Punxsutawney, PA
30
In-network payers
187
Disclosed rate categories
49
Beds
2
Care quality
Punxsutawney Area Hospital is a 49-bed voluntary non-profit - private hospital in Punxsutawney, PA. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 187 disclosed rate categories.
CCN (Medicare provider number)
390199
NPI
1265449870
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
49
Care Quality
2
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 Punxsutawney Area 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 807
$2,784 - $25,976
from 4 insurers · median $6,094
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
Childbirth · Inpatient
MS-DRG 788
$3,837 - $35,995
from 4 insurers · median $8,888
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
Medicine & Surgery · Inpatient
MS-DRG 460
$15,557 - $279,155
from 3 insurers · median $79,729
Hospital reports orthopedic surgery services to CMS
Childbirth · Inpatient
MS-DRG 807
$2,784 - $25,976
from 4 insurers · median $6,094
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
CPT 66984
$4,608
negotiated rate
76 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 74177
$322 - $827
from 4 insurers · median $360
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$10,272 - $32,092
from 4 insurers · median $22,105
Hospital reports orthopedic surgery services to CMS
Cardiology and vascular testing
CPT 93306
$219 - $1,276
from 4 insurers · median $664
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$23,088
negotiated rate
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$467 - $3,841
from 4 insurers · median $2,253
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$8,048 - $46,277
from 4 insurers · median $15,852
Hospital reports orthopedic surgery services to CMS
Mammography
CPT 77067
$72 - $152
from 4 insurers · median $134
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$35 - $259
from 4 insurers · median $142
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,580
negotiated rate
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$2,246
negotiated rate
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$195 - $1,476
from 4 insurers · median $374
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,580
negotiated rate
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$116 - $664
from 4 insurers · median $417
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$10,959
negotiated rate
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$14,102
negotiated rate
Typical for a hospital with this service line
Urology
CPT 50590
$6,767
negotiated rate
16 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Nuclear imaging
CPT 78815
$1,215 - $3,342
from 4 insurers · median $1,358
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$99 - $257
from 4 insurers · median $109
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$14,210
negotiated rate
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* | 23 | 223% | 11 | 7 |
| Insurer B* | 15 | 147% | 6 | 4 |
| Insurer C* | 15 | 102% | 0 | 3 |
| Insurer D* | 15 | 80% | 1 | 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 Punxsutawney Area Hospital.
81 Hillcrest Drive, Punxsutawney, PA 15767
(814) 938-1800
The nearest hospitals of similar type and size. Their rates are compared with Punxsutawney Area Hospital for the same insurers and services above.
Conemaugh Miners Medical Center
▲ Rates typically 162% higher than Punxsutawney Area Hospital (14 services)
Clarion Hospital
▼ Rates typically 11% lower than Punxsutawney Area Hospital (20 services)
Clearfield Hospital
▲ Rates typically 14% higher than Punxsutawney Area Hospital (21 services)
Windber Medical Center
▼ Rates typically 15% lower than Punxsutawney Area Hospital (19 services)
Upmc Kane
▲ Rates typically 7% higher than Punxsutawney Area Hospital (15 services)
Nason Hospital
▼ Rates typically 22% lower than Punxsutawney Area Hospital (19 services)
Advanced Surgical Hospital
Temple University Hospital – Jeanes Campus
Temple Women & Families
Surgical Institute Of Reading
About Punxsutawney Area Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Punxsutawney Area Hospital range from $322 to $827 across 4 insurers. Aetna's rate is $356. The median at nearby comparable hospitals is $698. 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 Punxsutawney Area Hospital range from $2,580 to $2,580 across 1 insurers. Blue Cross Blue Shield's rate is $2,580. The median at nearby comparable hospitals is $2,243. 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 Punxsutawney Area Hospital range from $2,784 to $25,976 across 4 insurers. Cigna's rate is $25,976. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Punxsutawney Area Hospital range from $72 to $152 across 4 insurers. Cigna's rate is $135. The median at nearby comparable hospitals is $165. 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 Punxsutawney Area Hospital range from $8,048 to $46,277 across 4 insurers. Blue Cross Blue Shield's rate is $13,638. The median at nearby comparable hospitals is $18,397. What a patient pays depends on their plan's deductible, coinsurance and network status.
Punxsutawney Area Hospital has 49 beds. Facility type: Short Term Acute Care Hospital.
Punxsutawney Area Hospital is located at 81 Hillcrest Drive, Punxsutawney, PA 15767. Its main phone number is (814) 938-1800.
Punxsutawney Area Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 390199.
The National Provider Identifier (NPI) on file for Punxsutawney Area Hospital is 1265449870.
Punxsutawney Area Hospital lists 30 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.
187 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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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