How many shoppable procedure prices are published for Ohiohealth O'Bleness Hospital?

Ohiohealth O'Bleness Hospital in Athens, OH currently has 119 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Ohiohealth O'Bleness Hospital's commercial prices compare to the fair BaseRate?

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

What is Ohiohealth O'Bleness Hospital's CMS Care Compare overall star rating?

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

Hospital Profile Acute Care Hospital Voluntary non-profit - Other 67 Beds · rural Updated: 2026-04-01

Ohiohealth O'Bleness Hospital

55 Hospital Drive, Athens, OH 45701 · 119 Priced Procedures · 67% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Good Deal · Below Fair Market

0.90×vs. Fair Market Price

Typical commercial prices here are 10% below the fair benchmark (0.90×) after accounting for local nurse/doctor wages and patient complexity.

84/100 · Corroborated

84/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness100

Price Logic86

Peer Alignment65

Clean Billing65

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.90× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Ohiohealth O'Bleness Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.9× Medicare, p50 0.90× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.96× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#22 of 137 in OH · 15th State Percentile#659 of 3,385 in U.S. · 19th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 10% below peer Fair BaseRate (0.90×)
Self-pay cash beats commercial insurance on 0% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (73/100 safety score) with 67% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (16.1% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.90× 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 (1.3×) & laboratory (1.2×) services average 1.11× higher multiples than routine shoppable care (0.9×)
Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 8,702) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.9× Medicare

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

Back-Door Captive & ER1.11× Divergence

1.0× Medicare

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

Quantile Tail Spread+7% Upper Tail

Q25 0.79× · Q50 0.90× · Q75 0.96×

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

0.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.3× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.2× MedicareGood

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

1.1× MedicareGood

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

0% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 73/100Fair

Procedure Prices at Ohiohealth O'Bleness Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 119 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$24,085	$30,775	0.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$14,483	$19,087	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$14,381	$19,432	0.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$13,145	$17,936	0.7×
Total hip replacement CPT Code: `27130`	—	$12,320	$13,413	0.9×
Total knee replacement CPT Code: `27447`	—	$12,320	$13,523	0.9×
Trauma team activation HCPCS Code: `G0390`	$5,826	$5,826	$1,453	4.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,801	$6,109	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$5,813	$8,223	0.7×
Rabies immune globulin HCPCS Code: `90375`	$4,488	$4,488	$322	unverified
Breast lump removal CPT Code: `19120`	—	$3,757	$3,875	1.0×
Inguinal hernia repair CPT Code: `49505`	—	$3,436	$3,629	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,140	$3,372	0.9×
Bunion correction surgery CPT Code: `28296`	—	$3,140	$3,446	0.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,656	$1,656	$151	unverified
Colonoscopy with biopsy CPT Code: `45380`	$2,542	$1,148	$1,256	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,146	$892	$981	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$1,774	$870	$987	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,201	$824	$1,021	0.8×
Injection procedure for pain management HCPCS Code: `G0260`	$3,333	$677	$855	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,818	$524	$583	0.9×
Blood transfusion CPT Code: `36430`	$1,378	$423	$498	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,708	$335	$448	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,504	$335	$511	0.7×
Behavioral health day program HCPCS Code: `H2012`	$308	$308	$100	3.1×
Group therapy session CPT Code: `90853`	$209	$209	$100	2.1×
Family therapy session CPT Code: `90847`	$215	$215	$173	1.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$215	$215	$181	1.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$880	$229	$272	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$194	$194	$166	1.2×
Psychiatric evaluation (first visit) CPT Code: `90791`	$194	$194	$185	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$187	$210	$201	1.0×
Neurobehavioral status check CPT Code: `96116`	$619	$207	$231	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,461	$229	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$2,342	$229	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$2,070	$229	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$3,375	$229	$369	0.6×
CT scan, head (with contrast) CPT Code: `70460`	$1,016	$168	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,118	$168	$258	0.7×
Psychological testing evaluation CPT Code: `96136`	—	$128	$128	1.0×
X-ray, chest (single view) CPT Code: `71045`	$294	$84	$92	0.9×
X-ray, shoulder CPT Code: `73030`	$525	$84	$92	0.9×
X-ray, foot CPT Code: `73630`	$459	$84	$92	0.9×
X-ray, pelvis CPT Code: `72170`	$248	$100	$110	0.9×
X-ray, chest (two views) CPT Code: `71046`	$324	$84	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$349	$84	$93	0.9×
X-ray, hand CPT Code: `73130`	$436	$84	$93	0.9×
X-ray, hip CPT Code: `73502`	$420	$84	$93	0.9×
X-ray, ankle CPT Code: `73610`	$390	$84	$93	0.9×
X-ray, lower back CPT Code: `72110`	$489	$100	$112	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$581	$100	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$621	$100	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$600	$100	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$725	$100	$134	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$527	$102	$148	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$211	$84	$123	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$922	$100	$160	0.6×
CT scan, pelvis CPT Code: `72192`	$1,612	$100	$163	0.6×
CT scan, sinuses CPT Code: `70486`	$1,145	$100	$166	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	$1,723	$100	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,053	$100	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,747	$100	$169	0.6×
Typhoid vaccine HCPCS Code: `90675`	$875	$875	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$563	$563	$203	2.8×
Pneumococcal vaccine HCPCS Code: `90732`	$364	$364	$140	2.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$295	$295	$111	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$187	$39	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$145	$145	$56	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$90	$90	$25	3.6×
Drug screening test HCPCS Code: `G0480`	—	$115	$116	1.0×
Hospital observation (per hour) HCPCS Code: `G0378`	$77	$77	$86	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$306	$74	$86	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$99	$99	$37	unverified
Flu vaccine injection HCPCS Code: `G0008`	$31	$45	$48	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$31	$45	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$31	$45	$49	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$125	$57	$64	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$23	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$27	$11	$11	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$8	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$61	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$36	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$5	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$83	$14	$14	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$53	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$38	$7	$7	1.0×
Blood test, vitamin D CPT Code: `82306`	$42	$30	$31	1.0×
Prosthetic fitting and training CPT Code: `97761`	$96	$39	$45	0.9×
Orthotic fitting and training CPT Code: `97760`	$118	$44	$51	0.9×
Blood test, glucose (blood sugar) CPT Code: `82947`	$5	$4	$4	1.0×
Blood test, magnesium CPT Code: `83735`	$40	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$5	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$5	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$5	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$23	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$125	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$182	$9	$9	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$49	$27	$27	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$40	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$35	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$39	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$32	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$29	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$23	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$140	$10	$11	0.9×
Blood test, liver function panel CPT Code: `80076`	$19	$8	$9	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$85	$12	$14	0.9×
Speech therapy (group session) CPT Code: `92508`	$144	$23	$27	0.9×
Physical therapy (gait training) CPT Code: `97116`	$114	$28	$33	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$100	$32	$38	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$96	$32	$38	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$114	$33	$40	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$105	$31	$38	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$88	$4	$5	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$116	$28	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$119	$27	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$7	$2	$3	0.7×
Blood antibody screen CPT Code: `86850`	$17	$17	$46	0.4×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$12	$35	0.3×

Showing top 25 high-impact procedures of 119 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 16.1%

Audit a Bill or Quote at Ohiohealth O'Bleness Hospital (Zero PHI Required)

CMS CCN: 360014

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $24,085

1. Amount on Your Bill or Quote ($) Pre-filled with Ohiohealth O'Bleness 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: $9,295 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $9,295

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (16.1% of gross = $9,295).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Ohiohealth O'Bleness Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$27,029 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($57,804) is $27,029 above the denoised Fair BaseRate ($30,775) and 2.5× the $23,504 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) 501(c)(3) Nonprofit Hospital

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

EIN: 314446959

Filing Period: 199103

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (16.1% 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.

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 Composite73/100

Would Recommend67%

Rated 9 or 10 (HCAHPS)70%

Median ER Wait204 min

Left ER Before Seen1%

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 Infectionbetter

Source: CMS Hospital Care Compare (472 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

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Ohiohealth O'Bleness Hospital.

Price Index: 1.00× regional baseline

Quality: 72/100 CMS composite

Median Household Income$53,837U.S. Census ACS

Local Uninsured Share5.8%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 84/100 · Corroborated CMS CCN 360014 EIN 314446959

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 360014) ↗ Verify IRS Form 990 (EIN 314446959) ↗ CMS HCRIS Cost Reports ↗

Published MRF File314446959_ohiohealth-o-_bleness-hospital_standardcharges.json

Publication / Vintage2026-04-01 · 17.72 MB

Validated Rate Rows253 (CMS v3.0.0)

File Integrity Digest1772525e7e0208c4328c…

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