HOSPITALVoluntary non-profit - Private

CLINTON REGIONAL HOSPITAL

Clinton, OK

100 N 30TH STREET, Clinton, OK 73601(580) 323-0346

Not rated by CMS

CMS star rating

In-network payers

About this hospital

CLINTON REGIONAL HOSPITAL is a voluntary non-profit - private hospital in Clinton, OK. Below you'll find publicly disclosed negotiated rates and facility details, including 20 in-network payers and 107 disclosed rate categories.

CCN: 370784
NPI: 1942921929
Website: crhaok.com
County: Custer County
Metro area: Weatherford, OK MicroSA
Medicare contractor: Jurisdiction H, Novitas Solutions (04311)
In Medicare since: 2025
Last CMS survey: 2025

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

Book a call about hospital compliance MRFs

Payer	Category	Code Type & Group	Contract Type	vs. State Average
Aetna	Outpatient	CPT Category III Codes Range: 0042T - 0810T	Negotiated	Very Low
Aetna	Outpatient	CPT Evaluation and Management Range: 99091 - 99499	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Evaluation and Management Range: 99091 - 99499	Negotiated	Very Low
Aetna	Outpatient	CPT Medicine Services and Procedures Range: 90281 - 99607	Negotiated	Very Low
Aetna	Outpatient	CPT Medicine Services and Procedures Range: 90281 - 99607	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Multianalyte Assay Range: 0002M - 0018M	Negotiated	Very Low
Aetna	Outpatient	CPT Pathology and Laboratory Procedures Range: 80047 - 89398	Negotiated	Very Low
Aetna	Outpatient	CPT Pathology and Laboratory Procedures Range: 80047 - 89398	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Proprietary Laboratory Analyses Range: 0001U - 0401U	Negotiated	Very Low
Aetna	Outpatient	CPT Radiology Procedures Range: 70010 - 79999	Negotiated	Very Low

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

Showing 1 - 10 of 107

Book a demo for every rateor start a free trial

...

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

AmbetterAspirus Health PlanBanner HealthCenteneHealth AllianceHealth Alliance HAP

More about this hospital

Quality
Not rated by CMS
See quality ratings
Doctors and services
30 affiliated clinicians
See doctors and services
Ownership and leadership
Owned by Clinton Hospital Authority
- Private (not for profit)
- Leonard U Lacefield, chief executive
See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for CLINTON REGIONAL HOSPITAL in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)	Plans and networks listing it	Organization NPIs
88-4062444Clinton Hospital Authority	42Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 37 more	1942921929 Clinton Hospital Authority1528812237 Clinton Hospital Authority

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

100 N 30TH STREET, Clinton, OK 73601

(580) 323-0346

Get directions

Every CMS quality measure

Each result CMS publishes for CLINTON REGIONAL HOSPITAL, beside the US median and the average of OK hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.

Deaths and complications20 measures

Risk-adjusted 30-day death rates and surgical complications; lower is better.

Measure	CLINTON REGIONAL HOSPITAL	OK average
Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31	Not Available	4.5
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30	Not Available	4.206
Death rate for heart attack patients2022-07-01 to 2025-06-30	Not Available	12.36
Death rate for CABG surgery patients2022-07-01 to 2025-06-30	Not Available	2.611
Death rate for COPD patients2022-07-01 to 2025-06-30	Not Available	8.722
Death rate for heart failure patients2022-07-01 to 2025-06-30	Not Available	11.31
Death rate for pneumonia patients2022-07-01 to 2025-06-30	Not Available	15.57
Death rate for stroke patients2023-07-01 to 2025-06-30	Not Available	13.28
Pressure ulcer rate2022-07-01 to 2024-06-30	Not Available	0.5362
Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30	Not Available	176
Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30	Not Available	0.2122
In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30	Not Available	0.2762
Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30	Not Available	2.34
Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30	Not Available	1.699
Postoperative respiratory failure rate2022-07-01 to 2024-06-30	Not Available	9.965
Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30	Not Available	3.378
Postoperative sepsis rate2022-07-01 to 2024-06-30	Not Available	5.356
Postoperative wound dehiscence rate2022-07-01 to 2024-06-30	Not Available	1.757
Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30	Not Available	1.052
CMS Medicare PSI 90: Patient safety and adverse events composite2022-07-01 to 2024-06-30	Not Available	0.9791

Readmissions and return visits14 measures

Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.

Measure	CLINTON REGIONAL HOSPITAL	OK average
Hospital return days for heart attack patients2022-07-01 to 2025-06-30	Not Available	7.121
Hospital return days for heart failure patients2022-07-01 to 2025-06-30	Not Available	-3.734
Hospital return days for pneumonia patients2022-07-01 to 2025-06-30	Not Available	-8.01
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30	Not Available
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31	Not Available	13.2
Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31	Not Available	10.88
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31	Not Available	5.711
Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31	Not Available	1.026
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30	Not Available	14.57
Rate of readmission for CABG2023-07-01 to 2025-06-30	Not Available	11.24
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30	Not Available	20.02
Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30	Not Available	21.41
Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30	Not Available	6.068
Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30	Not Available	17.29

Infections36 measures

Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.

Measure	CLINTON REGIONAL HOSPITAL	OK average
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available	0.213
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available	2.152
Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30	Not Available	3,613
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30	Not Available	3.643
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30	Not Available	1.722
Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30	Not Available	0.6454
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available	0.186
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available	1.84
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30	Not Available	2,933
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30	Not Available	3.323
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30	Not Available	1.291
Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30	Not Available	0.3961
SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available	0.4004
SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available	2.687
SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30	Not Available	102
SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30	Not Available	2.76
SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30	Not Available	2.978
SSI - Colon Surgery2024-10-01 to 2025-09-30	Not Available	0.9026
SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available	0.3225
SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available	2.641
SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30	Not Available	117
SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30	Not Available	1.033
SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30	Not Available	1.021
SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30	Not Available	0.7021
MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available	0.3557
MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available	2.404
MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30	Not Available	22,964
MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30	Not Available	1.566
MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30	Not Available	1.121
MRSA Bacteremia2024-10-01 to 2025-09-30	Not Available	0.772
Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available	0.144
Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available	1.37
Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30	Not Available	20,916
Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30	Not Available	13.63
Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30	Not Available	3.489
Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30	Not Available	0.3156

Patient survey (HCAHPS)68 measures

How recent inpatients answered each survey question, with CMS's star rating per topic.

Measure	CLINTON REGIONAL HOSPITAL	OK average
Room was "always" clean2024-10-01 to 2025-09-30	Not Available	74.33
Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30	Not Available	8.534
Room was "usually" clean2024-10-01 to 2025-09-30	Not Available	17.14
Cleanliness - linear mean score2024-10-01 to 2025-09-30	Not Applicable	86.41
Cleanliness - star rating2024-10-01 to 2025-09-30	Not Applicable	3.426
Nurses "always" communicated well2024-10-01 to 2025-09-30	Not Available	80.77
Nurse communication - linear mean score2024-10-01 to 2025-09-30	Not Applicable	91.63
Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30	Not Available	3.602
Nurse communication - star rating2024-10-01 to 2025-09-30	Not Applicable	3.556
Nurses "usually" communicated well2024-10-01 to 2025-09-30	Not Available	15.63
Doctors "always" communicated well2024-10-01 to 2025-09-30	Not Available	80.72
Doctor communication - linear mean score2024-10-01 to 2025-09-30	Not Applicable	91.11
Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30	Not Available	5.239
Doctor communication - star rating2024-10-01 to 2025-09-30	Not Applicable	3.222
Doctors "usually" communicated well2024-10-01 to 2025-09-30	Not Available	14.05
Staff "always" explained2024-10-01 to 2025-09-30	Not Available	63.34
Communication about medicines - linear mean score2024-10-01 to 2025-09-30	Not Applicable	77.35
Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30	Not Available	17.88
Communication about medicines - star rating2024-10-01 to 2025-09-30	Not Applicable	2.741
Staff "usually" explained2024-10-01 to 2025-09-30	Not Available	18.78
Discharge information - linear mean score2024-10-01 to 2025-09-30	Not Applicable	85.52
No, staff "did not" give patients this information2024-10-01 to 2025-09-30	Not Available	13.5
Discharge information - star rating2024-10-01 to 2025-09-30	Not Applicable	3.259
Yes, staff "did" give patients this information2024-10-01 to 2025-09-30	Not Available	86.5
No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30	Not Available	15.01
Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30	Not Available	84.99
Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30	Not Available	75.68
Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30	Not Available	6.382
Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30	Not Available	17.94
Doctors "always" listened carefully2024-10-01 to 2025-09-30	Not Available	78.63
Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30	Not Available	5.824
Doctors "usually" listened carefully2024-10-01 to 2025-09-30	Not Available	15.54
Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30	Not Available	86.24
Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30	Not Available	3.456
Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30	Not Available	10.31
Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30	Not Available	7.42
Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30	Not Available	19.27
Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30	Not Available	73.31
Overall hospital rating - linear mean score2024-10-01 to 2025-09-30	Not Applicable	89
Overall hospital rating - star rating2024-10-01 to 2025-09-30	Not Applicable	3.537
Staff "always" explained new medications2024-10-01 to 2025-09-30	Not Available	75.53
Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30	Not Available	8.985
Staff "usually" explained new medications2024-10-01 to 2025-09-30	Not Available	15.49
Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30	Not Available	75.5
Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30	Not Available	5.485
Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30	Not Available	19.01
Nurses "always" listened carefully2024-10-01 to 2025-09-30	Not Available	77.97
Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30	Not Available	4.029
Nurses "usually" listened carefully2024-10-01 to 2025-09-30	Not Available	18
Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30	Not Available	87.06
Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30	Not Available	2.397
Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30	Not Available	10.54
"Always" quiet at night2024-10-01 to 2025-09-30	Not Available	66.14
"Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30	Not Available	6.398
"Usually" quiet at night2024-10-01 to 2025-09-30	Not Available	27.47
Quietness - linear mean score2024-10-01 to 2025-09-30	Not Applicable	84.83
Quietness - star rating2024-10-01 to 2025-09-30	Not Applicable	3.981
"NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30	Not Available	5.466
"YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30	Not Available	73.73
Recommend hospital - linear mean score2024-10-01 to 2025-09-30	Not Applicable	87.91
"YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30	Not Available	20.81
Recommend hospital - star rating2024-10-01 to 2025-09-30	Not Applicable	3.815
Staff "always" explained possible side effects2024-10-01 to 2025-09-30	Not Available	49.99
Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30	Not Available	28.22
Staff "usually" explained possible side effects2024-10-01 to 2025-09-30	Not Available	21.79
Summary star rating2024-10-01 to 2025-09-30	Not Applicable	3.407
No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30	Not Available	12.72
Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30	Not Available	87.28

Timely and effective care23 measures

How often the hospital gave recommended care, and how fast.

Measure	CLINTON REGIONAL HOSPITAL	OK average
Emergency department volume2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31	Not Available
Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31	Not Available	8.19
Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31	Not Available	1.1
Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31	Not Available	0.35
Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31	Not Available	78.33
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30	Not Available	128
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30	Not Available	123
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30	Not Available	202
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30	Not Available	254
Left before being seen2024-01-01 to 2024-12-31	Not Available	1.222
Head CT results2024-10-01 to 2025-09-30	Not Available	65.13
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31	Not Available	91.94
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31	Not Available	88
Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30	Not Available	60.29
Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30	Not Available	68.47
Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30	Not Available	84.07
Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30	Not Available	77.55
Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30	Not Available	90.37

Outpatient imaging2 measures

How often scans were ordered when they may not be needed; lower is better.

Measure	CLINTON REGIONAL HOSPITAL	US median	OK average	CMS comparison	US rank
Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30	Not Available		8.305
Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30	Not Available		7.093

Medicare spending per patient1 measure

Medicare spending around an inpatient stay compared with the US (1 is the US median).

Measure	CLINTON REGIONAL HOSPITAL	US median	OK average	CMS comparison	US rank
Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31	Not Available		0.9841

Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.

Frequently asked questions

About CLINTON REGIONAL HOSPITAL's rates and hospital price transparency.

Who is the CEO of CLINTON REGIONAL HOSPITAL?

CLINTON REGIONAL HOSPITAL's Medicare enrollment lists Leonard U Lacefield as CEO since 2023.

What is CLINTON REGIONAL HOSPITAL's tax ID (EIN)?

Insurers' price transparency files list CLINTON REGIONAL HOSPITAL under employer identification number 88-4062444 (Clinton Hospital Authority). 42 health plans and networks list 88-4062444 for it.

How many doctors are affiliated with CLINTON REGIONAL HOSPITAL?

30 clinicians who bill Medicare list CLINTON REGIONAL HOSPITAL as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (9), family medicine physician (6), nurse practitioner (5).

Is CLINTON REGIONAL HOSPITAL accredited?

CMS's Provider of Services file lists no accrediting organization for CLINTON REGIONAL HOSPITAL; it is certified for Medicare through state survey.

Who owns CLINTON REGIONAL HOSPITAL?

In its Medicare enrollment, CLINTON REGIONAL HOSPITAL reports Clinton Hospital Authority as 5% or greater direct ownership interest (100%).

Where is CLINTON REGIONAL HOSPITAL and what is its phone number?

CLINTON REGIONAL HOSPITAL is located at 100 N 30TH STREET, Clinton, OK 73601. Its main phone number is (580) 323-0346.

What is CLINTON REGIONAL HOSPITAL's CCN (Medicare provider number)?

CLINTON REGIONAL HOSPITAL's CMS Certification Number (CCN), also called its Medicare provider number, is 370784.

What is CLINTON REGIONAL HOSPITAL's NPI number?

The National Provider Identifier (NPI) on file for CLINTON REGIONAL HOSPITAL is 1942921929.

Which insurance plans are in network at CLINTON REGIONAL HOSPITAL?

CLINTON REGIONAL HOSPITAL lists 20 in-network payers, including Aetna, Ambetter, Aspirus Health Plan, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

What price transparency data is available for CLINTON REGIONAL HOSPITAL?

107 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]

{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}

CMS template layout, in JSON or CSV
Gross, discounted cash, payer-specific and de-identified min / max charges
cms-hpt.txt file and homepage footer link
Refreshed when your contracts change

Talk to us about your MRF

Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance

CPT, HCPCS, revenue code and modifier errors flagged line by line
Missing, duplicate and outdated charge lines identified
Charges set below payer allowables caught before lesser-of clauses cut payment
Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
Your negotiated rates benchmarked against peer hospitals for the same payers

Talk to us about your chargemaster

CLINTON REGIONAL HOSPITAL

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Tax IDs and NPIs insurers list

Location

Every CMS quality measure

Accreditation and services

Staff and facilities

Doctors and clinicians

Ownership

Leadership

Officers and directors on the Medicare enrollment

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Tax IDs and NPIs insurers list

Location

Every CMS quality measure

Accreditation and services

Staff and facilities

Doctors and clinicians

Ownership

Leadership

Officers and directors on the Medicare enrollment

Nearby hospitals

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts