Supplies, drugs & other prices at Fulton County Health Center
Wauseon, OH · every code in this section with a posted price and a Medicare benchmark.
33 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| BCR/ABL1 (eg, chronic myelogenous leukemia) translocation analysis, major breakpoint, quantitative 13,999 or fewer… (0040U) | $412.22 | $588.89 | 1.0× |
| Catheterize for urine spec (P9612) | $61.56 | $87.95 | 6.6× |
| Diab manage trn per indiv (G0108) | $68.22 | $97.46 | 1.2× |
| Diab manage trn ind/group (G0109) | $41.40 | $59.15 | 2.6× |
| Direct refer hospital observ (G0379) | $551.61 | $788.01 | 1.0× |
| Drug test def 1-7 classes (G0480) range across 2 matching MRF lines |
$93.10–$94.74 | $133–$135.34 | varies |
| Ed svc ckd grp per session (G0421) | $81.98 | $117.12 | 3.0× |
| Ed svc ckd ind per session (G0420) | $135.62 | $193.74 | 1.2× |
| Ekg tracing for initial prev (G0404) | $136.26 | $194.66 | 5.0× |
| Hep c screen high risk/other (G0472) | $32.82 | $46.89 | 0.7× |
| Hospital outpt clinic visit (G0463) range across 4 matching MRF lines |
$113.71–$141.22 | $162.44–$201.74 | varies |
| Hpv combo assay ca screen (G0476) | $94 | $134.28 | 2.7× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) | $6,088.64 | $8,698.05 | 0.8× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) | $6,088.64 | $8,698.05 | 0.8× |
| Prostate biopsy, any mthd (G0416) | $1,924.73 | $2,749.61 | 5.7× |
| Psa screening (G0103) | $99.96 | $142.80 | 5.2× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) | $537.24 | $767.48 | 0.9× |
| Revasc intra lithotrip-ather (C9766) | $17,907.75 | $25,582.50 | 1.0× |
| Revasc intra lithotrip-stent (C9765) | $16,475.13 | $23,535.90 | 0.9× |
| Revasc intravasc lithotripsy (C9764) | $9,670.18 | $13,814.55 | 0.9× |
| Revasc lith-sten-ath tib/per (C9775) | $21,489.30 | $30,699 | 1.2× |
| Revasc lithotr-ather tib/per (C9774) | $17,907.75 | $25,582.50 | 1.0× |
| Revasc lithotr-stent tib/per (C9773) | $21,489.30 | $30,699 | 1.2× |
| Revasc lithotrip tibi/perone (C9772) | $20,056.68 | $28,652.40 | 1.8× |
| Revasc lithotrip-stent-ather (C9767) | $21,489.30 | $30,699 | 1.2× |
| Rmvl Car Modulj Tranvns Elt (0413T) | $2,507.08 | $3,581.55 | 0.7× |
| Screen cerv/vag thin layer (G0123) | $58.93 | $84.19 | 2.9× |
| Tomosynthesis, mammo (G0279) | $39.31 | $56.16 | 3.1× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $7,700 | $11,000 | 1.4× |
| Trluml perip athrc abd aorta (0236T) | $14,326.20 | $20,466 | 1.3× |
| Trluml Perip Athrc Brchiocph (0237T) | $14,326.20 | $20,466 | 1.3× |
| Trluml Perip Athrc Iliac Art (0238T) | $19,340.37 | $27,629.10 | 1.1× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $14,326.20 | $20,466 | 1.3× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.