CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$381 - $2,889
from 4 insurers ยท median $2,044
Typical for a hospital with this service line
ProMedica Health System ยท Fostoria, OH
31
In-network payers
159
Disclosed rate categories
25
Beds
4
Care quality
Promedica Fostoria Community Hospital is a 25-bed voluntary non-profit - private hospital in Fostoria, OH, affiliated with ProMedica Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 159 disclosed rate categories.
CCN (Medicare provider number)
361318
NPI
1275533226
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
25
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 Fostoria Community 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
$381 - $2,889
from 4 insurers ยท median $2,044
Typical for a hospital with this service line
CT imaging
CPT 70450
$155 - $1,751
from 4 insurers ยท median $1,119
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$289 - $2,857
from 4 insurers ยท median $2,235
Typical for a hospital with this service line
CT imaging
CPT 74176
$210 - $2,889
from 4 insurers ยท median $1,919
Typical for a hospital with this service line
Mammography
CPT 77067
$177 - $541
from 4 insurers ยท median $402
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$515 - $5,554
from 2 insurers ยท median $3,035
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$595 - $7,115
from 4 insurers ยท median $5,500
Hospital reports nuclear medicine services to CMS
Digestive procedures
CPT 45380
$648 - $5,554
from 2 insurers ยท median $3,101
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$376 - $4,291
from 2 insurers ยท median $2,334
Typical for a hospital with this service line
MRI imaging
CPT 70553
$469 - $3,803
from 4 insurers ยท median $2,568
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$12,833 - $27,865
from 2 insurers ยท median $20,349
Typical for a hospital with this service line
CT imaging
CPT 71275
$388 - $1,765
from 4 insurers ยท median $1,205
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$46 - $321
from 4 insurers ยท median $276
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$27,482
negotiated rate
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$703 - $10,743
from 2 insurers ยท median $5,723
Typical for a hospital with this service line
MRI imaging
CPT 72148
$283 - $2,693
from 4 insurers ยท median $1,807
Typical for a hospital with this service line
MRI imaging
CPT 70551
$297 - $2,693
from 4 insurers ยท median $1,807
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$384 - $4,416
from 2 insurers ยท median $2,400
Typical for a hospital with this service line
Ultrasound
CPT 76705
$121 - $932
from 4 insurers ยท median $650
Typical for a hospital with this service line
Gynecology
CPT 58558
$1,121 - $14,977
from 2 insurers ยท median $8,049
Typical for a hospital with this service line
MRI imaging
CPT 73721
$293 - $2,693
from 4 insurers ยท median $1,807
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$163 - $1,309
from 4 insurers ยท median $866
Typical for a hospital with this service line
Gynecology
CPT 58661
$27,482
negotiated rate
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$868 - $6,070
from 4 insurers ยท median $4,587
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* | 15 | 985% | 9 | 4 |
| Insurer B* | 15 | 729% | 4 | 10 |
| Insurer C* | 24 | 464% | 13 | 11 |
| Insurer D* | 22 | 103% | 1 | 20 |
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 Fostoria Community Hospital.
501 Van Buren Street, Fostoria, OH 44830
(419) 435-7734
About Promedica Fostoria Community Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Promedica Fostoria Community Hospital range from $469 to $3,803 across 4 insurers. Cigna's rate is $3,803. The median at nearby comparable hospitals is $3,386. 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 Fostoria Community Hospital range from $381 to $2,889 across 4 insurers. Aetna's rate is $381. The median at nearby comparable hospitals is $3,253. 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 Promedica Fostoria Community Hospital range from $515 to $5,554 across 2 insurers. Blue Cross Blue Shield's rate is $5,554. The median at nearby comparable hospitals is $4,467. 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 Fostoria Community Hospital range from $177 to $541 across 4 insurers. Aetna's rate is $177. The median at nearby comparable hospitals is $173. What a patient pays depends on their plan's deductible, coinsurance and network status.
Promedica Fostoria Community Hospital has 25 beds. Facility type: Critical Access Hospital.
Promedica Fostoria Community Hospital is located at 501 Van Buren Street, Fostoria, OH 44830. Its main phone number is (419) 435-7734.
Promedica Fostoria Community Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 361318.
The National Provider Identifier (NPI) on file for Promedica Fostoria Community Hospital is 1275533226.
Promedica Fostoria Community Hospital is affiliated with ProMedica Health System.
Promedica Fostoria Community Hospital lists 31 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.
159 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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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