Wyandot Memorial Hospital

Upper Sandusky, OH · Critical Access Hospital

Posts prices for 56 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-07.

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ProcedurePosted cashPosted gross× Medicare
Breast lesion removal (open) (19120) $87.87 $97.64 0.0×
Shoulder arthroscopy with decompression (29826) $2,720.52 $3,022.79 —
Knee arthroscopy with meniscectomy (29881) $245.56 $272.84 0.1×
Tonsillectomy and adenoidectomy (under age 12) (42820) $8,342.06 $9,268.95 1.5×
Upper GI endoscopy (EGD), diagnostic (43235)
range across 2 matching MRF lines
$56.58–$2,011.50 $62.86–$2,234.99 varies
Upper GI endoscopy (EGD) with biopsy (43239)
range across 2 matching MRF lines
$62.50–$2,184.56 $69.45–$2,427.29 varies
Diagnostic colonoscopy (45378) $75.81 $84.23 0.1×
Colonoscopy with biopsy (45380) $82.08 $91.20 0.1×
Colonoscopy with lesion removal (45385)
range across 2 matching MRF lines
$108.99–$2,661.04 $121.10–$2,956.71 varies
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure
$243.76 $270.84 0.0×
Inguinal hernia repair (age 5+) (49505) $137.72 $153.02 0.0×
Laparoscopic radical prostatectomy (55866)
likely a partial charge, not the full procedure
$309.31 $343.67 0.0×
Obstetric care, VBAC delivery (global) (59610) $5,221.84 $5,802.05 —
Transforaminal epidural injection, lumbar/sacral (64483)
range across 3 matching MRF lines
$900.20–$1,267.70 $1,000.23–$1,408.56 varies
After-cataract laser surgery (YAG capsulotomy) (66821) $1,332.64 $1,480.71 2.6×
Cataract removal with lens insertion (66984) $3,472.61 $3,858.45 1.6×
CT head/brain without contrast (70450)
range across 2 matching MRF lines
$199.44–$1,250.89 $221.60–$1,389.88 varies
MRI brain without contrast (70551)
range across 2 matching MRF lines
$339.35–$3,185.45 $377.05–$3,539.38 varies
MRI brain with contrast (70552)
range across 2 matching MRF lines
$446.76–$3,991.45 $496.40–$4,434.94 varies
MRI brain without and with contrast (70553)
range across 2 matching MRF lines
$540.91–$4,483.37 $601.02–$4,981.52 varies
X-ray lower spine, 4+ views (72110)
range across 2 matching MRF lines
$76.14–$574.97 $84.59–$638.86 varies
MRI lumbar spine without contrast (72148)
range across 2 matching MRF lines
$339.35–$2,499.71 $377.05–$2,777.46 varies
CT pelvis with contrast (72193)
range across 2 matching MRF lines
$273.34–$2,086.96 $303.71–$2,318.85 varies
MRI lower-extremity joint without contrast (73721)
range across 3 matching MRF lines
$260.83–$2,810.96 $289.82–$3,123.30 varies
CT abdomen and pelvis with contrast (74177)
range across 2 matching MRF lines
$369.01–$3,396.42 $410.01–$3,773.81 varies
Ultrasound, abdomen complete (76700)
range across 2 matching MRF lines
$186.69–$768.80 $207.43–$854.22 varies
Ultrasound, pregnant uterus (≥14 weeks) (76805) $811.01 $901.13 8.2×
Ultrasound, transvaginal (76830) $19.38 $21.53 0.2×
Mammography, one breast (diagnostic) (77065) $398.27 $442.52 4.6×
Mammography, both breasts (diagnostic) (77066)
range across 2 matching MRF lines
$449.85–$560.40 $499.83–$622.67 varies
Mammography, screening (bilateral) (77067)
range across 2 matching MRF lines
$105.54–$143.45 $117.27–$159.39 varies
Basic metabolic panel (80048) $72.79 $80.88 8.6×
Comprehensive metabolic panel (80053)
range across 2 matching MRF lines
$51.58–$96.43 $57.31–$107.14 varies
Obstetric panel (80055) $631.62 $701.80 13.2×
Lipid panel (80061) $134.14 $149.04 10.0×
Renal function panel (80069) $88.48 $98.31 10.2×
Hepatic function panel (80076) $60.54 $67.27 7.4×
Urinalysis, non-automated, with microscopy (81000) $20.85 $23.17 5.2×
Urinalysis, non-automated, without microscopy (81002)
range across 3 matching MRF lines
$19.27–$24.86 $21.41–$27.61 varies
PSA, total (84153) $148.16 $164.62 8.1×
Thyroid stimulating hormone (TSH) (84443)
range across 2 matching MRF lines
$5.51–$178.79 $6.13–$198.65 varies
CBC with automated differential (85025) $83.22 $92.47 10.7×
CBC, automated (85027) $68.94 $76.61 10.7×
Prothrombin time (PT) (85610)
range across 4 matching MRF lines
$42.67–$57.15 $47.41–$63.50 varies
Partial thromboplastin time (PTT) (85730)
range across 5 matching MRF lines
$18.94–$130.40 $21.04–$144.88 varies
Psychotherapy, 45 minutes (90834) $8.32 $9.25 0.0×
Electrocardiogram (ECG), complete (93000)
range across 3 matching MRF lines
$104.43–$114.19 $116.03–$126.88 varies
Sleep study (attended polysomnography) (95810)
range across 3 matching MRF lines
$648.27–$3,227.57 $720.30–$3,586.18 varies
Physical therapy, therapeutic exercise (per 15 min) (97110) $90.96 $101.07 3.1×
Office visit, new patient (low complexity, ~30 min) (99203)
range across 9 matching MRF lines
$12.28–$318.65 $13.64–$354.05 varies
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 9 matching MRF lines
$16.60–$554.54 $18.44–$616.15 varies
Office visit, new patient (high complexity, ~60 min) (99205)
range across 6 matching MRF lines
$20.11–$593.46 $22.35–$659.39 varies
Office consultation (low complexity, ~30 min) (99243) $312.37 $347.08 2.5×
Office consultation (moderate complexity, ~40 min) (99244) $406.28 $451.41 3.2×
Preventive visit, new patient (age 18–39) (99385) $236.55 $262.83 —
Preventive visit, new patient (age 40–64) (99386) $267.73 $297.47 —

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.

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.

More prices at this hospital

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Download the machine-readable file (CSV, 11.2 MB) ↓ — captured 2026-10-07

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