CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Highland District Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$90
about 0.7× the $136 Medicare rate · typically $64–$239
modeled estimate · not a bill or quote
What this hospital charges insurers
$99
About the fair price
about $9 over the fair price · 0.7× Medicare
Medicare pays $136 Fair price $90 This hospital $99 Cash price $194 Hospital's list price $242

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 $99

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 (30-39 min) is about $90 (about 0.7× the $136 Medicare rate). Highland District Hospital charges insurers about $99, or about $194 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $93 69%
Blue Cross Blue Shieldmajor $51 - $112 38%
Aetnamajor $174 128%
Medical Mutual $92 68%
+ 4 smaller / regional plans $49 - $194
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