Fostoria Community Hospital
501 Van Buren Street, Fostoria, OH 44830 · 89 Priced Procedures · 73% Patient Recommendation
Typical commercial prices here are +32% above the fair benchmark (1.32×) even after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 1.32× fair market pricing.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Fostoria Community Hospital prices routine shoppable procedures near 1.5× Medicare (p50 1.19×) while skewing captive emergency, lab, and upper-quartile codes to 1.8× Medicare (p75 1.72×, +45% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.91× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 31% of shoppable procedures (99/100 Cash Honesty)
- 4-Star CMS clinical rating with 73% patient recommendation (72/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (53.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.9× markup over Medicare rates
- Captive ER (2.2×) & laboratory (2.4×) services average 1.20× higher multiples than routine shoppable care (1.5×)
- Upper-quartile procedures (Q75 1.72×) jump +45% above the median procedure ratio (Q50 1.19×)
- Consolidated metro market (HHI 8,685) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Fostoria Community Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 89 published procedures.
Audit a Bill or Quote at Fostoria Community Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $17,951
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (53.0% of gross = $17,951).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Fostoria Community Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)
Your bill ($33,869) is $14,782 above the denoised Fair BaseRate ($19,087) and 2.4× the $14,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (53.0% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare (123 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Fostoria Community Hospital.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.