How many shoppable procedure prices are published for Wooster Community Hospital?

Wooster Community Hospital in Wooster, OH currently has 100 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Wooster Community Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Wooster Community Hospital's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Wooster Community Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Wooster Community Hospital an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Local 112 Beds · rural Updated: 2026-06-23

Wooster Community Hospital

1761 Beall Avenue, Wooster, OH 44691 · 100 Priced Procedures · 77% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Good Deal · Below Fair Market

0.92×vs. Fair Market Price

Typical commercial prices here are 8% below the fair benchmark (0.92×) after accounting for local nurse/doctor wages and patient complexity.

73/100 · Corroborated

73/100Self-Pay Cash Beats Insurance 9% of the Time

File Completeness100

Price Logic79

Peer Alignment83

Clean Billing85

Real Cash Discount6

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.92× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Wooster Community Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.9× Medicare, p50 0.92× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.98× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#33 of 137 in OH · 23rd State Percentile#796 of 3,385 in U.S. · 23rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 8% below peer Fair BaseRate (0.92×)
Self-pay cash beats commercial insurance on 9% of shoppable procedures (25/100 Cash Honesty)
4-Star CMS clinical rating with 77% patient recommendation (73/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
Captive ER (1.1×) & laboratory (2.7×) services average 1.11× higher multiples than routine shoppable care (0.9×)
Even at low-cost facilities (0.92× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Consolidated metro market (HHI 6,818) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.9× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.11× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+7% Upper Tail

Q25 0.80× · Q50 0.92× · Q75 0.98×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

0.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.3× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.1× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.7× MedicareFair

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.8× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

9% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 73/100Fair

Procedure Prices at Wooster Community Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 100 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sleep study (overnight, in lab) CPT Code: `95810`	$5,999	$830	$1,021	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,742	$528	$583	0.9×
Blood transfusion CPT Code: `36430`	$746	$426	$498	0.9×
Rabies immune globulin HCPCS Code: `90375`	$659	$362	$322	1.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,875	$337	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,846	$337	$511	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$229	$212	$201	1.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$946	$231	$272	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,449	$231	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$3,321	$231	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$2,470	$231	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$3,653	$231	$369	0.6×
Hepatitis B immune globulin HCPCS Code: `90371`	$517	$161	$151	1.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	$291	$172	$166	1.0×
Family therapy session CPT Code: `90847`	$319	$172	$173	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$296	$172	$181	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$309	$172	$185	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$252	$146	$148	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$1,280	$170	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,993	$170	$258	0.7×
Behavioral health day program HCPCS Code: `H2012`	$193	$125	$100	1.3×
Screening mammogram (both breasts) CPT Code: `77067`	$239	$118	$123	1.0×
X-ray, pelvis CPT Code: `72170`	$249	$101	$110	0.9×
X-ray, chest (single view) CPT Code: `71045`	$189	$84	$92	0.9×
X-ray, shoulder CPT Code: `73030`	$365	$84	$92	0.9×
X-ray, chest (two views) CPT Code: `71046`	$257	$84	$93	0.9×
X-ray, hand CPT Code: `73130`	$450	$84	$93	0.9×
X-ray, ankle CPT Code: `73610`	$372	$84	$93	0.9×
X-ray, lower back CPT Code: `72110`	$511	$101	$112	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$423	$101	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$812	$101	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$677	$101	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$950	$101	$134	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$201	$83	$123	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$1,169	$101	$160	0.6×
CT scan, pelvis CPT Code: `72192`	$1,247	$101	$163	0.6×
CT scan, sinuses CPT Code: `70486`	$1,871	$101	$166	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	$1,168	$101	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,562	$101	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,746	$101	$169	0.6×
X-ray, neck (cervical spine) CPT Code: `72040`	$433	$84	$93	unverified
X-ray, hip CPT Code: `73502`	$217	$84	$93	unverified
X-ray, foot CPT Code: `73630`	$450	$84	$92	unverified
Group therapy session CPT Code: `90853`	$173	$98	$100	unverified
Typhoid vaccine HCPCS Code: `90675`	$330	$315	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$151	$151	$203	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	$187	$70	$110	0.6×
Electrical stimulation therapy HCPCS Code: `G0283`	$71	$16	$14	1.1×
Diagnostic procedure preparation HCPCS Code: `G0279`	$65	$39	$35	1.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$112	$41	$38	1.1×
Physical therapy (manual therapy) CPT Code: `97140`	$136	$35	$34	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$136	$36	$35	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$165	$57	$64	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$314	$73	$86	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$112	$41	$40	1.0×
Drug screening test HCPCS Code: `G0480`	$57	$57	$116	0.5×
Hospital observation (per hour) HCPCS Code: `G0378`	$57	$57	$86	unverified
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$100	$26	$27	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$76	$45	$48	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$76	$45	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$85	$45	$49	0.9×
Prosthetic fitting and training CPT Code: `97761`	$95	$41	$45	0.9×
Orthotic fitting and training CPT Code: `97760`	$136	$44	$51	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$151	$57	$87	0.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$62	$62	$56	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$124	$41	$38	unverified
Culture, bacterial CPT Code: `87070`	$67	$10	$9	1.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$54	$14	$14	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$21	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$19	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$33	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$29	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$37	$5	$5	1.0×
Blood test, vitamin D CPT Code: `82306`	$65	$30	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$30	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$37	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$37	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$20	$4	$4	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$34	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$50	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$32	$6	$6	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$60	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$44	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$35	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$48	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$40	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$81	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$69	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$61	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$90	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$27	$6	$7	0.9×
Physical therapy (gait training) CPT Code: `97116`	$74	$28	$33	0.8×
Extended office visit (prolonged) HCPCS Code: `G2212`	$50	$27	$33	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$112	$31	$38	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$26	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$14	$2	$3	0.7×
Blood antibody screen CPT Code: `86850`	$85	$10	$46	0.2×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$45	$7	$39	0.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$134	$11	$11	unverified
Speech therapy (group session) CPT Code: `92508`	$110	$30	$27	unverified

Showing top 25 high-impact procedures of 100 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Wooster Community Hospital (Zero PHI Required)

CMS CCN: 360036

CPT 95810

Select Procedure to Audit:

Fair BaseRate™ $1,021

Medicare Rate $877

Self-Pay Cash $5,999

Insurer Median $830

1. Amount on Your Bill or Quote ($) Pre-filled with Wooster Community Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $5,999

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Wooster Community Hospital's published 45 CFR § 180 self-pay cash rate is $5,999 (vs. $830 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$4,978 Above Fair BaseRate

Negotiate Toward $1,021 Fair BaseRate ($877 Medicare)

Your bill ($5,999) is $4,978 above the denoised Fair BaseRate ($1,021) and 6.8× the $877 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Wooster Community Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite73/100

Would Recommend77%

Rated 9 or 10 (HCAHPS)78%

Median ER Wait170 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.2%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (618 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Wooster Community Hospital.

Price Index: 1.00× regional baseline

Quality: 73/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

AmeriHealth

-65.9%

Median Household Income$71,769U.S. Census ACS

Local Uninsured Share14.0%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 73/100 · Corroborated CMS CCN 360036

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 360036) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-06-23 · 151.11 MB

Validated Rate Rows8,553 (CMS v3.0.0)

File Integrity Digest0783f132c047dbad8c4f…

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.

Submit MRF Update Correction Policy