CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Clinton Memorial Hospital

Billing Code: G0279 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$39
about 1.0× the $40 Medicare rate · typically $17–$51
modeled estimate · not a bill or quote
What this hospital charges insurers
$16
Below the fair price — a good deal
about $23 under the fair price · 0.4× Medicare
Medicare pays $40 Fair price $39 This hospital $16 Cash price $51 Hospital's list price $101

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $11 Priciest $16

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Diagnostic procedure preparation is about $39 (about 1.0× the $40 Medicare rate). Clinton Memorial Hospital charges insurers about $16, or about $51 in cash — below the fair price — a good deal. Located in Wilmington, OH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Aetnamajor $12 - $49 30%
CareSource $15 37%
+ 1 smaller / regional plan $12 - $17

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 610 West Main Street, Wilmington, OH 45177
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals