▸ Hospital · OH · CCN 360046
MCCULLOUGH-HYDE MEMORIAL HOSPITAL
101 N. POPLAR ST, OXFORD, OH, 45056-
52 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
139
of 209 target codes
Payers
15
with negotiated rates
Rates published
3,393
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 15 | — | — | $10,907 | $13,025 | $29,886 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 0 | $448 | $336 | — | — | — |
| Psychiatric eval with medical services | CPT | 90792 | 0 | $448 | $336 | — | — | — |
| Psychotherapy 30 minutes | CPT | 90832 | 0 | $366.24 | $274.68 | — | — | — |
| Psychotherapy 45 minutes | CPT | 90834 | 0 | $470.4 | $352.8 | — | — | — |
| Psychotherapy 60 minutes | CPT | 90837 | 0 | $519.68 | $389.76 | — | — | — |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 0 | $495.04 | $371.28 | — | — | — |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 0 | $1,165.4 | $874.05 | — | — | — |
| ED visit level 2 | CPT | 99282 | 0 | $1,165.4 | $874.05 | — | — | — |
| ED visit level 3 | CPT | 99283 | 0 | $1,778.78 | $1,334.08 | — | — | — |
| ED visit level 4 | CPT | 99284 | 0 | $2,330.81 | $1,748.11 | — | — | — |
| ED visit level 5 | CPT | 99285 | 0 | $3,128.19 | $2,346.14 | — | — | — |
| Critical care, first hour | CPT | 99291 | 0 | $4,200.35 | $3,150.26 | — | — | — |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 0 | $403.99 | $302.99 | — | — | — |
| CT head with contrast | CPT | 70460 | 0 | $403.99 | $302.99 | — | — | — |
| CT head with and without contrast | CPT | 70470 | 0 | $403.99 | $302.99 | — | — | — |
| CT neck with contrast | CPT | 70491 | 0 | $403.99 | $302.99 | — | — | — |
| MRI brain without contrast | CPT | 70551 | 0 | $659.6 | $494.7 | — | — | — |
| MRI brain with contrast | CPT | 70552 | 0 | $659.6 | $494.7 | — | — | — |
| MRI brain with and without contrast | CPT | 70553 | 0 | $659.6 | $494.7 | — | — | — |
| Chest X-ray single view | CPT | 71045 | 0 | $174.76 | $131.07 | — | — | — |
| Chest X-ray 2 views | CPT | 71046 | 0 | $309.41 | $232.06 | — | — | — |
| Chest X-ray 3 views | CPT | 71047 | 0 | $575.83 | $431.87 | — | — | — |
| CT chest without contrast | CPT | 71250 | 0 | $403.99 | $302.99 | — | — | — |
| CT chest with contrast | CPT | 71260 | 0 | $403.99 | $302.99 | — | — | — |
| CT chest with and without contrast | CPT | 71270 | 0 | $403.99 | $302.99 | — | — | — |
| MRI chest without contrast | CPT | 71550 | 0 | $659.6 | $494.7 | — | — | — |
| MRI chest with contrast | CPT | 71551 | 0 | $699.73 | $524.8 | — | — | — |
| MRI chest with and without contrast | CPT | 71552 | 0 | $659.6 | $494.7 | — | — | — |
| Lumbosacral spine X-ray | CPT | 72100 | 0 | $588.97 | $441.73 | — | — | — |
| CT cervical spine without contrast | CPT | 72125 | 0 | $403.99 | $302.99 | — | — | — |
| CT thoracic spine without contrast | CPT | 72128 | 0 | $403.99 | $302.99 | — | — | — |
| CT lumbar spine without contrast | CPT | 72131 | 0 | $403.99 | $302.99 | — | — | — |
| MRI cervical spine without contrast | CPT | 72141 | 0 | $659.6 | $494.7 | — | — | — |
| MRI thoracic spine without contrast | CPT | 72146 | 0 | $659.6 | $494.7 | — | — | — |
| MRI lumbar spine without contrast | CPT | 72148 | 0 | $659.6 | $494.7 | — | — | — |
| MRI lumbar spine with and without contrast | CPT | 72149 | 0 | $580 | $435 | — | — | — |
| MRI cervical spine with and without contrast | CPT | 72156 | 0 | $659.6 | $494.7 | — | — | — |
| MRI lumbar spine with contrast | CPT | 72158 | 0 | $659.6 | $494.7 | — | — | — |
| CT pelvis without contrast | CPT | 72192 | 0 | $403.99 | $302.99 | — | — | — |
| CT pelvis with contrast | CPT | 72193 | 0 | $403.99 | $302.99 | — | — | — |
| Shoulder X-ray | CPT | 73030 | 0 | $592.95 | $444.71 | — | — | — |
| Humerus X-ray | CPT | 73060 | 0 | $390.42 | $292.82 | — | — | — |
| Hand X-ray 3 views | CPT | 73130 | 0 | $368.03 | $276.02 | — | — | — |
| MRI upper extremity joint without contrast | CPT | 73221 | 0 | $659.6 | $494.7 | — | — | — |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 0 | $659.6 | $494.7 | — | — | — |
| Knee X-ray 1-2 views | CPT | 73560 | 0 | $311.79 | $233.84 | — | — | — |
| Ankle X-ray 3 views | CPT | 73610 | 0 | $368.03 | $276.02 | — | — | — |
| MRI lower extremity joint without contrast | CPT | 73721 | 0 | $659.6 | $494.7 | — | — | — |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 0 | $659.6 | $494.7 | — | — | — |
| CT abdomen without contrast | CPT | 74150 | 0 | $403.99 | $302.99 | — | — | — |
| CT abdomen with contrast | CPT | 74160 | 0 | $403.99 | $302.99 | — | — | — |
| CT abdomen with and without contrast | CPT | 74170 | 0 | $403.99 | $302.99 | — | — | — |
| CT abdomen and pelvis without contrast | CPT | 74176 | 0 | $807.98 | $605.98 | — | — | — |
| CT abdomen and pelvis with contrast | CPT | 74177 | 0 | $807.98 | $605.98 | — | — | — |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 0 | $807.98 | $605.98 | — | — | — |
| MRI abdomen without contrast | CPT | 74181 | 0 | $659.6 | $494.7 | — | — | — |
| MRI abdomen with and without contrast | CPT | 74183 | 0 | $659.6 | $494.7 | — | — | — |
| Abdominal ultrasound complete | CPT | 76700 | 0 | $1,618.65 | $1,213.99 | — | — | — |
| Abdominal ultrasound limited | CPT | 76705 | 0 | $1,475.4 | $1,106.55 | — | — | — |
| Retroperitoneal ultrasound complete | CPT | 76770 | 0 | $1,358.31 | $1,018.73 | — | — | — |
| Obstetric ultrasound first trimester | CPT | 76801 | 0 | $1,370.82 | $1,028.12 | — | — | — |
| Obstetric ultrasound after first trimester | CPT | 76805 | 0 | $1,518.36 | $1,138.77 | — | — | — |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 0 | $1,155 | $866.25 | — | — | — |
| Transvaginal ultrasound | CPT | 76830 | 0 | $1,618.65 | $1,213.99 | — | — | — |
| Pelvic ultrasound complete | CPT | 76856 | 0 | $1,618.65 | $1,213.99 | — | — | — |
| Scrotal ultrasound | CPT | 76870 | 0 | $783.53 | $587.65 | — | — | — |
| Diagnostic mammography unilateral | CPT | 77065 | 0 | $426.41 | $319.81 | — | — | — |
| Diagnostic mammography bilateral | CPT | 77066 | 0 | $453.05 | $339.79 | — | — | — |
| Screening mammography bilateral | CPT | 77067 | 0 | $346.45 | $259.84 | — | — | — |
| EKG tracing only | CPT | 93005 | 0 | $202.4 | $151.8 | — | — | — |
| Transthoracic echocardiogram complete | CPT | 93306 | 0 | $1,503.21 | $1,127.41 | — | — | — |
| Transthoracic echocardiogram | CPT | 93307 | 0 | $2,164.31 | $1,623.23 | — | — | — |
| Stress echocardiogram | CPT | 93350 | 0 | $4,327.57 | $3,245.68 | — | — | — |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 15 | — | — | $15,340 | $18,753 | $42,032 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 15 | — | — | $8,118.06 | $9,421.05 | $22,243 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 15 | — | — | $5,766.01 | $6,382.03 | $15,799 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 15 | — | — | $12,105 | $14,572 | $33,167 |
| COPD w MCC | MS-DRG | 190 | 15 | — | — | $8,821.01 | $10,329 | $24,170 |
| COPD w CC | MS-DRG | 191 | 15 | — | — | $6,910.64 | $7,860.98 | $18,935 |
| COPD w/o CC/MCC | MS-DRG | 192 | 15 | — | — | $5,460 | $5,986.65 | $14,960 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 15 | — | — | $6,642.88 | $7,515.02 | $18,201 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 15 | — | — | $5,362.57 | $5,860.76 | $14,693 |
| AMI discharged alive w MCC | MS-DRG | 280 | 15 | — | — | $12,404 | $14,958 | $33,986 |
| AMI discharged alive w CC | MS-DRG | 281 | 15 | — | — | $7,459.86 | $8,570.61 | $20,440 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 15 | — | — | $6,045.31 | $6,742.91 | $16,564 |
| Heart failure & shock w MCC | MS-DRG | 291 | 15 | — | — | $10,092 | $11,971 | $27,652 |
| Heart failure & shock w CC | MS-DRG | 292 | 15 | — | — | $6,953.94 | $7,916.93 | $19,054 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 15 | — | — | $4,911.5 | $5,277.95 | $13,458 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 15 | — | — | $9,516.01 | $11,227 | $26,074 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 15 | — | — | $6,136.24 | $6,860.4 | $16,813 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 15 | — | — | $4,912.22 | $5,278.88 | $13,459 |
| GI hemorrhage w CC | MS-DRG | 378 | 15 | — | — | $7,904.43 | $9,145.03 | $21,658 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 15 | — | — | $5,376.28 | $5,878.48 | $14,731 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 15 | — | — | $6,453.08 | $7,269.77 | $17,681 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 15 | — | — | $12,141 | $14,619 | $33,266 |
| Kidney/UTI w MCC | MS-DRG | 689 | 15 | — | — | $9,200.63 | $10,820 | $25,210 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 15 | — | — | $6,668.87 | $7,548.59 | $18,273 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 15 | — | — | $14,846 | $18,114 | $40,678 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 15 | — | — | $8,211.88 | $9,542.27 | $22,501 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 0 | $34.69 | $26.02 | — | — | — |
| Electrolyte panel | CPT | 80051 | 0 | $28.74 | $21.56 | — | — | — |
| Comprehensive metabolic panel | CPT | 80053 | 0 | $43.3 | $32.47 | — | — | — |
| Lipid panel | CPT | 80061 | 0 | $54.9 | $41.18 | — | — | — |
| Renal function panel | CPT | 80069 | 0 | $35.59 | $26.69 | — | — | — |
| Hepatic function panel | CPT | 80076 | 0 | $33.5 | $25.12 | — | — | — |
| Urinalysis non-automated | CPT | 81002 | 0 | $8 | $6 | — | — | — |
| Urinalysis automated | CPT | 81003 | 0 | $9.23 | $6.92 | — | — | — |
| Glucose quantitative | CPT | 82947 | 0 | $17.92 | $13.44 | — | — | — |
| Hemoglobin A1c | CPT | 83036 | 0 | $44.24 | $33.18 | — | — | — |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 0 | $68.88 | $51.66 | — | — | — |
| Complete blood count with automated differential | CPT | 85025 | 0 | $31.86 | $23.9 | — | — | — |
| Complete blood count without differential | CPT | 85027 | 0 | $26.53 | $19.9 | — | — | — |
| Urine culture bacterial | CPT | 87086 | 0 | $20.18 | $15.14 | — | — | — |
| Urine culture identification | CPT | 87088 | 0 | $20.23 | $15.17 | — | — | — |
| Tissue exam by pathologist level IV | CPT | 88305 | 0 | $54.74 | $41.06 | — | — | — |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 0 | $855.53 | $641.65 | — | — | — |
| surgery | ||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 15 | — | — | $34,000 | $42,862 | $93,160 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 15 | — | — | $18,127 | $22,354 | $49,669 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 15 | — | — | $12,972 | $15,693 | $35,544 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 15 | — | — | $13,035 | $15,774 | $35,716 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 15 | — | — | $10,684 | $12,736 | $29,273 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 15 | — | — | $25,416 | $31,771 | $69,640 |
| Major joint replacement w MCC | MS-DRG | 469 | 15 | — | — | $22,718 | $28,285 | $62,246 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 15 | — | — | $14,748 | $17,987 | $40,409 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 15 | — | — | $21,845 | $27,157 | $59,855 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 15 | — | — | $15,943 | $19,531 | $43,683 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 15 | — | — | $12,598 | $15,209 | $34,518 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 15 | — | — | $21,665 | $26,925 | $59,363 |
| OR procedure for obesity w CC | MS-DRG | 620 | 15 | — | — | $12,376 | $14,923 | $33,911 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 15 | — | — | $11,713 | $14,066 | $32,093 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 15 | — | — | $9,780.88 | $11,570 | $26,800 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 15 | — | — | $15,615 | $19,108 | $42,786 |
| PCI single major coronary artery | CPT | 92920 | 0 | $11,860 | $8,894.87 | — | — | — |
| PCI with drug-eluting stent | CPT | 92928 | 0 | $13,498 | $10,124 | — | — | — |
| PCI bypass graft | CPT | 92937 | 0 | $24,183 | $18,137 | — | — | — |
| Left heart catheterization | CPT | 93452 | 0 | $12,250 | $9,187.81 | — | — | — |
| Coronary angiography with cath | CPT | 93455 | 0 | $11,223 | $8,417.49 | — | — | — |
| Coronary angiography with bypass cath | CPT | 93458 | 0 | $15,320 | $11,490 | — | — | — |
Payer mix (top 15)
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 43 | $14,453 |
| Blue Cross Blue Shield | 43 | $17,825 |
| buckeye | 43 | $12,487 |
| CareSource | 43 | $10,092 |
| custom design benefits | 43 | $25,735 |
| essence healthcare | 43 | $10,092 |
| Humana | 43 | $10,092 |
| imagine health | 43 | $24,204 |
| medben | 43 | $27,652 |
| medical mutual of ohio | 43 | $10,294 |
| medigold | 43 | $10,092 |
| Molina | 43 | $10,092 |
| optum | 43 | $10,092 |
| oscar | 43 | $11,971 |
| UnitedHealthcare | 43 | $13,806 |