▸ Hospital · OH · CCN 361321

Barnesville Hospital

639 WEST MAIN STREET, BARNESVILLE, OH, 43713-

25 bedsCritical Access Hospitals2

Compliance grade

86/100

Procedures tracked

138

of 209 target codes

Payers

with negotiated rates

Rates published

1,888

last crawl 2026-05-24

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

Source MRF: https://wvumedicine.org/wp-content/uploads/2026/04/340719172_Barnesville-Hospital-Association-Inc._standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychiatric diagnostic evaluation	CPT	90791	0	$341	$170.5	—	—	—
Psychiatric eval with medical services	CPT	90792	0	$395	$197.5	—	—	—
Psychotherapy 30 minutes	CPT	90832	0	$173	$86.5	—	—	—
Psychotherapy 45 minutes	CPT	90834	0	$228	$114	—	—	—
Psychotherapy 60 minutes	CPT	90837	0	$336	$168	—	—	—
Crisis psychotherapy 60 minutes	CPT	90839	0	$322	$161	—	—	—
emergency
ED visit level 1	CPT	99281	0	$298	$149	—	—	—
ED visit level 2	CPT	99282	0	$361	$180.5	—	—	—
ED visit level 3	CPT	99283	0	$749	$374.5	—	—	—
ED visit level 4	CPT	99284	0	$1,177	$588.5	—	—	—
ED visit level 5	CPT	99285	0	$1,552	$776	—	—	—
Critical care, first hour	CPT	99291	0	$1,564	$782	—	—	—
imaging
CT head without contrast	CPT	70450	0	$1,568	$784	—	—	—
CT head with and without contrast	CPT	70470	0	$2,639	$1,319.5	—	—	—
CT neck with contrast	CPT	70491	0	$2,196	$1,098	—	—	—
MRI brain without contrast	CPT	70551	0	$3,024	$1,512	—	—	—
MRI brain with and without contrast	CPT	70553	0	$4,312	$2,156	—	—	—
Chest X-ray single view	CPT	71045	0	$285	$142.5	—	—	—
Chest X-ray 2 views	CPT	71046	0	$415	$207.5	—	—	—
CT chest without contrast	CPT	71250	0	$1,939	$969.5	—	—	—
CT chest with contrast	CPT	71260	0	$2,760	$1,380	—	—	—
CT chest with and without contrast	CPT	71270	0	$3,388	$1,694	—	—	—
MRI chest without contrast	CPT	71550	0	$3,024	$1,512	—	—	—
MRI chest with and without contrast	CPT	71552	0	$4,290	$2,145	—	—	—
Lumbosacral spine X-ray	CPT	72100	0	$444	$222	—	—	—
CT cervical spine without contrast	CPT	72125	0	$1,914	$957	—	—	—
CT thoracic spine without contrast	CPT	72128	0	$1,914	$957	—	—	—
CT lumbar spine without contrast	CPT	72131	0	$1,914	$957	—	—	—
MRI cervical spine without contrast	CPT	72141	0	$3,024	$1,512	—	—	—
MRI thoracic spine without contrast	CPT	72146	0	$3,024	$1,512	—	—	—
MRI lumbar spine without contrast	CPT	72148	0	$3,024	$1,512	—	—	—
MRI cervical spine with and without contrast	CPT	72156	0	$4,312	$2,156	—	—	—
MRI lumbar spine with contrast	CPT	72158	0	$4,312	$2,156	—	—	—
CT pelvis without contrast	CPT	72192	0	$1,903	$951.5	—	—	—
CT pelvis with contrast	CPT	72193	0	$2,366	$1,183	—	—	—
Shoulder X-ray	CPT	73030	0	$394	$197	—	—	—
Humerus X-ray	CPT	73060	0	$322	$161	—	—	—
Hand X-ray 3 views	CPT	73130	0	$394	$197	—	—	—
MRI upper extremity joint without contrast	CPT	73221	0	$3,009	$1,504.5	—	—	—
MRI upper extremity joint with and without contrast	CPT	73223	0	$3,797	$1,898.5	—	—	—
Knee X-ray 1-2 views	CPT	73560	0	$360	$180	—	—	—
Ankle X-ray 3 views	CPT	73610	0	$401	$200.5	—	—	—
MRI lower extremity joint without contrast	CPT	73721	0	$3,024	$1,512	—	—	—
MRI lower extremity joint with and without contrast	CPT	73723	0	$3,502	$1,751	—	—	—
CT abdomen without contrast	CPT	74150	0	$1,903	$951.5	—	—	—
CT abdomen with contrast	CPT	74160	0	$2,321	$1,160.5	—	—	—
CT abdomen with and without contrast	CPT	74170	0	$3,500	$1,750	—	—	—
CT abdomen and pelvis without contrast	CPT	74176	0	$3,796	$1,898	—	—	—
CT abdomen and pelvis with contrast	CPT	74177	0	$4,714	$2,357	—	—	—
CT abdomen and pelvis with and without contrast	CPT	74178	0	$6,983	$3,491.5	—	—	—
MRI abdomen without contrast	CPT	74181	0	$3,024	$1,512	—	—	—
MRI abdomen with and without contrast	CPT	74183	0	$4,312	$2,156	—	—	—
Abdominal ultrasound complete	CPT	76700	0	$898	$449	—	—	—
Abdominal ultrasound limited	CPT	76705	0	$755	$377.5	—	—	—
Retroperitoneal ultrasound complete	CPT	76770	0	$1,394	$697	—	—	—
Obstetric ultrasound first trimester	CPT	76801	0	$487	$243.5	—	—	—
Obstetric ultrasound after first trimester	CPT	76805	0	$114	$57	—	—	—
Obstetric ultrasound with fetal anatomy	CPT	76811	0	$221	$110.5	—	—	—
Transvaginal ultrasound	CPT	76830	0	$585	$292.5	—	—	—
Pelvic ultrasound complete	CPT	76856	0	$852	$426	—	—	—
Scrotal ultrasound	CPT	76870	0	$952	$476	—	—	—
Diagnostic mammography unilateral	CPT	77065	0	$524	$262	—	—	—
Diagnostic mammography bilateral	CPT	77066	0	$719	$359.5	—	—	—
Screening mammography bilateral	CPT	77067	0	$340	$170	—	—	—
EKG tracing only	CPT	93005	0	$543	$271.5	—	—	—
EKG interpretation only	CPT	93010	0	$22	$11	—	—	—
Transthoracic echocardiogram complete	CPT	93306	0	$2,871	$1,435.5	—	—	—
Transthoracic echocardiogram	CPT	93307	0	$105	$52.5	—	—	—
Stress echocardiogram	CPT	93350	0	$165	$82.5	—	—	—
inpatient
Initial hospital care, low complexity	CPT	99221	0	$229	$114.5	—	—	—
Initial hospital care, moderate complexity	CPT	99222	0	$288	$144	—	—	—
Initial hospital care, high complexity	CPT	99223	0	$418	$209	—	—	—
Hospital discharge, <30 min	CPT	99238	0	$198	$99	—	—	—
Hospital discharge, >30 min	CPT	99239	0	$275	$137.5	—	—	—
lab
Basic metabolic panel (BMP)	CPT	80048	0	$78	$39	—	—	—
General health panel	CPT	80050	0	$461	$230.5	—	—	—
Electrolyte panel	CPT	80051	0	$121	$60.5	—	—	—
Comprehensive metabolic panel	CPT	80053	0	$98	$49	—	—	—
Lipid panel	CPT	80061	0	$125	$62.5	—	—	—
Renal function panel	CPT	80069	0	$492	$246	—	—	—
Hepatic function panel	CPT	80076	0	$161	$80.5	—	—	—
Urinalysis non-automated	CPT	81002	0	$33	$16.5	—	—	—
Urinalysis automated	CPT	81003	0	$69	$34.5	—	—	—
Glucose quantitative	CPT	82947	0	$70	$35	—	—	—
Hemoglobin A1c	CPT	83036	0	$175	$87.5	—	—	—
Thyroid stimulating hormone (TSH)	CPT	84443	0	$221	$110.5	—	—	—
Complete blood count with automated differential	CPT	85025	0	$165	$82.5	—	—	—
Complete blood count without differential	CPT	85027	0	$113	$56.5	—	—	—
Urine culture bacterial	CPT	87086	0	$132	$66	—	—	—
Urine culture identification	CPT	87088	0	$51	$25.5	—	—	—
Tissue exam by pathologist level IV	CPT	88305	0	$1,092	$546	—	—	—
maternity
Fetal non-stress test	CPT	59025	0	$534	$267	—	—	—
Routine obstetric care including vaginal delivery	CPT	59400	0	$5,406	$2,703	—	—	—
Vaginal delivery only	CPT	59409	0	$1,784	$892	—	—	—
Vaginal delivery with postpartum	CPT	59410	0	$2,406	$1,203	—	—	—
Routine obstetric care with C-section	CPT	59510	0	$6,048	$3,024	—	—	—
C-section delivery only	CPT	59514	0	$2,035	$1,017.5	—	—	—
C-section with postpartum	CPT	59515	0	$3,019	$1,509.5	—	—	—
office
Office visit, new patient, 15-29 min	CPT	99202	0	$210	$105	—	—	—
Office visit, new patient, 30-44 minutes	CPT	99203	0	$198	$99	—	—	—
Office visit, new patient, 45-59 min	CPT	99204	0	$352	$176	—	—	—
Office visit, new patient, 60-74 min	CPT	99205	0	$478	$239	—	—	—
Office visit, established patient, 5 min	CPT	99211	0	$260	$130	—	—	—
Office visit, established patient, 10-19 min	CPT	99212	0	$210	$105	—	—	—
Office visit, established patient, 20-29 minutes	CPT	99213	0	$210	$105	—	—	—
Office visit, established patient, 30-39 minutes	CPT	99214	0	$247	$123.5	—	—	—
Office visit, established patient, 40-54 min	CPT	99215	0	$348	$174	—	—	—
preventive
Upper GI endoscopy diagnostic	CPT	43235	0	$4,711	$2,355.5	—	—	—
Upper GI endoscopy with biopsy	CPT	43239	0	$2,677	$1,338.5	—	—	—
Sigmoidoscopy diagnostic	CPT	45330	0	$130	$65	—	—	—
Sigmoidoscopy with biopsy	CPT	45331	0	$162	$81	—	—	—
Colonoscopy diagnostic	CPT	45378	0	$3,807	$1,903.5	—	—	—
Colonoscopy with biopsy	CPT	45380	0	$4,485	$2,242.5	—	—	—
Colonoscopy with polyp removal	CPT	45385	0	$5,163	$2,581.5	—	—	—
surgery
Total shoulder arthroplasty	CPT	23472	0	$3,159	$1,579.5	—	—	—
Hip hemiarthroplasty	CPT	27125	0	$2,508	$1,254	—	—	—
Total hip replacement	CPT	27130	0	$2,822	$1,411	—	—	—
Total knee replacement	CPT	27447	0	$2,818	$1,409	—	—	—
Knee revision arthroplasty single component	CPT	27486	0	$3,094	$1,547	—	—	—
Knee revision arthroplasty all components	CPT	27487	0	$3,830	$1,915	—	—	—
Shoulder arthroscopy with decompression	CPT	29826	0	$363	$181.5	—	—	—
Shoulder arthroscopy with rotator cuff repair	CPT	29827	0	$2,363	$1,181.5	—	—	—
Knee arthroscopy with meniscectomy	CPT	29881	0	$1,239	$619.5	—	—	—
ACL reconstruction	CPT	29888	0	$2,153	$1,076.5	—	—	—
CABG single arterial graft	CPT	33533	0	$4,315	$2,157.5	—	—	—
Open appendectomy	CPT	44950	0	$1,478	$739	—	—	—
Laparoscopic appendectomy	CPT	44970	0	$1,405	$702.5	—	—	—
Laparoscopic cholecystectomy	CPT	47562	0	$15,107	$7,553.5	—	—	—
Lap cholecystectomy with cholangiography	CPT	47563	0	$1,667	$833.5	—	—	—
Lap inguinal hernia repair	CPT	49650	0	$1,026	$513	—	—	—
Total abdominal hysterectomy	CPT	58150	0	$2,280	$1,140	—	—	—
Vaginal hysterectomy	CPT	58260	0	$1,813	$906.5	—	—	—
Lap-assisted vaginal hysterectomy	CPT	58550	0	$1,923	$961.5	—	—	—
Lap-assisted vaginal hysterectomy >250g	CPT	58552	0	$2,147	$1,073.5	—	—	—
Lap salpingo-oophorectomy	CPT	58661	0	$1,435	$717.5	—	—	—
Complex cataract surgery	CPT	66982	0	$1,519	$759.5	—	—	—
Cataract surgery with lens implant	CPT	66984	0	$8,553	$4,276.5	—	—	—
Intravitreal injection	CPT	67028	0	$183	$91.5	—	—	—