Hillsboro, OH
30
In-network payers
122
Disclosed rate categories
45
Beds
4
Care quality
Highland District Hospital is a 45-bed government - hospital district or authority hospital in Hillsboro, OH. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 122 disclosed rate categories.
CCN (Medicare provider number)
361332
NPI
1225053119
Type
Critical Access Hospital
Ownership
Government - Hospital District Or Authority
Beds
45
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Highland District Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$5,294 - $8,225
from 2 insurers · median $6,759
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$8,112 - $9,164
from 2 insurers · median $8,638
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$292 - $3,113
from 4 insurers · median $2,036
Typical for a hospital with this service line
CT imaging
CPT 70450
$93 - $1,310
from 4 insurers · median $1,154
Typical for a hospital with this service line
CT imaging
CPT 74176
$151 - $2,264
from 4 insurers · median $1,621
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$3,053 - $4,084
from 3 insurers · median $3,121
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$3,359 - $5,196
from 3 insurers · median $3,433
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$3,141 - $5,059
from 3 insurers · median $3,211
Typical for a hospital with this service line
CT imaging
CPT 71275
$213 - $2,011
from 4 insurers · median $1,497
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$959 - $1,192
from 3 insurers · median $1,166
Typical for a hospital with this service line
MRI imaging
CPT 70553
$169 - $2,892
from 4 insurers · median $2,323
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$5,294 - $8,225
from 2 insurers · median $6,759
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
MRI imaging
CPT 72148
$162 - $2,549
from 4 insurers · median $2,155
Typical for a hospital with this service line
MRI imaging
CPT 70551
$165 - $2,549
from 4 insurers · median $2,155
Typical for a hospital with this service line
Mammography
CPT 77067
$108 - $224
from 4 insurers · median $207
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$358 - $3,266
from 4 insurers · median $2,911
Hospital reports nuclear medicine services to CMS
MRI imaging
CPT 73721
$170 - $3,186
from 4 insurers · median $2,467
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$26 - $225
from 4 insurers · median $201
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$2,219 - $3,880
from 3 insurers · median $2,269
Typical for a hospital with this service line
Ultrasound
CPT 76705
$75 - $502
from 4 insurers · median $448
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$5 - $152
from 4 insurers · median $135
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$7,572
negotiated rate
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$28 - $554
from 4 insurers · median $494
Typical for a hospital with this service line
Ultrasound
CPT 76830
$85 - $620
from 4 insurers · median $553
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 23 | 550% | 13 | 7 |
| Insurer B* | 20 | 538% | 12 | 8 |
| Insurer C* | 24 | 421% | 6 | 12 |
| Insurer D* | 15 | 68% | 0 | 15 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Highland District Hospital.
1275 North High Street, Hillsboro, OH 45133
(937) 393-6100
The nearest hospitals of similar type and size. Their rates are compared with Highland District Hospital for the same insurers and services above.
Greenfield Area Medical Center
▲ Rates typically 67% higher than Highland District Hospital (20 services)
Adams County Regional Medical Center
▲ Rates typically 470% higher than Highland District Hospital (17 services)
Fayette County Memorial Hospital
▲ Rates typically 7% higher than Highland District Hospital (20 services)
Pike Community Hospital
▲ Rates typically 10% higher than Highland District Hospital (20 services)
Holzer Medical Center - Jackson
▲ Rates typically 18% higher than Highland District Hospital (15 services)
Mercy Health - Urbana Hospital
▼ Rates typically 6% lower than Highland District Hospital (21 services)
Aultman Orrville Hospital
Wyandot Memorial Hospital
Mercy Health - Allen Hospital
About Highland District Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Highland District Hospital range from $169 to $2,892 across 4 insurers. Cigna's rate is $2,829. The median at nearby comparable hospitals is $1,670. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Highland District Hospital range from $292 to $3,113 across 4 insurers. Aetna's rate is $292. The median at nearby comparable hospitals is $2,099. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Highland District Hospital range from $3,359 to $5,196 across 3 insurers. Blue Cross Blue Shield's rate is $5,196. The median at nearby comparable hospitals is $4,894. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Highland District Hospital range from $5,294 to $8,225 across 2 insurers. UnitedHealthcare's rate is $8,225. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Highland District Hospital range from $108 to $224 across 4 insurers. UnitedHealthcare's rate is $224. The median at nearby comparable hospitals is $205. What a patient pays depends on their plan's deductible, coinsurance and network status.
Highland District Hospital has 45 beds. Facility type: Critical Access Hospital.
Highland District Hospital is located at 1275 North High Street, Hillsboro, OH 45133. Its main phone number is (937) 393-6100.
Highland District Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 361332.
The National Provider Identifier (NPI) on file for Highland District Hospital is 1225053119.
Highland District Hospital lists 30 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
122 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.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"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
}
]
}]
}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