McCullough-Hyde Memorial Hospital, Inc.
McCullough-Hyde Memorial Hospital, Inc. in Oxford, OH publishes cash prices for 41 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.
110 North Poplar Street, Oxford, OH 45056 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 With Con | $605.98 | $807.98 | 25% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head Without Contrast | $302.99 | $403.99 | 25% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis With Contrast | $302.99 | $403.99 | 25% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC Mammogram Dx Bilat With Cad | $339.79 | $453.05 | 25% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Mammogram Dx Bilat With Cad | $339.79 | $453.05 | 25% |
| Diagnostic mammogram, one breast one side CPT 77065 HC Mammogram Dx Unilat With Cad | $319.81 | $426.41 | 25% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammogram Dx Unilat With Cad | $319.81 | $426.41 | 25% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MR Lower Ext Jnt WO Con | $494.70 | $659.60 | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MR Lower Ext Jnt WO&W Con | $494.70 | $659.60 | 25% |
| MRI of the brain, no contrast dye CPT 70551 HC MR Brain WO Contrast | $494.70 | $659.60 | 25% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MR Brain WO&W Contrast | $494.70 | $659.60 | 25% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MR Brain WO&W Contrast | $494.70 | $659.60 | 25% |
| MRI of the lower back, no contrast dye CPT 72148 HC MR Spine Lumbar WO Contrast | $494.70 | $659.60 | 25% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB Transabd> 14 Weeks | $1,138.77 | $1,518.36 | 25% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB Transabd> 14 Weeks | $1,138.77 | $1,518.36 | 25% |
| Screening mammogram, both breasts both sides CPT 77067 HC Mammogram Scr Bilat With Cad | $259.84 | $346.45 | 25% |
| Screening mammogram, both breasts one side CPT 77067 HC Mammogram Scr Unilat With Cad | $172.06 | $229.42 | 25% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC Mammogram Scr Bilat With Cad | $259.84 | $346.45 | 25% |
| Sleep study in a lab (polysomnography) CPT 95810 HC Polysomnography > 6yrs Old > 6 Hrs | $4,608.85 | $6,145.13 | 25% |
| Sleep study in a lab (polysomnography) CPT 95810 HC Polysomnography <6hrs | $4,608.85 | $6,145.13 | 25% |
| Transvaginal pelvic ultrasound CPT 76830 HC US Transvaginal | $1,213.99 | $1,618.65 | 25% |
| Ultrasound of the abdomen, complete CPT 76700 HC US Abdomen Complete | $1,213.99 | $1,618.65 | 25% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US Abdomen Complete | $1,213.99 | $1,618.65 | 25% |
| X-ray of the lower back, 4 or more views CPT 72110 HC Xr Spine Lumbosacral Min 4 Views | $727.54 | $970.05 | 25% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC Xr Spine Lumbosacral Min 4 Views | $727.54 | $970.05 | 25% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel | $26.02 | $34.69 | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC Basic Metabolic Panel | $26.02 | $34.69 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Profile | $41.18 | $54.90 | 25% |
| Complete blood count (CBC) with differential CPT 85025 HC Cbc With Differential | $23.90 | $31.86 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC Cbc With Differential | $23.90 | $31.86 | 25% |
| Complete blood count (CBC), no differential CPT 85027 HC Cbc WO Diff | $19.90 | $26.53 | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Panel | $32.47 | $43.30 | 25% |
| Kidney function blood test panel CPT 80069 HC Renal Function Panel | $26.69 | $35.59 | 25% |
| Liver function blood test panel CPT 80076 HC Hepatic Function Panel | $25.12 | $33.50 | 25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Psa Free | $56.55 | $75.40 | 25% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Psa Free | $56.55 | $75.40 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Psa Total | $56.55 | $75.40 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Psa Total | $56.55 | $75.40 | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Apc Ptt | $18.48 | $24.64 | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Ptt | $18.48 | $24.64 | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Apc Ptt | $18.48 | $24.64 | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Ptt | $18.48 | $24.64 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Istat Pt/Inr | $13.19 | $17.59 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time | $13.19 | $17.59 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Istat Pt/Inr | $13.19 | $17.59 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time | $13.19 | $17.59 | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Tsh Hormone | $51.66 | $68.88 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis With Microscopy | $9.75 | $13.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC Urinalysis With Microscopy | $9.75 | $13.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 HC Ua Dipstick or Tablet Reagent Autom WO Microscpy | $6.92 | $9.23 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urine Routine WO Micro | $6.92 | $9.23 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Ua Dipstick or Tablet Reagent Autom WO Microscpy | $6.92 | $9.23 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urine Routine WO Micro | $6.92 | $9.23 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 HC Urine Dip Stick | $6.00 | $8.00 | 25% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Left heart catheterization, diagnostic one side CPT 93452 HC Lt Heart Cath Includes Inj Lv | $9,187.81 | $12,250.41 | 25% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC Lt Heart Cath Includes Inj Lv | $9,187.81 | $12,250.41 | 25% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC Esi Inj Single Lum/Sacral W Imaging | $1,587.04 | $2,116.05 | 25% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Esi Transforaminal Lum/Sac | $1,575.00 | $2,100.00 | 25% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Esi Transfrmnl Ls Same Lvl Bil | $2,362.50 | $3,150.00 | 25% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC Esi Transforaminal Lum/Sac | $1,575.00 | $2,100.00 | 25% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC Esi Transfrmnl Ls Same Lvl Bil | $2,362.50 | $3,150.00 | 25% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 HC Family Intervention W/ Patient | $109.20 | $145.60 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 HC Family Therapy With Patient | $170.94 | $227.92 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 HC Family Therapy With Patient Ph | $262.92 | $350.56 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC Family Therapy With Patient | $170.94 | $227.92 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC Family Therapy With Patient Ph | $262.92 | $350.56 | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 HC Family Intervention W/O Patient | $108.37 | $144.49 | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 HC Family Therapy W/O Pt | $170.94 | $227.92 | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 HC Family Education W Rn | $254.76 | $339.68 | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 HC Family Therapy W/O Pt Ph | $324.24 | $432.32 | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 HC Family Education W Rn Ph | $357.00 | $476.00 | 25% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC Family Intervention W/O Patient | $108.37 | $144.49 | 25% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC Family Therapy W/O Pt | $170.94 | $227.92 | 25% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC Family Education W Rn | $254.76 | $339.68 | 25% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC Family Therapy W/O Pt Ph | $324.24 | $432.32 | 25% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC Family Education W Rn Ph | $357.00 | $476.00 | 25% |
| Group psychotherapy session CPT 90853 HC Goal Psychothrpy Track 1&2 | $198.00 | $264.00 | 25% |
| Group psychotherapy session CPT 90853 HC Sensory Awareness Group Tx | $200.64 | $267.52 | 25% |
| Group psychotherapy session CPT 90853 HC Stress Mgmt Group | $200.64 | $267.52 | 25% |
| Group psychotherapy session CPT 90853 HC Assertive Group | $200.64 | $267.52 | 25% |
| Group psychotherapy session CPT 90853 HC Cognitive Behavior Group | $200.64 | $267.52 | 25% |
| Group psychotherapy session CPT 90853 HC Group Psychotherapy | $201.00 | $268.00 | 25% |
| Group psychotherapy session CPT 90853 HC Group Treatment | $210.00 | $280.00 | 25% |
| Group psychotherapy session CPT 90853 HC Stress Mgmt Group Ph | $255.36 | $340.48 | 25% |
| Group psychotherapy session CPT 90853 HC Sensory Awareness Group Tx Ph | $281.40 | $375.20 | 25% |
| Group psychotherapy session CPT 90853 HC Cognitive Behavior Group Ph | $281.40 | $375.20 | 25% |
| Group psychotherapy session CPT 90853 HC Group Psychotherapy Ph | $281.40 | $375.20 | 25% |
| Group psychotherapy session CPT 90853 HC Assertive Group Ph | $281.40 | $375.20 | 25% |
| Group psychotherapy session CPT 90853 HC Goal Psychothrpy Track 1&2 Ph | $281.40 | $375.20 | 25% |
| Group psychotherapy session CPT 90853 HC Intensive OP Prog (Iop) | $460.32 | $613.76 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC Goal Psychothrpy Track 1&2 | $198.00 | $264.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC Sensory Awareness Group Tx | $200.64 | $267.52 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC Cognitive Behavior Group | $200.64 | $267.52 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC Assertive Group | $200.64 | $267.52 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC Stress Mgmt Group | $200.64 | $267.52 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC Group Psychotherapy | $201.00 | $268.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC Group Treatment | $210.00 | $280.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC Stress Mgmt Group Ph | $255.36 | $340.48 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC Cognitive Behavior Group Ph | $281.40 | $375.20 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC Group Psychotherapy Ph | $281.40 | $375.20 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC Sensory Awareness Group Tx Ph | $281.40 | $375.20 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC Assertive Group Ph | $281.40 | $375.20 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC Intensive OP Prog (Iop) | $460.32 | $613.76 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pta Ther Exer/Isokin Trng Each 15 Min | $106.57 | $142.10 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Cota Therapeutic Exer/Isokin Trng Each 15 Min | $106.57 | $142.10 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Therapeutic Exer/Isokin Trng Each 15 Min | $106.57 | $142.10 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pta Ther Exer/Isokin Trng Each 15 Min | $106.57 | $142.10 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Cota Therapeutic Exer/Isokin Trng Each 15 Min | $106.57 | $142.10 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 HC Indiv Therapy 16-37 Mins | $113.52 | $151.36 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 HC Indiv Therapy 16-37 Mins Ph | $155.40 | $207.20 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 HC Discharge Conference | $196.02 | $261.36 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 HC Indiv. Psychotherapy 16 -37 Mins | $236.04 | $314.72 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 HC Discharge Conference Ph | $274.68 | $366.24 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC Indiv Therapy 16-37 Mins | $113.52 | $151.36 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC Indiv Therapy 16-37 Mins Ph | $155.40 | $207.20 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC Discharge Conference | $196.02 | $261.36 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC Indiv. Psychotherapy 16 -37 Mins | $236.04 | $314.72 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC Discharge Conference Ph | $274.68 | $366.24 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 HC Indiv Therapy 38-52 Mins | $184.80 | $246.40 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 HC Indiv Therapy 38 - 52 Mins Ph | $274.68 | $366.24 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 HC Indiv. Psychotherapy 38-52 Mins | $352.80 | $470.40 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC Indiv Therapy 38-52 Mins | $184.80 | $246.40 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 HC Indiv Therapy 53+Min | $274.56 | $366.08 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 HC Indiv Therapy 53+ Min Ph | $384.72 | $512.96 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 HC Indiv. Psychotherapy 53+ Mins | $389.76 | $519.68 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC Indiv Therapy 53+Min | $274.56 | $366.08 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC Indiv Therapy 53+ Min Ph | $384.72 | $512.96 | 25% |
Source file: https://apps.trihealth.com/static/pricing/310650283_MCCULLOUGH-HYDEMEMORIALHOSPITALINC_STANDARDCHARGES.csv