Alliance Community Hospital
Alliance Community Hospital in Alliance, OH publishes cash prices for 31 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Click a procedure to compare it with other hospitals nearby.
200 East State Street, Alliance, OH 44601 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 Definity: 16 Vial, Glass In 1 Carton (11994-011-16) / 1.5 Ml In 1 Vial, Glass | $1,189.35 | $2,643.00 | 55% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Definity: 16 Vial, Glass In 1 Carton (11994-011-16) / 1.5 Ml In 1 Vial, Glass | $1,189.35 | $2,643.00 | 55% |
| CT scan of the head or brain, no contrast dye CPT 70450 Ct Head/Brain W/O Dye | $456.30 | $1,014.00 | 55% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct Head/Brain W/O Dye | $456.30 | $1,014.00 | 55% |
| CT scan of the pelvis, with contrast dye CPT 72193 Ct Pelvis With Dye | $634.05 | $1,409.00 | 55% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct Pelvis With Dye | $634.05 | $1,409.00 | 55% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Mammo Diag W/Cad Bilat | $323.55 | $719.00 | 55% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Mammo Diag W/Cad Bilat | $323.55 | $719.00 | 55% |
| Diagnostic mammogram, one breast one side CPT 77065 Mammo Diag W/Cad Unilat | $150.75 | $335.00 | 55% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Mammo Diag W/Cad Unilat | $150.75 | $335.00 | 55% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Mri Joint Low Extrem W/O Dye | $1,048.05 | $2,329.00 | 55% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri Knee Left Limited | $324.45 | $721.00 | 55% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri Knee Right Limited | $324.45 | $721.00 | 55% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Mri Joint Low Extrem W/O Dye | $1,048.05 | $2,329.00 | 55% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri Knee Right Limited | $324.45 | $721.00 | 55% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri Knee Left Limited | $324.45 | $721.00 | 55% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri Joint Low Extr W/O &W/Dye | $1,386.00 | $3,080.00 | 55% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Mri Joint Low Extr W/O &W/Dye | $1,386.00 | $3,080.00 | 55% |
| MRI of the brain, no contrast dye CPT 70551 Mri Brain W/O Dye | $1,084.50 | $2,410.00 | 55% |
| MRI of the brain, no contrast dye inpatient CPT 70551 Mri Brain W/O Dye | $1,084.50 | $2,410.00 | 55% |
| MRI of the brain, with and without contrast dye CPT 70553 Mri Brain W/O & W/Dye | $1,485.90 | $3,302.00 | 55% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri Brain W/O & W/Dye | $1,485.90 | $3,302.00 | 55% |
| MRI of the lower back, no contrast dye CPT 72148 Mri Lumbar Spine W/O Dye | $1,048.05 | $2,329.00 | 55% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Mri Lumbar Spine W/O Dye | $1,048.05 | $2,329.00 | 55% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ob Us >= 14 Wks Sngl Fetus | $387.90 | $862.00 | 55% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Ob Us >= 14 Wks Sngl Fetus | $387.90 | $862.00 | 55% |
| Screening mammogram, both breasts both sides CPT 77067 Mammo Screen W/Cad Bilat | $156.60 | $348.00 | 55% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Mammo Screen W/Cad Bilat | $156.60 | $348.00 | 55% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysomnography 4+Parameters | $2,500.65 | $5,557.00 | 55% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysomnography 4+Parameters | $2,500.65 | $5,557.00 | 55% |
| Transvaginal pelvic ultrasound CPT 76830 Us Transvaginal Non Ob | $214.20 | $476.00 | 55% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Us Transvaginal Non Ob | $214.20 | $476.00 | 55% |
| Ultrasound of the abdomen, complete CPT 76700 Us Abdomen Complete | $410.85 | $913.00 | 55% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Us Abdomen Complete | $410.85 | $913.00 | 55% |
| X-ray of the lower back, 4 or more views CPT 72110 Xr Spine Lumbar Min 4 Views | $245.70 | $546.00 | 55% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Xr Spine Lumbar Min 4 Views | $245.70 | $546.00 | 55% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Lab-Panel Basic Metabolic | $60.30 | $134.00 | 55% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Lab-Panel Basic Metabolic | $60.30 | $134.00 | 55% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lab-Panel Lipid | $65.70 | $146.00 | 55% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lab-Panel Lipid | $65.70 | $146.00 | 55% |
| Complete blood count (CBC), no differential CPT 85027 Lab-Hemogram/Platelets | $46.80 | $104.00 | 55% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Lab-Hemogram/Platelets | $46.80 | $104.00 | 55% |
| Comprehensive metabolic panel (blood test) CPT 80053 Lab-Panel Comp Metabolic | $83.70 | $186.00 | 55% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Lab-Panel Comp Metabolic | $83.70 | $186.00 | 55% |
| Kidney function blood test panel CPT 80069 Lab-Renal Function Panel | $76.95 | $171.00 | 55% |
| Kidney function blood test panel inpatient CPT 80069 Lab-Renal Function Panel | $76.95 | $171.00 | 55% |
| Liver function blood test panel CPT 80076 Lab-Panel Hepatic Function | $65.25 | $145.00 | 55% |
| Liver function blood test panel inpatient CPT 80076 Lab-Panel Hepatic Function | $65.25 | $145.00 | 55% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Lab-Aptt (P.Thrombin Time) | $40.95 | $91.00 | 55% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Lab-Aptt (P.Thrombin Time) | $40.95 | $91.00 | 55% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $22.95 | $51.00 | 55% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Lab-Prothrombin Time | $22.95 | $51.00 | 55% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Lab-Prothrombin Time | $22.95 | $51.00 | 55% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $22.95 | $51.00 | 55% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Lab-Tsh Thyroid Stim | $54.00 | $120.00 | 55% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Lab-Tsh Thyroid Stim | $54.00 | $120.00 | 55% |
| Urinalysis with microscope exam, automated CPT 81001 Lab-Auto Ua With Microscopic | $28.80 | $64.00 | 55% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Lab-Auto Ua With Microscopic | $28.80 | $64.00 | 55% |
| Urinalysis without microscope exam, automated CPT 81003 Lab Auto Urinalysis | $3.60 | $8.00 | 55% |
| Urinalysis without microscope exam, automated CPT 81003 Lab-Ph Urine | $21.15 | $47.00 | 55% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Lab Auto Urinalysis | $3.60 | $8.00 | 55% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Lab-Ph Urine | $21.15 | $47.00 | 55% |
| Urinalysis without microscope exam, manual CPT 81002 Er-Ua Non Auto W/O Micro | $8.10 | $18.00 | 55% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Er-Ua Non Auto W/O Micro | $8.10 | $18.00 | 55% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Lower-back epidural injection, with imaging guidance CPT 62323 Inj Interlam Lmbr/Sac W/ Guid | $1,631.25 | $3,625.00 | 55% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Inj Interlam Lmbr/Sac W/ Guid | $1,631.25 | $3,625.00 | 55% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj Tranform Lub/Sac W Gde | $937.80 | $2,084.00 | 55% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inj Tranform Lub/Sac W Gde | $937.80 | $2,084.00 | 55% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot-Theraputic Exercis Ea 15Min | $78.30 | $174.00 | 55% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt-Theraputic Exercis Ea 15Min | $78.30 | $174.00 | 55% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Pt-Theraputic Exercis Ea 15Min | $78.30 | $174.00 | 55% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ot-Theraputic Exercis Ea 15Min | $78.30 | $174.00 | 55% |
Source file: https://aultman.org/pricing-transparency/2026/1942385794_alliance-community-hospital_standardcharges.json