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Short Term Acute Care Hospital

Seton Health

Trinity Health · Troy, NY

1300 Massachusetts Avenue, Troy, NY 12180(518) 268-5000

20

Beds

13

In-network payers

About this hospital

Seton Health is a 20-bed hospital in Troy, NY, affiliated with Trinity Health. Below you'll find publicly disclosed negotiated rates and facility details, including 13 in-network payers and 44 disclosed rate categories.

CCN
330232
NPI
1811982911
Health system
Trinity Health

Negotiated Rates

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

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PayerCategoryCode Type & GroupContract Typevs. State Average

United

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Negotiated

Very High

United

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very High

United

Outpatient

CPT Surgery

Range: 10004 - 69990

Negotiated

Very High

United

Outpatient

HCPCS Outpatient PPS

Range: C1713 - C9899

Negotiated

Very High

United

Outpatient

HCPCS Procedures / Professional Services

Range: G0008 - G9987

Negotiated

Very High

United

Outpatient

HCPCS Temporary National Codes (Non-Medicare)

Range: S0012 - S9999

Negotiated

Very High

United

Inpatient

MS-DRG Alcohol/Drug Use & Alcohol/Drug Induced Organic Mental Disorders

Range: 894 - 897

Negotiated

High

United

Inpatient

MS-DRG Burns

Range: 927 - 935

Negotiated

Very Low

United

Inpatient

MS-DRG Diseases & Disorders of the Circulatory System

Range: 212 - 320

Negotiated

Very Low

United

Inpatient

MS-DRG Diseases & Disorders of the Digestive System

Range: 321 - 399

Negotiated

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 44

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Insurance Accepted

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

Medicare
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Avera Health PlansCDPHPEmblemHealthGroup Health Cooperative of South Central WisconsinHarvard Pilgrim Health Care (Point32Health)Kaiser Permanente

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Seton Health in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
14-1776186Seton Health System27United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Aspirus Health Plan, Avera Health Plans, BCBS, Baylor Scott & White Health Plan and 22 more1811982911 Seton Health System Inc1114095171 Seton Health At Schuyler Ridge Residential Healthcare1548300478 Seton Home Health Careand 9 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

1300 Massachusetts Avenue, Troy, NY 12180

(518) 268-5000

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Frequently asked questions

About Seton Health's rates and hospital price transparency.

What is Seton Health's tax ID (EIN)?

Insurers' price transparency files list Seton Health under employer identification number 14-1776186 (Seton Health System). 27 health plans and networks list 14-1776186 for it.

Does Seton Health participate in the 340B drug pricing program?

HRSA's 340B database lists Seton Health (340B ID DSH330232) as no longer participating since 2019.

What services does Seton Health offer?

CMS lists 20 services at Seton Health, including Alcohol and/or Drug Service, Anesthesia, Chemotherapy, Clinical Laboratory, CT Scan, Diagnostic Radiology.

How many beds does Seton Health have?

Seton Health has 20 beds. Facility type: Short Term Acute Care Hospital.

Where is Seton Health and what is its phone number?

Seton Health is located at 1300 Massachusetts Avenue, Troy, NY 12180. Its main phone number is (518) 268-5000.

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

Seton Health's CMS Certification Number (CCN), also called its Medicare provider number, is 330232.

What is Seton Health's NPI number?

The National Provider Identifier (NPI) on file for Seton Health is 1811982911.

What health system is Seton Health part of?

Seton Health is affiliated with Trinity Health.

Which insurance plans are in network at Seton Health?

Seton Health lists 13 in-network payers, including Avera Health Plans, CDPHP, EmblemHealth, Group Health Cooperative of South Central Wisconsin, 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 Seton Health?

44 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.

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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