Fulton County Health Center
Fulton County Health Center in Wauseon, OH publishes cash prices for 35 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Click a procedure to compare it with other hospitals nearby.
725 South Shoop Avenue, Wauseon, OH 43567 Collected Sep 22, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS WITH CONTRAST | $1,488.58 | $2,126.54 | 30% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELVIS WITH CONTRAST | $1,488.58 | $2,126.54 | 30% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST | $875.97 | $1,251.38 | 30% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST | $875.97 | $1,251.38 | 30% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH CONTRAST | $1,389.72 | $1,985.31 | 30% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS WITH CONTRAST | $1,389.72 | $1,985.31 | 30% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WITHOUT CONTRAST | $1,842.78 | $2,632.54 | 30% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAINW/O CONT INCLD MRA BR | $2,497.75 | $3,568.22 | 30% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WITHOUT CONTRAST | $1,842.78 | $2,632.54 | 30% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAINW/O CONT INCLD MRA BR | $2,497.75 | $3,568.22 | 30% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/O - W/CONTR. | $2,276.38 | $3,251.97 | 30% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/O - W/CONTR. | $2,276.38 | $3,251.97 | 30% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O CONTRAST | $1,842.78 | $2,632.54 | 30% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE W/O CONTRAST | $1,842.78 | $2,632.54 | 30% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US TA >/=14 WKS 1ST FETUS | $678.25 | $968.93 | 30% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US TA >/=14WEEK | $678.25 | $968.93 | 30% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US TA >/=14 WKS 1ST FETUS | $678.25 | $968.93 | 30% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US TA >/=14WEEK | $678.25 | $968.93 | 30% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY >=6YRS 4+PARAM | $3,080.58 | $4,400.83 | 30% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY >=6YRS 4+PARAM | $3,080.58 | $4,400.83 | 30% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL ECHOGRAPHY | $485.12 | $693.03 | 30% |
| Transvaginal pelvic ultrasound CPT 76830 US PELVIC TRANSVAGINAL NONOB | $485.12 | $693.03 | 30% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL ECHOGRAPHY | $485.12 | $693.03 | 30% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US PELVIC TRANSVAGINAL NONOB | $485.12 | $693.03 | 30% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN -COMPLETE | $627.11 | $895.87 | 30% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN -COMPLETE | $627.11 | $895.87 | 30% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BMP-Basic Metabolic Panel | $71.62 | $102.31 | 30% |
| Basic metabolic panel (blood test) CPT 80048 BM Panel (HCH) | $115.63 | $165.18 | 30% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BMP-Basic Metabolic Panel | $71.62 | $102.31 | 30% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BM Panel (HCH) | $115.63 | $165.18 | 30% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $12.68 | $18.12 | 30% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $63.00 | $90.00 | 30% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $12.68 | $18.12 | 30% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $63.00 | $90.00 | 30% |
| Complete blood count (CBC) with differential CPT 85025 CBC with Differential | $69.75 | $99.64 | 30% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC with Differential | $69.75 | $99.64 | 30% |
| Complete blood count (CBC), no differential CPT 85027 CBC w/o diff (Hemogram) | $54.46 | $77.80 | 30% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC w/o diff (Hemogram) | $54.46 | $77.80 | 30% |
| Comprehensive metabolic panel (blood test) CPT 80053 CMP-Comp Metabolic Panel | $96.24 | $137.48 | 30% |
| Comprehensive metabolic panel (blood test) CPT 80053 CM Panel (HCH) | $164.12 | $234.45 | 30% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP-Comp Metabolic Panel | $96.24 | $137.48 | 30% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CM Panel (HCH) | $164.12 | $234.45 | 30% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $166.36 | $237.65 | 30% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $166.36 | $237.65 | 30% |
| Liver function blood test panel CPT 80076 Liver Panel | $177.92 | $254.17 | 30% |
| Liver function blood test panel inpatient CPT 80076 Liver Panel | $177.92 | $254.17 | 30% |
| Obstetric blood test panel CPT 80055 PRE-NATAL PROFILE | $215.59 | $307.99 | 30% |
| Obstetric blood test panel inpatient CPT 80055 PRE-NATAL PROFILE | $215.59 | $307.99 | 30% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Prostate Specific Antigen | $99.96 | $142.80 | 30% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE HEALTH INDEX-QUEST | $147.71 | $211.01 | 30% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Prostate Specific Antigen | $99.96 | $142.80 | 30% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE HEALTH INDEX-QUEST | $147.71 | $211.01 | 30% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT Partial Thromboplastin Tim | $54.46 | $77.80 | 30% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT Partial Thromboplastin Tim | $54.46 | $77.80 | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT Protime INR | $36.55 | $52.22 | 30% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT Protime INR | $36.55 | $52.22 | 30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH Thyroid Stimulating Hormon | $105.18 | $150.26 | 30% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH Thyroid Stimulating Hormon | $105.18 | $150.26 | 30% |
| Urinalysis with microscope exam, automated CPT 81001 UA Urinalysis | $45.88 | $65.54 | 30% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 UA Urinalysis | $45.88 | $65.54 | 30% |
| Urinalysis without microscope exam, automated CPT 81003 URINE CHEMISTRY(DIPSTICK ONLY) | $18.65 | $26.64 | 30% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE CHEMISTRY(DIPSTICK ONLY) | $18.65 | $26.64 | 30% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Left heart catheterization, diagnostic one side CPT 93452 HVC cath left heart | $6,804.94 | $9,721.35 | 30% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HVC cath left heart | $6,804.94 | $9,721.35 | 30% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ DIAG/THER SBST/LUM/SAC W/G | $619.82 | $885.46 | 30% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ DIAG/THER SBST/LUM/SAC W/G | $619.82 | $885.46 | 30% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPDRL L/S W/GUIDAN | $900.13 | $1,285.90 | 30% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ FORAMEN EPDRL L/S W/GUIDAN | $900.13 | $1,285.90 | 30% |
| Prostate biopsy CPT 55700 PROSTATE BIOPSY | $1,681.32 | $2,401.89 | 30% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE | $1,726.90 | $2,467.00 | 30% |
| Prostate biopsy inpatient CPT 55700 PROSTATE BIOPSY | $1,681.32 | $2,401.89 | 30% |
| Prostate biopsy inpatient CPT 55700 BIOPSY OF PROSTATE | $1,726.90 | $2,467.00 | 30% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 OBS FAMILY CONJOINT W/ PT | $251.30 | $359.00 | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 PAR/IOP-FAMILY CONJ W/PT 50MIN | $251.30 | $359.00 | 30% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 PAR/IOP-FAMILY CONJ W/PT 50MIN | $251.30 | $359.00 | 30% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 OBS FAMILY CONJOINT W/ PT | $251.30 | $359.00 | 30% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTX W/O PT 50MIN | $191.72 | $273.89 | 30% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTX W/O PT 50 MIN | $191.72 | $273.89 | 30% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PT 50 MIN | $191.72 | $273.89 | 30% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYTX W/O PT 50 MIN | $191.72 | $273.89 | 30% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCHOTX W/O PT 50MIN | $191.72 | $273.89 | 30% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCHOTX W/O PT 50 MIN | $191.72 | $273.89 | 30% |
| Group psychotherapy session CPT 90853 IOP GROUP TX <=30MIN | $66.26 | $94.66 | 30% |
| Group psychotherapy session CPT 90853 IOP GROUP TX 31-90 MIN | $66.26 | $94.66 | 30% |
| Group psychotherapy session CPT 90853 IOP GROUP TX 126-150 MIN | $197.98 | $282.83 | 30% |
| Group psychotherapy session CPT 90853 IOP GROUP TX 151-175 MIN | $197.98 | $282.83 | 30% |
| Group psychotherapy session inpatient CPT 90853 IOP GROUP TX <=30MIN | $66.26 | $94.66 | 30% |
| Group psychotherapy session inpatient CPT 90853 IOP GROUP TX 31-90 MIN | $66.26 | $94.66 | 30% |
| Group psychotherapy session inpatient CPT 90853 IOP GROUP TX 126-150 MIN | $197.98 | $282.83 | 30% |
| Group psychotherapy session inpatient CPT 90853 IOP GROUP TX 151-175 MIN | $197.98 | $282.83 | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic exercise 15 min PT | $91.76 | $131.08 | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic exercise 15 min PT | $91.76 | $131.08 | 30% |
| Psychotherapy session, 30 minutes CPT 90832 PAR/IOP-PSYTX W PT 30 MIN | $133.32 | $190.46 | 30% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTX 30 MIN | $133.32 | $190.46 | 30% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PAR/IOP-PSYTX W PT 30 MIN | $133.32 | $190.46 | 30% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTX 30 MIN | $133.32 | $190.46 | 30% |
| Psychotherapy session, 45 minutes CPT 90834 PAR/IOP-PSYTX W PT 45 MIN | $199.16 | $284.52 | 30% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTX 45 MIN | $199.16 | $284.52 | 30% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PAR/IOP-PSYTX W PT 45 MIN | $199.16 | $284.52 | 30% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTX 45 MIN | $199.16 | $284.52 | 30% |
| Psychotherapy session, 60 minutes CPT 90837 PAR/IOP PSYTX W PT 60 MIN | $240.35 | $343.36 | 30% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTX 60 MIN | $240.35 | $343.36 | 30% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PAR/IOP PSYTX W PT 60 MIN | $240.35 | $343.36 | 30% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTX 60 MIN | $240.35 | $343.36 | 30% |
Source file: https://fultoncountyhealthcenter.org/?force_download=24959