CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Highland District Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$78
about 0.7× the $118 Medicare rate · typically $66–$196
modeled estimate · not a bill or quote
What this hospital charges insurers
$77
About the fair price
about $1 under the fair price · 0.7× Medicare
Medicare pays $118 Fair price $78 This hospital $77 Cash price $210 Hospital's list price $263

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 $58 Priciest $77

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

A fair price for a New patient office visit (30-44 min) is about $78 (about 0.7× the $118 Medicare rate). Highland District Hospital charges insurers about $77, or about $210 in cash — about the fair price. Located in Hillsboro, OH.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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
UnitedHealthcaremajor $91 - $269 77%
Blue Cross Blue Shieldmajor $43 - $222 37%
Aetnamajor $95 - $237 81%
Cignamajor $263 224%
Humanamajor $44 - $259 37%
Medical Mutual $77 - $266 65%
+ 5 smaller / regional plans $42 - $263
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 1275 North High Street, Hillsboro, OH 45133
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals