Transfer, PA
27
In-network payers
169
Disclosed rate categories
10
Beds
Edgewood Surgical Hospital is a 10-bed physician hospital in Transfer, PA. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 169 disclosed rate categories.
CCN (Medicare provider number)
390307
NPI
1659392595
Type
Short Term Acute Care Hospital
Ownership
Physician
Beds
10
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 Edgewood Surgical 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.
Medicine & Surgery · Inpatient
MS-DRG 470
$11,367 - $15,884
from 4 insurers · median $13,448
81 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 66984
$2,145 - $2,837
from 4 insurers · median $2,723
415 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 74177
$366 - $536
from 4 insurers · median $430
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$9,846 - $12,902
from 3 insurers · median $11,909
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$626 - $840
from 4 insurers · median $651
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$5,647 - $9,289
from 4 insurers · median $6,942
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$894 - $1,394
from 4 insurers · median $1,065
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$800 - $1,839
from 4 insurers · median $1,313
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$800 - $1,452
from 3 insurers · median $978
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 42820
$6,645 - $9,096
from 4 insurers · median $7,052
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$5,647 - $7,338
from 2 insurers · median $6,492
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$94 - $134
from 4 insurers · median $104
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$5,647 - $7,338
from 2 insurers · median $6,492
Typical for a hospital with this service line
Orthopedics and pain
CPT 27446
$14,138 - $19,351
from 3 insurers · median $15,583
233 Medicare claims in Level 5 Musculoskeletal Procedures (CMS 2024)
CT imaging
CPT 70450
$97 - $127
from 3 insurers · median $122
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$253 - $290
from 3 insurers · median $277
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$2,553 - $3,929
from 3 insurers · median $3,637
Typical for a hospital with this service line
Gynecology
CPT 58662
$5,647 - $7,338
from 2 insurers · median $6,492
Typical for a hospital with this service line
Medicine & Surgery
CPT 55866
$9,846 - $12,902
from 2 insurers · median $11,374
Typical for a hospital with this service line
Orthopedics and pain
CPT 29888
$8,117 - $8,807
from 4 insurers · median $8,445
Typical for a hospital with this service line
MRI imaging
CPT 70553
$399 - $423
from 2 insurers · median $411
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 63030
$2,950 - $10,744
from 4 insurers · median $7,987
Typical for a hospital with this service line
CT imaging
CPT 71260
$179 - $213
from 2 insurers · median $196
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$1,379 - $1,883
from 3 insurers · median $1,694
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* | 12 | 150% | 7 | 4 |
| Insurer B* | 24 | 119% | 0 | 24 |
| Insurer C* | 17 | 110% | 0 | 0 |
| Insurer D* | 24 | 96% | 7 | 13 |
How we chose these services: 3 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 11 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 Edgewood Surgical Hospital.
239 Edgewood Drive Extension, Transfer, PA 16154
(724) 646-0400
The nearest hospitals of similar type and size. Their rates are compared with Edgewood Surgical Hospital for the same insurers and services above.
Advanced Surgical Hospital
â–² Rates typically 64% higher than Edgewood Surgical Hospital (24 services)
Southeast Michigan Surgical Hospital
â–² Rates typically 10% higher than Edgewood Surgical Hospital (24 services)
Institute For Orthopaedic Surgery
â–² Rates typically 30% higher than Edgewood Surgical Hospital (13 services)
Surgical Institute Of Reading
â–² Rates typically 29% higher than Edgewood Surgical Hospital (23 services)
Physicians Care Surgical Hospital
â–² Rates typically 40% higher than Edgewood Surgical Hospital (24 services)
North Carolina Specialty Hospital
â–¼ Rates typically 32% lower than Edgewood Surgical Hospital (19 services)
Uniontown Hospital
Upmc Williamsport
Upmc Northwest
Rothman Orthopaedic Specialty Hospital
About Edgewood Surgical Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Edgewood Surgical Hospital range from $399 to $423 across 2 insurers. Aetna's rate is $399. The median at nearby comparable hospitals is $535. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Edgewood Surgical Hospital range from $366 to $536 across 4 insurers. UnitedHealthcare's rate is $423. The median at nearby comparable hospitals is $510. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Edgewood Surgical Hospital range from $800 to $1,839 across 4 insurers. UnitedHealthcare's rate is $1,452. The median at nearby comparable hospitals is $2,139. 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 Edgewood Surgical Hospital range from $11,367 to $15,884 across 4 insurers. Aetna's rate is $12,713. The median at nearby comparable hospitals is $18,858. What a patient pays depends on their plan's deductible, coinsurance and network status.
Edgewood Surgical Hospital has 10 beds. Facility type: Short Term Acute Care Hospital.
Edgewood Surgical Hospital is located at 239 Edgewood Drive Extension, Transfer, PA 16154. Its main phone number is (724) 646-0400.
Edgewood Surgical Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 390307.
The National Provider Identifier (NPI) on file for Edgewood Surgical Hospital is 1659392595.
Edgewood Surgical Hospital lists 27 in-network payers, including Aetna, Aspirus Health Plan, BCBS, Banner Health, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
169 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.
For hospital finance and compliance teams
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