Lecom Health · Erie, PA
37
In-network payers
191
Disclosed rate categories
167
Beds
3
Care quality
Millcreek Community Hospital is a 167-bed voluntary non-profit - private hospital in Erie, PA, affiliated with Lecom Health. Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 191 disclosed rate categories.
CCN (Medicare provider number)
390198
NPI
1548263973
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
167
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 Millcreek Community Hospital 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 788
$2,473 - $9,339
from 2 insurers · median $5,906
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
Childbirth · Inpatient
MS-DRG 807
$6,654
negotiated rate
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 216
$25,230 - $99,373
from 2 insurers · median $62,301
Hospital reports cardiac thoracic surgery services to CMS
Childbirth · Inpatient
MS-DRG 807
$6,654
negotiated rate
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
Medicine & Surgery · Inpatient
MS-DRG 473
$6,296 - $25,304
from 2 insurers · median $15,800
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$4,975 - $19,550
from 3 insurers · median $13,661
Hospital reports orthopedic surgery services to CMS
CT imaging
CPT 74177
$494 - $2,768
from 4 insurers · median $1,107
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$36,633
negotiated rate
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 743
$3,200 - $12,287
from 2 insurers · median $7,744
Hospital reports inpatient surgical services to CMS
Gynecology
CPT 58571
$13,456 - $19,008
from 2 insurers · median $16,232
Typical for a hospital with this service line
CT imaging
CPT 70450
$147 - $1,091
from 4 insurers · median $449
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$307 - $1,092
from 4 insurers · median $834
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$326 - $2,182
from 4 insurers · median $751
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,056 - $2,140
from 3 insurers · median $1,452
Common here, based on CMS Medicare volume
Urology
CPT 52000
$800 - $1,330
from 4 insurers · median $1,060
28 Medicare claims in Level 2 Urology and Related Services (CMS 2024)
Nuclear imaging
CPT 78452
$1,819 - $2,600
from 4 insurers · median $2,198
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,003 - $1,622
from 3 insurers · median $1,056
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,056 - $2,140
from 3 insurers · median $1,084
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$7,086 - $10,810
from 2 insurers · median $8,948
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$120 - $176
from 4 insurers · median $156
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$250 - $1,384
from 4 insurers · median $614
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$505 - $2,084
from 4 insurers · median $1,035
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$91 - $177
from 4 insurers · median $116
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$7,815 - $10,810
from 2 insurers · median $9,313
Typical for a hospital with this service line
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* | 18 | 394% | 6 | 2 |
| Insurer B* | 21 | 175% | 10 | 10 |
| Insurer C* | 14 | 157% | 7 | 7 |
| Insurer D* | 16 | 130% | 2 | 14 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 11 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 Millcreek Community Hospital.
5515 Peach Street, Erie, PA 16509
(814) 864-4031
The nearest hospitals of similar type and size. Their rates are compared with Millcreek Community Hospital for the same insurers and services above.
Meadville Medical Center
▲ Rates typically 40% higher than Millcreek Community Hospital (20 services)
Ashtabula County Medical Center
Rates about the same as Millcreek Community Hospital (20 services)
Upmc Chautauqua
▲ Rates typically 11% higher than Millcreek Community Hospital (16 services)
Glenbeigh Health Sources
Too few shared services to compare rates
Warren General Hospital
▲ Rates typically 59% higher than Millcreek Community Hospital (19 services)
Upmc Northwest
▲ Rates typically 11% higher than Millcreek Community Hospital (20 services)
Upmc Hamot
Ahn Saint Vincent Hospital
Upmc Hamot
St. Joseph Medical Center
About Millcreek Community Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Millcreek Community Hospital range from $505 to $2,084 across 4 insurers. Blue Cross Blue Shield's rate is $505. The median at nearby comparable hospitals is $928. 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 Millcreek Community Hospital range from $494 to $2,768 across 4 insurers. Aetna's rate is $1,591. The median at nearby comparable hospitals is $697. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Millcreek Community Hospital range from $1,056 to $2,140 across 3 insurers. Blue Cross Blue Shield's rate is $1,452. The median at nearby comparable hospitals is $1,551. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Cesarean delivery, hospital stay (MS-DRG 788), published negotiated rates at Millcreek Community Hospital range from $2,473 to $9,339 across 2 insurers. Cigna's rate is $9,339. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Millcreek Community Hospital range from $91 to $177 across 4 insurers. Cigna's rate is $177. The median at nearby comparable hospitals is $185. 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 Millcreek Community Hospital range from $4,975 to $19,550 across 3 insurers. Cigna's rate is $19,550. The median at nearby comparable hospitals is $17,923. What a patient pays depends on their plan's deductible, coinsurance and network status.
Millcreek Community Hospital has 167 beds. Facility type: Short Term Acute Care Hospital.
Millcreek Community Hospital is located at 5515 Peach Street, Erie, PA 16509. Its main phone number is (814) 864-4031.
Millcreek Community Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 390198.
The National Provider Identifier (NPI) on file for Millcreek Community Hospital is 1548263973.
Millcreek Community Hospital is affiliated with Lecom Health.
Millcreek Community Hospital lists 37 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
191 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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{
"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