How many shoppable procedure prices are published for Clinton Memorial Hospital?

Clinton Memorial Hospital in Wilmington, OH currently has 89 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

What is Clinton Memorial Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Clinton Memorial Hospital an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospitals Government - Local 75 Beds · rural Updated: 2025-01-01

Clinton Memorial Hospital

610 WEST MAIN ST, Wilmington, OH 45177 · 89 Priced Procedures · 53% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Compares typical commercial prices against the fair price benchmark after accounting for local wages and case complexity.

86/100 · Verified

86/100Hover Any Check Below to See How Prices Were Audited

File Completeness90

Price Logic88

Peer Alignment86

Clean Billing83

Real Cash Discount84

Regional Quality Benchmark

2-Star CMS clinical quality rating paired with 1.00× fair market pricing.

Behavioral Pricing FingerprintNear Fair BaseRate Benchmark

Regional Peer Pricing Profile

Compares typical commercial prices against the fair price benchmark after accounting for local wages and case complexity.

State IndexedNational CMS MRF Cohort

Advantage

Where They're Good (Patient & Payer Edge)

Front-door shoppable procedures average 2.1× Medicare (0.78× at the 25th percentile).
Published self-pay cash discounts beat commercial insurance medians on 26% of audited procedures.
25th-percentile negotiated contracts reach 0.78× Fair BaseRate for high-leverage commercial plans.

Watchout

Where You Can Get Burned (Markup Traps)

Back-door captive departments average 2.6× Medicare (1.25× captive-to-shoppable divergence).
Upper-quartile tail (p75 1.28× vs. p50 1.00×) jumps +28%, exposing median-gaming on complex codes.

Front-Door ShoppableElective / Imaging

2.1× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.25× Divergence

2.6× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+28% Upper Tail

Q25 0.78× · Q50 1.00× · Q75 1.28×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Open-Box Reverse Engineering: How the Crystal Isolates True Price from Confounders

Chargemaster Gross → (−Chargemaster Air) → CMS Medicare Anchor → (±Regional Wage & Acuity Glare) → (= Fair BaseRate) → Residual (ε)

Layer 01-57% chargemaster air stripped

Chargemaster Gross Sticker Anchor

2.4×

Unregulated hospital list price before insurer contract or 501(r) AGB adjustments

Layer 02OPPS/IPPS federal cost anchor

Federal CMS Medicare Cost Baseline

1.00× Medicare floor

Resource-based federal Medicare fee schedule baseline

Layer 03Regional labor strip

Regional Wage & Income Glare (AWI)

CMS Area Wage Index

Isolates local CMS hospital wage index and county household income baseline

Layer 04System Leverage

Facility Scale, CMI Acuity & HHI Monopoly

Market Index

Adjusts for tertiary trauma capability, bed scale, and regional concentration

Layer 05Near Fair BaseRate Benchmark

Denoised Fair BaseRate vs. Actual → Residual (ε)

1.00×

Pure hospital pricing signal after orthogonalizing wage, bed scale, and clinical acuity

Federal Confounder & Structural Telemetry (CMS HCRIS · Form 990 · DOJ/FTC HHI)

CMS Wage Index (AWI)

0.92×

County median income $68,400

Case Mix Index (CMI)

1.18 (Community)

CMS DRG severity weight

HCRIS Cost-to-Charge (CCR)

0.28

CMS Form 2552-10 cost ratio

Market Monopoly (HHI)

2,150

Regional Market

Ownership & Tax Status

For-Profit / Public

Independent

501(r) AGB Billing Cap

35.0% of Gross

Max legal charge for eligible uninsured

Procedure Prices at Clinton Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 89 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sleep study (overnight, in lab) CPT Code: `95810`	$2,558	—	—	—
MRI, brain (with and without contrast) CPT Code: `70553`	$2,241	—	—	—
MRI, knee or other leg joint CPT Code: `73721`	$1,905	—	—	—
MRI, lower back (no contrast) CPT Code: `72148`	$1,667	—	—	—
MRI, brain (no contrast) CPT Code: `70551`	$1,555	—	—	—
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,377	—	—	—
CT scan, head (with and without contrast) CPT Code: `70470`	$1,189	—	—	—
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,175	—	—	—
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,108	—	—	—
CT scan, neck (cervical spine) CPT Code: `72125`	$1,035	—	—	—
CT scan, pelvis CPT Code: `72192`	$1,002	—	—	—
CT scan, chest (no contrast) CPT Code: `71250`	$939	—	—	—
CT scan, head (no contrast) CPT Code: `70450`	$800	—	—	—
CT scan, sinuses CPT Code: `70486`	$810	—	—	—
CT scan, head (with contrast) CPT Code: `70460`	$778	—	—	—
Ultrasound, pelvis CPT Code: `76856`	$675	—	—	—
Ultrasound, thyroid and neck CPT Code: `76536`	$571	—	—	—
Ultrasound, abdomen (complete) CPT Code: `76700`	$538	—	—	—
Echocardiogram (heart ultrasound) CPT Code: `93306`	$507	—	—	—
Blood transfusion CPT Code: `36430`	$447	—	—	—
Ultrasound, leg veins (duplex) CPT Code: `93970`	$449	—	—	—
Ultrasound, abdomen (limited) CPT Code: `76705`	$443	—	—	—
Hospital observation (per hour) HCPCS Code: `G0378`	$297	—	—	—
X-ray, neck (cervical spine) CPT Code: `72040`	$237	—	—	—
X-ray, lower back CPT Code: `72110`	$227	—	—	—
X-ray, shoulder CPT Code: `73030`	$237	—	—	—
Breathing treatment (nebulizer) CPT Code: `94640`	$180	—	—	—
Diagnostic mammogram (both breasts) CPT Code: `77066`	$203	—	—	—
X-ray, chest (two views) CPT Code: `71046`	$204	—	—	—
X-ray, foot CPT Code: `73630`	$178	—	—	—
Screening mammogram (both breasts) CPT Code: `77067`	$196	—	—	—
X-ray, hand CPT Code: `73130`	$169	—	—	—
X-ray, ankle CPT Code: `73610`	$180	—	—	—
Speech therapy (language evaluation) CPT Code: `92507`	$118	—	—	—
X-ray, pelvis CPT Code: `72170`	$143	—	—	—
X-ray, hip CPT Code: `73502`	$114	—	—	—
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$121	—	—	—
Physical therapy (manual therapy) CPT Code: `97140`	$93	—	—	—
Physical therapy (therapeutic exercise) CPT Code: `97110`	$94	—	—	—
X-ray, chest (single view) CPT Code: `71045`	$104	—	—	—
Typhoid vaccine HCPCS Code: `90675`	$398	—	—	—
Blood test, comprehensive metabolic panel CPT Code: `80053`	$112	—	—	—
Pneumococcal vaccine HCPCS Code: `90732`	$114	—	—	—
Colorectal cancer screening HCPCS Code: `G0010`	$88	—	—	—
Drug screening test HCPCS Code: `G0480`	$112	—	—	—
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$67	—	—	—
Blood test, thyroid (TSH) CPT Code: `84443`	$61	—	—	—
Hepatitis C antibody test CPT Code: `86803`	$54	—	—	—
Culture, bacterial CPT Code: `87070`	$53	—	—	—
Culture, blood CPT Code: `87040`	$64	—	—	—
Electrical stimulation therapy HCPCS Code: `G0283`	$70	—	—	—
Blood test, vitamin D CPT Code: `82306`	$75	—	—	—
Blood test, liver function panel CPT Code: `80076`	$72	—	—	—
Hepatitis B vaccine HCPCS Code: `90744`	$19	—	—	—
Blood test, creatinine (kidney) CPT Code: `82565`	$15	—	—	—
Flu vaccine (high dose) HCPCS Code: `90656`	$31	—	—	—
Blood test, average blood sugar (A1c) CPT Code: `83036`	$43	—	—	—
Speech therapy (group session) CPT Code: `92508`	$52	—	—	—
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$55	—	—	—
Blood test, basic metabolic panel CPT Code: `80048`	$56	—	—	—
Blood antibody screen CPT Code: `86850`	$41	—	—	—
Blood test, clotting time (PTT) CPT Code: `85730`	$31	—	—	—
Blood test, PSA (prostate screen) CPT Code: `84153`	$54	—	—	—
Physical therapy (functional capacity test) CPT Code: `97750`	$67	—	—	—
Blood test, calcium CPT Code: `82310`	$17	—	—	—
Physical therapy (gait training) CPT Code: `97116`	$29	—	—	—
Blood test, hemoglobin CPT Code: `85018`	$16	—	—	—
Orthotic fitting and training CPT Code: `97760`	$34	—	—	—
Blood test, amylase CPT Code: `82150`	$35	—	—	—
Blood test, magnesium CPT Code: `83735`	$28	—	—	—
Blood test, complete blood count (CBC) CPT Code: `85025`	$37	—	—	—
Pneumonia vaccine injection HCPCS Code: `G0009`	$37	—	—	—
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$58	—	—	—
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$54	—	—	—
Blood test, vitamin B12 CPT Code: `82607`	$55	—	—	—
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$21	—	—	—
Occupational therapy (therapeutic activities) CPT Code: `97530`	$41	—	—	—
Blood test, clotting time (PT/INR) CPT Code: `85610`	$18	—	—	—
Blood test, ferritin (iron stores) CPT Code: `82728`	$39	—	—	—
Blood test, lipase CPT Code: `83690`	$26	—	—	—
Diagnostic procedure preparation HCPCS Code: `G0279`	$51	—	—	—
Occupational therapy (self-care training) CPT Code: `97535`	$25	—	—	—
Blood test, potassium CPT Code: `84132`	$13	—	—	—
Blood test, sodium CPT Code: `84295`	$15	—	—	—
Urinalysis (automated, with microscopy) CPT Code: `81001`	$21	—	—	—
Prosthetic fitting and training CPT Code: `97761`	$40	—	—	—
Blood test, glucose (blood sugar) CPT Code: `82947`	$13	—	—	—
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$13	—	—	—
Flu vaccine injection HCPCS Code: `G0008`	$36	—	—	—

Showing top 25 high-impact procedures of 89 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%

Audit a Bill or Quote at Clinton Memorial Hospital (Zero PHI Required)

CMS CCN: 360175

CPT 95810

Select Procedure to Audit:

Fair BaseRate™ —

Medicare Rate —

Self-Pay Cash $2,558

Insurer Median —

1. Amount on Your Bill or Quote ($) Pre-filled with Clinton Memorial Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $1,634 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $1,634

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $1,634).

Step 2 · Cash vs. Insurance Arbitrage Save $1,942 Paying Cash

Self-Pay Cash Rate ($2,558) Beats Your Bill

Clinton Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $2,558. Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Medicare Reference Audit

Request Itemized CPT Coding & Medicare Benchmark Review

Your entered amount is at or below the modeled Fair BaseRate benchmark.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Would Recommend53%

Rated 9 or 10 (HCAHPS)64%

Median ER Wait160 min

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

45 CFR § 180 Primary-Source Lineage & Federal Verification Verified CMS CCN 360175

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 360175) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2025-01-01

Validated Rate RowsIndexed (CMS v2.2.0)

File Integrity DigestVerified · CCN 360175

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.

Submit MRF Update Correction Policy