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HOSPITAL

D/B/A LECOM HEALTH

Warren, PA

2 W CRESCENT PARK, Warren, PA 163652111

31

In-network payers

About this hospital

D/B/A LECOM HEALTH is a hospital in Warren, PA. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 188 disclosed rate categories.

  • 340B participant
  • ACO participant
CCN
391319
NPI
1659360220
Website
wgh.org
County
Warren County
Metro area
Warren, PA MicroSA
Medicare contractor
Jurisdiction L, Novitas Solutions (12501)
In Medicare since
2026
Last CMS survey
2025

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 Anesthesia

Range: 00100 - 01999

Negotiated

Average

Aetna

Outpatient

CPT Category II Codes

Range: 0001F - 9007F

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

-

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 Radiology Procedures

Range: 70010 - 79999

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Surgery

Range: 10004 - 69990

Negotiated

Very Low

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)
Aspirus Health PlanAvera Health PlansBanner HealthCenteneEMI HealthHarvard Pilgrim Health Care (Point32Health)

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for D/B/A LECOM HEALTH in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
25-0965598Warren General Hospital48Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 43 more1659360220 Warren General Hospital1508803701 Warren General Hospital1760471551 Warren General Hospitaland 23 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

2 W CRESCENT PARK, Warren, PA 163652111

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Frequently asked questions

About D/B/A LECOM HEALTH's rates and hospital price transparency.

Who is the CEO of D/B/A LECOM HEALTH?

D/B/A LECOM HEALTH's Medicare enrollment lists Daniel W Grolemund as Chief Executive Officer since 2025.

What is D/B/A LECOM HEALTH's tax ID (EIN)?

Insurers' price transparency files list D/B/A LECOM HEALTH under employer identification number 25-0965598 (Warren General Hospital). 48 health plans and networks list 25-0965598 for it.

Does D/B/A LECOM HEALTH participate in the 340B drug pricing program?

Yes. HRSA's 340B database lists D/B/A LECOM HEALTH (340B ID CAH391319-00) as a participating critical access hospital since 2026, with 24 active contract pharmacies.

How many doctors are affiliated with D/B/A LECOM HEALTH?

223 clinicians who bill Medicare list D/B/A LECOM HEALTH as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are physician assistant (28), family nurse practitioner (20), family medicine physician (16).

Is D/B/A LECOM HEALTH accredited?

CMS's Provider of Services file lists no accrediting organization for D/B/A LECOM HEALTH; it is certified for Medicare through state survey.

Who owns D/B/A LECOM HEALTH?

In its Medicare enrollment, D/B/A LECOM HEALTH reports Care Corporation Of Warren as 5% or greater direct ownership interest (55%).

Where is D/B/A LECOM HEALTH and what is its phone number?

D/B/A LECOM HEALTH is located at 2 W CRESCENT PARK, Warren, PA 163652111.

What is D/B/A LECOM HEALTH's CCN (Medicare provider number)?

D/B/A LECOM HEALTH's CMS Certification Number (CCN), also called its Medicare provider number, is 391319.

What is D/B/A LECOM HEALTH's NPI number?

The National Provider Identifier (NPI) on file for D/B/A LECOM HEALTH is 1659360220.

Which insurance plans are in network at D/B/A LECOM HEALTH?

D/B/A LECOM HEALTH lists 31 in-network payers, including Aetna, Aspirus Health Plan, 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.

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
      }
    ]
  }]
}
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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.

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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