▸ Hospital · OH · CCN 361326
ADAMS COUNTY REGIONAL MEDICAL CENTER
230 MEDICAL CENTER DRIVE, SEAMAN, OH, 45679-
25 bedsCritical Access Hospitals2
Compliance grade
A
100/100
Procedures tracked
114
of 209 target codes
Payers
10
with negotiated rates
Rates published
18,323
last crawl 2026-05-23
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 6 | $205 | $123 | $96.86 | $241.18 | $241.18 |
| ED visit level 2 | CPT | 99282 | 6 | $300 | $180 | $105 | $241.18 | $300 |
| ED visit level 3 | CPT | 99283 | 6 | $518 | $310.8 | $105 | $241.18 | $518 |
| ED visit level 4 | CPT | 99284 | 6 | $817 | $490.2 | $105 | $241.18 | $817 |
| ED visit level 5 | CPT | 99285 | 6 | $1,287 | $772.2 | $105 | $241.18 | $1,287 |
| Critical care, first hour | CPT | 99291 | 6 | $1,644 | $986.4 | $122.27 | $241.18 | $1,644 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 10 | $1,888 | $1,132.8 | $59.96 | $1,074.27 | $1,888 |
| CT head with contrast | CPT | 70460 | 10 | $2,188 | $1,312.8 | $101.17 | $1,244.97 | $2,188 |
| CT head with and without contrast | CPT | 70470 | 10 | $2,688 | $1,612.8 | $101.17 | $1,529.47 | $2,688 |
| CT neck with contrast | CPT | 70491 | 10 | $2,050 | $1,230 | $101.17 | $1,166.45 | $2,050 |
| MRI brain without contrast | CPT | 70551 | 10 | $2,750 | $1,650 | $131 | $1,564.75 | $2,750 |
| MRI brain with contrast | CPT | 70552 | 10 | $3,050 | $1,830 | $206.69 | $1,735.45 | $3,050 |
| MRI brain with and without contrast | CPT | 70553 | 10 | $3,550 | $2,130 | $206.69 | $2,019.95 | $3,550 |
| Chest X-ray single view | CPT | 71045 | 10 | $268 | $160.8 | $24.08 | $152.49 | $268 |
| Chest X-ray 2 views | CPT | 71046 | 10 | $321 | $192.6 | $36.88 | $182.65 | $321 |
| Chest X-ray 3 views | CPT | 71047 | 10 | $374 | $224.4 | $22.87 | $218.61 | $374 |
| CT chest without contrast | CPT | 71250 | 10 | $2,246 | $1,347.6 | $59.96 | $1,266.6 | $2,246 |
| CT chest with contrast | CPT | 71260 | 10 | $2,346 | $1,407.6 | $101.17 | $1,334.87 | $2,346 |
| CT chest with and without contrast | CPT | 71270 | 10 | $2,946 | $1,767.6 | $101.17 | $1,619.37 | $2,946 |
| MRI chest without contrast | CPT | 71550 | 10 | $2,750 | $1,650 | $131 | $1,564.75 | $2,750 |
| MRI chest with contrast | CPT | 71551 | 9 | $3,050 | $1,830 | $415.56 | $1,441.13 | $3,050 |
| MRI chest with and without contrast | CPT | 71552 | 10 | $3,550 | $2,130 | $206.69 | $2,019.95 | $3,550 |
| Lumbosacral spine X-ray | CPT | 72100 | 10 | $402 | $241.2 | $41.28 | $228.74 | $402 |
| CT cervical spine without contrast | CPT | 72125 | 10 | $2,096 | $1,257.6 | $59.96 | $1,192.62 | $2,096 |
| CT thoracic spine without contrast | CPT | 72128 | 10 | $2,096 | $1,257.6 | $59.96 | $1,192.62 | $2,096 |
| CT lumbar spine without contrast | CPT | 72131 | 10 | $2,096 | $1,257.6 | $59.96 | $1,192.62 | $2,096 |
| MRI cervical spine without contrast | CPT | 72141 | 10 | $2,880 | $1,728 | $131 | $1,638.72 | $2,880 |
| MRI thoracic spine without contrast | CPT | 72146 | 10 | $2,880 | $1,728 | $131 | $1,638.72 | $2,880 |
| MRI lumbar spine without contrast | CPT | 72148 | 10 | $2,880 | $1,728 | $131 | $1,638.72 | $2,880 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 10 | $3,180 | $1,908 | $206.69 | $1,809.42 | $3,180 |
| MRI cervical spine with and without contrast | CPT | 72156 | 10 | $3,680 | $2,208 | $206.69 | $2,093.92 | $3,680 |
| MRI lumbar spine with contrast | CPT | 72158 | 10 | $3,680 | $2,208 | $206.69 | $2,093.92 | $3,680 |
| CT pelvis without contrast | CPT | 72192 | 10 | $2,000 | $1,200 | $59.96 | $1,138 | $2,000 |
| CT pelvis with contrast | CPT | 72193 | 10 | $2,300 | $1,380 | $101.17 | $1,308.7 | $2,300 |
| Shoulder X-ray | CPT | 73030 | 10 | $524 | $314.4 | $41.28 | $251.52 | $524 |
| Humerus X-ray | CPT | 73060 | 10 | $452 | $271.2 | $41.28 | $221.36 | $452 |
| Hand X-ray 3 views | CPT | 73130 | 10 | $485 | $291 | $41.28 | $232.8 | $485 |
| MRI upper extremity joint without contrast | CPT | 73221 | 10 | $3,855 | $2,313 | $131 | $1,850.4 | $3,855 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 10 | $5,055 | $3,033 | $206.69 | $2,274.75 | $5,055 |
| Knee X-ray 1-2 views | CPT | 73560 | 10 | $467 | $280.2 | $41.28 | $224.16 | $467 |
| Ankle X-ray 3 views | CPT | 73610 | 10 | $684 | $410.4 | $41.28 | $328.32 | $684 |
| MRI lower extremity joint without contrast | CPT | 73721 | 10 | $3,855 | $2,313 | $131 | $1,850.4 | $3,855 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 10 | $5,055 | $3,033 | $206.69 | $2,476.95 | $5,055 |
| CT abdomen without contrast | CPT | 74150 | 10 | $2,060 | $1,236 | $59.96 | $1,172.14 | $2,060 |
| CT abdomen with contrast | CPT | 74160 | 10 | $2,360 | $1,416 | $101.17 | $1,342.84 | $2,360 |
| CT abdomen with and without contrast | CPT | 74170 | 10 | $2,860 | $1,716 | $101.17 | $1,627.34 | $2,860 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 10 | $3,210 | $1,926 | $131 | $1,826.49 | $3,210 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 10 | $3,450 | $2,070 | $181.08 | $1,963.05 | $3,450 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 10 | $3,910 | $2,346 | $206.69 | $2,224.79 | $3,910 |
| MRI abdomen without contrast | CPT | 74181 | 10 | $2,750 | $1,650 | $131 | $1,564.75 | $2,750 |
| MRI abdomen with and without contrast | CPT | 74183 | 10 | $3,550 | $2,130 | $206.69 | $2,019.95 | $3,550 |
| Abdominal ultrasound complete | CPT | 76700 | 10 | $1,075 | $645 | $59.96 | $611.68 | $1,075 |
| Abdominal ultrasound limited | CPT | 76705 | 10 | $785 | $471 | $59.96 | $446.67 | $785 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 10 | $815 | $489 | $59.96 | $463.74 | $815 |
| Obstetric ultrasound first trimester | CPT | 76801 | 10 | $675 | $405 | $59.96 | $384.08 | $675 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 10 | $800 | $480 | $59.96 | $455.2 | $800 |
| Transvaginal ultrasound | CPT | 76830 | 10 | $740 | $444 | $59.96 | $421.06 | $740 |
| Pelvic ultrasound complete | CPT | 76856 | 10 | $850 | $510 | $59.96 | $483.65 | $850 |
| Scrotal ultrasound | CPT | 76870 | 10 | $710 | $426 | $59.96 | $403.99 | $710 |
| EKG tracing only | CPT | 93005 | 10 | $10,929 | $6,557.43 | $15.17 | $100 | $290 |
| Transthoracic echocardiogram complete | CPT | 93306 | 10 | $2,155 | $1,293 | $291.61 | $1,226.2 | $2,155 |
| Transthoracic echocardiogram | CPT | 93307 | 9 | $840 | $504 | $208 | $575.7 | $840 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 10 | $7,574.3 | $4,544.58 | $53.1 | $90.76 | $83,173 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 10 | $19,483 | $11,690 | $53.1 | $90.76 | $83,173 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 10 | $23,581 | $14,149 | $53.1 | $90.76 | $83,173 |
| COPD w MCC | MS-DRG | 190 | 10 | $20,485 | $12,291 | $53.1 | $90.76 | $83,173 |
| COPD w CC | MS-DRG | 191 | 10 | $15,987 | $9,592.26 | $53.1 | $90.76 | $83,173 |
| COPD w/o CC/MCC | MS-DRG | 192 | 10 | $14,969 | $8,981.61 | $53.1 | $90.76 | $83,173 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 10 | $20,187 | $12,112 | $53.1 | $90.76 | $83,173 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 10 | $26,453 | $15,872 | $53.1 | $90.76 | $83,173 |
| AMI discharged alive w MCC | MS-DRG | 280 | 10 | $13,574 | $8,144.4 | $53.1 | $90.76 | $83,173 |
| Heart failure & shock w MCC | MS-DRG | 291 | 10 | $18,585 | $11,151 | $53.1 | $90.76 | $83,173 |
| Heart failure & shock w CC | MS-DRG | 292 | 10 | $10,417 | $6,250.08 | $53.1 | $92.88 | $83,173 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 10 | $3,062.9 | $1,837.74 | $53.1 | $90.76 | $83,173 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 10 | $6,310.9 | $3,786.54 | $53.1 | $90.76 | $83,173 |
| Kidney/UTI w MCC | MS-DRG | 689 | 10 | $18,587 | $11,152 | $53.1 | $90.76 | $83,173 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 10 | $15,666 | $9,399.57 | $53.1 | $100 | $83,173 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 10 | $16,438 | $9,863.01 | $53.1 | $90.76 | $83,173 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 10 | $16,909 | $10,145 | $53.1 | $90.76 | $83,173 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 10 | $131 | $78.6 | $8.46 | $74.54 | $131 |
| General health panel | CPT | 80050 | 10 | $458 | $274.8 | $48.16 | $260.6 | $458 |
| Electrolyte panel | CPT | 80051 | 10 | $116 | $69.6 | $6 | $69.6 | $116 |
| Comprehensive metabolic panel | CPT | 80053 | 10 | $169 | $101.4 | $10.56 | $96.16 | $169 |
| Lipid panel | CPT | 80061 | 10 | $128 | $76.8 | $13.39 | $72.83 | $128 |
| Renal function panel | CPT | 80069 | 10 | $138 | $82.8 | $8.68 | $78.52 | $138 |
| Hepatic function panel | CPT | 80076 | 10 | $108 | $64.8 | $8.17 | $57.28 | $108 |
| Urinalysis non-automated | CPT | 81002 | 7 | $20 | $12 | $3.01 | $130.59 | $241.18 |
| Urinalysis automated | CPT | 81003 | 10 | $53 | $31.8 | $1.91 | $30.16 | $53 |
| Glucose quantitative | CPT | 82947 | 10 | $62 | $37.2 | $3.93 | $35.28 | $62 |
| Hemoglobin A1c | CPT | 83036 | 10 | $112 | $67.2 | $9.71 | $63.73 | $112 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 10 | $154 | $92.4 | $15.75 | $87.63 | $154 |
| Complete blood count with automated differential | CPT | 85025 | 10 | $74 | $44.4 | $6.6 | $33.3 | $74 |
| Complete blood count without differential | CPT | 85027 | 10 | $78 | $46.8 | $6.47 | $35.1 | $78 |
| Urine culture bacterial | CPT | 87086 | 10 | $113 | $67.8 | $8.07 | $64.3 | $113 |
| Tissue exam by pathologist level IV | CPT | 88305 | 10 | $190 | $114 | $65.47 | $108.11 | $195.61 |
| maternity | ||||||||
| Vaginal delivery only | CPT | 59409 | 6 | $1,747 | $1,048.2 | $468 | $786.15 | $1,747 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 6 | $77 | $46.2 | $34.65 | $34.65 | $77 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 9 | $110 | $66 | $38.5 | $58.34 | $110 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 9 | $110 | $66 | $38.5 | $58.34 | $110 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 9 | $177 | $106.2 | $52 | $93.88 | $177 |
| Office visit, established patient, 5 min | CPT | 99211 | 9 | $45 | $27 | $15.75 | $25.61 | $54.08 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 9 | $62 | $37.2 | $21.7 | $35.28 | $85.38 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 9 | $77 | $46.2 | $26.95 | $57.75 | $241.18 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 9 | $90 | $54 | $31.5 | $51.21 | $241.18 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 6 | $110 | $66 | $49.5 | $99 | $266.24 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 10 | $4,098.55 | $2,459.13 | $35 | $419.18 | $1,700 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 10 | $1,700 | $1,020 | $234 | $901.68 | $1,700 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 10 | $6,912.2 | $4,147.32 | $35 | $623.62 | $1,666 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 10 | $4,462.7 | $2,677.62 | $35 | $413.23 | $1,666 |
| Colonoscopy diagnostic | CPT | 45378 | 10 | $4,319.6 | $2,591.76 | $35 | $167 | $1,696 |
| Colonoscopy with biopsy | CPT | 45380 | 10 | $11,208 | $6,724.68 | $35 | $206.91 | $2,178 |
| Colonoscopy with polyp removal | CPT | 45385 | 10 | $11,014 | $6,608.37 | $35 | $100 | $2,178 |
| surgery | ||||||||
| Complex cataract surgery | CPT | 66982 | 10 | $4,494 | $2,696.4 | $676 | $2,557.09 | $4,494 |
| Cataract surgery with lens implant | CPT | 66984 | 10 | $4,321 | $2,592.6 | $676 | $2,458.65 | $4,321 |
Payer mix (top 10)
| Payer | Codes covered | Median rate |
|---|---|---|
| Medicaid | 114 | $214.96 |
| Medicare | 114 | $382.5 |
| transplants-case rates [5750] | 114 | $666.4 |
| commercial-contracted [8000] | 114 | $774 |
| Blue Cross Blue Shield | 114 | $457.53 |
| Aetna | 114 | $585.47 |
| Humana | 104 | $377.01 |
| First Health | 104 | $585.04 |
| UnitedHealthcare | 103 | $371.5 |
| Cigna | 97 | $654.14 |