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Saint Clares Hospital

Prime Healthcare Services
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Hospital Overview
Facility Details

CCN

310050

NPI

1598144362

Type

Short Term Acute Care Hospital

Ownership

Proprietary

Beds

314

Contact Information

Address

25 Pocono Road

Denville, NJ 07834

Phone

(973) 983-5569

Insurance Accepted
Medicare
Medicaid
Aetna
BCBS
Cigna
United (incl Optum)

💡

Important Notice

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.

Price Transparency Contract Information
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💡 The data below comes from CMS-mandated price transparency data. Learn more.

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

PayerCategoryCode Type & GroupContract TypeRate Compared to State Average

Aetna

Outpatient

CPT

Category III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

Aetna

Inpatient

MS-DRG

Endocrine, Nutritional & Metabolic Diseases & Disorders

Range: 614 - 645

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Medical And Surgical Supplies

Range: A4206 - A8004

Percentage of Bill Charged

Aetna

Facility

RC

Subacute Care

Range: 0190 - 0199

Per Diem

Very Low

Aetna

Inpatient

MS-DRG

Diseases & Disorders of the Nervous System

Range: 020 - 103

Negotiated

Average

Aetna

Facility

RC

Physical Therapy

Range: 0420 - 0429

Percentage of Bill Charged

Aetna

Inpatient

MS-DRG

Mental Diseases & Disorders

Range: 876 - 887

Percentage of Bill Charged

Aetna

Inpatient

MS-DRG

O.R. Procedure Unrelated To Principal Diagnosis With or Without CC / MCC

Range: 981 - 989

Negotiated

Average

Aetna

Facility

RC

Behavioral Health Treatments/Services (also see 091X, and extension of 090X)

Range: 0900 - 0909

Percentage of Bill Charged

Aetna

Inpatient

MS-DRG

Infectious & Parasitic Diseases, Systemic or Unspecified Sites

Range: 853 - 872

Negotiated

Average

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