Price Transparency

Wyandot Memorial Hospital Price Information

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Price Information List

To comply with state law, Wyandot Memorial Hospital is providing this price list stating our charges for:
• Room and Board
• Emergency Department Services
• Operating Room
• Anesthesia
• Recovery
• Physical Therapy
• Occupational Therapy
• Radiology-Technical Service
• Laboratory-Technical Services

The hospital’s prices are the same for all patients, however actual billed amounts for a patient’s visits may vary due to the combination of services provided to the individual patient on that particular visit. Please also note that the part of the bill that the patient needs to pay may vary depending on payment plans agreed to by your health insurers. If you do not have insurance or do not have enough insurance, please speak with our Patient Access Representatives to check whether you qualify for discounts or financial assistance.

Patient Access Representatives can be reached at 419-294-3270, option 1.
All prices shown are correct as of January 1, 2025.

Daily Services

Med/Surg per day

$1,030.54

Observation, Med Surg Per Hour

$41.90

Observation, CCU Per Hour

$66.93

ICU/CCU per day

$1,608.44

SNF/Skilled Nursing Facility (Swingbed)

$223.85

ICF (Intermediary Care Facility)

$175.20

Radiology Service

Charges do not include the physician same. charges.
Please contact Riverside Radiology for the physician charge.

Abdomen Ultrasound, Complete

$854.22

Abdomen Ultrasound, Limited

$753.43

Abdomen Xray, 1 view

$256.47

Abdomen Xray, 2 view

$256.47

Ankle Xray, Minimum 3 Views

$256.47

Brain MRI With and Without Contrast

$4,981.52

Brain MRI Without Contrast

$3,539.38

Brain CT With Contrast

$2,197.76

Brain CT without Contrast

$1,389.88

Chest Xray, 1 View

$256.47

Chest Xray, 2 View

$342.24

Chest CT With Contrast

$2,442.64

Chest CT Without Contrast

$1,634.93

Elbow Xray, 2 View

$209.39

Femur Xray, Minimum 2 Views

$265.19

Finger Xray, Minimum 2 Views

$187.23

FootXray, Minimum 3 Views

$256.47

Forearm Xray, 2 Views

$234.31

Hand Xray, Minimum 3 Views

$234.31

Knee Xray, 1 or 2 views

$256.47

Knee Xray, 3 views

$295.90

Pelvis Xray, Minimum 3 Views

$325.54

Retroperitoneal Ultrasound, Complete

$828.69

Spine Xray, Cervical 2 or 3 views

$274.47

Spine Xray, Thoracic 2 Views

$342.24

Spine X-Ray, Lumbar, 2 or 3 Views

$342.24

Tibia/FibularXray, 2 Views

$256.47

Toe, Minimum 2 View

$183.35

Venous Duplex Bilateral

$937.63

Venous Duplex, Unilateral, Limited

$675.93

Wrist Xray, Minimum 3 views

$234.31

Laboratory Services

Inpatient and Outpatient charges are the same unless otherwise noted.

ALT (SGPT)

$63.16

AST (SGOT)

$61.47

Bilirubin, Total

$46.85

BMP (Basic Metabolic Panel)

$80.88

CBC (Complete Blood Count)

$92.46

Cholesterol

$52.19

CMP (Comprehensive Metabolic Panel)

$107 .14

Creatinine

$61.14

CRP IC-Reactive Protein)

$68.62

Ferritin

$161.19

Glucose

$46.85

HCG Quantitative

$178.07

Hematocrit

$28.46

Hemoglobin

$28.46

Hemoglobin A1 C

$115.02

Iron

$77.11

Iron Binding Capacity

$102.14

Lactic Acid

$126.32

Lead

$135.04

Lipase

$82.00

Lipid Profile

$149.04

Magnesium

$66.82

PSA Screening

$164.62

SARS-COV-2/FLU/RSV Panel

$213.95

Sedimentation Rate

$46.63

Thyroxine (T4), Free

$106.92

Triglycerides

$68.50

TSH (Thyroid Stimulating Hormone

$198.65

Urinalysis, Complete

$54.78

Urine Culture

$95.84

Vitamin D Hydroxyvitamin D

$157.93

Emergency Room Services

Charges do not include physician charges. Please contact Team Health for the physician charge.

Visit Level I

$105.40

Visit Level II

$182.00

Visit Level III

$364.01

Visit Level IV

$559.06

Visit Level V

$786.79

Critical Care- First 30- 74 Minutes

$1,411.82

Critical Care- Each Additional 30 Minutes

$953.43

Operating Room Services

Charges do not include physician Charges.

Surgery Level 1 Base

$510.18

Surgery Level 1 Additional 15 minutes

$473.29

Surgery Level 2 Base

$540.05

Surgery Level 2 Additional 15 minutes

$528.01

Surgery Level 3 Base

$749.50

Surgery Level 3 Additional 15 minutes

$590.22

Surgery Level 4 Base

$765.92

Surgery Level 4 Additional 15 minutes

$612.49

Anesthesia

Charges do not include physician charges

General First 1 5 Minutes

$405.12

General, Additional Ea. 1 5 Minutes

$122.16

Recovery

Charges do not include physician charges.

PACU Recovery Per 30 minutes

$526.44

POST OP Recovery Per 15 minutes

$176.66

Physical Therapy Service

Evaluation, Low Complexity

$177.11

Evaluation, Moderate Complexity

$190.66

Evaluation, High Complexity

$204.28

Gait Training Therapy, ea. 15 minutes

$91.45

Self Care/Home Managment Training, ea.15 minutes

$150.11

Therapeutic Exercises, Each 15 minutes

$101.07

Occupational Therapy Service

Evaluation, Low Complexity

$186.67

Evaluation, Moderate Complexity

$200.23

Evaluation, High Complexity

$213.78

Self Care/Home Managment Training, ea.15 minutes

$150.11

Therapeutic Activities, ea. 15 min

$103.04

Get a Cost Estimate

Get a Cost Estimate Wyandot Memorial Hospital wants to provide families with the tools they need to make educated health care choices. We offer a tool to help patients see cost estimates for future services.

Wyandot Memorial Hospital prices are the same for all patients. However, actual billed amounts for a patient’s visit may vary due to the combination of services provided to the patient during a visit.

This is an estimate only. It will not affect your ability to receive care at Wyandot Memorial Hospital. This tool does not include every service we provide at Wyandot Memorial hospital Your insurance company has the most accurate information related to your individual benefits. We encourage you to contact them with any questions related to your coverage.


Machine Readable Price Transparency Data

As required by federal guidelines, this link leads to the machine-readable file containing a comprehensive list of hospital charges and third-party payor-negotiated rates. This file was last updated April 8, 2025.