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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Atrium Medical Center

Premier Health · Middletown, OH

One Medical Center Drive, Middletown, OH 45005(513) 420-5102

4 of 5

CMS star rating

264

Beds

9,833

Inpatient discharges a year

$283.9M

Net patient revenue a year

38

In-network payers

About this hospital

Atrium Medical Center is a 264-bed voluntary non-profit - private hospital in Middletown, OH, affiliated with Premier Health. Below you'll find publicly disclosed negotiated rates and facility details, including 38 in-network payers and 256 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
360076
NPI
1700950060
Health system
Premier Health
Teaching
No Medicare-funded residents
County
Warren County
Metro area
Cincinnati, OH-KY-IN MSA
Medicare contractor
Jurisdiction 15, CGS Administrators (15201)
In Medicare since
1966
Last CMS survey
2012

Prices for common services

The 24 services Atrium Medical Center 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, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$5,910 - $21,796

from 4 insurers · median $16,770

Aetna$21,796
Insurer A*$5,910
Insurer B*$13,740
Insurer C*$19,799

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

Cesarean delivery, hospital stay

MS-DRG 788

$8,032 - $45,172

from 4 insurers · median $28,301

Aetna$45,172
Insurer A*$8,032
Insurer B*$18,337
Insurer C*$38,265

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

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$13,371 - $71,253

from 3 insurers · median $27,651

Cigna$71,253
Insurer A*$13,371
Insurer B*$27,651
Medicare $9,795Nearby hospitals $34,84721% below nearby hospitals

33 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$5,910 - $21,796

from 4 insurers · median $16,770

Aetna$21,796
Insurer A*$5,910
Insurer B*$13,740
Insurer C*$19,799

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

How the insurers pay at Atrium Medical Center

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*22
475%
75
Insurer B*24
255%
020
Insurer C*24
215%
315
Insurer D*9
36%
06

How we chose these services: 9 appear in this hospital's own Medicare claims, 8 are common here based on CMS Medicare volume, and 7 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 Atrium Medical Center, or start a free trial.

Insurance Accepted

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

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

  • Quality

    4 of 5 stars

    • 163 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.50%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 40 services, including trauma care
    • 667 affiliated clinicians
    See doctors and services
  • Finances

    $283.9M net patient revenue

    • Operating margin on patient care 10.4%
    • $7.8M unreimbursed and uncompensated care
    • $48.4M net income
    See finances
  • Ownership and leadership

    Owned by Premier Health Partners

    • Private (not for profit)
    • Kevin Harlan, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
31-1079309Atrium Medical Center65Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 60 more1700950060 Atrium Medical Center1053487884 Atrium Medical Center1538234638 Atrium Medical Centerand 4 more

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

One Medical Center Drive, Middletown, OH 45005

(513) 420-5102

Get directions

Frequently asked questions

About Atrium Medical Center's rates and hospital price transparency.

How much does a CT scan cost at Atrium Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Atrium Medical Center range from $316 to $1,858 across 4 insurers. Blue Cross Blue Shield's rate is $908. The median at nearby comparable hospitals is $1,933. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Atrium Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Atrium Medical Center range from $3,113 to $14,236 across 3 insurers. UnitedHealthcare's rate is $4,947. The median at nearby comparable hospitals is $8,873. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Atrium Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Atrium Medical Center range from $5,910 to $21,796 across 4 insurers. Aetna's rate is $21,796. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Atrium Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Atrium Medical Center range from $108 to $283 across 4 insurers. Blue Cross Blue Shield's rate is $219. The median at nearby comparable hospitals is $154. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Atrium Medical Center's CMS star rating?

Atrium Medical Center has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Atrium Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at Atrium Medical Center for fiscal year 2027.

Does Medicare penalize Atrium Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Atrium Medical Center's base inpatient payments by an estimated 0.50% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Atrium Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (120 discharges), heart failure and shock with mcc (96 discharges), respiratory infections and inflammations with mcc (65 discharges).

What is Atrium Medical Center's case mix index?

Atrium Medical Center's Medicare case mix index is 1.97 for fiscal year 2027, higher than 76% of hospitals paid under the inpatient prospective payment system.

How many patients does Atrium Medical Center admit?

Atrium Medical Center reported 9,833 inpatient discharges and 42,315 inpatient days from Jan 1, 2025 to Dec 31, 2025.

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
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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
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