2,048 | 8.8× |
| CT pelvis with contrast (72193) | $2,682 | $2,682 | 15.6× |
| MRI lower-extremity joint without contrast (73721) range across 3 matching MRF lines |
$2,048–$4,093 | $2,048–$4,093 | varies |
| CT abdomen and pelvis with contrast (74177) | $3,941 | $3,941 | 11.5× |
| Ultrasound, abdomen complete (76700) | $1,806 | $1,806 | 17.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $1,806 | $1,806 | 17.6× |
| Ultrasound, transvaginal (76830) range across 2 matching MRF lines |
$1,463–$1,806 | $1,463–$1,806 | varies |
| Mammography, one breast (diagnostic) (77065) | $468 | $468 | 5.4× |
| Mammography, both breasts (diagnostic) (77066) | $569 | $569 | 5.1× |
| Mammography, screening (bilateral) (77067) | $420 | $420 | 4.6× |
| Basic metabolic panel (80048) | $106 | $106 | 12.5× |
| Comprehensive metabolic panel (80053) | $152 | $152 | 14.4× |
| Obstetric panel (80055) | $237 | $237 | 5.0× |
| Lipid panel (80061) | $139 | $139 | 10.4× |
| Renal function panel (80069) | $109 | $109 | 12.6× |
| Hepatic function panel (80076) | $70 | $70 | 8.6× |
| Urinalysis, non-automated, with microscopy (81000) | $45 | $45 | 11.2× |
| Urinalysis, non-automated, without microscopy (81002) | $32 | $32 | 9.2× |
| PSA, total (84153) | $260 | $260 | 14.1× |
| Thyroid stimulating hormone (TSH) (84443) | $237 | $237 | 14.1× |
| CBC with automated differential (85025) | $137 | $137 | 17.6× |
| CBC, automated (85027) | $115 | $115 | 17.8× |
| Prothrombin time (PT) (85610) | $71 | $71 | 16.6× |
| Partial thromboplastin time (PTT) (85730) | $107 | $107 | 17.8× |
| Psychotherapy, 30 minutes (90832) | $244 | $244 | 1.4× |
| Psychotherapy, 45 minutes (90834) | $502 | $502 | 2.9× |
| Psychotherapy, 60 minutes (90837) | $543 | $543 | 3.1× |
| Family psychotherapy, without patient (50 min) (90846) | $407 | $407 | 2.3× |
| Family psychotherapy, with patient (50 min) (90847) | $574 | $574 | 3.3× |
| Group psychotherapy (90853) | $181 | $181 | 1.8× |
| Left heart catheterization (93452) | $8,296 | $8,296 | 2.6× |
| Sleep study (attended polysomnography) (95810) | $4,840 | $4,840 | 5.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $218 | $218 | 7.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 5 matching MRF lines |
$208–$433 | $208–$433 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 5 matching MRF lines |
$208–$541 | $208–$541 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 5 matching MRF lines |
$208–$649 | $208–$649 | 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: 437 codes with posted prices and Medicare benchmarks
- Lab & pathology: 965 codes with posted prices and Medicare benchmarks
- Visits & medical services: 307 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 497 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 45 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (JSON, 55.2 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.