Indiana Regional Medical Center · Indiana, PA
35
In-network payers
215
Disclosed rate categories
166
Beds
3
Care quality
Indiana Regional Medical Center is a 166-bed voluntary non-profit - private hospital in Indiana, PA, affiliated with Indiana Regional Medical Center. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 215 disclosed rate categories.
CCN (Medicare provider number)
390173
NPI
1356334510
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
166
Care Quality
3
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 Indiana 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
$6,725 - $8,414
from 4 insurers · median $7,538
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
$9,162 - $11,966
from 4 insurers · median $11,091
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 58571
$28,489 - $29,525
from 2 insurers · median $29,007
13 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 47562
$7,487 - $16,546
from 3 insurers · median $15,965
25 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 470
$19,594 - $24,304
from 4 insurers · median $23,607
11 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 49650
$15,965 - $16,638
from 2 insurers · median $16,301
25 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$6,725 - $8,414
from 4 insurers · median $7,538
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
$364 - $977
from 4 insurers · median $814
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$37,238 - $58,382
from 3 insurers · median $39,618
Hospital reports neurosurgical services to CMS
Digestive procedures
CPT 45380
$3,226 - $3,381
from 2 insurers · median $3,304
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$483 - $3,226
from 3 insurers · median $2,678
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$353 - $2,591
from 3 insurers · median $2,566
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$25,432 - $40,369
from 4 insurers · median $28,720
Hospital reports neurosurgical services to CMS
Medicine & Surgery
CPT 49505
$9,574 - $9,657
from 2 insurers · median $9,616
11 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Cardiology and vascular testing
CPT 93306
$266 - $1,402
from 4 insurers · median $907
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,351 - $3,608
from 4 insurers · median $2,784
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$14,717 - $15,965
from 2 insurers · median $15,341
Typical for a hospital with this service line
Urology
CPT 50590
$7,599 - $9,438
from 3 insurers · median $8,672
32 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
X-ray and bone density
CPT 71046
$91 - $231
from 4 insurers · median $182
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$8,700 - $9,017
from 2 insurers · median $8,859
Typical for a hospital with this service line
CT imaging
CPT 70450
$109 - $385
from 4 insurers · median $249
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$249 - $623
from 4 insurers · median $511
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$42 - $163
from 4 insurers · median $131
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$1,450 - $4,038
from 4 insurers · median $2,733
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* | 22 | 264% | 16 | 1 |
| Insurer B* | 24 | 262% | 7 | 6 |
| Insurer C* | 19 | 157% | 7 | 9 |
| Insurer D* | 14 | 102% | 0 | 11 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 7 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 Indiana Regional Medical Center.
835 Hospital Road, Indiana, PA 15701
(724) 357-7000
The nearest hospitals of similar type and size. Their rates are compared with Indiana Regional Medical Center for the same insurers and services above.
Excela Latrobe Hospital
▼ Rates typically 24% lower than Indiana Regional Medical Center (21 services)
Acmh Hospital
▼ Rates typically 13% lower than Indiana Regional Medical Center (18 services)
Allegheny Valley Hospital
▼ Rates typically 17% lower than Indiana Regional Medical Center (21 services)
Forbes Hospital
▼ Rates typically 16% lower than Indiana Regional Medical Center (21 services)
Upmc East
▼ Rates typically 14% lower than Indiana Regional Medical Center (18 services)
Upmc St Margaret
Rates about the same as Indiana Regional Medical Center (15 services)
Upmc Williamsport
St. Mary Medical Center
Wellspan Good Samaritan Hospital
Lehigh Valley - 17th Street
About Indiana Regional Medical Center's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Indiana Regional Medical Center range from $364 to $977 across 4 insurers. UnitedHealthcare's rate is $364. The median at nearby comparable hospitals is $853. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Indiana Regional Medical Center range from $3,226 to $3,381 across 2 insurers. Blue Cross Blue Shield's rate is $3,381. The median at nearby comparable hospitals is $2,118. 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 Indiana Regional Medical Center range from $6,725 to $8,414 across 4 insurers. Cigna's rate is $7,512. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Indiana Regional Medical Center range from $42 to $163 across 4 insurers. Blue Cross Blue Shield's rate is $130. 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 Indiana Regional Medical Center range from $19,594 to $24,304 across 4 insurers. Aetna's rate is $24,073. The median at nearby comparable hospitals is $28,436. What a patient pays depends on their plan's deductible, coinsurance and network status.
Indiana Regional Medical Center has 166 beds. Facility type: Short Term Acute Care Hospital.
Indiana Regional Medical Center is located at 835 Hospital Road, Indiana, PA 15701. Its main phone number is (724) 357-7000.
Indiana Regional Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 390173.
The National Provider Identifier (NPI) on file for Indiana Regional Medical Center is 1356334510.
Indiana Regional Medical Center lists 35 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
215 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