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Critical Access HospitalVoluntary Non-Profit - Private

Bluffton Hospital

Bluffton, OH

139 Garau Street, Bluffton, OH 45817(419) 358-9010

Not rated by CMS

CMS star rating

25

Beds

105

Inpatient discharges a year

$35.1M

Net patient revenue a year

33

In-network payers

About this hospital

Bluffton Hospital is a 25-bed voluntary non-profit - private hospital in Bluffton, OH. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 135 disclosed rate categories.

  • 340B participant
  • ACO participant
CCN
361322
NPI
1831137827
County
Allen County
Metro area
Lima, OH MSA
Medicare contractor
Jurisdiction 15, CGS Administrators (15201)
In Medicare since
2004
Last CMS survey
2008

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 Evaluation and Management

Range: 99091 - 99499

Negotiated

Very Low

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very Low

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Proprietary Laboratory Analyses

Range: 0001U - 0401U

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Radiology Procedures

Range: 70010 - 79999

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Surgery

Range: 10004 - 69990

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.

...

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)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
34-1369963Blanchard Valley Regional Health Center50Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 45 more1710920327 Blanchard Valley Regional Health Center1831137827 Blanchard Valley Regional Health Center1578336400 Blanchard Valley Regional Health Centerand 18 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

139 Garau Street, Bluffton, OH 45817

(419) 358-9010

Get directions

Frequently asked questions

About Bluffton Hospital's rates and hospital price transparency.

How many patients does Bluffton Hospital admit?

Bluffton Hospital reported 105 inpatient discharges and 972 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does Bluffton Hospital have?

Bluffton Hospital reported 95 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

How much revenue does Bluffton Hospital make?

Bluffton Hospital reported $35.1M in net patient revenue on $63.8M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 38.8%, and net income of $12.1M.

How much charity and uncompensated care does Bluffton Hospital provide?

Bluffton Hospital reported $1.7M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $197,420 of charity care at cost.

Who is the CEO of Bluffton Hospital?

Bluffton Hospital's Medicare enrollment lists Myron Lewis as CEO since 2021.

What is Bluffton Hospital's tax ID (EIN)?

Insurers' price transparency files list Bluffton Hospital under employer identification number 34-1369963 (Blanchard Valley Regional Health Center). 50 health plans and networks list 34-1369963 for it.

Does Bluffton Hospital participate in the 340B drug pricing program?

Yes. HRSA's 340B database lists Bluffton Hospital (340B ID CAH361322-00) as a participating critical access hospital since 2025.

How many doctors are affiliated with Bluffton Hospital?

187 clinicians who bill Medicare list Bluffton Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (29), family nurse practitioner (19), physician assistant (16).

Is Bluffton Hospital accredited?

Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Bluffton Hospital, effective 2025.

Who owns Bluffton Hospital?

In its Medicare enrollment, Bluffton Hospital reports Blanchard Valley Health System as 5% or greater direct ownership interest (100%).

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.

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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
      }
    ]
  }]
}
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  • 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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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.

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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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