Childrens Hospital

The Childrens Institute

Pittsburgh, PA

1405 Shady Avenue, Pittsburgh, PA 152174124202400

In-network payers

About this hospital

The Childrens Institute is a hospital in Pittsburgh, PA. Below you'll find publicly disclosed negotiated rates and facility details, including 9 in-network payers and 1 disclosed rate categories.

CCN: 393308
NPI: 1023129707

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 Medicine Services and Procedures Range: 90281 - 99607	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.

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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 HealthGroup Health Cooperative of South Central WisconsinHealth AllianceHealth Alliance HAP

More about this hospital

Doctors and services
15 services
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Tax IDs and NPIs insurers list

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

Tax ID (EIN)	Plans and networks listing it	Organization NPIs
23-2935278The Childrens Institute Of Pittsburgh	14Aetna, Allied Benefit Systems, Aspirus Health Plan, BCBS, Banner Health and 9 more	1720585466 The Childrens Institute Of Pittsburgh1023129707 The Children's Institute Of Pittsburgh1255422408 The Childrens Institute Of Pittsburghand 3 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

1405 Shady Avenue, Pittsburgh, PA 15217

4124202400

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Leadership

The officers and board members on The Childrens Institute's Medicare enrollment and on the IRS Form 990 filed under its tax ID.

Officers and key employees of The Children'S Institute Of Pittsburgh (IRS Form 990, tax year 2022)

The Children'S Institute Of Pittsburgh files the Form 990 for the tax ID insurers list for The Childrens Institute, so these people may lead the wider organization rather than The Childrens Institute alone.

Name	Title
Wendy A Pardee PhD	President & CEO
Shawn Cupec	Chief Information Officer
John Jubas	Chief Financial Officer
Linda Allen	Vice President Of Hr
Jay Katarincic	Chairman
Susan L Boyle	Vice Chairman
Brian M Mcinerney	Vice Chairman
Henry Stafford	Vice Chairman
Romayne L Botti	Treasurer
Tina Chekan	Secretary

Board members: Urmi Ashar, Marshall L Balk MD, Gregory B Benckart, Dan Caste, Mccall Cravens, Latika D Davis-Jones, Kate Dewey, Thomas Doran, Brian J Ferguson, J Brett Fulesday, Anthony Gabbianelli, Robert I Glimcher, Danica Griffith, Steffanie J Jasper, Jonathan M Kamin, Donna J Sturgess, Janis Burley Wilson, Jason R Wilburn.

Source: IRS Form 990 Part VII filed by The Children'S Institute Of Pittsburgh (EIN 23-2935278), via the IRS e-file data. A health system's return can cover several hospitals.

Frequently asked questions

About The Childrens Institute's rates and hospital price transparency.

What is The Childrens Institute's tax ID (EIN)?

Insurers' price transparency files list The Childrens Institute under employer identification number 23-2935278 (The Childrens Institute Of Pittsburgh). 14 health plans and networks list 23-2935278 for it.

What services does The Childrens Institute offer?

CMS lists 15 services at The Childrens Institute, including Audiology, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory, Dietary Care, OT (Occupational Therapy), Outpatient.

Where is The Childrens Institute and what is its phone number?

The Childrens Institute is located at 1405 Shady Avenue, Pittsburgh, PA 15217. Its main phone number is 4124202400.

What is The Childrens Institute's CCN (Medicare provider number)?

The Childrens Institute's CMS Certification Number (CCN), also called its Medicare provider number, is 393308.

What is The Childrens Institute's NPI number?

The National Provider Identifier (NPI) on file for The Childrens Institute is 1023129707.

Which insurance plans are in network at The Childrens Institute?

The Childrens Institute lists 9 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 The Childrens Institute?

1 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.

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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

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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

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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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