Butler Health System · Butler, PA
30
In-network payers
298
Disclosed rate categories
296
Beds
3
Care quality
Butler Memorial Hospital is a 296-bed voluntary non-profit - private hospital in Butler, PA, affiliated with Butler Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 298 disclosed rate categories.
CCN (Medicare provider number)
390168
NPI
1447317896
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
296
Care Quality
3
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 Butler Memorial 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.
Childbirth · Inpatient
MS-DRG 807
$7,377 - $9,708
from 4 insurers · median $8,365
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
MS-DRG 788
$10,076 - $13,807
from 4 insurers · median $12,375
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
Medicine & Surgery
CPT 47562
$2,597 - $15,743
from 4 insurers · median $12,103
66 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 216
$119,450 - $144,629
from 4 insurers · median $134,523
Hospital reports cardiac thoracic surgery services to CMS
Digestive procedures
CPT 49650
$2,407 - $15,743
from 4 insurers · median $12,332
66 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$7,377 - $9,708
from 4 insurers · median $8,365
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
CT imaging
CPT 74177
$405 - $908
from 4 insurers · median $663
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$2,830 - $27,680
from 4 insurers · median $21,698
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 470
$21,339 - $28,517
from 4 insurers · median $25,644
12 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 47563
$2,348 - $15,743
from 4 insurers · median $12,203
66 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$1,088 - $3,116
from 4 insurers · median $2,517
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$184 - $1,423
from 4 insurers · median $1,046
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,110 - $3,116
from 4 insurers · median $2,517
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$100 - $198
from 3 insurers · median $195
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 42820
$11,655 - $15,415
from 3 insurers · median $13,393
Typical for a hospital with this service line
Medicine & Surgery
CPT 49505
$1,582 - $9,323
from 4 insurers · median $7,973
18 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Nuclear imaging
CPT 78815
$1,480 - $3,724
from 4 insurers · median $2,995
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$2,142 - $15,743
from 4 insurers · median $12,204
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,071 - $3,371
from 4 insurers · median $2,050
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$324 - $621
from 4 insurers · median $499
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$153 - $272
from 4 insurers · median $216
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 63030
$14,419 - $18,895
from 3 insurers · median $16,174
45 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Gynecology
CPT 58558
$1,532 - $8,430
from 4 insurers · median $6,640
Typical for a hospital with this service line
Gynecology
CPT 58662
$2,585 - $15,743
from 4 insurers · median $12,706
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* | 24 | 255% | 18 | 3 |
| Insurer B* | 23 | 214% | 5 | 5 |
| Insurer C* | 24 | 193% | 15 | 3 |
| Insurer D* | 22 | 46% | 6 | 11 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 9 are common here based on CMS Medicare volume, and 9 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 Butler Memorial Hospital.
1 Hospital Way, Butler, PA 16001
(724) 283-6666
The nearest hospitals of similar type and size. Their rates are compared with Butler Memorial Hospital for the same insurers and services above.
Ahn Wexford Hospital
▲ Rates typically 15% higher than Butler Memorial Hospital (21 services)
Allegheny Valley Hospital
▲ Rates typically 17% higher than Butler Memorial Hospital (21 services)
Upmc Passavant - Mccandless
▲ Rates typically 12% higher than Butler Memorial Hospital (18 services)
Heritage Valley Beaver
▼ Rates typically 35% lower than Butler Memorial Hospital (21 services)
Upmc St Margaret
▲ Rates typically 124% higher than Butler Memorial Hospital (20 services)
Upmc Jameson
▼ Rates typically 56% lower than Butler Memorial Hospital (21 services)
Clarion Hospital
Regional Hospital Of Scranton
Ahn Grove City
About Butler Memorial Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Butler Memorial Hospital range from $405 to $908 across 4 insurers. Aetna's rate is $521. The median at nearby comparable hospitals is $692. 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 Butler Memorial Hospital range from $1,088 to $3,116 across 4 insurers. Aetna's rate is $1,088. The median at nearby comparable hospitals is $1,284. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Butler Memorial Hospital range from $7,377 to $9,708 across 4 insurers. UnitedHealthcare's rate is $8,680. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Butler Memorial Hospital range from $100 to $198 across 3 insurers. UnitedHealthcare's rate is $100. The median at nearby comparable hospitals is $161. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Butler Memorial Hospital range from $21,339 to $28,517 across 4 insurers. Blue Cross Blue Shield's rate is $21,339. The median at nearby comparable hospitals is $24,456. What a patient pays depends on their plan's deductible, coinsurance and network status.
Butler Memorial Hospital has 296 beds. Facility type: Short Term Acute Care Hospital.
Butler Memorial Hospital is located at 1 Hospital Way, Butler, PA 16001. Its main phone number is (724) 283-6666.
Butler Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 390168.
The National Provider Identifier (NPI) on file for Butler Memorial Hospital is 1447317896.
Butler Memorial Hospital is affiliated with Butler Health System.
Butler Memorial Hospital lists 30 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
298 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.
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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