How many shoppable procedure prices are published for Highland District Hospital?

Highland District Hospital in Hillsboro, OH currently has 90 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Highland District Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Highland District Hospital's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Highland District Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Highland District Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 25 Beds · rural Updated: 2026-03-27

Highland District Hospital

1275 North High Street, Hillsboro, OH 45133 · 90 Priced Procedures · 79% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Good Deal · Below Fair Market

0.88×vs. Fair Market Price

Typical commercial prices here are 12% below the fair benchmark (0.88×) after accounting for local nurse/doctor wages and patient complexity.

86/100 · Verified

86/100Self-Pay Cash Beats Insurance 54% of the Time

File Completeness85

Price Logic89

Peer Alignment75

Clean Billing80

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.88× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Highland District Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.8× Medicare, p50 0.88× Fair BaseRate) and emergency/ancillary services (1.2× Medicare, p75 1.10× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#17 of 137 in OH · 11th State Percentile#557 of 3,385 in U.S. · 16th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 12% below peer Fair BaseRate (0.88×)
Self-pay cash beats commercial insurance on 54% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (75/100 safety score) with 79% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.88× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (1.1×) & laboratory (1.6×) services average 1.50× higher multiples than routine shoppable care (0.8×)
Upper-quartile procedures (Q75 1.10×) jump +25% above the median procedure ratio (Q50 0.88×)
Unnegotiated chargemaster list prices average 7.3× Medicare (18¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.8× Medicare

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

Back-Door Captive & ER1.50× Divergence

1.2× Medicare

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

Quantile Tail Spread+25% Upper Tail

Q25 0.48× · Q50 0.88× · Q75 1.10×

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.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

0.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.1× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.5× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

54% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 75/100Fair

Procedure Prices at Highland District Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 90 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Colonoscopy with biopsy CPT Code: `45380`	$2,792	$2,792	$1,256	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$1,973	$1,973	$981	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$2,714	$495	$987	0.5×
Psychotherapy session (60 minutes) CPT Code: `90837`	$358	$358	$181	2.0×
CT scan, head (no contrast) CPT Code: `70450`	$1,139	$250	$160	1.6×
CT scan, head (with contrast) CPT Code: `70460`	$1,487	$250	$242	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,705	$250	$258	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,969	$250	$303	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,707	$250	$448	0.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,514	$245	$511	0.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,037	$224	$583	0.4×
Blood transfusion CPT Code: `36430`	$190	$190	$498	0.4×
MRI, lower back (no contrast) CPT Code: `72148`	$2,217	$162	$338	0.5×
MRI, brain (no contrast) CPT Code: `70551`	$2,217	$162	$343	0.5×
MRI, knee or other leg joint CPT Code: `73721`	$2,217	$162	$369	0.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	$194	$93	$123	0.8×
Ultrasound, pelvis CPT Code: `76856`	$545	$95	$130	0.7×
CT scan, pelvis CPT Code: `72192`	$1,107	$117	$163	0.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$634	$95	$134	0.7×
CT scan, sinuses CPT Code: `70486`	$1,466	$117	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,139	$117	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,226	$117	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,139	$117	$169	0.7×
Psychiatric evaluation (first visit) CPT Code: `90791`	$358	$110	$185	0.6×
Family therapy session CPT Code: `90847`	$358	$88	$173	0.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$86	$86	$201	0.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$386	$95	$272	0.3×
Typhoid vaccine HCPCS Code: `90675`	$1,301	$1,301	$347	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$281	$281	$111	unverified
Drug screening test HCPCS Code: `G0480`	$130	$114	$116	1.0×
Speech therapy (group session) CPT Code: `92508`	$84	$54	$27	2.0×
Physical therapy (manual therapy) CPT Code: `97140`	$121	$54	$34	1.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$120	$54	$35	1.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$112	$54	$38	1.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$98	$54	$38	1.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$154	$54	$40	1.4×
Prosthetic fitting and training CPT Code: `97761`	$84	$54	$45	1.2×
Orthotic fitting and training CPT Code: `97760`	$82	$54	$51	1.1×
Group therapy session CPT Code: `90853`	$214	$73	$100	0.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$166	$61	$87	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	$210	$77	$110	0.7×
Speech therapy (language evaluation) CPT Code: `92507`	$139	$45	$86	0.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$437	$62	$126	0.5×
Ultrasound, thyroid and neck CPT Code: `76536`	$539	$62	$132	0.5×
Psychotherapy session (45 minutes) CPT Code: `90834`	$358	$66	$166	0.4×
Flu vaccine (high dose) HCPCS Code: `90656`	$70	$70	$25	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$71	$12	$9	1.3×
Blood test, liver function panel CPT Code: `80076`	$85	$12	$9	1.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$132	$12	$11	1.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$74	$14	$14	1.0×
Blood test, vitamin D CPT Code: `82306`	$116	$30	$31	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$82	$15	$16	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$83	$13	$14	0.9×
X-ray, chest (single view) CPT Code: `71045`	$183	$36	$92	0.4×
X-ray, shoulder CPT Code: `73030`	$234	$36	$92	0.4×
X-ray, foot CPT Code: `73630`	$264	$36	$92	0.4×
X-ray, chest (two views) CPT Code: `71046`	$196	$36	$93	0.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$230	$36	$93	0.4×
X-ray, hand CPT Code: `73130`	$264	$36	$93	0.4×
X-ray, hip CPT Code: `73502`	$240	$36	$93	0.4×
X-ray, ankle CPT Code: `73610`	$188	$36	$93	0.4×
X-ray, pelvis CPT Code: `72170`	$170	$36	$110	0.3×
X-ray, lower back CPT Code: `72110`	$361	$36	$112	0.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$313	$33	$148	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$194	$33	$123	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$60	$7	$4	1.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$60	$7	$4	1.8×
Blood test, calcium CPT Code: `82310`	$62	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$62	$7	$5	1.4×
Blood test, potassium CPT Code: `84132`	$38	$7	$5	1.4×
Blood test, sodium CPT Code: `84295`	$38	$7	$5	1.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$57	$4	$3	1.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$27	$6	$5	1.2×
Culture, bacterial CPT Code: `87070`	$130	$10	$9	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$66	$11	$10	1.1×
Blood test, amylase CPT Code: `82150`	$49	$7	$7	1.0×
Blood test, lipase CPT Code: `83690`	$62	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$34	$7	$7	1.0×
Blood test, hemoglobin CPT Code: `85018`	$36	$3	$3	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$74	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$50	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$63	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$93	$11	$11	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$138	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$138	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$99	$17	$18	0.9×
Physical therapy (gait training) CPT Code: `97116`	$87	$20	$33	0.6×
Occupational therapy (self-care training) CPT Code: `97535`	$86	$20	$38	0.5×
Blood antibody screen CPT Code: `86850`	$82	$14	$46	0.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$214	$15	$64	0.2×

Showing top 25 high-impact procedures of 90 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Highland District Hospital (Zero PHI Required)

CMS CCN: 361332

CPT 45380

Select Procedure to Audit:

Fair BaseRate™ $1,256

Medicare Rate $1,223

Self-Pay Cash $2,792

Insurer Median $2,792

1. Amount on Your Bill or Quote ($) Pre-filled with Highland District 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 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Save $698 Paying Cash

Self-Pay Cash Rate ($2,792) Beats Your Bill

Highland District Hospital's published 45 CFR § 180 self-pay cash rate is $2,792 (vs. $2,792 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$2,234 Above Fair BaseRate

Negotiate Toward $1,256 Fair BaseRate ($1,223 Medicare)

Your bill ($3,490) is $2,234 above the denoised Fair BaseRate ($1,256) and 2.9× the $1,223 Medicare rate.

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.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 310653685

Public IRS & CMS ownership records classify Highland District Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite75/100

Would Recommend79%

Rated 9 or 10 (HCAHPS)76%

Median ER Wait119 min

Left ER Before Seen3%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Highland District Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2026-03-24·administrative_or_closure
Met Requirements
Recorded
2024-12-17·administrative_or_closure
Closure Notice
Recorded
2024-11-26·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (118 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Highland District Hospital.

Price Index: 2.19× regional baseline

Quality: 68/100 CMS composite

Median Household Income$62,008U.S. Census ACS

Local Uninsured Share8.9%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 86/100 · Verified CMS CCN 361332 EIN 310653685

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 361332) ↗ Verify IRS Form 990 (EIN 310653685) ↗ CMS HCRIS Cost Reports ↗

Published MRF File310653685_highland-district-hospital_standardcharges.csv

Publication / Vintage2026-03-27 · 216.90 MB

Validated Rate Rows2,295 (CMS v3.0.0)

File Integrity Digest548c8097a9476087e8e1…

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