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Short Term Acute Care Hospital

Lake Shore Health Care Center (Closed)

Irving, NY

845 Route 5 And 20, Irving, NY 140817169517000

6

In-network payers

About this hospital

Lake Shore Health Care Center (Closed) is a hospital in Irving, NY. Below you'll find publicly disclosed negotiated rates and facility details, including 6 in-network payers and 72 disclosed rate categories.

CCN
330132
NPI
1487738886

Negotiated Rates

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

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PayerCategoryCode Type & GroupContract Typevs. State Average

United

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Negotiated

Very Low

United

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Negotiated

High

United

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

United

Outpatient

CPT Multianalyte Assay

Range: 0002M - 0018M

Negotiated

Very High

United

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very High

United

Outpatient

CPT Proprietary Laboratory Analyses

Range: 0001U - 0401U

Negotiated

Very High

United

Outpatient

CPT Radiology Procedures

Range: 70010 - 79999

Negotiated

Very High

United

Outpatient

CPT Surgery

Range: 10004 - 69990

Negotiated

Very Low

United

Outpatient

HCPCS Administrative, Miscellaneous and Investigational

Range: A9150 - A9999

Negotiated

Very High

United

Outpatient

HCPCS Ambulance and Other Transport Services and Supplies

Range: A0021 - A0999

Negotiated

Very High

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
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
CenteneHarvard Pilgrim Health Care (Point32Health)Kaiser PermanenteMass General Brigham (formerly AllWays Health Partners)UPMC Health Plan

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Lake Shore Health Care Center (Closed) in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
16-0743301Brooks Memorial Hospital42Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 37 more1215917224 Brooks-tlc Hospital System Inc.1487738886 Brooks - Tlc Hospital System Inc.1598876732 Brooks - Tlc Hospital System Inc.and 5 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

845 Route 5 And 20, Irving, NY 14081

7169517000

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Frequently asked questions

About Lake Shore Health Care Center (Closed)'s rates and hospital price transparency.

What is Lake Shore Health Care Center (Closed)'s tax ID (EIN)?

Insurers' price transparency files list Lake Shore Health Care Center (Closed) under employer identification number 16-0743301 (Brooks Memorial Hospital). 42 health plans and networks list 16-0743301 for it.

What services does Lake Shore Health Care Center (Closed) offer?

CMS lists 28 services at Lake Shore Health Care Center (Closed), including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Alcohol and/or Drug Service, Anesthesia, Audiology, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation).

Where is Lake Shore Health Care Center (Closed) and what is its phone number?

Lake Shore Health Care Center (Closed) is located at 845 Route 5 And 20, Irving, NY 14081. Its main phone number is 7169517000.

What is Lake Shore Health Care Center (Closed)'s CCN (Medicare provider number)?

Lake Shore Health Care Center (Closed)'s CMS Certification Number (CCN), also called its Medicare provider number, is 330132.

What is Lake Shore Health Care Center (Closed)'s NPI number?

The National Provider Identifier (NPI) on file for Lake Shore Health Care Center (Closed) is 1487738886.

Which insurance plans are in network at Lake Shore Health Care Center (Closed)?

Lake Shore Health Care Center (Closed) lists 6 in-network payers, including Centene, Harvard Pilgrim Health Care (Point32Health), Kaiser Permanente, Mass General Brigham (formerly AllWays Health Partners), and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

What price transparency data is available for Lake Shore Health Care Center (Closed)?

72 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.

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
Talk to us about your MRF
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