77/100
#443 nationally
Trihealth Clinton Regional Hospital
610 West Main Street, Wilmington, OH 45177 · (937) 382-9335
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Trihealth Clinton Regional Hospital billed $3.97 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 4.0x
- volume-weighted across all its priced work
- Procedures priced
- 20
- inpatient and outpatient combined
- Rank in OH
- #16
- lower markup ranks higher
- CMS quality stars
- 2/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 85% of U.S. hospitals.
Better than 69% of U.S. hospitals.
Better than 75% of U.S. hospitals.
Better than 82% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
128 | $13,769 | $2,315 | -29% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
61 | $17,692 | $2,967 | -14% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
41 | $13,129 | $1,700 | about average |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
28 | $6,710 | $1,619 | -43% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
27 | $7,190 | $1,380 | -29% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
26 | $50,074 | $10,819 | -20% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
25 | $26,801 | $4,597 | -24% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
23 | $18,855 | $4,403 | -31% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
21 | $28,171 | $16,356 | -57% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
20 | $25,732 | $11,013 | -47% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$13,129 | $1,700 | about average |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$17,927 | $2,418 | about average |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$17,692 | $2,967 | -14% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$9,542 | $1,643 | -16% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$50,074 | $10,819 | -20% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$35,907 | $11,360 | -23% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$26,801 | $4,597 | -24% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$7,190 | $1,380 | -29% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$28,171 | $16,356 | -57% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
$23,380 | $7,839 | -47% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$25,732 | $11,013 | -47% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$23,504 | $9,515 | -44% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$6,710 | $1,619 | -43% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$17,297 | $7,028 | -42% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
$52,478 | $18,571 | -35% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$7,533 | $1,368 | -33% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.