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Psychiatric Hospital

Pathway Behavioral Health

El Dorado Springs, MO

1301 Industrial Pkwy E, El Dorado Springs, MO 647444178761000

16

Beds

About this hospital

Pathway Behavioral Health is a 16-bed hospital in El Dorado Springs, MO.

CCN
264027
NPI
1952356610

Negotiated Rates

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

Book a call about hospital compliance MRFs

No contract information available for this hospital.

Contract data may be available through direct hospital inquiry.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare

More about this hospital

Location

1301 Industrial Pkwy E, El Dorado Springs, MO 64744

4178761000

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Frequently asked questions

About Pathway Behavioral Health's rates and hospital price transparency.

What services does Pathway Behavioral Health offer?

CMS lists 26 services at Pathway Behavioral Health, including Adult Inpatient Psychiatric Care, Alcohol and/or Drug Service, Clinical Laboratory, Coronary Care Unit, CT Scan, Diagnostic Radiology.

How many beds does Pathway Behavioral Health have?

Pathway Behavioral Health has 16 beds. Facility type: Psychiatric Hospital.

Where is Pathway Behavioral Health and what is its phone number?

Pathway Behavioral Health is located at 1301 Industrial Pkwy E, El Dorado Springs, MO 64744. Its main phone number is 4178761000.

What is Pathway Behavioral Health's CCN (Medicare provider number)?

Pathway Behavioral Health's CMS Certification Number (CCN), also called its Medicare provider number, is 264027.

What is Pathway Behavioral Health's NPI number?

The National Provider Identifier (NPI) on file for Pathway Behavioral Health is 1952356610.

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