Heritage Valley Health System · Sewickley, PA
41
In-network payers
285
Disclosed rate categories
176
Beds
4
Care quality
Heritage Valley Sewickley is a 176-bed voluntary non-profit - private hospital in Sewickley, PA, affiliated with Heritage Valley Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 41 in-network payers and 285 disclosed rate categories.
CCN (Medicare provider number)
390037
NPI
1588770416
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
176
Care Quality
4
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 Heritage Valley Sewickley 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
$5,530 - $6,483
from 4 insurers · median $6,369
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
Medicine & Surgery · Inpatient
MS-DRG 470
$10,672 - $20,938
from 4 insurers · median $18,942
80 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 788
$5,002 - $8,863
from 4 insurers · median $8,527
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
Medicine & Surgery · Inpatient
MS-DRG 460
$29,736 - $36,622
from 4 insurers · median $34,492
23 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 807
$5,530 - $6,483
from 4 insurers · median $6,369
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
CT imaging
CPT 74177
$316 - $834
from 4 insurers · median $654
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$4,643 - $10,995
from 2 insurers · median $7,819
26 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 66984
$1,094 - $3,843
from 3 insurers · median $2,534
200 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 70450
$175 - $834
from 4 insurers · median $470
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$4,643 - $10,995
from 2 insurers · median $7,819
26 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 473
$13,815 - $24,779
from 4 insurers · median $24,035
Hospital reports neurosurgical services to CMS
Digestive procedures
CPT 45385
$879 - $1,614
from 3 insurers · median $1,569
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$4,643 - $16,857
from 2 insurers · median $10,750
Typical for a hospital with this service line
Urology
CPT 50590
$1,427 - $6,247
from 3 insurers · median $4,643
68 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$821 - $1,614
from 3 insurers · median $1,309
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$921 - $1,947
from 3 insurers · median $1,614
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$213 - $891
from 4 insurers · median $526
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$112 - $163
from 4 insurers · median $145
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$168 - $834
from 4 insurers · median $540
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$1,207 - $3,142
from 4 insurers · median $2,903
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$97 - $834
from 4 insurers · median $562
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$522 - $2,366
from 4 insurers · median $1,686
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$262 - $1,478
from 4 insurers · median $902
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$32 - $144
from 4 insurers · median $113
Common here, based on CMS Medicare volume
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* | 16 | 197% | 9 | 3 |
| Insurer B* | 24 | 178% | 3 | 17 |
| Insurer C* | 24 | 132% | 5 | 16 |
| Insurer D* | 21 | 72% | 0 | 18 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 13 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 Heritage Valley Sewickley.
720 Blackburn Road, Sewickley, PA 15143
(412) 741-7000
The nearest hospitals of similar type and size. Their rates are compared with Heritage Valley Sewickley for the same insurers and services above.
Ahn Wexford Hospital
▲ Rates typically 92% higher than Heritage Valley Sewickley (21 services)
St. Clair Hospital
▲ Rates typically 45% higher than Heritage Valley Sewickley (21 services)
West Penn Hospital
▲ Rates typically 92% higher than Heritage Valley Sewickley (21 services)
Upmc St Margaret
▲ Rates typically 118% higher than Heritage Valley Sewickley (18 services)
Canonsburg Hospital
▼ Rates typically 6% lower than Heritage Valley Sewickley (20 services)
Weirton Medical Center
▲ Rates typically 157% higher than Heritage Valley Sewickley (21 services)
Heritage Valley Beaver
Nazareth Hospital - Pa
The Milton S Hershey Medical Center
Milton S. Hershey Medical Center
About Heritage Valley Sewickley's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Heritage Valley Sewickley range from $262 to $1,478 across 4 insurers. Blue Cross Blue Shield's rate is $666. The median at nearby comparable hospitals is $702. 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 Heritage Valley Sewickley range from $316 to $834 across 4 insurers. Aetna's rate is $316. The median at nearby comparable hospitals is $662. 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 Heritage Valley Sewickley range from $879 to $1,614 across 3 insurers. UnitedHealthcare's rate is $1,614. The median at nearby comparable hospitals is $2,129. 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 Heritage Valley Sewickley range from $5,530 to $6,483 across 4 insurers. Cigna's rate is $6,282. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Heritage Valley Sewickley range from $112 to $163 across 4 insurers. Aetna's rate is $112. The median at nearby comparable hospitals is $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 Heritage Valley Sewickley range from $10,672 to $20,938 across 4 insurers. Blue Cross Blue Shield's rate is $20,938. The median at nearby comparable hospitals is $28,510. What a patient pays depends on their plan's deductible, coinsurance and network status.
Heritage Valley Sewickley has 176 beds. Facility type: Short Term Acute Care Hospital.
Heritage Valley Sewickley is located at 720 Blackburn Road, Sewickley, PA 15143. Its main phone number is (412) 741-7000.
Heritage Valley Sewickley's CMS Certification Number (CCN), also called its Medicare provider number, is 390037.
The National Provider Identifier (NPI) on file for Heritage Valley Sewickley is 1588770416.
Heritage Valley Sewickley is affiliated with Heritage Valley Health System.
Heritage Valley Sewickley 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.
285 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