ProMedica Health System · Defiance, OH
33
In-network payers
214
Disclosed rate categories
51
Beds
4
Care quality
Promedica Defiance Regional Hospital is a 51-bed voluntary non-profit - private hospital in Defiance, OH, affiliated with ProMedica Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 214 disclosed rate categories.
CCN (Medicare provider number)
361328
NPI
1699775726
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
51
Care Quality
4
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 Promedica Defiance Regional 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.
Childbirth · Inpatient
MS-DRG 807
$16,271
negotiated rate
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$25,518
negotiated rate
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$437 - $3,909
from 4 insurers · median $1,975
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$289 - $4,499
from 4 insurers · median $2,531
Typical for a hospital with this service line
Mammography
CPT 77067
$178 - $925
from 4 insurers · median $519
Typical for a hospital with this service line
CT imaging
CPT 74176
$263 - $3,909
from 4 insurers · median $1,758
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$449 - $6,175
from 2 insurers · median $3,312
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$598 - $8,605
from 4 insurers · median $5,325
Hospital reports nuclear medicine services to CMS
Gynecology
CPT 58571
$54,529
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 70553
$469 - $4,853
from 4 insurers · median $2,290
Typical for a hospital with this service line
CT imaging
CPT 70450
$123 - $1,523
from 3 insurers · median $400
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$39 - $396
from 4 insurers · median $298
Typical for a hospital with this service line
CT imaging
CPT 71275
$388 - $2,386
from 4 insurers · median $1,130
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$30,558
negotiated rate
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$16,271
negotiated rate
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Digestive procedures
CPT 49650
$30,558
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 72148
$283 - $3,510
from 4 insurers · median $1,625
Typical for a hospital with this service line
MRI imaging
CPT 70551
$290 - $3,439
from 4 insurers · median $1,601
Typical for a hospital with this service line
Ultrasound
CPT 76705
$121 - $1,238
from 4 insurers · median $613
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$515 - $1,768
from 2 insurers · median $1,142
Typical for a hospital with this service line
MRI imaging
CPT 73721
$300 - $3,510
from 4 insurers · median $1,625
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$162 - $1,775
from 4 insurers · median $792
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$868 - $9,019
from 4 insurers · median $4,921
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$2,024 - $12,833
from 2 insurers · median $7,428
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* | 14 | 1245% | 14 | 0 |
| Insurer B* | 15 | 887% | 11 | 3 |
| Insurer C* | 24 | 375% | 7 | 10 |
| Insurer D* | 18 | 116% | 4 | 11 |
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 Promedica Defiance Regional Hospital.
1200 Ralston Avenue, Defiance, OH 43512
(419) 783-6955
The nearest hospitals of similar type and size. Their rates are compared with Promedica Defiance Regional Hospital for the same insurers and services above.
Henry County Hospital
▼ Rates typically 26% lower than Promedica Defiance Regional Hospital (17 services)
Paulding County Hospital
▲ Rates typically 60% higher than Promedica Defiance Regional Hospital (18 services)
Community Memorial Hospital
Too few shared services to compare rates
Fulton County Health Center
▼ Rates typically 24% lower than Promedica Defiance Regional Hospital (20 services)
Parkview Montpelier Hospital
▼ Rates typically 30% lower than Promedica Defiance Regional Hospital (14 services)
Cameron Memorial Community
Rates about the same as Promedica Defiance Regional Hospital (17 services)
Promedica Fostoria Community Hospital
Barnesville Hospital
Shelby Hospital
Mercy Health - Willard Hospital
About Promedica Defiance Regional Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Promedica Defiance Regional Hospital range from $469 to $4,853 across 4 insurers. Blue Cross Blue Shield's rate is $1,344. The median at nearby comparable hospitals is $2,399. 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 Promedica Defiance Regional Hospital range from $437 to $3,909 across 4 insurers. Aetna's rate is $437. The median at nearby comparable hospitals is $2,378. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Promedica Defiance Regional Hospital range from $449 to $6,175 across 2 insurers. Blue Cross Blue Shield's rate is $6,175. The median at nearby comparable hospitals is $1,154. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Promedica Defiance Regional Hospital range from $16,271 to $16,271 across 1 insurers. Blue Cross Blue Shield's rate is $16,271. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Promedica Defiance Regional Hospital range from $178 to $925 across 4 insurers. UnitedHealthcare's rate is $617. The median at nearby comparable hospitals is $205. What a patient pays depends on their plan's deductible, coinsurance and network status.
Promedica Defiance Regional Hospital has 51 beds. Facility type: Critical Access Hospital.
Promedica Defiance Regional Hospital is located at 1200 Ralston Avenue, Defiance, OH 43512. Its main phone number is (419) 783-6955.
Promedica Defiance Regional Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 361328.
The National Provider Identifier (NPI) on file for Promedica Defiance Regional Hospital is 1699775726.
Promedica Defiance Regional Hospital is affiliated with ProMedica Health System.
Promedica Defiance Regional Hospital lists 33 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.
214 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.
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{
"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.
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