CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$346 - $2,778
from 4 insurers ยท median $2,526
Typical for a hospital with this service line
Adena Health System ยท Washington Court House, OH
32
In-network payers
138
Disclosed rate categories
25
Beds
3
Care quality
Fayette County Memorial Hospital is a 25-bed government - local hospital in Washington Court House, OH, affiliated with Adena Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 138 disclosed rate categories.
CCN (Medicare provider number)
361331
NPI
1508978677
Type
Critical Access Hospital
Ownership
Government - Local
Beds
25
Care Quality
3
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 Fayette County Memorial 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
$346 - $2,778
from 4 insurers ยท median $2,526
Typical for a hospital with this service line
CT imaging
CPT 71275
$297 - $3,519
from 4 insurers ยท median $2,897
Typical for a hospital with this service line
CT imaging
CPT 70450
$124 - $1,053
from 4 insurers ยท median $958
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$235 - $2,509
from 4 insurers ยท median $2,333
Typical for a hospital with this service line
CT imaging
CPT 74176
$214 - $2,104
from 4 insurers ยท median $1,913
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$287 - $3,784
from 4 insurers ยท median $3,548
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$399 - $4,226
from 4 insurers ยท median $3,962
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$483 - $4,379
from 4 insurers ยท median $3,981
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$460 - $4,431
from 4 insurers ยท median $4,029
Hospital reports nuclear medicine services to CMS
Digestive procedures
CPT 45378
$3,554 - $3,924
from 3 insurers ยท median $3,583
Typical for a hospital with this service line
MRI imaging
CPT 70553
$380 - $2,060
from 4 insurers ยท median $1,873
Typical for a hospital with this service line
MRI imaging
CPT 73721
$244 - $2,916
from 4 insurers ยท median $2,734
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$25 - $239
from 4 insurers ยท median $217
Typical for a hospital with this service line
Mammography
CPT 77067
$123 - $198
from 4 insurers ยท median $180
Typical for a hospital with this service line
MRI imaging
CPT 70551
$1,459 - $2,000
from 4 insurers ยท median $1,568
Typical for a hospital with this service line
MRI imaging
CPT 72148
$1,115 - $1,577
from 4 insurers ยท median $1,434
Typical for a hospital with this service line
Ultrasound
CPT 76705
$74 - $564
from 4 insurers ยท median $513
Typical for a hospital with this service line
Medicine & Surgery
CPT 64483
$364 - $7,283
from 4 insurers ยท median $6,622
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$116 - $898
from 4 insurers ยท median $733
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$36 - $487
from 4 insurers ยท median $443
Typical for a hospital with this service line
Orthopedics and pain
CPT 20610
$1,808 - $2,295
from 4 insurers ยท median $1,910
Typical for a hospital with this service line
X-ray and bone density
CPT 73030
$32 - $487
from 4 insurers ยท median $443
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$183 - $1,417
from 4 insurers ยท median $1,288
Typical for a hospital with this service line
Ultrasound
CPT 76830
$126 - $564
from 4 insurers ยท median $513
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 | 563% | 13 | 10 |
| Insurer B* | 24 | 514% | 17 | 5 |
| Insurer C* | 24 | 510% | 11 | 13 |
| Insurer D* | 23 | 88% | 3 | 19 |
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 Fayette County Memorial Hospital.
1430 Columbus Avenue, Washington Court House, OH 43160
(740) 335-1210
About Fayette County Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Fayette County Memorial Hospital range from $380 to $2,060 across 4 insurers. Cigna's rate is $2,060. The median at nearby comparable hospitals is $2,293. 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 Fayette County Memorial Hospital range from $346 to $2,778 across 4 insurers. Aetna's rate is $346. The median at nearby comparable hospitals is $2,370. 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 Fayette County Memorial Hospital range from $399 to $4,226 across 4 insurers. Blue Cross Blue Shield's rate is $4,066. The median at nearby comparable hospitals is $3,860. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Fayette County Memorial Hospital range from $123 to $198 across 4 insurers. UnitedHealthcare's rate is $181. The median at nearby comparable hospitals is $194. What a patient pays depends on their plan's deductible, coinsurance and network status.
Fayette County Memorial Hospital has 25 beds. Facility type: Critical Access Hospital.
Fayette County Memorial Hospital is located at 1430 Columbus Avenue, Washington Court House, OH 43160. Its main phone number is (740) 335-1210.
Fayette County Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 361331.
The National Provider Identifier (NPI) on file for Fayette County Memorial Hospital is 1508978677.
Fayette County Memorial Hospital is affiliated with Adena Health System.
Fayette County Memorial Hospital lists 32 in-network payers, including Aetna, Ambetter, 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.
138 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