Diley Ridge Medical Center
Diley Ridge Medical Center in Canal Winchester, OH publishes cash prices for 33 common procedures listed here, from its own machine-readable price file updated Mar 31, 2026. Click a procedure to compare it with other hospitals nearby.
7911 Diley Road, Canal Winchester, OH 43110 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abdomen & Pelvis W/Contrast | $2,080.00 | $3,200.00 | 35% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abdomen & Pelvis W/Contrast | $2,156.05 | — | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abdomen & Pelvis W/Contrast | $2,080.00 | $3,200.00 | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head/Brain W/O Contrast | $978.25 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head/Brain W/O Contrast | $978.25 | $1,505.00 | 35% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Head/Brain W/O Contrast | $978.25 | $1,505.00 | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W/Contrast | $1,119.30 | $1,722.00 | 35% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Pelvis W/Contrast | $1,119.30 | $1,722.00 | 35% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC Mammography Diagnostic Bilateral | $276.90 | $426.00 | 35% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Mammography Diagnostic Bilateral | $276.90 | $426.00 | 35% |
| Diagnostic mammogram, one breast one side CPT 77065 HC Mammography Diagnostic Unilateral Rt | $220.35 | $339.00 | 35% |
| Diagnostic mammogram, one breast one side CPT 77065 HC Mammography Diagnostic Unilateral Lt | $220.35 | $339.00 | 35% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammography Diagnostic Unilateral Rt | $220.35 | $339.00 | 35% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammography Diagnostic Unilateral Lt | $220.35 | $339.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Bl | $1,851.85 | $2,849.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Rt | $1,234.35 | $1,899.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Lt | $1,234.35 | $1,899.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Bl | $1,851.85 | $2,849.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Lt | $1,234.35 | $1,899.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Rt | $1,234.35 | $1,899.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Bl | $3,587.35 | $5,519.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Rt | $2,391.35 | $3,679.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Lt | $2,391.35 | $3,679.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Bl | $3,587.35 | $5,519.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Rt | $2,391.35 | $3,679.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Lt | $2,391.35 | $3,679.00 | 35% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain W/O Contrast | $1,344.20 | $2,068.00 | 35% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain W/O Contrast | $1,344.20 | $2,068.00 | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain W/O & W/Contrast | $2,022.15 | $3,111.00 | 35% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI Brain W/O & W/Contrast | $2,022.15 | $3,111.00 | 35% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI Lumbar Spine W/O Contrast | $1,236.30 | $1,902.00 | 35% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI Lumbar Spine W/O Contrast | $1,236.30 | $1,902.00 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US Pregnant Uterus >= 14 Weeks Single/1st Gestation | $474.50 | $730.00 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US Pregnant Uterus >= 14 Weeks Single/1st Gestation | $474.50 | $730.00 | 35% |
| Screening mammogram, both breasts both sides CPT 77067 HC Mammography Screen Bilateral | $79.30 | $122.00 | 35% |
| Screening mammogram, both breasts one side CPT 77067 HC Mammography Screen Bl Reduced Service Unilateral Only Completed | $79.30 | $122.00 | 35% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC Mammography Screen Bilateral | $79.30 | $122.00 | 35% |
| Screening mammogram, both breasts inpatient one side CPT 77067 HC Mammography Screen Bl Reduced Service Unilateral Only Completed | $79.30 | $122.00 | 35% |
| Sleep study in a lab (polysomnography) CPT 95810 HC Polysomnography Sleep Staging >=4 Parameters Age >=6 Years | $2,108.60 | $3,244.00 | 35% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC Polysomnography Sleep Staging >=4 Parameters Age >=6 Years | $2,108.60 | $3,244.00 | 35% |
| Transvaginal pelvic ultrasound CPT 76830 HC US Transvaginal Non Obstetric | $536.25 | $825.00 | 35% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US Transvaginal Non Obstetric | $536.25 | $825.00 | 35% |
| Ultrasound of the abdomen, complete CPT 76700 HC US Abdomen Complete | $577.85 | $889.00 | 35% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US Abdomen Complete | $577.85 | $889.00 | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 HC Xr Lumbosacral Spine >= 4 Views | $377.00 | $580.00 | 35% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC Xr Lumbosacral Spine >= 4 Views | $377.00 | $580.00 | 35% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC POCT Basic Metabolic Panel (Calcium Total) | $65.65 | $101.00 | 35% |
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel (Calcium Total) | $65.65 | $101.00 | 35% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC Basic Metabolic Panel (Calcium Total) | $65.65 | $101.00 | 35% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC POCT Basic Metabolic Panel (Calcium Total) | $65.65 | $101.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel | $53.95 | $83.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel | $53.95 | $83.00 | 35% |
| Complete blood count (CBC) with differential CPT 85025 HC Cbc Automated/Differential Wbc Automated | $31.20 | $48.00 | 35% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC Cbc Automated/Differential Wbc Automated | $31.20 | $48.00 | 35% |
| Complete blood count (CBC), no differential CPT 85027 HC Cbc Automated | $48.10 | $74.00 | 35% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC Cbc Automated | $48.10 | $74.00 | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Panel | $61.75 | $95.00 | 35% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Comprehensive Metabolic Panel | $61.75 | $95.00 | 35% |
| Kidney function blood test panel CPT 80069 HC Renal Function Panel | $41.60 | $64.00 | 35% |
| Kidney function blood test panel inpatient CPT 80069 HC Renal Function Panel | $41.60 | $64.00 | 35% |
| Liver function blood test panel CPT 80076 HC Hepatic Function Panel | $33.15 | $51.00 | 35% |
| Liver function blood test panel inpatient CPT 80076 HC Hepatic Function Panel | $33.15 | $51.00 | 35% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Prostate Specific Antigen Free | $80.60 | $124.00 | 35% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Prostate Specific Antigen Free | $80.60 | $124.00 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Antigen Total | $76.70 | $118.00 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Warde Prostate Specific Antigen Total Ultrasensitive | $76.70 | $118.00 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Warde Prostate Specific Antigen Total | $76.70 | $118.00 | 35% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Warde Prostate Specific Antigen Total Ultrasensitive | $76.70 | $118.00 | 35% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Prostate Specific Antigen Total | $76.70 | $118.00 | 35% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Warde Prostate Specific Antigen Total | $76.70 | $118.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Warde 3514930 Thromboplastin Time Partial (Ptt) | $40.95 | $63.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Warde 3502730 Thromboplastin Time Partial (Ptt) | $40.95 | $63.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Quest 91242 Thromboplastin Time Partial (Ptt) | $40.95 | $63.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Warde 3500044 Thromboplastin Time Partial (Ptt) | $40.95 | $63.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplastin Time Partial (Ptt) | $40.95 | $63.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Warde 2500780 Thromboplastin Time Partial (Ptt) | $40.95 | $63.00 | 35% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Warde 3502730 Thromboplastin Time Partial (Ptt) | $40.95 | $63.00 | 35% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Warde 3514930 Thromboplastin Time Partial (Ptt) | $40.95 | $63.00 | 35% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Warde 2500780 Thromboplastin Time Partial (Ptt) | $40.95 | $63.00 | 35% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Thromboplastin Time Partial (Ptt) | $40.95 | $63.00 | 35% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Warde 3500044 Thromboplastin Time Partial (Ptt) | $40.95 | $63.00 | 35% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Quest 91242 Thromboplastin Time Partial (Ptt) | $40.95 | $63.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time | $31.20 | $48.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Warde 3514930 Prothrombin Time | $31.20 | $48.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC POCT Prothrombin Time | $31.20 | $48.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Warde 3500044 Prothrombin Time | $31.20 | $48.00 | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time | $31.20 | $48.00 | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC POCT Prothrombin Time | $31.20 | $48.00 | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Warde 3514930 Prothrombin Time | $31.20 | $48.00 | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Warde 3500044 Prothrombin Time | $31.20 | $48.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stimulating Hormone | $66.95 | $103.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Thyroid Stimulating Hormone | $66.95 | $103.00 | 35% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis With Microscopy Automated | $13.00 | $20.00 | 35% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis With Microscopy Automated | $356.20 | — | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC Urinalysis With Microscopy Automated | $13.00 | $20.00 | 35% |
| Urinalysis with microscope exam, manual CPT 81000 HC Urinalysis With Microscopy Nonautomated | $15.60 | $24.00 | 35% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC Urinalysis With Microscopy Nonautomated | $15.60 | $24.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Without Microscopy Automated | $13.65 | $21.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Without Microscopy Automated | $373.75 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis Without Microscopy Automated | $13.65 | $21.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 HC Urinalysis Without Microscopy Nonautomated | $14.30 | $22.00 | 35% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC Urinalysis Without Microscopy Nonautomated | $14.30 | $22.00 | 35% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes | $85.15 | $131.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pt Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes | $85.15 | $131.00 | 35% |
Source file: https://hpt.trinity-health.org/342032340_diley-ridge-medical-center_standardcharges.zip