Henry County Hospital, Inc
1600 East Riverview Avenue, Napoleon, OH 43545 · 95 Priced Procedures · 71% Patient Recommendation
Typical commercial prices here are +157% above the fair benchmark (2.57×) even after accounting for local nurse/doctor wages and patient complexity.
2-Star CMS clinical quality rating paired with 2.57× fair market pricing.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Henry County Hospital, Inc prices routine shoppable procedures at 3.9× Medicare (median 2.30× Fair BaseRate) while upper-quartile commercial rates jump +58% to 3.64× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.29× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 77% of shoppable procedures (99/100 Cash Honesty)
- 2-Star CMS clinical rating with 71% patient recommendation (70/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (55.8% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.8× markup over Medicare rates
- Commercial insurance median sits at 2.30× Fair BaseRate (3.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 3.64×) jump +58% above the median procedure ratio (Q50 2.30×)
- Unnegotiated chargemaster list prices average 6.1× Medicare (26¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Henry County Hospital, Inc
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 95 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| C-section delivery (full package) CPT Code: 59510 | $6,376 | 2.1× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $5,981 | unverified |
| Vaginal delivery (full package) CPT Code: 59400 | $5,730 | 2.1× |
| Total hip replacement CPT Code: 27130 | $3,048 | 0.2× |
| Total knee replacement CPT Code: 27447 | $3,045 | 0.2× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $2,603 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $2,600 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,475 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,332 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $2,175 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $1,735 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $1,556 | 4.5× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $1,579 | 0.3× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,550 | 4.6× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,452 | 2.5× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,400 | unverified |
| CT scan, pelvis CPT Code: 72192 | $1,275 | 7.8× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,275 | 7.6× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,275 | 7.5× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $1,290 | 0.4× |
| Inguinal hernia repair CPT Code: 49505 | $1,251 | 0.3× |
| CT scan, head (no contrast) CPT Code: 70450 | $1,200 | 7.5× |
| CT scan, sinuses CPT Code: 70486 | $1,200 | unverified |
| Breast lump removal CPT Code: 19120 | $997 | 0.3× |
| Blood transfusion CPT Code: 36430 | $764 | 1.5× |
Audit a Bill or Quote at Henry County Hospital, Inc (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $3,560
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (55.8% of gross = $3,560).
Self-Pay Cash Rate ($4,782) Beats Your Bill
Henry County Hospital, Inc's published 45 CFR § 180 self-pay cash rate is $4,782 (vs. $6,376 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $2,975 Fair BaseRate ($2,473 Medicare)
Your bill ($6,376) is $3,401 above the denoised Fair BaseRate ($2,975) and 2.6× the $2,473 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (55.8% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare (58 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Henry County Hospital, Inc.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.