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Short Term Acute Care HospitalProprietary

Berwick Hospital Center

Berwick, PA

701 East 16th Street, Berwick, PA 18603(570) 759-5020

20

In-network payers

63

Disclosed rate categories

90

Beds

3

Care quality

About this hospital

Berwick Hospital Center is a 90-bed proprietary hospital in Berwick, PA. Below you'll find publicly disclosed negotiated rates and facility details, including 20 in-network payers and 63 disclosed rate categories.

CCN (Medicare provider number)

390072

NPI

1316919699

Type

Short Term Acute Care Hospital

Ownership

Proprietary

Beds

90

Care Quality

3

Insurance Accepted

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.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAvera Health PlansEMI HealthGeisinger Health PlanHarvard Pilgrim Health Care (Point32Health)Kaiser Permanente

Negotiated Rates

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

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PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

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 High

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Average

Aetna

Outpatient

CPT Proprietary Laboratory Analyses

Range: 0001U - 0401U

Negotiated

Very High

Aetna

Outpatient

CPT Surgery

Range: 10004 - 69990

Percentage of Bill Charged

-

Aetna

Outpatient

HCPCS Alcohol and Drug Abuse Treatment

Range: H0001 - H2037

Negotiated

Very Low

Aetna

Outpatient

HCPCS Coronavirus Diagnostic Panel

Range: U0001 - U0005

Negotiated

Very High

Aetna

Outpatient

HCPCS Outpatient PPS

Range: C1713 - C9899

Percentage of Bill Charged

-

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 63

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Location

701 East 16th Street, Berwick, PA 18603

(570) 759-5020

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Frequently asked questions

About Berwick Hospital Center's rates and hospital price transparency.

How many beds does Berwick Hospital Center have?

Berwick Hospital Center has 90 beds. Facility type: Short Term Acute Care Hospital.

Where is Berwick Hospital Center and what is its phone number?

Berwick Hospital Center is located at 701 East 16th Street, Berwick, PA 18603. Its main phone number is (570) 759-5020.

What is Berwick Hospital Center's CCN (Medicare provider number)?

Berwick Hospital Center's CMS Certification Number (CCN), also called its Medicare provider number, is 390072.

What is Berwick Hospital Center's NPI number?

The National Provider Identifier (NPI) on file for Berwick Hospital Center is 1316919699.

Which insurance plans are in network at Berwick Hospital Center?

Berwick Hospital Center lists 20 in-network payers, including Aetna, Ameri Health, Avera Health Plans, 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 Berwick Hospital Center?

63 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.

What is a hospital price transparency MRF?

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.

What is a chargemaster review?

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

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