Riverview Health Institute

Dayton, OH

One Elizabeth Place, Dayton, OH 454179378531053

In-network payers

About this hospital

Riverview Health Institute is a hospital in Dayton, OH. Below you'll find publicly disclosed negotiated rates and facility details, including 10 in-network payers and 55 disclosed rate categories.

CCN: 360274
NPI: 1639126220

Negotiated Rates

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

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Payer	Category	Code Type & Group	Contract Type	vs. State Average
Aetna	Outpatient	CPT Category II Codes Range: 0001F - 9007F	Negotiated	Very Low
Aetna	Outpatient	CPT Category III Codes Range: 0042T - 0810T	Negotiated	Very Low
Aetna	Outpatient	CPT Category III Codes Range: 0042T - 0810T	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Medicine Services and Procedures Range: 90281 - 99607	Negotiated	Very Low
Aetna	Outpatient	CPT Medicine Services and Procedures Range: 90281 - 99607	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Multianalyte Assay Range: 0002M - 0018M	Negotiated	Very Low
Aetna	Outpatient	CPT Pathology and Laboratory Procedures Range: 80047 - 89398	Negotiated	Very Low
Aetna	Outpatient	CPT Pathology and Laboratory Procedures Range: 80047 - 89398	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Proprietary Laboratory Analyses Range: 0001U - 0401U	Negotiated	Very Low
Aetna	Outpatient	CPT Radiology Procedures Range: 70010 - 79999	Negotiated	Very Low

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

Showing 1 - 10 of 55

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Insurance Accepted

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

Aspirus Health PlanBanner HealthEMI HealthHealth AllianceHealth Alliance HAPKaiser Permanente

More about this hospital

Doctors and services
22 services
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Location

One Elizabeth Place, Dayton, OH 45417

9378531053

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Frequently asked questions

About Riverview Health Institute's rates and hospital price transparency.

What services does Riverview Health Institute offer?

CMS lists 22 services at Riverview Health Institute, including Acute Renal Dialysis, Anesthesia, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory, CT Scan, Diagnostic Radiology.

Where is Riverview Health Institute and what is its phone number?

Riverview Health Institute is located at One Elizabeth Place, Dayton, OH 45417. Its main phone number is 9378531053.

What is Riverview Health Institute's CCN (Medicare provider number)?

Riverview Health Institute's CMS Certification Number (CCN), also called its Medicare provider number, is 360274.

What is Riverview Health Institute's NPI number?

The National Provider Identifier (NPI) on file for Riverview Health Institute is 1639126220.

Which insurance plans are in network at Riverview Health Institute?

Riverview Health Institute lists 10 in-network payers, including Aetna, Aspirus Health Plan, Banner Health, EMI Health, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

What price transparency data is available for Riverview Health Institute?

55 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.

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

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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

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