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Mary Rutan Hospital

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Hospital Overview
Facility Details

CCN

360197

NPI

1548254931

Type

Short Term Acute Care Hospital

Ownership

Voluntary Non-Profit - Private

Beds

115

Contact Information

Address

205 Palmer Avenue

Bellefontaine, OH 43311

Phone

(937) 599-7002

Insurance Accepted
Medicare
Medicaid
Aetna
BCBS
Cigna
United (incl Optum)

💡

Important Notice

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.

Price Transparency Contract Information
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💡 The data below comes from CMS-mandated price transparency data. Learn more.

💡 Tip: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

PayerCategoryCode Type & GroupContract TypeRate Compared to State Average

Aetna

Facility

RC

Room and Board Ward

Range: 0150 - 0159

Percentage of Bill Charged

Aetna

Outpatient

CPT

Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Medical And Surgical Supplies

Range: A4206 - A8004

Negotiated

Very Low

Aetna

Facility

RC

Room and Board Private (one bed)

Range: 0110 - 0119

Percentage of Bill Charged

Aetna

Outpatient

CPT

Surgery

Range: 10004 - 69990

Negotiated

Very Low

Aetna

Outpatient

HCPCS

Components, Accessories and Supplies

Range: K1001 - K1035

Negotiated

Very Low

Aetna

Outpatient

CPT

Category III Codes

Range: 0042T - 0810T

Negotiated

Very Low

Aetna

Facility

RC

Leave of Absence

Range: 0180 - 0189

Percentage of Bill Charged

Aetna

Outpatient

CPT

Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

Aetna

Facility

RC

Room and Board Deluxe Private

Range: 0140 - 0149

Percentage of Bill Charged

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Hospital Location
COMPLEMENTARY MARKET OVERVIEW

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