Short Term Acute Care HospitalProprietary

Ellwood City Medical Center

Ellwood City, PA

724 Pershing Street, Ellwood City, PA 16117(724) 752-0081

In-network payers

About this hospital

Ellwood City Medical Center is a proprietary hospital in Ellwood City, PA. Below you'll find publicly disclosed negotiated rates and facility details, including 4 in-network payers.

CCN: 390008
NPI: 1710087069

Negotiated Rates

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

Book a call about hospital compliance MRFs

No contract information available for this hospital.

Contract data may be available through direct hospital inquiry.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Group Health Cooperative of South Central WisconsinKaiser PermanenteSentara Health Plans (Optima Health)Sanford Health Plan

More about this hospital

Doctors and services
27 services
See doctors and services

Location

724 Pershing Street, Ellwood City, PA 16117

(724) 752-0081

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Frequently asked questions

About Ellwood City Medical Center's rates and hospital price transparency.

What services does Ellwood City Medical Center offer?

CMS lists 27 services at Ellwood City Medical Center, including Acute Renal Dialysis, Anesthesia, Clinical Laboratory, Coronary Care Unit, CT Scan, Diagnostic Radiology.

Where is Ellwood City Medical Center and what is its phone number?

Ellwood City Medical Center is located at 724 Pershing Street, Ellwood City, PA 16117. Its main phone number is (724) 752-0081.

What is Ellwood City Medical Center's CCN (Medicare provider number)?

Ellwood City Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 390008.

What is Ellwood City Medical Center's NPI number?

The National Provider Identifier (NPI) on file for Ellwood City Medical Center is 1710087069.

Which insurance plans are in network at Ellwood City Medical Center?

Ellwood City Medical Center lists 4 in-network payers, including Group Health Cooperative of South Central Wisconsin, Kaiser Permanente, Sentara Health Plans (Optima Health), Sanford Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

What is a hospital price transparency MRF?

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.

What is a chargemaster review?

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

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

Talk to us about your chargemaster