Hillsboro, IL
31
In-network payers
169
Disclosed rate categories
25
Beds
Hillsboro Area Hospital is a 25-bed voluntary non-profit - private hospital in Hillsboro, IL. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 169 disclosed rate categories.
CCN (Medicare provider number)
141332
NPI
1194705210
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
25
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 Hillsboro Area 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.
CT imaging
CPT 74177
$2,133 - $5,816
from 4 insurers · median $5,068
Typical for a hospital with this service line
CT imaging
CPT 74176
$1,831 - $4,847
from 3 insurers · median $4,272
Typical for a hospital with this service line
CT imaging
CPT 70450
$905 - $2,111
from 3 insurers · median $1,235
Typical for a hospital with this service line
CT imaging
CPT 71275
$1,479 - $3,452
from 3 insurers · median $3,409
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$286 - $779
from 4 insurers · median $679
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,332 - $2,541
from 4 insurers · median $2,131
Typical for a hospital with this service line
MRI imaging
CPT 70553
$1,866 - $5,088
from 4 insurers · median $4,438
Typical for a hospital with this service line
Mammography
CPT 77067
$286 - $625
from 4 insurers · median $535
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$2,043 - $5,573
from 4 insurers · median $3,417
Typical for a hospital with this service line
MRI imaging
CPT 73721
$1,624 - $4,430
from 4 insurers · median $3,864
Typical for a hospital with this service line
MRI imaging
CPT 74183
$1,825 - $4,976
from 4 insurers · median $4,276
Typical for a hospital with this service line
Ultrasound
CPT 76705
$478 - $1,304
from 4 insurers · median $822
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$734 - $1,057
from 4 insurers · median $860
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,046 - $3,279
from 4 insurers · median $2,996
Hospital reports nuclear medicine services to CMS
MRI imaging
CPT 72141
$1,497 - $4,083
from 4 insurers · median $3,561
Typical for a hospital with this service line
X-ray and bone density
CPT 73030
$454 - $990
from 4 insurers · median $864
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$518 - $6,843
from 3 insurers · median $1,471
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$2,105 - $5,741
from 4 insurers · median $4,861
Typical for a hospital with this service line
Ultrasound
CPT 76642
$564 - $1,082
from 4 insurers · median $915
Typical for a hospital with this service line
X-ray and bone density
CPT 73610
$611 - $1,057
from 4 insurers · median $873
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$4,300 - $15,176
from 4 insurers · median $9,949
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$403 - $1,099
from 4 insurers · median $952
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$407 - $4,955
from 3 insurers · median $1,166
Typical for a hospital with this service line
Ultrasound
CPT 76830
$361 - $984
from 4 insurers · median $846
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* | 21 | 1029% | 11 | 3 |
| Insurer B* | 24 | 958% | 18 | 0 |
| Insurer C* | 24 | 937% | 23 | 0 |
| Insurer D* | 22 | 511% | 5 | 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 Hillsboro Area Hospital.
1200 East Tremont Street, Hillsboro, IL 62049
(217) 532-6111
The nearest hospitals of similar type and size. Their rates are compared with Hillsboro Area Hospital for the same insurers and services above.
Hshs St. Francis Hospital
â–¼ Rates typically 33% lower than Hillsboro Area Hospital (23 services)
Community Hospital Of Staunton
â–¼ Rates typically 60% lower than Hillsboro Area Hospital (21 services)
Carlinville Area Hospital
â–¼ Rates typically 33% lower than Hillsboro Area Hospital (19 services)
Fayette County Hospital
â–¼ Rates typically 31% lower than Hillsboro Area Hospital (23 services)
Pana Community Hospital
â–¼ Rates typically 91% lower than Hillsboro Area Hospital (23 services)
St. Josephs Hospital-Highland Il
â–¼ Rates typically 57% lower than Hillsboro Area Hospital (24 services)
Kirby Hospital
Thomas H Boyd Critical Acc Hospital
Mason District Hospital
About Hillsboro Area Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Hillsboro Area Hospital range from $1,866 to $5,088 across 4 insurers. Cigna's rate is $4,353. The median at nearby comparable hospitals is $3,442. 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 Hillsboro Area Hospital range from $2,133 to $5,816 across 4 insurers. Aetna's rate is $5,161. The median at nearby comparable hospitals is $3,168. 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 Hillsboro Area Hospital range from $518 to $6,843 across 3 insurers. Aetna's rate is $6,843. The median at nearby comparable hospitals is $538. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Hillsboro Area Hospital range from $286 to $625 across 4 insurers. UnitedHealthcare's rate is $286. The median at nearby comparable hospitals is $403. What a patient pays depends on their plan's deductible, coinsurance and network status.
Hillsboro Area Hospital has 25 beds. Facility type: Critical Access Hospital.
Hillsboro Area Hospital is located at 1200 East Tremont Street, Hillsboro, IL 62049. Its main phone number is (217) 532-6111.
Hillsboro Area Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 141332.
The National Provider Identifier (NPI) on file for Hillsboro Area Hospital is 1194705210.
Hillsboro Area Hospital lists 31 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.
169 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.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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