Home › Hospitals › ProMedica Fostoria Community Hospital Posts prices for 34 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-07.
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Procedure Posted cash Posted gross × Medicare
Epidural injection, lumbar/sacral (with imaging) (62322) $1,729
$2,660
2.1×
Transforaminal epidural injection, lumbar/sacral (64483) $1,638.65
$2,521
2.0×
CT head/brain without contrast (70450) $1,426.10
$2,194
14.4×
MRI brain without contrast (70551) $2,193.75
$3,375
9.7×
MRI brain with contrast (70552) $3,097.90
$4,766
9.4×
MRI brain without and with contrast (70553) $3,097.90
$4,766
9.4×
X-ray lower spine, 4+ views (72110) $350.35
$539
3.5×
MRI lumbar spine without contrast (72148) $2,193.75
$3,375
9.7×
CT pelvis with contrast (72193) $1,179.10
$1,814
7.1×
MRI lower-extremity joint without contrast (73721) $2,193.75
$3,375
9.7×
CT abdomen and pelvis with contrast (74177) $2,353
$3,620
7.1×
Ultrasound, abdomen complete (76700) $759.20
$1,168
7.7×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $571.35
$879
5.8×
Ultrasound, transvaginal (76830) $571.35
$879
5.8×
Mammography, one breast (diagnostic) (77065) $389.35
$599
4.5×
Mammography, both breasts (diagnostic) (77066) $479.05
$737
4.3×
Mammography, screening (bilateral) (77067) $440.70
$678
4.8×
Basic metabolic panel (80048) $165.10
$254
19.5×
Comprehensive metabolic panel (80053) $239.20
$368
22.7×
Lipid panel (80061) $111.80
$172
8.3×
Renal function panel (80069) $32.50
$50
3.7×
Hepatic function panel (80076) $170.95
$263
20.9×
Urinalysis, non-automated, without microscopy (81002) $9.75
$15
2.8×
PSA, total (84153) $117.65
$181
6.4×
Thyroid stimulating hormone (TSH) (84443) $95.55
$147
5.7×
CBC with automated differential (85025) $105.95
$163
13.6×
CBC, automated (85027) $78.65
$121
12.2×
Prothrombin time (PT) (85610) $26
$40
6.1×
Partial thromboplastin time (PTT) (85730) $51.35
$79
8.5×
Psychotherapy, 30 minutes (90832) $362.05
$557
2.2×
Psychotherapy, 45 minutes (90834) $480.35
$739
2.9×
Psychotherapy, 60 minutes (90837) $461.50
$710
2.7×
Sleep study (attended polysomnography) (95810) $4,944.55
$7,607
6.1×
Physical therapy, therapeutic exercise (per 15 min) (97110) $108.55
$167
3.7×
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
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