Hospital Profile Acute Care Hospitals Voluntary non-profit - Private

Upper Valley Medical Center

3130 N COUNTY ROAD 25A, Troy, OH 45373

CMS Overall Rating ★★★★☆

How this hospital's prices compare 119 procedures scored

1.0×

the fair BaseRate, typically

about the fair price

Across 119 shoppable procedures, Upper Valley Medical Center typically charges about the fair BaseRate for the procedures it prices. 19 of them run 30%+ above the fair BaseRate.

Where it's most above the fair price

Colonoscopy (diagnostic) fair $1,955 → $4,951 2.5×
Upper endoscopy with biopsy fair $2,183 → $4,951 2.3×
Colonoscopy with biopsy fair $2,699 → $4,951 1.8×

How we calculate the BaseRate →

Upper Valley Medical Center publishes prices for 119 shoppable procedures in Troy, OH. It's classified by CMS as Acute Care Hospitals (Voluntary non-profit - Private). CMS rates it 4/5 stars, and 66% of patients would recommend it.

Facility Overview

Setting: urban Bed Count: 139 Beds Teaching Status: Non-Teaching Annual Discharges: 5,909

Patient Experience

Recommendation Rate: 66% High Patient Rating: 69% ER Wait Time (Med): 158 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 119 codes Typical vs Fair BaseRate: 1.0× Price File In Index: Yes MRF Version: 3.0.0

Prices at Upper Valley 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
Colonoscopy (diagnostic) CPT Code: `45378`	—	$4,951	$1,955	2.5×
Upper endoscopy with biopsy CPT Code: `43239`	—	$4,951	$2,183	2.3×
Colonoscopy with biopsy CPT Code: `45380`	—	$4,951	$2,699	1.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$17,440	$10,285	1.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$294	$208	$124	1.7×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$39,450	$25,144	1.6×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$55,106	$35,197	1.6×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$37,906	$24,500	1.5×
Office visit, established patient (30-39 min) CPT Code: `99214`	$348	$269	$176	1.5×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$32,307	$21,346	1.5×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$59	$40	1.5×
Flu vaccine injection HCPCS Code: `G0008`	—	$88	$59	1.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$88	$62	1.4×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$23	$16	1.4×
Colorectal cancer screening HCPCS Code: `G0010`	—	$88	$67	1.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$474	$110	$84	1.3×
Cataract surgery with lens implant CPT Code: `66984`	—	$6,522	$5,144	1.3×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$362	$286	1.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$313	$188	$152	1.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$69	$37	$30	1.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$198	$60	$50	1.2×
Speech therapy (group session) CPT Code: `92508`	$179	$44	$36	1.2×
Psychological testing evaluation CPT Code: `96136`	—	$249	$207	1.2×
Psychiatric evaluation (first visit) CPT Code: `90791`	$725	$332	$277	1.2×
Physical therapy (functional capacity test) CPT Code: `97750`	$225	$61	$51	1.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$168	$64	$54	1.2×
Physical therapy (gait training) CPT Code: `97116`	$198	$53	$45	1.2×
Bunion correction surgery CPT Code: `28296`	—	$7,853	$6,634	1.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$2,611	$446	$377	1.2×
Speech therapy (language evaluation) CPT Code: `92507`	$197	$140	$118	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	$108	$59	$50	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$198	$51	$44	1.2×
Orthotic fitting and training CPT Code: `97760`	$190	$83	$72	1.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$225	$66	$57	1.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$543	$332	$288	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$218	$53	$46	1.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,383	$1,022	$895	1.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$419	$409	$364	1.1×
Prosthetic fitting and training CPT Code: `97761`	$190	$73	$66	1.1×
Pneumococcal vaccine HCPCS Code: `90732`	$330	$220	$203	1.1×
Typhoid vaccine HCPCS Code: `90675`	$887	$515	$475	1.1×
Family therapy session CPT Code: `90847`	$574	$332	$308	1.1×
Blood test, hemoglobin CPT Code: `85018`	$44	$3	$3	1.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$7,853	$7,378	1.1×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$45	$4	$4	1.1×
Blood test, glucose (blood sugar) CPT Code: `82947`	$56	$5	$5	1.0×
Blood test, potassium CPT Code: `84132`	$63	$6	$6	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$56	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$70	$6	$6	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$135	$12	$12	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	$502	$332	$323	1.0×
Blood test, liver function panel CPT Code: `80076`	$70	$10	$10	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$152	$13	$13	1.0×
Blood test, amylase CPT Code: `82150`	$92	$8	$8	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$32	$31	1.0×
Blood test, vitamin D CPT Code: `82306`	$417	$36	$35	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$242	$216	$214	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$260	$22	$22	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$212	$18	$18	1.0×
Rabies immune globulin HCPCS Code: `90375`	$4,184	$440	$438	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$237	$20	$20	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$23	$23	1.0×
Hepatitis C antibody test CPT Code: `86803`	$236	$17	$17	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$139	$16	$16	1.0×
Blood test, basic metabolic panel CPT Code: `80048`	$106	$10	$10	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,840	$1,606	$1,612	1.0×
Blood test, magnesium CPT Code: `83735`	$80	$8	$8	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$72	$6	$6	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$191	$16	$16	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$137	$9	$9	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$107	$7	$7	1.0×
Culture, blood CPT Code: `87040`	$87	$12	$12	1.0×
Drug screening test HCPCS Code: `G0480`	—	$137	$142	1.0×
Blood test, lipase CPT Code: `83690`	$96	$8	$8	1.0×
Blood test, calcium CPT Code: `82310`	$74	$6	$6	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$71	$5	$5	1.0×
Culture, bacterial CPT Code: `87070`	$74	$10	$10	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$13,382	$14,000	1.0×
Inguinal hernia repair CPT Code: `49505`	—	$7,853	$8,421	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,941	$436	$472	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,687	$436	$475	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$2,938	$212	$235	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$1,396	$129	$146	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,938	$212	$240	0.9×
Neurobehavioral status check CPT Code: `96116`	—	$404	$463	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,175	$273	$316	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$2,220	$273	$322	0.8×
X-ray, lower back CPT Code: `72110`	$1,057	$129	$153	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$2,048	$273	$324	0.8×
X-ray, pelvis CPT Code: `72170`	$1,057	$129	$153	0.8×
Ultrasound, pelvis CPT Code: `76856`	$1,806	$129	$155	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$28	$34	0.8×
MRI, knee or other leg joint CPT Code: `73721`	$3,071	$273	$334	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,750	$129	$158	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,806	$129	$162	0.8×
CT scan, pelvis CPT Code: `72192`	$1,274	$129	$162	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,274	$129	$162	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$1,274	$129	$163	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,396	$129	$164	0.8×
Total knee replacement CPT Code: `27447`	—	$16,745	$21,519	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,635	$129	$166	0.8×
Breast lump removal CPT Code: `19120`	—	$6,522	$8,435	0.8×
Total hip replacement CPT Code: `27130`	—	$16,745	$21,713	0.8×
CT scan, sinuses CPT Code: `70486`	$1,396	$129	$170	0.8×
X-ray, chest (single view) CPT Code: `71045`	$765	$96	$127	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$1,057	$96	$127	0.8×
X-ray, foot CPT Code: `73630`	$958	$96	$128	0.7×
X-ray, chest (two views) CPT Code: `71046`	$765	$96	$128	0.7×
X-ray, shoulder CPT Code: `73030`	$958	$96	$128	0.7×
X-ray, hand CPT Code: `73130`	$958	$96	$129	0.7×
X-ray, ankle CPT Code: `73610`	$958	$96	$129	0.7×
X-ray, hip CPT Code: `73502`	$640	$96	$130	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$420	$111	$155	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$569	$134	$189	0.7×
Blood antibody screen CPT Code: `86850`	$519	$12	$36	0.3×
Blood transfusion CPT Code: `36430`	$523	—	$818	—
Group therapy session CPT Code: `90853`	$181	—	—	—
New patient office visit (30-44 min) CPT Code: `99203`	$321	—	$143	—
Hospital observation (per hour) HCPCS Code: `G0378`	$641	—	—	—