CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Highland District Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$67
about 0.7× the $95 Medicare rate · typically $47–$160
modeled estimate · not a bill or quote
What this hospital charges insurers
$62
About the fair price
about $5 under the fair price · 0.7× Medicare
Medicare pays $95 Fair price $67 This hospital $62 Cash price $166 Hospital's list price $208

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 $37 Priciest $62

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

A fair price for a Office visit, established patient (20-29 min) is about $67 (about 0.7× the $95 Medicare rate). Highland District Hospital charges insurers about $62, or about $166 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 $60 - $237 63%
Blue Cross Blue Shieldmajor $35 - $196 37%
Aetnamajor $84 - $210 88%
Cignamajor $232 244%
Humanamajor $44 - $229 46%
Medical Mutual $62 - $235 65%
+ 5 smaller / regional plans $34 - $232
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