Adena Health System · Waverly, OH
33
In-network payers
109
Disclosed rate categories
25
Beds
Pike Community Hospital is a 25-bed voluntary non-profit - private hospital in Waverly, OH, affiliated with Adena Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 109 disclosed rate categories.
CCN (Medicare provider number)
361334
NPI
1720018971
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
25
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 Pike 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.
CT imaging
CPT 74177
$759 - $3,468
from 4 insurers · median $2,984
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$168 - $3,131
from 4 insurers · median $2,847
Typical for a hospital with this service line
CT imaging
CPT 70450
$660 - $1,315
from 4 insurers · median $1,131
Typical for a hospital with this service line
CT imaging
CPT 74176
$689 - $2,626
from 4 insurers · median $2,260
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$2,665 - $4,383
from 3 insurers · median $3,976
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$2,665 - $4,894
from 3 insurers · median $4,440
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$2,665 - $5,071
from 3 insurers · median $4,601
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$432 - $5,531
from 4 insurers · median $4,759
Hospital reports nuclear medicine services to CMS
CT imaging
CPT 71260
$683 - $1,734
from 4 insurers · median $1,492
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$2,665 - $4,306
from 3 insurers · median $4,124
Typical for a hospital with this service line
MRI imaging
CPT 70553
$1,085 - $2,572
from 4 insurers · median $2,276
Typical for a hospital with this service line
MRI imaging
CPT 73721
$1,053 - $3,640
from 4 insurers · median $3,132
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$26 - $298
from 4 insurers · median $257
Typical for a hospital with this service line
Mammography
CPT 77067
$120 - $247
from 4 insurers · median $219
Typical for a hospital with this service line
MRI imaging
CPT 70551
$1,083 - $1,995
from 4 insurers · median $1,717
Typical for a hospital with this service line
MRI imaging
CPT 72148
$1,066 - $1,968
from 4 insurers · median $1,693
Typical for a hospital with this service line
Ultrasound
CPT 76705
$67 - $704
from 4 insurers · median $606
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$88 - $1,121
from 4 insurers · median $965
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$31 - $608
from 4 insurers · median $523
Typical for a hospital with this service line
X-ray and bone density
CPT 73030
$28 - $608
from 4 insurers · median $523
Typical for a hospital with this service line
Orthopedics and pain
CPT 20610
$975 - $2,313
from 3 insurers · median $2,098
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$185 - $1,769
from 4 insurers · median $1,522
Typical for a hospital with this service line
Ultrasound
CPT 76830
$52 - $704
from 4 insurers · median $623
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$671 - $4,419
from 4 insurers · median $3,911
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* | 24 | 671% | 20 | 2 |
| Insurer B* | 24 | 606% | 21 | 0 |
| Insurer C* | 24 | 576% | 21 | 0 |
| Insurer D* | 19 | 82% | 8 | 10 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 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 Pike Community Hospital.
100 Dawn Lane, Waverly, OH 45690
(740) 947-2186
The nearest hospitals of similar type and size. Their rates are compared with Pike Community Hospital for the same insurers and services above.
Holzer Medical Center - Jackson
▼ Rates typically 7% lower than Pike Community Hospital (19 services)
Highland District Hospital
▼ Rates typically 21% lower than Pike Community Hospital (24 services)
Adams County Regional Medical Center
▲ Rates typically 118% higher than Pike Community Hospital (21 services)
Hocking Valley Community Hospital
▼ Rates typically 10% lower than Pike Community Hospital (24 services)
Jackson General Hospital
▲ Rates typically 139% higher than Pike Community Hospital (24 services)
Mercy Health - Urbana Hospital
▼ Rates typically 31% lower than Pike Community Hospital (24 services)
Greenfield Area Medical Center
Fayette County Memorial Hospital
Barnesville Hospital
Parkview Montpelier Hospital
About Pike Community Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Pike Community Hospital range from $1,085 to $2,572 across 4 insurers. Cigna's rate is $2,165. The median at nearby comparable hospitals is $1,839. 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 Pike Community Hospital range from $759 to $3,468 across 4 insurers. Aetna's rate is $759. The median at nearby comparable hospitals is $2,003. 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 Pike Community Hospital range from $2,665 to $4,894 across 3 insurers. Blue Cross Blue Shield's rate is $4,894. The median at nearby comparable hospitals is $2,894. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Pike Community Hospital range from $120 to $247 across 4 insurers. UnitedHealthcare's rate is $247. The median at nearby comparable hospitals is $171. What a patient pays depends on their plan's deductible, coinsurance and network status.
Pike Community Hospital has 25 beds. Facility type: Critical Access Hospital.
Pike Community Hospital is located at 100 Dawn Lane, Waverly, OH 45690. Its main phone number is (740) 947-2186.
Pike Community Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 361334.
The National Provider Identifier (NPI) on file for Pike Community Hospital is 1720018971.
Pike Community Hospital is affiliated with Adena Health System.
Pike Community Hospital lists 33 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.
109 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