▸ Hospital · OH · CCN 361302

Twin City Medical Center

819 NORTH FIRST STREET, DENNISON, OH, 44621-1098

25 bedsCritical Access Hospitals2

Compliance grade

100/100

Procedures tracked

163

of 209 target codes

Payers

with negotiated rates

Rates published

12,969

last crawl 2026-05-23

▸ Compare with other hospitals All OH hospitals JSON Full cost report on HCRIS.io →

Source MRF: https://www.trinitytwincity.org/upload/275401105-1629050240_twin-city-hospital-corporation_standardcharges.json · JSON

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	15	—	—	$39	$85	$2,669
Psychotherapy 30 minutes	CPT	90832	16	$133	$65.97	$26.81	$93.1	$252.39
Psychotherapy 45 minutes	CPT	90834	16	$174	$86.31	$26.81	$118.32	$252.39
Psychotherapy 60 minutes	CPT	90837	16	$260	$128.96	$26.81	$139	$252.39
emergency
ED visit level 1	CPT	99281	16	$417	$206.84	$12.58	$50.79	$379.47
ED visit level 2	CPT	99282	16	$517	$256.44	$23.29	$100.35	$470.47
ED visit level 3	CPT	99283	16	$718	$356.13	$40.29	$151.32	$653.38
ED visit level 4	CPT	99284	16	$926	$459.3	$71.04	$283.42	$946.4
ED visit level 5	CPT	99285	16	$1,241	$615.54	$102.28	$417.47	$1,453
Critical care, first hour	CPT	99291	16	$1,948	$966.21	$127.5	$395.65	$2,308.8
imaging
CT head without contrast	CPT	70450	16	$1,612	$799.56	$17.75	$559.05	$1,466.92
CT head with and without contrast	CPT	70470	16	$2,676	$1,327.3	$29.7	$928.04	$2,435.16
CT neck with contrast	CPT	70491	16	$2,153	$1,067.89	$29.7	$746.67	$1,959.23
MRI brain without contrast	CPT	70551	16	$3,154	$1,564.39	$40.33	$1,093.81	$2,870.14
MRI brain with contrast	CPT	70552	16	$4,395	$2,179.92	$59.58	$1,524.19	$3,999.45
MRI brain with and without contrast	CPT	70553	16	$5,171	$2,564.82	$59.58	$1,793.31	$4,705.61
Chest X-ray single view	CPT	71045	16	$249	$123.51	$14.69	$86.36	$226.59
Chest X-ray 2 views	CPT	71046	16	$323	$160.21	$14.69	$112.02	$293.93
Chest X-ray 3 views	CPT	71047	16	$411	$203.86	$14.69	$142.54	$374.01
CT chest without contrast	CPT	71250	16	$1,805	$895.28	$17.75	$625.98	$1,642.55
CT chest with contrast	CPT	71260	16	$2,293	$1,137.33	$29.7	$795.22	$2,086.63
CT chest with and without contrast	CPT	71270	16	$2,726	$1,352.1	$29.7	$945.38	$2,480.66
MRI chest without contrast	CPT	71550	16	$2,539	$1,259.35	$40.33	$880.53	$2,310.49
MRI chest with contrast	CPT	71551	16	$3,021	$1,498.42	$131.8	$1,047.69	$2,749.11
MRI chest with and without contrast	CPT	71552	16	$3,851	$1,910.1	$59.58	$1,335.53	$3,504.41
Lumbosacral spine X-ray	CPT	72100	16	$513	$254.45	$17.75	$177.91	$466.83
CT cervical spine without contrast	CPT	72125	16	$1,980	$982.08	$17.75	$686.67	$1,801.8
CT thoracic spine without contrast	CPT	72128	16	$1,851	$918.1	$17.75	$641.93	$1,684.41
CT lumbar spine without contrast	CPT	72131	16	$2,487	$1,233.56	$17.75	$862.5	$2,263.17
MRI cervical spine without contrast	CPT	72141	16	$3,480	$1,726.08	$40.33	$1,206.87	$3,166.8
MRI thoracic spine without contrast	CPT	72146	16	$2,539	$1,259.35	$40.33	$880.53	$2,310.49
MRI lumbar spine without contrast	CPT	72148	16	$4,097	$2,032.12	$40.33	$1,420.84	$3,728.27
MRI lumbar spine with and without contrast	CPT	72149	16	$5,859	$2,906.07	$59.58	$2,031.91	$5,331.69
MRI cervical spine with and without contrast	CPT	72156	16	$5,882	$2,917.48	$59.58	$2,039.88	$5,352.62
MRI lumbar spine with contrast	CPT	72158	16	$6,924	$3,434.31	$59.58	$2,401.25	$6,300.84
CT pelvis without contrast	CPT	72192	16	$1,468	$728.13	$17.75	$687.27	$1,335.88
CT pelvis with contrast	CPT	72193	16	$1,820	$902.72	$29.7	$631.18	$1,656.2
Knee X-ray 1-2 views	CPT	73560	16	$418	$207.33	$14.69	$144.97	$380.38
CT abdomen without contrast	CPT	74150	16	$1,862	$923.56	$17.75	$645.75	$1,694.42
CT abdomen with contrast	CPT	74160	16	$2,482	$1,231.08	$29.7	$1,148.71	$2,258.62
CT abdomen with and without contrast	CPT	74170	16	$3,103	$1,539.09	$29.7	$1,076.13	$2,823.73
CT abdomen and pelvis without contrast	CPT	74176	16	$2,573	$1,276.21	$40.33	$892.32	$2,341.43
CT abdomen and pelvis with contrast	CPT	74177	16	$3,216	$1,595.14	$59.58	$1,115.31	$2,926.56
CT abdomen and pelvis with and without contrast	CPT	74178	16	$3,859	$1,914.07	$59.58	$1,338.31	$3,511.69
MRI abdomen without contrast	CPT	74181	16	$2,594	$1,286.63	$40.33	$899.6	$2,360.54
MRI abdomen with and without contrast	CPT	74183	16	$4,550	$2,256.8	$59.58	$1,577.94	$4,140.5
Abdominal ultrasound complete	CPT	76700	16	$1,203	$596.69	$17.75	$417.21	$1,094.73
Abdominal ultrasound limited	CPT	76705	16	$891	$441.94	$17.75	$309	$810.81
Retroperitoneal ultrasound complete	CPT	76770	16	$925	$458.8	$17.75	$320.79	$841.75
Obstetric ultrasound first trimester	CPT	76801	16	$630	$312.48	$17.75	$218.49	$573.3
Obstetric ultrasound after first trimester	CPT	76805	16	$699	$346.71	$17.75	$242.42	$636.09
Obstetric ultrasound with fetal anatomy	CPT	76811	16	$1,106	$548.58	$40.33	$383.57	$1,006.46
Transvaginal ultrasound	CPT	76830	16	$1,002	$497	$17.75	$347.5	$911.82
Pelvic ultrasound complete	CPT	76856	16	$875	$434	$17.75	$303.45	$796.25
Scrotal ultrasound	CPT	76870	16	$925	$458.8	$17.75	$320.79	$841.75
Diagnostic mammography bilateral	CPT	77066	16	$730	$362.08	$149	$401.5	$664.3
Screening mammography bilateral	CPT	77067	16	$435	$215.76	$14.2	$120	$395.85
EKG complete	CPT	93000	16	$616	$305.54	$15	$338.8	$560.56
EKG tracing only	CPT	93005	16	$278	$137.89	$6	$114.69	$252.98
EKG interpretation only	CPT	93010	16	$42.5	$21.08	$9	$20.85	$38.68
Transthoracic echocardiogram complete	CPT	93306	16	$3,194	$1,584.23	$91.47	$1,387.54	$2,906.54
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	16	—	—	$39	$91	$65,584
Intracranial hemorrhage/CVA w CC	MS-DRG	065	15	—	—	$39	$85	$2,669
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	15	—	—	$39	$85	$2,669
Respiratory infections & inflammations w MCC	MS-DRG	177	15	—	—	$39	$85	$2,669
COPD w MCC	MS-DRG	190	15	—	—	$39	$85	$2,669
COPD w CC	MS-DRG	191	15	—	—	$39	$85	$2,669
COPD w/o CC/MCC	MS-DRG	192	15	—	—	$39	$85	$2,669
Simple pneumonia & pleurisy w CC	MS-DRG	194	15	—	—	$39	$85	$2,669
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	15	—	—	$39	$85	$2,669
AMI discharged alive w MCC	MS-DRG	280	15	—	—	$39	$85	$2,669
AMI discharged alive w CC	MS-DRG	281	15	—	—	$39	$85	$2,669
AMI discharged alive w/o CC/MCC	MS-DRG	282	15	—	—	$39	$85	$2,669
Heart failure & shock w MCC	MS-DRG	291	15	—	—	$39	$85	$2,669
Heart failure & shock w CC	MS-DRG	292	15	—	—	$39	$85	$2,669
Heart failure & shock w/o CC/MCC	MS-DRG	293	15	—	—	$39	$85	$2,669
Cardiac arrhythmia w MCC	MS-DRG	308	15	—	—	$39	$85	$2,669
Cardiac arrhythmia w CC	MS-DRG	309	15	—	—	$39	$85	$2,669
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	15	—	—	$39	$85	$2,669
GI hemorrhage w CC	MS-DRG	378	15	—	—	$39	$85	$2,669
GI hemorrhage w/o CC/MCC	MS-DRG	379	15	—	—	$39	$85	$2,669
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	15	—	—	$39	$85	$2,669
Fractures of femur w/o MCC	MS-DRG	533	15	—	—	$39	$85	$2,669
Kidney/UTI w MCC	MS-DRG	689	15	—	—	$39	$85	$2,669
Kidney/UTI w/o MCC	MS-DRG	690	15	—	—	$39	$85	$2,669
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	15	—	—	$39	$85	$2,669
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	15	—	—	$39	$85	$2,669
Initial hospital care, low complexity	CPT	99221	16	$140	$69.44	$47.6	$79	$127.4
Initial hospital care, moderate complexity	CPT	99222	16	$200	$99.2	$68	$110	$182
Initial hospital care, high complexity	CPT	99223	16	$280	$138.88	$95.2	$155	$254.8
Hospital discharge, <30 min	CPT	99238	16	$88	$43.65	$29.92	$56	$80.08
Hospital discharge, >30 min	CPT	99239	16	$186	$92.26	$63.24	$102.3	$169.26
lab
Basic metabolic panel (BMP)	CPT	80048	16	$139	$68.95	$1.53	$68.11	$126.49
Electrolyte panel	CPT	80051	16	$108	$53.57	$1.27	$37.46	$98.28
Comprehensive metabolic panel	CPT	80053	16	$298	$147.81	$1.91	$179.2	$271.18
Lipid panel	CPT	80061	16	$151	$74.9	$2.42	$76.16	$137.41
Renal function panel	CPT	80069	16	$201	$99.7	$1.57	$69.71	$182.91
Hepatic function panel	CPT	80076	16	$166	$82.34	$1.48	$57.57	$151.06
Urinalysis automated	CPT	81003	16	$59	$29.27	$1.11	$17	$53.69
Glucose quantitative	CPT	82947	16	$61	$30.26	$1.57	$18.7	$55.51
Hemoglobin A1c	CPT	83036	16	$159	$78.87	$1.76	$55.15	$144.69
Thyroid stimulating hormone (TSH)	CPT	84443	16	$185	$91.76	$3.04	$83.5	$168.35
Complete blood count with automated differential	CPT	85025	16	$145	$71.92	$1.41	$49.3	$131.95
Complete blood count without differential	CPT	85027	16	$105	$52.08	$1.17	$36.41	$95.55
Urine culture bacterial	CPT	87086	16	$132	$65.48	$1.46	$45.78	$120.12
Tissue exam by pathologist level IV	CPT	88305	16	$285	$141.36	$8.92	$135.8	$259.35
maternity
Fetal non-stress test	CPT	59025	16	—	—	$33.56	$85	$316
Vaginal delivery only	CPT	59409	16	$8,527	$4,229.4	$770	$2,185.35	$7,759.57
office
Office visit, new patient, 15-29 min	CPT	99202	16	$76	$37.7	$13.6	$34	$69.16
Office visit, new patient, 30-44 minutes	CPT	99203	16	$134	$66.47	$22.1	$55.25	$121.94
Office visit, new patient, 45-59 min	CPT	99204	16	$158	$78.37	$34	$85	$143.78
Office visit, new patient, 60-74 min	CPT	99205	16	$211	$104.66	$37.4	$93.5	$192.01
Office visit, established patient, 5 min	CPT	99211	16	$299	$148.31	$4.76	$22.23	$272.09
Office visit, established patient, 10-19 min	CPT	99212	16	$76	$37.7	$9.18	$25.84	$69.16
Office visit, established patient, 20-29 minutes	CPT	99213	16	$134	$66.47	$13.94	$45.56	$121.94
Office visit, established patient, 30-39 minutes	CPT	99214	16	$158	$78.37	$22.1	$55.25	$143.78
Office visit, established patient, 40-54 min	CPT	99215	16	$211	$104.66	$30.6	$76.5	$192.01
preventive
Upper GI endoscopy diagnostic	CPT	43235	16	$421	$208.82	$122	$322.49	$4,072.01
Upper GI endoscopy with biopsy	CPT	43239	16	$465	$230.64	$137	$348.75	$4,072.01
Sigmoidoscopy diagnostic	CPT	45330	16	$189	$93.75	$55	$144.78	$4,072.01
Sigmoidoscopy with biopsy	CPT	45331	16	$750	$372	$71	$255	$4,072.01
Colonoscopy diagnostic	CPT	45378	16	$533	$264.37	$181.22	$399.75	$4,510
Colonoscopy with biopsy	CPT	45380	16	$640	$317.44	$200	$480	$4,753
Colonoscopy with polyp removal	CPT	45385	16	$723	$358.61	$245.82	$533.4	$4,753
surgery
Total shoulder arthroplasty	CPT	23472	16	—	—	$34	$1,424	$28,886
Total hip replacement	CPT	27130	16	—	—	$34	$1,266	$20,211
Total knee replacement	CPT	27447	16	—	—	$34	$1,264	$20,211
Shoulder arthroscopy with rotator cuff repair	CPT	29827	16	—	—	$34	$1,050	$12,342
Knee arthroscopy with meniscectomy	CPT	29881	16	—	—	$34	$530	$5,668.07
ACL reconstruction	CPT	29888	16	—	—	$34	$960	$12,342
Major small/large bowel procedures w MCC	MS-DRG	329	15	—	—	$39	$85	$2,669
Major small/large bowel procedures w CC	MS-DRG	330	15	—	—	$39	$85	$2,669
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	15	—	—	$39	$85	$2,669
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	15	—	—	$39	$85	$2,669
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	15	—	—	$39	$85	$2,669
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	15	—	—	$39	$85	$2,669
Open appendectomy	CPT	44950	16	$914	$453.35	$310.76	$700.13	$9,801.18
Laparoscopic appendectomy	CPT	44970	16	—	—	$34	$611	$10,907
Major joint replacement w MCC	MS-DRG	469	15	—	—	$39	$85	$2,669
Major joint replacement w/o MCC	MS-DRG	470	15	—	—	$39	$85	$2,669
Laparoscopic cholecystectomy	CPT	47562	16	$1,044	$517.83	$354.96	$799.71	$12,188
Lap cholecystectomy with cholangiography	CPT	47563	16	$1,071	$531.22	$364.14	$820.39	$12,188
Hip & femur procedures except major joint w MCC	MS-DRG	480	15	—	—	$39	$85	$2,669
Hip & femur procedures except major joint w CC	MS-DRG	481	15	—	—	$39	$85	$2,669
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	15	—	—	$39	$85	$2,669
Open umbilical hernia repair	CPT	49560	16	$1,047	$519.32	$355.98	$732.9	$952.77
Umbilical hernia repair age 5+	CPT	49585	16	$613	$304.05	$208.42	$429.1	$557.83
Lap inguinal hernia repair	CPT	49650	16	$1,200	$595.2	$408	$919.2	$10,907
Lap incisional hernia repair	CPT	49652	16	$1,129	$559.99	$383.86	$790.3	$1,027.39
Total abdominal hysterectomy	CPT	58150	16	$1,476	$732.1	$501.84	$1,025.82	$10,907
Vaginal hysterectomy	CPT	58260	16	$1,234	$612.07	$419.56	$945.25	$9,195.89
Lap-assisted vaginal hysterectomy	CPT	58550	16	—	—	$34	$881	$10,907
Lap-assisted vaginal hysterectomy >250g	CPT	58552	16	—	—	$34	$980	$16,354
Lap salpingo-oophorectomy	CPT	58661	16	—	—	$34	$651	$10,907
OR procedure for obesity w MCC	MS-DRG	619	15	—	—	$39	$85	$2,669
OR procedure for obesity w CC	MS-DRG	620	15	—	—	$39	$85	$2,669
OR procedure for obesity w/o CC/MCC	MS-DRG	621	15	—	—	$39	$85	$2,669
Complex cataract surgery	CPT	66982	16	—	—	$34	$721	$4,808.01
Cataract surgery with lens implant	CPT	66984	16	—	—	$34	$526	$4,808.01
Intravitreal injection	CPT	67028	16	—	—	$34	$90	$4,072.01
Vitrectomy mechanical	CPT	67042	16	—	—	$34	$1,109	$9,195.89
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	15	—	—	$39	$85	$2,669
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	15	—	—	$39	$85	$2,669

Payer mix (top 17)

Payer	Codes covered	Median rate
UnitedHealthcare	163	$152.68
Anthem BCBS	163	$130.37
aultcare	163	$80.54
buckeye	163	$144.8
CareSource	163	$242.42
the health plan	163	$217.6
Aetna	163	$137
First Health	163	$130.87
healthsmart	163	$135.15
Humana	163	$96.16
medical mutual	163	$166.4
Molina	163	$141.95
ohio health choice	163	$126.7
ohio preferred network	163	$141.75
summacare	163	$147.9
Cigna	120	$172.26
paramount	1	$65,584