Penn Highlands Healthcare · Dubois, PA
41
In-network payers
269
Disclosed rate categories
216
Beds
2
Care quality
Dubois Regional Medical Center is a 216-bed voluntary non-profit - other hospital in Dubois, PA, affiliated with Penn Highlands Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 41 in-network payers and 269 disclosed rate categories.
CCN (Medicare provider number)
390086
NPI
1144249657
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Other
Beds
216
Care Quality
2
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 Dubois Regional 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.
Childbirth · Inpatient
MS-DRG 807
$5,588 - $10,194
from 4 insurers · median $6,576
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
$6,566 - $14,497
from 4 insurers · median $10,215
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
CPT 58558
$5,362 - $6,594
from 2 insurers · median $5,978
17 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 470
$16,408 - $29,165
from 4 insurers · median $23,010
45 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 47562
$3,954 - $15,041
from 2 insurers · median $9,498
106 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Ear, nose and throat
CPT 69436
$3,793 - $8,488
from 2 insurers · median $6,141
15 Medicare claims in Level 3 ENT Procedures (CMS 2024)
CT imaging
CPT 74177
$490 - $1,019
from 3 insurers · median $828
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$1,226 - $2,297
from 2 insurers · median $1,762
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,630 - $5,101
from 2 insurers · median $3,865
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,981 - $3,838
from 2 insurers · median $2,910
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$5,367 - $7,246
from 2 insurers · median $6,306
274 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Digestive procedures
CPT 49650
$5,832 - $10,037
from 2 insurers · median $7,934
106 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 216
$73,019 - $147,916
from 4 insurers · median $112,660
Hospital reports cardiac thoracic surgery services to CMS
Digestive procedures
CPT 45380
$1,767 - $2,655
from 2 insurers · median $2,211
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$6,620 - $7,244
from 2 insurers · median $6,932
40 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Mammography
CPT 77067
$183 - $221
from 3 insurers · median $212
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$5,594 - $15,805
from 2 insurers · median $10,700
22 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$5,588 - $10,194
from 4 insurers · median $6,576
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
X-ray and bone density
CPT 71046
$59 - $210
from 3 insurers · median $184
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$730 - $3,320
from 3 insurers · median $2,448
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$8,834 - $15,671
from 2 insurers · median $12,252
Typical for a hospital with this service line
CT imaging
CPT 74176
$250 - $622
from 3 insurers · median $514
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$132 - $291
from 3 insurers · median $222
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 30520
$1,176 - $6,595
from 2 insurers · median $3,886
15 Medicare claims in Level 4 ENT Procedures (CMS 2024)
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 | 228% | 12 | 4 |
| Insurer B* | 11 | 207% | 2 | 5 |
| Insurer C* | 24 | 143% | 12 | 8 |
| Insurer D* | 5 | - | 0 | 2 |
How we chose these services: 9 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 5 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 Dubois Regional Medical Center.
100 Hospital Avenue, Dubois, PA 15801
(814) 371-2200
The nearest hospitals of similar type and size. Their rates are compared with Dubois Regional Medical Center for the same insurers and services above.
Indiana Regional Medical Center
▲ Rates typically 21% higher than Dubois Regional Medical Center (21 services)
Acmh Hospital
▼ Rates typically 12% lower than Dubois Regional Medical Center (17 services)
Upmc Altoona
▼ Rates typically 13% lower than Dubois Regional Medical Center (21 services)
Mount Nittany Medical Center
▲ Rates typically 52% higher than Dubois Regional Medical Center (21 services)
Upmc Northwest
▼ Rates typically 24% lower than Dubois Regional Medical Center (21 services)
Butler Memorial Hospital
▼ Rates typically 24% lower than Dubois Regional Medical Center (21 services)
Clearfield Hospital
Penn Highlands Huntingdon
Doylestown Hospital
Lehigh Valley Hospital – Pocono
About Dubois Regional Medical Center's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Dubois Regional Medical Center range from $490 to $1,019 across 3 insurers. Blue Cross Blue Shield's rate is $1,019. The median at nearby comparable hospitals is $911. 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 Dubois Regional Medical Center range from $2,630 to $5,101 across 2 insurers. Blue Cross Blue Shield's rate is $2,630. The median at nearby comparable hospitals is $1,485. 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 Dubois Regional Medical Center range from $5,588 to $10,194 across 4 insurers. Cigna's rate is $5,735. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Dubois Regional Medical Center range from $183 to $221 across 3 insurers. Cigna's rate is $183. The median at nearby comparable hospitals is $176. 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 Dubois Regional Medical Center range from $16,408 to $29,165 across 4 insurers. Aetna's rate is $29,165. The median at nearby comparable hospitals is $24,112. What a patient pays depends on their plan's deductible, coinsurance and network status.
Dubois Regional Medical Center has 216 beds. Facility type: Short Term Acute Care Hospital.
Dubois Regional Medical Center is located at 100 Hospital Avenue, Dubois, PA 15801. Its main phone number is (814) 371-2200.
Dubois Regional Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 390086.
The National Provider Identifier (NPI) on file for Dubois Regional Medical Center is 1144249657.
Dubois Regional Medical Center is affiliated with Penn Highlands Healthcare.
Dubois Regional Medical Center lists 41 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.
269 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.
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{
"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