Connellsville, PA
34
In-network payers
185
Disclosed rate categories
64
Beds
Penn Highlands Connellsville is a 64-bed voluntary non-profit - private hospital in Connellsville, PA. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 185 disclosed rate categories.
CCN (Medicare provider number)
390184
NPI
1144215039
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
64
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 Penn Highlands Connellsville 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 807
$3,838 - $10,194
from 3 insurers · median $5,680
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 obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$3,838 - $14,497
from 3 insurers · median $8,649
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 obstetrics / child birth services to CMS
Medicine & Surgery
CPT 66984
$1,169 - $3,920
from 4 insurers · median $3,394
379 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 216
$97,878 - $147,916
from 2 insurers · median $122,897
Hospital reports cardiac thoracic surgery services to CMS
Gynecology
CPT 58571
$18,058 - $22,781
from 2 insurers · median $20,419
Typical for a hospital with this service line
CT imaging
CPT 74177
$562 - $1,513
from 4 insurers · median $586
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$3,838 - $10,194
from 3 insurers · median $5,680
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 obstetrics / child birth services to CMS
Cardiology and vascular testing
CPT 93306
$702 - $2,323
from 4 insurers · median $837
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$22,150 - $36,913
from 2 insurers · median $29,531
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 45385
$531 - $2,033
from 4 insurers · median $1,470
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$100 - $342
from 4 insurers · median $166
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$531 - $2,033
from 4 insurers · median $1,525
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$913 - $5,532
from 4 insurers · median $2,088
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$2,000 - $10,270
from 4 insurers · median $5,482
Typical for a hospital with this service line
Gynecology
CPT 58661
$4,941 - $12,646
from 3 insurers · median $10,270
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$59 - $373
from 4 insurers · median $135
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$3,566 - $29,165
from 3 insurers · median $17,212
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 43239
$531 - $1,541
from 4 insurers · median $824
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$135 - $450
from 4 insurers · median $176
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$271 - $1,024
from 4 insurers · median $377
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$4,941 - $10,270
from 3 insurers · median $5,669
Typical for a hospital with this service line
Gynecology
CPT 58558
$3,973 - $5,499
from 3 insurers · median $4,897
Typical for a hospital with this service line
Gynecology
CPT 58662
$6,242 - $10,270
from 3 insurers · median $8,618
Typical for a hospital with this service line
CT imaging
CPT 71260
$252 - $754
from 4 insurers · median $348
Common here, based on CMS Medicare volume
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* | 13 | 416% | 8 | 2 |
| Insurer B* | 22 | 166% | 5 | 13 |
| Insurer C* | 24 | 141% | 2 | 19 |
| Insurer D* | 23 | 112% | 3 | 17 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 12 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 Penn Highlands Connellsville.
401 East Murphy Avenue, Connellsville, PA 15425
(724) 628-1500
The nearest hospitals of similar type and size. Their rates are compared with Penn Highlands Connellsville for the same insurers and services above.
Excela Frick Hospital
â–² Rates typically 53% higher than Penn Highlands Connellsville (21 services)
Upmc Somerset
â–² Rates typically 16% higher than Penn Highlands Connellsville (21 services)
Canonsburg Hospital
â–² Rates typically 7% higher than Penn Highlands Connellsville (20 services)
Windber Medical Center
â–¼ Rates typically 12% lower than Penn Highlands Connellsville (21 services)
East Ohio Regional Hospital
â–² Rates typically 33% higher than Penn Highlands Connellsville (21 services)
Reynolds Memorial Hospital
â–² Rates typically 97% higher than Penn Highlands Connellsville (21 services)
Physicians Care Surgical Hospital
Indiana Regional Medical Center
Clarion Hospital
Jefferson Abington Hospital
About Penn Highlands Connellsville's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Penn Highlands Connellsville range from $562 to $1,513 across 4 insurers. Cigna's rate is $1,513. The median at nearby comparable hospitals is $709. 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 Penn Highlands Connellsville range from $531 to $2,033 across 4 insurers. UnitedHealthcare's rate is $2,033. The median at nearby comparable hospitals is $1,956. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Penn Highlands Connellsville range from $3,838 to $10,194 across 3 insurers. Aetna's rate is $10,194. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Penn Highlands Connellsville range from $100 to $342 across 4 insurers. Cigna's rate is $342. The median at nearby comparable hospitals is $147. 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 Penn Highlands Connellsville range from $3,566 to $29,165 across 3 insurers. Aetna's rate is $29,165. The median at nearby comparable hospitals is $18,256. What a patient pays depends on their plan's deductible, coinsurance and network status.
Penn Highlands Connellsville has 64 beds. Facility type: Short Term Acute Care Hospital.
Penn Highlands Connellsville is located at 401 East Murphy Avenue, Connellsville, PA 15425. Its main phone number is (724) 628-1500.
Penn Highlands Connellsville's CMS Certification Number (CCN), also called its Medicare provider number, is 390184.
The National Provider Identifier (NPI) on file for Penn Highlands Connellsville is 1144215039.
Penn Highlands Connellsville 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.
185 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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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