Washington Health System · Washington, PA
32
In-network payers
256
Disclosed rate categories
260
Beds
3
Care quality
The Washington Hospital is a 260-bed voluntary non-profit - private hospital in Washington, PA, affiliated with Washington Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 256 disclosed rate categories.
CCN (Medicare provider number)
390042
NPI
1609984889
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
260
Care Quality
3
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 The Washington 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
$5,715 - $7,663
from 4 insurers · median $6,176
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
$8,593 - $10,479
from 4 insurers · median $9,126
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 470
$17,242 - $21,977
from 4 insurers · median $18,330
23 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 216
$88,221 - $112,357
from 3 insurers · median $98,014
Hospital reports cardiac thoracic surgery services to CMS
Medicine & Surgery
CPT 47562
$5,929 - $21,486
from 3 insurers · median $12,123
34 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$301 - $1,240
from 4 insurers · median $860
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$5,715 - $7,663
from 4 insurers · median $6,176
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
Digestive procedures
CPT 49650
$3,294 - $21,486
from 3 insurers · median $13,141
34 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58571
$17,641 - $37,778
from 3 insurers · median $20,697
Typical for a hospital with this service line
Digestive procedures
CPT 47563
$11,867 - $21,486
from 2 insurers · median $16,676
34 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Urology
CPT 50590
$6,984 - $12,528
from 2 insurers · median $9,756
77 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Medicine & Surgery
CPT 49505
$7,852 - $12,725
from 2 insurers · median $10,288
16 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$30,929 - $42,858
from 3 insurers · median $40,315
Hospital reports neurosurgical services to CMS
Cardiology and vascular testing
CPT 93306
$527 - $1,942
from 4 insurers · median $916
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$885 - $3,223
from 3 insurers · median $1,960
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$413 - $4,253
from 3 insurers · median $2,360
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$220 - $916
from 4 insurers · median $306
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$453 - $916
from 4 insurers · median $696
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29888
$25,789 - $28,846
from 2 insurers · median $27,317
Typical for a hospital with this service line
Gynecology
CPT 58558
$6,678 - $11,505
from 2 insurers · median $9,091
Typical for a hospital with this service line
Gynecology
CPT 58662
$13,080 - $21,486
from 2 insurers · median $17,283
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,790 - $4,601
from 4 insurers · median $2,343
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$116 - $309
from 4 insurers · median $167
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$150 - $916
from 4 insurers · median $629
Common here, based on CMS Medicare volume
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* | 24 | 348% | 11 | 1 |
| Insurer B* | 12 | 257% | 1 | 7 |
| Insurer C* | 23 | 212% | 12 | 6 |
| Insurer D* | 18 | 96% | 1 | 13 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 9 are common here based on CMS Medicare volume, and 9 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 The Washington Hospital.
155 Wilson Avenue, Washington, PA 15301
(724) 225-7000
The nearest hospitals of similar type and size. Their rates are compared with The Washington Hospital for the same insurers and services above.
St. Clair Hospital
▼ Rates typically 12% lower than The Washington Hospital (21 services)
Monongahela Valley Hospital
Rates about the same as The Washington Hospital (19 services)
Jefferson Hospital
▼ Rates typically 21% lower than The Washington Hospital (21 services)
Weirton Medical Center
▲ Rates typically 33% higher than The Washington Hospital (21 services)
Upmc Mercy
▲ Rates typically 49% higher than The Washington Hospital (19 services)
Upmc Magee-Womens Hospital
▲ Rates typically 109% higher than The Washington Hospital (17 services)
Advanced Surgical Hospital
Washington Health System Greene
Lehigh Valley Hospital – Pocono
Conemaugh Miners Medical Center
About The Washington Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at The Washington Hospital range from $301 to $1,240 across 4 insurers. Aetna's rate is $301. The median at nearby comparable hospitals is $2,862. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at The Washington Hospital range from $413 to $4,253 across 3 insurers. Blue Cross Blue Shield's rate is $2,360. The median at nearby comparable hospitals is $2,147. 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 The Washington Hospital range from $5,715 to $7,663 across 4 insurers. Cigna's rate is $6,272. 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 The Washington Hospital range from $17,242 to $21,977 across 4 insurers. UnitedHealthcare's rate is $21,977. The median at nearby comparable hospitals is $23,940. What a patient pays depends on their plan's deductible, coinsurance and network status.
The Washington Hospital has 260 beds. Facility type: Short Term Acute Care Hospital.
The Washington Hospital is located at 155 Wilson Avenue, Washington, PA 15301. Its main phone number is (724) 225-7000.
The Washington Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 390042.
The National Provider Identifier (NPI) on file for The Washington Hospital is 1609984889.
The Washington Hospital is affiliated with Washington Health System.
The Washington Hospital lists 32 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
256 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.
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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.
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{
"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