Hospital price profile
FULTON COUNTY HEALTH CENTER
725 SOUTH SHOOP AVENUE, Wauseon, OH 43567 · (419) 335-2015 · Map and directions
CMS quality snapshot
Overall hospital rating3 of 5 stars
Safety measures vs. national result0 better · 2 same · 0 worse
PSI-90 patient safetyNot Available
The hospital star rating is overall, not procedure-specific. PSI-90 reflects qualifying Medicare inpatient stays, not every outpatient encounter. View CMS source.
| Procedure | Context | Published cash | Comparison | Source |
|---|---|---|---|---|
| CT headHCPCS 70450 · CT HEAD W/O CONTRAST | BOTH / FACILITY1 observed cash value(s) | $875.97 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| CT head with contrastHCPCS 70460 · CT Head/brain w/contrast | BOTH / FACILITY1 observed cash value(s) | $984.93 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| CT head with/without contrastHCPCS 70470 · CT HEAD W/WO CONTRAST | BOTH / FACILITY1 observed cash value(s) | $1,489.33 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| MRI brain without contrastHCPCS 70551 · MRI BRAIN WITHOUT CONTRAST | BOTH / FACILITY2 observed cash value(s) | $2,170.26MRF range $1,842.78–$2,497.75 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 90/100 · ingestion e21b897a… |
| MRI brain with contrastHCPCS 70552 · MRI BRAIN WITH CONTRAST | BOTH / FACILITY1 observed cash value(s) | $1,842.78 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| MRI brainHCPCS 70553 · MRI BRAIN W/O - W/CONTR. | BOTH / FACILITY1 observed cash value(s) | $2,276.38 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| Chest X-rayHCPCS 71046 · XR Chest 2 views | BOTH / FACILITY1 observed cash value(s) | $172.20 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| CT chest without contrastHCPCS 71250 · CT THORAX W/O CONTRAST | BOTH / FACILITY1 observed cash value(s) | $687.04 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| CT chestHCPCS 71260 · CT THORAX WITH CONTRAST | BOTH / FACILITY1 observed cash value(s) | $1,119.09 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| CT angiography chestHCPCS 71275 · CTA CHEST W & W/O CONTRAST | BOTH / FACILITY1 observed cash value(s) | $1,702.32 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| MRI cervical spineHCPCS 72141 · MRI CERV SPINE W/O CONTRAST | BOTH / FACILITY1 observed cash value(s) | $1,842.78 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| MRI thoracic spineHCPCS 72146 · MRI THRC SPINE W/O CONTRAST | BOTH / FACILITY1 observed cash value(s) | $1,842.78 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| MRI lumbar spineHCPCS 72148 · MRI LUMBAR SPINE W/O CONTRAST | BOTH / FACILITY1 observed cash value(s) | $1,842.78 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| Shoulder X-rayHCPCS 73030 · XR SHOULDER COMPLETE 2+ RT | BOTH / FACILITY2 observed cash value(s) | $250.25MRF range $250.25–$499.80 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 90/100 · ingestion e21b897a… |
| MRI shoulder / upper jointHCPCS 73221 · MRI UE JT W/O CONT RT | BOTH / FACILITY2 observed cash value(s) | $1,842.78MRF range $1,842.78–$3,244.33 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 90/100 · ingestion e21b897a… |
| Knee X-rayHCPCS 73562 · XR KNEE 3 VIEWS RT | BOTH / FACILITY2 observed cash value(s) | $202.30MRF range $202.30–$422.10 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 90/100 · ingestion e21b897a… |
| Ankle X-rayHCPCS 73610 · XR ANKLE CMPLT 3+ VWS RT | BOTH / FACILITY2 observed cash value(s) | $180.25MRF range $180.25–$245.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 90/100 · ingestion e21b897a… |
| MRI knee / lower jointHCPCS 73721 · MRI LWR EXT JT W/O CNTST LT | BOTH / FACILITY2 observed cash value(s) | $1,842.78MRF range $1,842.78–$2,548.52 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 90/100 · ingestion e21b897a… |
| CT abdomen & pelvis without contrastHCPCS 74176 · CT abdomen/pelvis w/o contrast | BOTH / FACILITY1 observed cash value(s) | $1,506.13 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| CT abdomen & pelvisHCPCS 74177 · CT ABD/PELVIS WITH CONTRAST | BOTH / FACILITY1 observed cash value(s) | $1,488.58 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| CT abdomen & pelvis with/without contrastHCPCS 74178 · CT ABD/PELVIS W/O & W/CONTRAST | BOTH / FACILITY1 observed cash value(s) | $2,137.44 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| Breast ultrasoundHCPCS 76641 · US BRST B-SCAN&/REL TM W/IMAG | BOTH / FACILITY2 observed cash value(s) | $282.07MRF range $282.07–$485.88 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 90/100 · ingestion e21b897a… |
| Transvaginal ultrasoundHCPCS 76830 · US TRANSVAGINAL ECHOGRAPHY | BOTH / FACILITY1 observed cash value(s) | $485.12 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| Pelvic ultrasoundHCPCS 76856 · US PELVIC NON-OB COMPLETE | BOTH / FACILITY1 observed cash value(s) | $526.72 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| Diagnostic mammogramHCPCS 77065 · MAMMOGRAM DIAG W/ CAD RT | BOTH / FACILITY1 observed cash value(s) | $195.80 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| Screening mammogramHCPCS 77067 · Mammogram screen bil w/CAD | BOTH / FACILITY1 observed cash value(s) | $233.59 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| Nuclear stress imagingHCPCS 78452 · NM HT MUSCLE IMAGE SPECT,MULTI | BOTH / FACILITY1 observed cash value(s) | $2,819.90 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| Comprehensive metabolic panelHCPCS 80053 · CMP-Comp Metabolic Panel | BOTH / FACILITY2 observed cash value(s) | $130.18MRF range $96.24–$164.12 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 90/100 · ingestion e21b897a… |
| Lipid panelHCPCS 80061 · Lipid Panel | BOTH / FACILITY6 observed cash value(s) | $66.50MRF range $12.68–$130.55 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 90/100 · ingestion e21b897a… |
| UrinalysisHCPCS 81001 · UA Urinalysis | BOTH / FACILITY1 observed cash value(s) | $45.88 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| Vitamin D testHCPCS 82306 · Vitamin D 25-OH, Vit D2 D3 | BOTH / FACILITY3 observed cash value(s) | $55.95MRF range $52.59–$145.47 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 90/100 · ingestion e21b897a… |
| Ferritin testHCPCS 82728 · Ferritin - serum or plasma | BOTH / FACILITY2 observed cash value(s) | $104.06MRF range $79.06–$129.06 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 90/100 · ingestion e21b897a… |
| Hemoglobin A1cHCPCS 83036 · Hemoglobin A1C | BOTH / FACILITY3 observed cash value(s) | $30.58MRF range $14.92–$82.06 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 90/100 · ingestion e21b897a… |
| Iron testHCPCS 83540 · Iron | BOTH / FACILITY1 observed cash value(s) | $49.24 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| TIBC testHCPCS 83550 · Ex-Iron binding capacity | BOTH / FACILITY1 observed cash value(s) | $33.57 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| PSA testHCPCS 84153 · PSA Prostate Specific Antigen | BOTH / FACILITY5 observed cash value(s) | $74.59MRF range $29.09–$147.71 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 90/100 · ingestion e21b897a… |
| TSH testHCPCS 84443 · TSH Thyroid Stimulating Hormon | BOTH / FACILITY1 observed cash value(s) | $105.18 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| Pregnancy blood testHCPCS 84702 · HCG Quantitative | BOTH / FACILITY2 observed cash value(s) | $88.03MRF range $71.62–$104.44 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 90/100 · ingestion e21b897a… |
| CBC with differentialHCPCS 85025 · CBC with Differential | BOTH / FACILITY3 observed cash value(s) | $48.09MRF range $10.07–$69.75 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 90/100 · ingestion e21b897a… |
| Urine cultureHCPCS 87086 · Urine Culture quantitative | BOTH / FACILITY1 observed cash value(s) | $75.34 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| EchocardiogramHCPCS 93306 · CA Echo Comp w/spect&color | BOTH / FACILITY1 observed cash value(s) | $1,285.14 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| SpirometryHCPCS 94010 · PFT 1 Spirometry | BOTH / FACILITY1 observed cash value(s) | $248.86 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| Lung diffusion testHCPCS 94729 · CO DIFFUSING CAPACITY DLCO | BOTH / FACILITY1 observed cash value(s) | $190.85 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| Sleep studyHCPCS 95810 · POLYSOMNOGRAPHY >=6YRS 4+PARAM | BOTH / FACILITY1 observed cash value(s) | $3,080.58 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| Physical therapy exerciseHCPCS 97110 · THERAPEUTIC EXERCISES EA 15MIN | BOTH / FACILITY1 observed cash value(s) | $91.76 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| Manual therapyHCPCS 97140 · Manual Therapy 1+regions 15min | BOTH / FACILITY1 observed cash value(s) | $94.09 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| PT evaluation, low complexityHCPCS 97161 · PT EVALUATION LOW COMPLEXITY | BOTH / FACILITY1 observed cash value(s) | $141.53 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| PT evaluation, moderate complexityHCPCS 97162 · PT EVAL MODERATE COMPLEXITY | BOTH / FACILITY1 observed cash value(s) | $146.22 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
| Therapeutic activitiesHCPCS 97530 · Therapeutic act Psy; 1:1 15min | BOTH / FACILITY1 observed cash value(s) | $63.13 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion e21b897a… |
About these prices
Every amount on this page comes from the hospital’s machine-readable file and remains tied to its exact billing code, care setting, and billing class. Rows with multiple published amounts show the source range and are not ranked as a single comparable price.