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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Eastern Niagara Hospital

Lockport, NY

521 East Avenue, Lockport, NY 14094(716) 514-5700

109

Beds

196

Inpatient discharges a year

$9.2M

Net patient revenue a year

20

In-network payers

About this hospital

Eastern Niagara Hospital is a 109-bed voluntary non-profit - private hospital in Lockport, NY. Below you'll find publicly disclosed negotiated rates and facility details, including 20 in-network payers and 21 disclosed rate categories.

CCN
330163
NPI
1063400539
Medicare contractor
Jurisdiction K, National Government Services (13001)

Negotiated Rates

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

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PayerCategoryCode Type & GroupContract Typevs. State Average

BCBS

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Negotiated

Very Low

BCBS

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

BCBS

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very Low

BCBS

Outpatient

CPT Radiology Procedures

Range: 70010 - 79999

Negotiated

Very Low

BCBS

Outpatient

CPT Surgery

Range: 10004 - 69990

Negotiated

Very Low

BCBS

Outpatient

HCPCS Administrative, Miscellaneous and Investigational

Range: A9150 - A9999

Negotiated

Very Low

BCBS

Outpatient

HCPCS Drugs Administered Other than Oral Method

Range: J0120 - J8999

Negotiated

Very Low

BCBS

Outpatient

HCPCS Miscellaneous Medical Services

Range: M0075 - M0301

Negotiated

Very Low

BCBS

Outpatient

HCPCS Outpatient PPS

Range: C1713 - C9899

Negotiated

Very Low

BCBS

Outpatient

HCPCS Procedures / Professional Services

Range: G0008 - G9987

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
BCBS
Aspirus Health PlanCenteneComPsychDean Health PlanEmblemHealthFirst Health

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Eastern Niagara 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
16-1137084Eastern Niagara Hospital30Aetna, Aspirus Health Plan, BCBS, Baylor Scott & White Health Plan, Centene and 25 more1063400539 Eastern Niagara Hospital Inc1407095532 Lockport Memorial Hospital1023016250 Dr Juan De Rosas Physician Pcand 1 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

521 East Avenue, Lockport, NY 14094

(716) 514-5700

Get directions

Frequently asked questions

About Eastern Niagara Hospital's rates and hospital price transparency.

How many patients does Eastern Niagara Hospital admit?

Eastern Niagara Hospital reported 196 inpatient discharges and 2,069 inpatient days from Jan 1, 2023 to Jun 17, 2023.

How many employees does Eastern Niagara Hospital have?

Eastern Niagara Hospital reported 250 full-time-equivalent employees on payroll from Jan 1, 2023 to Jun 17, 2023.

How much revenue does Eastern Niagara Hospital make?

Eastern Niagara Hospital reported $9.2M in net patient revenue on $34M of gross charges for Jan 1, 2023 to Jun 17, 2023, an operating margin of -81.2%, and net income of $935,398.

How much charity and uncompensated care does Eastern Niagara Hospital provide?

Eastern Niagara Hospital reported $2.5M of unreimbursed and uncompensated care for Jan 1, 2023 to Jun 17, 2023, including $4,939 of charity care at cost.

What is Eastern Niagara Hospital's tax ID (EIN)?

Insurers' price transparency files list Eastern Niagara Hospital under employer identification number 16-1137084 (Eastern Niagara Hospital). 30 health plans and networks list 16-1137084 for it.

Does Eastern Niagara Hospital participate in the 340B drug pricing program?

HRSA's 340B database lists Eastern Niagara Hospital (340B ID DSH330163) as no longer participating since 2022.

What services does Eastern Niagara Hospital offer?

CMS lists 35 services at Eastern Niagara Hospital, including Alcohol and/or Drug Service, Anesthesia, Audiology, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Chemotherapy, Clinical Laboratory.

How many beds does Eastern Niagara Hospital have?

Eastern Niagara Hospital has 109 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.

Where is Eastern Niagara Hospital and what is its phone number?

Eastern Niagara Hospital is located at 521 East Avenue, Lockport, NY 14094. Its main phone number is (716) 514-5700.

What is Eastern Niagara Hospital's CCN (Medicare provider number)?

Eastern Niagara Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 330163.

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
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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
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