Union Hospital Clinton
801 S Main St, Clinton, IN 47842 · 91 Priced Procedures
Typical commercial prices here are +42% above the fair benchmark (1.42×) even after accounting for local nurse/doctor wages and patient complexity.
2-Star CMS clinical quality rating paired with 1.42× fair market pricing.
Consolidated System Premium Pricer
Operating in a concentrated regional market (CBSA HHI 4,720), Union Hospital Clinton commands a 1.42× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.56× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 3% of shoppable procedures (99/100 Cash Honesty)
- 2-Star CMS clinical rating with 72% patient recommendation (69/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (9.7% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
- Commercial insurance median sits at 1.60× Fair BaseRate (2.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Even at low-cost facilities (1.42× 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 4,720) 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 Union Hospital Clinton
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 91 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | — | — |
| Trauma team activation HCPCS Code: G0390 | $4,489 | 3.1× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $3,589 | 0.4× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $3,589 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $3,077 | 6.9× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $2,726 | 9.0× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $2,412 | 14.3× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $2,223 | 8.6× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,080 | 4.1× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,003 | 3.4× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,870 | 5.1× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,835 | 5.4× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,835 | 5.3× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,630 | 9.7× |
| CT scan, head (no contrast) CPT Code: 70450 | $1,538 | 9.6× |
| CT scan, pelvis CPT Code: 72192 | $1,415 | 8.7× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,433 | 5.9× |
| CT scan, sinuses CPT Code: 70486 | $1,398 | 8.4× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,311 | 7.9× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,262 | 4.6× |
| Blood transfusion CPT Code: 36430 | $1,140 | 2.3× |
| Ultrasound, pelvis CPT Code: 76856 | $827 | 6.4× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $811 | 6.1× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $763 | 6.1× |
| Rabies immune globulin HCPCS Code: 90375 | $777 | 2.4× |
Audit a Bill or Quote at Union Hospital Clinton (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $1,050
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (9.7% of gross = $1,050).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Union Hospital Clinton'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 $17,936 Fair BaseRate ($12,807 Medicare)
Your entered amount is at or below the modeled Fair BaseRate benchmark ($17,936).
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (9.7% 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
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Union Hospital Clinton. Prior administrative notices do not necessarily reflect current compliance status.
- 2024-07-30·administrative_or_closure
Closure Notice
Recorded - 2024-05-22·cap_corrective_action
CAP Request
Recorded - 2024-02-13·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare. 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 Union Hospital Clinton.
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.