Rochester, IN
34
In-network payers
203
Disclosed rate categories
25
Beds
3
Care quality
Woodlawn Hospital is a 25-bed government - local hospital in Rochester, IN. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 203 disclosed rate categories.
CCN (Medicare provider number)
151313
NPI
1265413405
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 Woodlawn 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 788
$8,083 - $26,784
from 4 insurers · median $17,861
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
Childbirth · Inpatient
MS-DRG 807
$2,678 - $7,655
from 4 insurers · median $5,229
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
CT imaging
CPT 74177
$1,042 - $4,887
from 4 insurers · median $2,376
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$2,051 - $2,701
from 4 insurers · median $2,455
Typical for a hospital with this service line
CT imaging
CPT 74176
$823 - $3,579
from 4 insurers · median $1,877
Typical for a hospital with this service line
CT imaging
CPT 70450
$429 - $963
from 4 insurers · median $476
Typical for a hospital with this service line
MRI imaging
CPT 70553
$1,062 - $4,676
from 4 insurers · median $2,420
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,455 - $6,284
from 4 insurers · median $4,463
Hospital reports nuclear medicine services to CMS
X-ray and bone density
CPT 71046
$100 - $423
from 4 insurers · median $307
Typical for a hospital with this service line
MRI imaging
CPT 73721
$894 - $4,280
from 4 insurers · median $2,877
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$2,678 - $7,655
from 4 insurers · median $5,229
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
Medicine & Surgery · Inpatient
MS-DRG 470
$15,977 - $52,942
from 4 insurers · median $34,479
Hospital reports orthopedic surgery services to CMS
Mammography
CPT 77067
$98 - $431
from 4 insurers · median $208
Typical for a hospital with this service line
CT imaging
CPT 71250
$484 - $1,723
from 4 insurers · median $1,108
Typical for a hospital with this service line
MRI imaging
CPT 70551
$775 - $3,411
from 4 insurers · median $1,766
Typical for a hospital with this service line
MRI imaging
CPT 74183
$1,022 - $4,770
from 4 insurers · median $3,135
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$3,937
negotiated rate
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$3,060
negotiated rate
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$17,964
negotiated rate
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$3,488
negotiated rate
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$244 - $990
from 4 insurers · median $748
Typical for a hospital with this service line
Ultrasound
CPT 76705
$155 - $711
from 4 insurers · median $390
Typical for a hospital with this service line
Ultrasound
CPT 76830
$189 - $702
from 4 insurers · median $580
Typical for a hospital with this service line
Ultrasound
CPT 76642
$207 - $583
from 4 insurers · median $475
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* | 20 | 721% | 13 | 3 |
| Insurer B* | 24 | 661% | 20 | 0 |
| Insurer C* | 20 | 433% | 11 | 5 |
| Insurer D* | 20 | 290% | 5 | 10 |
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 Woodlawn Hospital.
1400 East Ninth Street, Rochester, IN 46975
(574) 223-3141
The nearest hospitals of similar type and size. Their rates are compared with Woodlawn Hospital for the same insurers and services above.
Pulaski Memorial Hospital
â–¼ Rates typically 13% lower than Woodlawn Hospital (20 services)
Dukes Memorial Hospital
â–¼ Rates typically 40% lower than Woodlawn Hospital (20 services)
Parkview Wabash Hospital
â–¼ Rates typically 51% lower than Woodlawn Hospital (20 services)
Community Hospital Of Bremen
â–¼ Rates typically 39% lower than Woodlawn Hospital (20 services)
Iu Health White Hospital
â–¼ Rates typically 24% lower than Woodlawn Hospital (21 services)
Franciscan Health Rensselaer
â–¼ Rates typically 52% lower than Woodlawn Hospital (20 services)
Iu Health Tipton Hospital
Iu Health Bedford Hospital
Decatur Co. Memorial Hospital
About Woodlawn Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Woodlawn Hospital range from $1,062 to $4,676 across 4 insurers. Blue Cross Blue Shield's rate is $1,062. The median at nearby comparable hospitals is $925. 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 Woodlawn Hospital range from $1,042 to $4,887 across 4 insurers. Aetna's rate is $4,887. The median at nearby comparable hospitals is $1,052. 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 Woodlawn Hospital range from $3,937 to $3,937 across 1 insurers. Aetna's rate is $3,937. The median at nearby comparable hospitals is $3,044. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Cesarean delivery, hospital stay (MS-DRG 788), published negotiated rates at Woodlawn Hospital range from $8,083 to $26,784 across 4 insurers. Cigna's rate is $22,075. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Woodlawn Hospital range from $98 to $431 across 4 insurers. Blue Cross Blue Shield's rate is $98. The median at nearby comparable hospitals is $175. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Woodlawn Hospital range from $15,977 to $52,942 across 4 insurers. Aetna's rate is $52,942. The median at nearby comparable hospitals is $27,941. What a patient pays depends on their plan's deductible, coinsurance and network status.
Woodlawn Hospital has 25 beds. Facility type: Critical Access Hospital.
Woodlawn Hospital is located at 1400 East Ninth Street, Rochester, IN 46975. Its main phone number is (574) 223-3141.
Woodlawn Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 151313.
The National Provider Identifier (NPI) on file for Woodlawn Hospital is 1265413405.
Woodlawn Hospital lists 34 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
203 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