Monongahela, PA
34
In-network payers
194
Disclosed rate categories
200
Beds
3
Care quality
Monongahela Valley Hospital is a 200-bed voluntary non-profit - private hospital in Monongahela, PA. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 194 disclosed rate categories.
CCN (Medicare provider number)
390147
NPI
1912905548
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
200
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 Monongahela Valley 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.
Medicine & Surgery · Inpatient
MS-DRG 216
$85,619 - $147,916
from 2 insurers · median $116,768
Hospital reports cardiac thoracic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$16,882 - $29,165
from 3 insurers · median $17,538
17 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 460
$31,294 - $36,986
from 3 insurers · median $32,111
Hospital reports neurosurgical services to CMS
Medicine & Surgery · Inpatient
MS-DRG 473
$21,491 - $36,913
from 2 insurers · median $29,202
Hospital reports neurosurgical services to CMS
CT imaging
CPT 74177
$628 - $639
from 2 insurers · median $633
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$10,424 - $18,759
from 2 insurers · median $14,592
Hospital reports inpatient surgical services to CMS
Cardiology and vascular testing
CPT 93306
$913 - $1,055
from 3 insurers · median $914
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,735 - $2,441
from 3 insurers · median $1,966
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$181 - $242
from 2 insurers · median $211
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,735 - $1,966
from 3 insurers · median $1,945
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,325 - $1,564
from 3 insurers · median $1,502
Common here, based on CMS Medicare volume
Urology
CPT 50590
$5,752 - $5,907
from 3 insurers · median $5,830
18 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$2,201 - $18,676
from 3 insurers · median $9,730
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,086 - $2,420
from 3 insurers · median $2,177
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$2,433 - $3,071
from 3 insurers · median $2,725
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$59 - $150
from 3 insurers · median $147
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$17,363
negotiated rate
Typical for a hospital with this service line
Gynecology
CPT 58661
$2,918 - $9,730
from 3 insurers · median $9,371
Typical for a hospital with this service line
CT imaging
CPT 70450
$132 - $691
from 3 insurers · median $177
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$295 - $418
from 3 insurers · median $403
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$657 - $965
from 2 insurers · median $811
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$1,923 - $6,929
from 3 insurers · median $5,303
Typical for a hospital with this service line
Gynecology
CPT 58662
$3,690 - $11,401
from 3 insurers · median $9,730
Typical for a hospital with this service line
Orthopedics and pain
CPT 29888
$11,817 - $11,914
from 2 insurers · median $11,865
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* | 20 | 184% | 6 | 11 |
| Insurer B* | 21 | 161% | 9 | 6 |
| Insurer C* | 22 | 142% | 9 | 10 |
How we chose these services: 2 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 10 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 Monongahela Valley Hospital.
1163 Country Club Road, Monongahela, PA 15063
(724) 258-1000
The nearest hospitals of similar type and size. Their rates are compared with Monongahela Valley Hospital for the same insurers and services above.
Jefferson Hospital
â–¼ Rates typically 21% lower than Monongahela Valley Hospital (23 services)
Upmc Mckeesport
â–² Rates typically 93% higher than Monongahela Valley Hospital (13 services)
Canonsburg Hospital
â–² Rates typically 9% higher than Monongahela Valley Hospital (22 services)
St. Clair Hospital
â–² Rates typically 16% higher than Monongahela Valley Hospital (24 services)
Upmc Magee-Womens Hospital
â–² Rates typically 79% higher than Monongahela Valley Hospital (18 services)
The Washington Hospital
Rates about the same as Monongahela Valley Hospital (23 services)
St Lukes Upper Bucks Campus
Upmc Memorial
Ahn Saint Vincent Hospital
Punxsutawney Area Hospital
About Monongahela Valley Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Monongahela Valley Hospital range from $657 to $965 across 2 insurers. Aetna's rate is $965. The median at nearby comparable hospitals is $746. 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 Monongahela Valley Hospital range from $628 to $639 across 2 insurers. Aetna's rate is $628. The median at nearby comparable hospitals is $678. 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 Monongahela Valley Hospital range from $1,735 to $2,441 across 3 insurers. Blue Cross Blue Shield's rate is $2,441. The median at nearby comparable hospitals is $1,743. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Monongahela Valley Hospital range from $181 to $242 across 2 insurers. Aetna's rate is $242. The median at nearby comparable hospitals is $161. 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 Monongahela Valley Hospital range from $16,882 to $29,165 across 3 insurers. Aetna's rate is $29,165. The median at nearby comparable hospitals is $26,821. What a patient pays depends on their plan's deductible, coinsurance and network status.
Monongahela Valley Hospital has 200 beds. Facility type: Short Term Acute Care Hospital.
Monongahela Valley Hospital is located at 1163 Country Club Road, Monongahela, PA 15063. Its main phone number is (724) 258-1000.
Monongahela Valley Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 390147.
The National Provider Identifier (NPI) on file for Monongahela Valley Hospital is 1912905548.
Monongahela Valley Hospital lists 34 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.
194 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.
For hospital finance and compliance teams
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