Wood County Hospital Association
Wood County Hospital Association in Bowling Green, OH publishes cash prices for 40 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
950 West Wooster Street, Bowling Green, OH 43402 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 CT ABDOMEN & PELVIS W/CONTRAST | $1,092.00 | $1,092.00 | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN & PELVIS W/CONTRAST | $1,092.00 | $1,092.00 | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO IV CONTRAST | $1,092.00 | $1,092.00 | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO IV CONTRAST | $1,092.00 | $1,092.00 | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $1,092.00 | $1,092.00 | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST | $1,092.00 | $1,092.00 | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIGITAL DIAG BILAT | $362.50 | $362.50 | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAM DIG MAG OR SPECIAL VWS - BILAT | $362.50 | $362.50 | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAM DIG MAG OR SPECIAL VWS - BILAT | $362.50 | $362.50 | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DIGITAL DIAG BILAT | $362.50 | $362.50 | — |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIGITAL DIAG UNILAT | $306.75 | $306.75 | — |
| Diagnostic mammogram, one breast one side CPT 77065 MAM DIG MAG OR SPECIAL VWS-UNILAT | $307.50 | $307.50 | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIGITAL DIAG UNILAT | $306.75 | $306.75 | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAM DIG MAG OR SPECIAL VWS-UNILAT | $307.50 | $307.50 | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI SIGNATURE KNEE | $841.50 | $841.50 | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT-JOINT W/O C | $1,611.50 | $1,611.50 | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI SIGNATURE KNEE | $841.50 | $841.50 | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER EXT-JOINT W/O C | $1,611.50 | $1,611.50 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXT-JOINT W&WO | $2,139.00 | $2,139.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOWER EXT-JOINT W&WO | $2,139.00 | $2,139.00 | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $1,611.50 | $1,611.50 | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST | $1,611.50 | $1,611.50 | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W & W/O CONT. | $1,887.00 | $1,887.00 | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W & W/O CONT. | $1,887.00 | $1,887.00 | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR WO CONTRAST | $1,611.50 | $1,611.50 | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR WO CONTRAST | $1,611.50 | $1,611.50 | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB >1ST TRIM 1ST GEST | $602.50 | $602.50 | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB >1ST TRIM 1ST GEST | $602.50 | $602.50 | — |
| Screening mammogram, both breasts CPT 77067 MAMMO DIGITAL SCREENING | $165.00 | $165.00 | — |
| Screening mammogram, both breasts inpatient CPT 77067 MAMMO DIGITAL SCREENING | $165.00 | $165.00 | — |
| Sleep study in a lab (polysomnography) CPT 95810 ATTENDED SLEEP W 4+ PARAM | $3,201.25 | $3,201.25 | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 ATTENDED SLEEP W 4+ PARAM | $3,201.25 | $3,201.25 | — |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON OB | $406.75 | $406.75 | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NON OB | $406.75 | $406.75 | — |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN | $542.75 | $542.75 | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN | $542.75 | $542.75 | — |
| X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE W/OBLS | $379.75 | $379.75 | — |
| X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE W/OBLS - NB | $379.75 | $379.75 | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE W/OBLS - NB | $379.75 | $379.75 | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE W/OBLS | $379.75 | $379.75 | — |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC PANEL (CHEM 8) | $110.25 | $110.25 | — |
| Basic metabolic panel (blood test) CPT 80048 BASIC PANEL (CHEM 8) - **when encounter is for Outpatient Labs Only** | $110.25 | $110.25 | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC PANEL (CHEM 8) | $110.25 | $110.25 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CARDIO IQ, COMPONENT 4 - **when encounter is for Outpatient Labs Only** | $33.04 | $33.04 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CARDIO IQ, COMPONENT 4 | $33.04 | $33.04 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $104.75 | $104.75 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL - **when encounter is for Outpatient Labs Only** | $104.75 | $104.75 | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CARDIO IQ, COMPONENT 4 | $33.04 | $33.04 | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $104.75 | $104.75 | — |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFF | $79.90 | $79.90 | — |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFF - **when encounter is for Outpatient Labs Only** | $79.90 | $79.90 | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH DIFF | $79.90 | $79.90 | — |
| Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFF | $66.15 | $66.15 | — |
| Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFF - **when encounter is for Outpatient Labs Only** | $66.15 | $66.15 | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/O DIFF | $66.15 | $66.15 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 METABOLIC PANEL, COMP. - **when encounter is for Outpatient Labs Only** | $137.80 | $137.80 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 METABOLIC PANEL, COMP. | $137.80 | $137.80 | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 METABOLIC PANEL, COMP. | $137.80 | $137.80 | — |
| Kidney function blood test panel CPT 80069 RENAL PANEL | $92.30 | $92.30 | — |
| Kidney function blood test panel CPT 80069 RENAL PANEL - **when encounter is for Outpatient Labs Only** | $92.30 | $92.30 | — |
| Kidney function blood test panel inpatient CPT 80069 RENAL PANEL | $92.30 | $92.30 | — |
| Liver function blood test panel CPT 80076 HEPATIC PANEL | $87.65 | $87.65 | — |
| Liver function blood test panel CPT 80076 HEPATIC PANEL - **when encounter is for Outpatient Labs Only** | $87.65 | $87.65 | — |
| Liver function blood test panel inpatient CPT 80076 HEPATIC PANEL | $87.65 | $87.65 | — |
| Obstetric blood test panel CPT 80055 PRENATAL PANEL - **when encounter is for Outpatient Labs Only** | $330.70 | $330.70 | — |
| Obstetric blood test panel CPT 80055 PRENATAL PANEL | $330.70 | $330.70 | — |
| Obstetric blood test panel inpatient CPT 80055 PRENATAL PANEL | $330.70 | $330.70 | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE AND TOTAL - COMPONENT 2 | $23.39 | $23.39 | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE AND TOTAL - COMPONENT 2 - **when encounter is for Outpatient Labs Only** | $23.39 | $23.39 | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE | $43.39 | $43.39 | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE - **when encounter is for Outpatient Labs Only** | $43.39 | $43.39 | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE AND TOTAL - COMPONENT 2 | $23.39 | $23.39 | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, FREE | $43.39 | $43.39 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA FREE AND TOTAL - COMPONENT 1 | $23.39 | $23.39 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA FREE AND TOTAL - COMPONENT 1 - **when encounter is for Outpatient Labs Only** | $23.39 | $23.39 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA | $91.65 | $91.65 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, POST PROSTATECTOMY | $91.65 | $91.65 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA - **when encounter is for Outpatient Labs Only** | $91.65 | $91.65 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, POST PROSTATECTOMY - **when encounter is for Outpatient Labs Only** | $91.65 | $91.65 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA - YEARLY SCREEN ONLY - **when encounter is for Outpatient Labs Only** | $91.65 | $91.65 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA - YEARLY SCREEN ONLY | $91.65 | $91.65 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA FREE AND TOTAL - COMPONENT 1 | $23.39 | $23.39 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA | $91.65 | $91.65 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, POST PROSTATECTOMY | $91.65 | $91.65 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA - YEARLY SCREEN ONLY | $91.65 | $91.65 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 VON WILLEBRAND EVALUATION WITH MULTIMERS 5TH COMPONENT - **when encounter is for Outpatient Labs Only** | $39.58 | $39.58 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 VON WILLEBRAND EVALUATION WITH MULTIMERS 5TH COMPONENT | $39.58 | $39.58 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 APTT | $47.05 | $47.05 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 APTT - **when encounter is for Outpatient Labs Only** | $47.05 | $47.05 | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 VON WILLEBRAND EVALUATION WITH MULTIMERS 5TH COMPONENT | $39.58 | $39.58 | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT | $47.05 | $47.05 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PRO TIME - **when encounter is for Outpatient Labs Only** | $42.75 | $42.75 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PRO TIME | $42.75 | $42.75 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PRO TIME | $42.75 | $42.75 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $115.20 | $115.20 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH - **when encounter is for Outpatient Labs Only** | $115.20 | $115.20 | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $115.20 | $115.20 | — |
| Urinalysis with microscope exam, automated CPT 81001 URINE CHARGE W/MICRO | $48.30 | $48.30 | — |
| Urinalysis with microscope exam, automated CPT 81001 URINE CHARGE W/MICRO - **when encounter is for Outpatient Labs Only** | $48.30 | $48.30 | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINE CHARGE W/MICRO | $48.30 | $48.30 | — |
| Urinalysis without microscope exam, automated CPT 81003 UA2 (NO MICRO) | $43.35 | $43.35 | — |
| Urinalysis without microscope exam, automated CPT 81003 UA2 (NO MICRO) - **when encounter is for Outpatient Labs Only** | $43.35 | $43.35 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA2 (NO MICRO) | $43.35 | $43.35 | — |
| Urinalysis without microscope exam, manual CPT 81002 URINE DIPSTICK (POC) - **when encounter is for Outpatient Labs Only** | $14.85 | $14.85 | — |
| Urinalysis without microscope exam, manual CPT 81002 URINE DIPSTICK (POC) | $14.85 | $14.85 | — |
| Urinalysis without microscope exam, manual CPT 81002 URINE FASTING GLUCOSE - GTT - **when encounter is for Outpatient Labs Only** | $14.85 | $14.85 | — |
| Urinalysis without microscope exam, manual CPT 81002 URINE FASTING GLUCOSE - GTT | $14.85 | $14.85 | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIPSTICK (POC) | $14.85 | $14.85 | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINE FASTING GLUCOSE - GTT | $14.85 | $14.85 | — |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 YAG LASER | $1,285.50 | $1,285.50 | — |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 YAG LASER | $1,285.50 | $1,285.50 | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 EPIDURAL INJECTION - LUMBAR/ SACRA/ CAUDAL W/ GUIDANCE - SINGLE | $1,420.00 | $1,420.00 | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 EPIDURAL INJECTION - LUMBAR/SACRA/CAUDAL W/GUIDANCE - SINGLE | $1,498.75 | $1,498.75 | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 EPIDURAL INJECTION - LUMBAR/ SACRA/ CAUDAL W/ GUIDANCE - SINGLE | $1,420.00 | $1,420.00 | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 EPIDURAL INJECTION - LUMBAR/SACRA/CAUDAL W/GUIDANCE - SINGLE | $1,498.75 | $1,498.75 | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJECTION, INTERLAMINAR, LUMBAR OR SACRAL W/O IMAGING | $1,168.00 | $1,168.00 | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 EPIDURAL INJECTION - LUMBAR/SAC W/O IMAGING | $1,498.75 | $1,498.75 | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJECTION, INTERLAMINAR, LUMBAR OR SACRAL W/O IMAGING | $1,168.00 | $1,168.00 | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 EPIDURAL INJECTION - LUMBAR/SAC W/O IMAGING | $1,498.75 | $1,498.75 | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 TRANSFORAMINAL EPIDURAL LUMBAR/SACRAL 1ST LEVEL | $1,498.75 | $1,498.75 | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 TRANSFORAMINAL EPIDURAL LUMBAR/SACRAL 1ST LEVEL | $1,498.75 | $1,498.75 | — |
| Prostate biopsy CPT 55700 PROSTATE BX XRAY | $1,104.25 | $1,104.25 | — |
| Prostate biopsy inpatient CPT 55700 PROSTATE BX XRAY | $1,104.25 | $1,104.25 | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT VISIT INTERMEDIATE (HFC) | $166.00 | $166.00 | — |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT VISIT 3 (RAD ONC) | $212.25 | $212.25 | — |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT VISIT 3 (WC) | $221.00 | $221.00 | — |
| New patient office visit, about 30 minutes CPT 99203 OB - 99203-TREATMENT ROOM NEW PATIENT LEVEL 3 | $225.00 | $225.00 | — |
| New patient office visit, about 30 minutes CPT 99203 99203 OFFICE/OUTPATIENT VISIT - NEW LEVEL 3 (PC) | $240.75 | $240.75 | — |
| New patient office visit, about 30 minutes CPT 99203 99203 OFFICE/OUTPATIENT VISIT - NEW LEVEL 3 (VS) | $240.75 | $240.75 | — |
| New patient office visit, about 30 minutes CPT 99203 PROCEDURE ROOM NEW PATIENT - LEVEL 3 | $256.50 | $256.50 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT VISIT INTERMEDIATE (HFC) | $166.00 | $166.00 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT VISIT 3 (RAD ONC) | $212.25 | $212.25 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT VISIT 3 (WC) | $221.00 | $221.00 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 OB - 99203-TREATMENT ROOM NEW PATIENT LEVEL 3 | $225.00 | $225.00 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 99203 OFFICE/OUTPATIENT VISIT - NEW LEVEL 3 (PC) | $240.75 | $240.75 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 99203 OFFICE/OUTPATIENT VISIT - NEW LEVEL 3 (VS) | $240.75 | $240.75 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 PROCEDURE ROOM NEW PATIENT - LEVEL 3 | $256.50 | $256.50 | — |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT VISIT COMPLEX (HFC) | $182.00 | $182.00 | — |
| New patient office visit, about 45 minutes CPT 99204 OB - 99204-TREATMENT ROOM NEW PATIENT LEVEL 4 | $258.00 | $258.00 | — |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT VISIT 4 (WC) | $292.00 | $292.00 | — |
| New patient office visit, about 45 minutes CPT 99204 99204 OFFICE/OUTPATIENT VISIT - NEW LEVEL 4 (VS) | $317.00 | $317.00 | — |
| New patient office visit, about 45 minutes CPT 99204 99204 OFFICE/OUTPATIENT VISIT - NEW LEVEL 4 (PC) | $317.00 | $317.00 | — |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT VISIT 4 (RAD ONC) | $319.75 | $319.75 | — |
| New patient office visit, about 45 minutes CPT 99204 PROCEDURE ROOM NEW PATIENT - LEVEL 4 | $345.75 | $345.75 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT VISIT COMPLEX (HFC) | $182.00 | $182.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 OB - 99204-TREATMENT ROOM NEW PATIENT LEVEL 4 | $258.00 | $258.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT VISIT 4 (WC) | $292.00 | $292.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204 OFFICE/OUTPATIENT VISIT - NEW LEVEL 4 (PC) | $317.00 | $317.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204 OFFICE/OUTPATIENT VISIT - NEW LEVEL 4 (VS) | $317.00 | $317.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT VISIT 4 (RAD ONC) | $319.75 | $319.75 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 PROCEDURE ROOM NEW PATIENT - LEVEL 4 | $345.75 | $345.75 | — |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT VISIT EXTENDED (HFC) | $215.00 | $215.00 | — |
| New patient office visit, about 60 minutes CPT 99205 OB - 99205-TREATMENT ROOM NEW PATIENT LEVEL 5 | $335.00 | $335.00 | — |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT VISIT 5 (WC) | $399.25 | $399.25 | — |
| New patient office visit, about 60 minutes CPT 99205 99205 OFFICE/OUTPATIENT VISIT - NEW LEVEL 5 (VS) | $418.00 | $418.00 | — |
| New patient office visit, about 60 minutes CPT 99205 99205 OFFICE/OUTPATIENT VISIT - NEW LEVEL 5 (PC) | $418.00 | $418.00 | — |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT VISIT 5 (RAD ONC) | $426.25 | $426.25 | — |
| New patient office visit, about 60 minutes CPT 99205 PROCEDURE ROOM NEW PATIENT - LEVEL 5 | $447.50 | $447.50 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT VISIT EXTENDED (HFC) | $215.00 | $215.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 OB - 99205-TREATMENT ROOM NEW PATIENT LEVEL 5 | $335.00 | $335.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT VISIT 5 (WC) | $399.25 | $399.25 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205 OFFICE/OUTPATIENT VISIT - NEW LEVEL 5 (PC) | $418.00 | $418.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205 OFFICE/OUTPATIENT VISIT - NEW LEVEL 5 (VS) | $418.00 | $418.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT VISIT 5 (RAD ONC) | $426.25 | $426.25 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 PROCEDURE ROOM NEW PATIENT - LEVEL 5 | $447.50 | $447.50 | — |
Source file: https://www.woodcountyhospital.org/media/0x5fw0tn/344440884_wood-county_standardcharges.csv