Hospital Profile Critical Access Hospitals Voluntary non-profit - Private

Adena Pike Medical Center

100 DAWN LN, Waverly, OH 45690

CMS Overall Rating No CMS Rating

How this hospital's prices compare 72 procedures scored

2.1×

the fair BaseRate, typically

well above the fair price

Across 72 shoppable procedures, Adena Pike Medical Center typically charges well above the fair BaseRate — among the priciest in the state. 54 of them run 30%+ above the fair BaseRate.

Where it's most above the fair price

CT scan, pelvis fair $324 → $1,250 3.9×
CT scan, neck (cervical spine) fair $326 → $1,250 3.8×
CT scan, lower back (lumbar spine) fair $327 → $1,250 3.8×

How we calculate the BaseRate →

Adena Pike Medical Center publishes prices for 118 shoppable procedures in Waverly, OH. It's classified by CMS as Critical Access Hospitals (Voluntary non-profit - Private). CMS has not published a star rating for it.

Facility Overview

Setting: rural Bed Count: 25 Beds Teaching Status: Non-Teaching Annual Discharges: 268

Patient Experience

Recommendation Rate: 66% High Patient Rating: 71% ER Wait Time (Med): 90 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 118 codes Typical vs Fair BaseRate: 2.1× Price File In Index: Yes MRF Version: 3.0.0

Prices at Adena Pike Medical Center

Every shoppable procedure, ranked by how far its price sits above the fair BaseRate. Fair BaseRate is the modeled typical charge; vs Fair is how many times higher this hospital's price is.

Search Procedures & Codes

Procedure & Code	Cash Price	This Hospital	Fair BaseRate	vs Fair
CT scan, pelvis CPT Code: `72192`	$764	$1,250	$324	3.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$764	$1,250	$326	3.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$764	$1,250	$327	3.8×
CT scan, chest (no contrast) CPT Code: `71250`	$764	$1,250	$339	3.7×
CT scan, sinuses CPT Code: `70486`	$765	$1,250	$339	3.7×
CT scan, head (no contrast) CPT Code: `70450`	$764	$1,250	$358	3.5×
MRI, brain (no contrast) CPT Code: `70551`	$1,160	$2,000	$608	3.3×
MRI, knee or other leg joint CPT Code: `73721`	$2,116	$2,000	$640	3.1×
MRI, lower back (no contrast) CPT Code: `72148`	$1,144	$2,000	$688	2.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,848	$2,665	$1,032	2.6×
Upper endoscopy with biopsy CPT Code: `43239`	$2,746	$2,665	$1,071	2.5×
CT scan, head (with contrast) CPT Code: `70460`	$1,008	$1,250	$520	2.4×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,495	$2,000	$856	2.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,195	$1,250	$558	2.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$7,285	$3,435	2.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,527	$1,250	$600	2.1×
Colonoscopy with biopsy CPT Code: `45380`	$3,178	$2,665	$1,292	2.1×
Inguinal hernia repair CPT Code: `49505`	—	$4,100	$2,316	1.8×
Breast lump removal CPT Code: `19120`	—	$3,365	$1,969	1.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,016	$1,250	$737	1.7×
Blood transfusion CPT Code: `36430`	$765	$975	$602	1.6×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$4,100	$2,628	1.6×
Bunion correction surgery CPT Code: `28296`	—	$4,100	$2,697	1.5×
Injection procedure for pain management HCPCS Code: `G0260`	$2,198	$1,228	$818	1.5×
Cataract surgery with lens implant CPT Code: `66984`	—	$3,365	$2,830	1.2×
Total hip replacement CPT Code: `27130`	—	$6,905	$6,678	1.0×
Total knee replacement CPT Code: `27447`	—	$6,905	$6,770	1.0×
Drug screening test HCPCS Code: `G0480`	$84	$124	$122	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$427	$95	$104	0.9×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$30,087	$33,105	0.9×
Typhoid vaccine HCPCS Code: `90675`	$1,863	$385	$433	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$823	$174	$208	0.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,608	$9,309	0.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$17,639	$21,633	0.8×
Hepatitis B vaccine HCPCS Code: `90744`	$177	$32	$40	0.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$19,132	$24,208	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$260	$41	$53	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$182	$29	$39	0.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$18,384	$24,790	0.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$2,000	$139	$189	0.7×
Rabies immune globulin HCPCS Code: `90375`	$6,533	$302	$479	0.6×
X-ray, pelvis CPT Code: `72170`	$186	—	—	—
Culture, blood CPT Code: `87040`	$28	—	$41	—
X-ray, foot CPT Code: `73630`	$354	—	—	—
Diagnostic procedure preparation HCPCS Code: `G0279`	$140	—	—	—
Occupational therapy (therapeutic activities) CPT Code: `97530`	$116	—	—	—
X-ray, chest (single view) CPT Code: `71045`	$173	—	—	—
Blood test, clotting time (PTT) CPT Code: `85730`	$16	—	$22	—
Colorectal cancer screening HCPCS Code: `G0010`	$81	—	—	—
Blood test, vitamin D CPT Code: `82306`	$71	—	$58	—
Blood test, creatinine (kidney) CPT Code: `82565`	$15	—	$16	—
Ultrasound, abdomen (limited) CPT Code: `76705`	$409	—	—	—
Blood test, vitamin B12 CPT Code: `82607`	$36	—	$41	—
Hepatitis C antibody test CPT Code: `86803`	$31	—	$43	—
Physical therapy (gait training) CPT Code: `97116`	$97	—	—	—
Occupational therapy (self-care training) CPT Code: `97535`	$114	—	—	—
Blood test, lipase CPT Code: `83690`	$16	—	$25	—
X-ray, chest (two views) CPT Code: `71046`	$173	—	—	—
Psychotherapy session (45 minutes) CPT Code: `90834`	$281	—	—	—
Blood test, amylase CPT Code: `82150`	$15	—	$24	—
X-ray, shoulder CPT Code: `73030`	$354	—	—	—
Pneumonia vaccine injection HCPCS Code: `G0009`	$81	—	—	—
Ultrasound, abdomen (complete) CPT Code: `76700`	$409	—	—	—
Family therapy session CPT Code: `90847`	$281	—	—	—
Blood antibody screen CPT Code: `86850`	$25	—	$39	—
Blood test, PSA (prostate screen) CPT Code: `84153`	$44	—	$44	—
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$44	—	$53	—
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$35	—	$43	—
Blood test, comprehensive metabolic panel CPT Code: `80053`	$29	—	$40	—
Ultrasound, pelvis CPT Code: `76856`	$409	—	—	—
Speech therapy (group session) CPT Code: `92508`	$97	—	—	—
New patient office visit (30-44 min) CPT Code: `99203`	$90	—	—	—
Blood test, clotting time (PT/INR) CPT Code: `85610`	$11	—	$15	—
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$9	—	$12	—
Diagnostic mammogram (both breasts) CPT Code: `77066`	$375	—	—	—
Blood test, basic metabolic panel CPT Code: `80048`	$20	—	$33	—
X-ray, neck (cervical spine) CPT Code: `72040`	$177	—	—	—
Flu vaccine injection HCPCS Code: `G0008`	$81	—	—	—
X-ray, ankle CPT Code: `73610`	$354	—	—	—
X-ray, hand CPT Code: `73130`	$354	—	—	—
X-ray, hip CPT Code: `73502`	$177	—	—	—
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,105	—	—	—
Blood test, magnesium CPT Code: `83735`	$14	—	$24	—
Electrical stimulation therapy HCPCS Code: `G0283`	$103	—	—	—
Blood test, sodium CPT Code: `84295`	$11	—	$15	—
Physical therapy (functional capacity test) CPT Code: `97750`	$103	—	—	—
Blood test, calcium CPT Code: `82310`	$12	—	$16	—
Blood test, thyroid (TSH) CPT Code: `84443`	$40	—	$48	—
Culture, bacterial CPT Code: `87070`	$24	—	$30	—
Breathing treatment (nebulizer) CPT Code: `94640`	$232	—	—	—
Orthotic fitting and training CPT Code: `97760`	$115	—	—	—
Blood test, potassium CPT Code: `84132`	$11	—	$15	—
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$154	—	—	—
Office visit, established patient (20-29 min) CPT Code: `99213`	$66	—	—	—
Blood test, complete blood count (CBC) CPT Code: `85025`	$21	—	$24	—
Prosthetic fitting and training CPT Code: `97761`	$113	—	—	—
Flu vaccine (high dose) HCPCS Code: `90656`	$11	—	$32	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$30	—	$152	—
Physical therapy (manual therapy) CPT Code: `97140`	$102	—	—	—
Screening mammogram (both breasts) CPT Code: `77067`	$144	—	—	—
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,028	—	—	—
Physical therapy (therapeutic exercise) CPT Code: `97110`	$79	—	—	—
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$69	—	$46	—
Blood test, hemoglobin CPT Code: `85018`	$5	—	$8	—
X-ray, lower back CPT Code: `72110`	$304	—	—	—
Blood test, glucose (blood sugar) CPT Code: `82947`	$9	—	$12	—
Psychotherapy session (60 minutes) CPT Code: `90837`	$281	—	—	—
Blood test, ferritin (iron stores) CPT Code: `82728`	$33	—	$42	—
Blood test, average blood sugar (A1c) CPT Code: `83036`	$23	—	$31	—
Office visit, established patient (30-39 min) CPT Code: `99214`	$82	—	—	—
Group therapy session CPT Code: `90853`	$191	—	—	—
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$115	—	—	—
Blood test, liver function panel CPT Code: `80076`	$17	—	$31	—
Speech therapy (language evaluation) CPT Code: `92507`	$208	—	—	—
Hospital observation (per hour) HCPCS Code: `G0378`	$36	—	—	—
Sleep study (overnight, in lab) CPT Code: `95810`	$2,569	—	—	—
Ultrasound, thyroid and neck CPT Code: `76536`	$409	—	—	—
Urinalysis (automated, with microscopy) CPT Code: `81001`	$9	—	$10	—