CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$1,804 - $2,098
from 3 insurers ยท median $1,992
Typical for a hospital with this service line
Memorial Health System ยท Marietta, OH
37
In-network payers
219
Disclosed rate categories
35
Beds
Selby General Hospital is a 35-bed voluntary non-profit - private hospital in Marietta, OH, affiliated with Memorial Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 219 disclosed rate categories.
CCN (Medicare provider number)
361319
NPI
1124073465
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
35
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.





The 24 services Selby General Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$1,804 - $2,098
from 3 insurers ยท median $1,992
Typical for a hospital with this service line
CT imaging
CPT 70450
$1,573 - $1,857
from 3 insurers ยท median $1,657
Typical for a hospital with this service line
CT imaging
CPT 74176
$1,750 - $2,098
from 3 insurers ยท median $1,992
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$247 - $2,196
from 3 insurers ยท median $2,085
Typical for a hospital with this service line
CT imaging
CPT 71275
$329 - $2,098
from 3 insurers ยท median $1,992
Typical for a hospital with this service line
MRI imaging
CPT 70553
$1,554 - $2,989
from 3 insurers ยท median $2,838
Typical for a hospital with this service line
Nuclear imaging
CPT 78815
$1,703 - $5,670
from 3 insurers ยท median $5,383
Hospital reports pet scan services to CMS
Nuclear imaging
CPT 78452
$516 - $4,843
from 3 insurers ยท median $4,598
Hospital reports nuclear medicine services to CMS
MRI imaging
CPT 72148
$2,782 - $2,989
from 3 insurers ยท median $2,838
Typical for a hospital with this service line
MRI imaging
CPT 70551
$1,476 - $2,989
from 3 insurers ยท median $2,838
Typical for a hospital with this service line
Ultrasound
CPT 76705
$90 - $1,077
from 3 insurers ยท median $1,023
Typical for a hospital with this service line
MRI imaging
CPT 73721
$2,700 - $2,989
from 3 insurers ยท median $2,838
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$41 - $263
from 3 insurers ยท median $249
Typical for a hospital with this service line
Mammography
CPT 77067
$154 - $169
from 3 insurers ยท median $161
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$47 - $624
from 3 insurers ยท median $592
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$141 - $789
from 3 insurers ยท median $749
Typical for a hospital with this service line
Ultrasound
CPT 76770
$129 - $1,094
from 3 insurers ยท median $1,039
Typical for a hospital with this service line
Ultrasound
CPT 76830
$142 - $733
from 3 insurers ยท median $696
Typical for a hospital with this service line
Ultrasound
CPT 76856
$108 - $782
from 3 insurers ยท median $743
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$429 - $830
from 3 insurers ยท median $788
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$775 - $3,868
from 3 insurers ยท median $3,672
Typical for a hospital with this service line
X-ray and bone density
CPT 73030
$42 - $382
from 3 insurers ยท median $362
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$37 - $336
from 3 insurers ยท median $319
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$221 - $935
from 3 insurers ยท median $888
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 637% | 9 | 1 |
| Insurer B* | 24 | 605% | 0 | 0 |
| Insurer C* | 24 | 119% | 6 | 18 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Selby General Hospital.
1106 Colegate Drive, Marietta, OH 45750
(740) 568-2000
About Selby General Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Selby General Hospital range from $1,554 to $2,989 across 3 insurers. Aetna's rate is $1,554. The median at nearby comparable hospitals is $1,730. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Selby General Hospital range from $1,804 to $2,098 across 3 insurers. Aetna's rate is $1,804. The median at nearby comparable hospitals is $1,387. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Selby General Hospital range from $429 to $830 across 3 insurers. UnitedHealthcare's rate is $830. The median at nearby comparable hospitals is $1,031. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Selby General Hospital range from $154 to $169 across 3 insurers. Cigna's rate is $161. The median at nearby comparable hospitals is $272. What a patient pays depends on their plan's deductible, coinsurance and network status.
Selby General Hospital has 35 beds. Facility type: Critical Access Hospital.
Selby General Hospital is located at 1106 Colegate Drive, Marietta, OH 45750. Its main phone number is (740) 568-2000.
Selby General Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 361319.
The National Provider Identifier (NPI) on file for Selby General Hospital is 1124073465.
Selby General Hospital is affiliated with Memorial Health System.
Selby General Hospital lists 37 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
219 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers