Wyandot Memorial Hospital
885 North Sandusky Avenue, Upper Sandusky, OH 43351 · 104 Priced Procedures · 71% Patient Recommendation
Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 1.00× fair market pricing.
Aligned Regional Benchmark Peer
Wyandot Memorial Hospital prices shoppable and inpatient services (5.0× to 3.8× Medicare, divergence 0.76×) in alignment with regional hospital peers (1.00× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 35% of shoppable procedures (43/100 Cash Honesty)
- 5-Star CMS clinical rating with 71% patient recommendation (72/100 safety score)
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.7× markup over Medicare rates
- Commercial insurance median sits at 1.00× Fair BaseRate (5.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
- Unnegotiated chargemaster list prices average 5.8× Medicare (28¢ true HCRIS cost per $1 gross)
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 Wyandot Memorial Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 104 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Bunion correction surgery CPT Code: 28296 | $6,834 | 2.0× |
| Total knee replacement CPT Code: 27447 | $4,363 | 0.3× |
| Cataract surgery with lens implant CPT Code: 66984 | $3,473 | 1.4× |
| Total hip replacement CPT Code: 27130 | $3,223 | 0.2× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,512 | 4.9× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $2,251 | 0.7× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $2,234 | 0.4× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,978 | 8.2× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,883 | 4.2× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,804 | 1.4× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,762 | 5.1× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,634 | 1.7× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,536 | 4.2× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,420 | 4.2× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,314 | 1.3× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,279 | 4.2× |
| Inguinal hernia repair CPT Code: 49505 | $1,262 | 0.3× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,215 | 4.7× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,099 | 1.9× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $907 | 5.4× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $901 | 5.4× |
| CT scan, pelvis CPT Code: 72192 | $859 | 5.3× |
| CT scan, chest (no contrast) CPT Code: 71250 | $868 | 5.2× |
| Breast lump removal CPT Code: 19120 | $805 | 0.2× |
| Ultrasound, pelvis CPT Code: 76856 | $776 | 6.0× |
Audit a Bill or Quote at Wyandot Memorial Hospital (Zero PHI Required)
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.
Self-Pay Cash Rate ($6,834) Beats Your Bill
Wyandot Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $6,834 (vs. $6,834 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $3,446 Fair BaseRate ($3,343 Medicare)
Your bill ($7,593) is $4,147 above the denoised Fair BaseRate ($3,446) and 2.3× the $3,343 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Wyandot Memorial 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare (109 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 Wyandot Memorial Hospital.
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.