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Critical Access HospitalVoluntary Non-Profit - Private

Troy Community Hospital

Guthrie Healthcare System ยท Troy, PA

275 Guthrie Drive, Troy, PA 16947(570) 297-2121

36

In-network payers

150

Disclosed rate categories

25

Beds

4

Care quality

About this hospital

Troy Community Hospital is a 25-bed voluntary non-profit - private hospital in Troy, PA, affiliated with Guthrie Healthcare System. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 150 disclosed rate categories.

CCN (Medicare provider number)

391305

NPI

1306847926

Type

Critical Access Hospital

Ownership

Voluntary Non-Profit - Private

Beds

25

Care Quality

4

Insurance Accepted

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.

Medicare
Aetna
BCBS
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

Prices for common services

The 24 services Troy Community 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.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$771 - $1,705

from 2 insurers ยท median $1,238

Aetna$771
Insurer A*$1,705
Medicare $356Nearby hospitals $1,50818% below nearby hospitals

Typical for a hospital with this service line

CT imaging

CT head or brain without contrast

CPT 70450

$200 - $1,248

from 2 insurers ยท median $724

Aetna$200
Insurer A*$1,248
Medicare $107Nearby hospitals $36598% above nearby hospitals

Typical for a hospital with this service line

Mammography

Screening mammography, bilateral

CPT 77067

$256 - $462

from 2 insurers ยท median $359

Blue Cross$462
Insurer A*$256
Medicare $92Nearby hospitals $27132% above nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$551 - $1,521

from 2 insurers ยท median $1,036

Blue Cross$1,521
Insurer A*$551
Medicare $558Nearby hospitals $91913% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT angiography of chest blood vessels

CPT 71275

$349 - $1,842

from 2 insurers ยท median $1,096

Aetna$349
Insurer A*$1,842
Medicare $179Nearby hospitals $77541% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI brain before and after contrast

CPT 70553

$702 - $2,902

from 2 insurers ยท median $1,802

Blue Cross$2,902
Insurer A*$702
Medicare $356Nearby hospitals $1,6976% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$373 - $1,092

from 2 insurers ยท median $732

Aetna$373
Insurer A*$1,092
Medicare $244Nearby hospitals $1,06631% below nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$1,130 - $1,759

from 2 insurers ยท median $1,445

Aetna$1,130
Insurer A*$1,759
Medicare $1,223Nearby hospitals $1,98827% below nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with biopsy

CPT 45380

$1,065 - $1,780

from 2 insurers ยท median $1,422

Aetna$1,065
Insurer A*$1,780
Medicare $1,223Nearby hospitals $1,80821% below nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$959 - $1,188

from 2 insurers ยท median $1,073

Aetna$1,188
Insurer A*$959
Medicare $927Nearby hospitals $1,49528% below nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Chest X-ray, two views

CPT 71046

$85 - $267

from 2 insurers ยท median $176

Aetna$85
Insurer A*$267
Medicare $89Nearby hospitals $181In line with nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI lumbar spine without contrast

CPT 72148

$458 - $2,410

from 2 insurers ยท median $1,434

Blue Cross$2,410
Insurer A*$458
Medicare $244Nearby hospitals $87264% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI lower-extremity joint without contrast

CPT 73721

$569 - $2,589

from 2 insurers ยท median $1,579

Blue Cross$2,589
Insurer A*$569
Medicare $244Nearby hospitals $89277% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI of the brain, without contrast

CPT 70551

$522 - $1,883

from 2 insurers ยท median $1,202

Blue Cross$1,883
Insurer A*$522
Medicare $244Nearby hospitals $68775% above nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$1,590 - $8,304

from 2 insurers ยท median $4,947

Blue Cross$8,304
Insurer A*$1,590
Medicare $6,176Nearby hospitals $5,73214% below nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Diagnostic colonoscopy

CPT 45378

$1,246 - $1,641

from 2 insurers ยท median $1,444

Aetna$1,246
Insurer A*$1,641
Medicare $950Nearby hospitals $1,3378% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Limited ultrasound of the abdomen

CPT 76705

$136 - $674

from 2 insurers ยท median $405

Aetna$136
Insurer A*$674
Medicare $107Nearby hospitals $23572% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Transvaginal pelvic ultrasound

CPT 76830

$162 - $735

from 2 insurers ยท median $449

Aetna$162
Insurer A*$735
Medicare $107Nearby hospitals $33136% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Limited ultrasound of one breast

CPT 76642

$167 - $541

from 2 insurers ยท median $354

Aetna$167
Insurer A*$541
Medicare $89Nearby hospitals $27131% above nearby hospitals

Typical for a hospital with this service line

Orthopedics and pain

Aspiration or injection of a major joint, without ultrasound

CPT 20610

$919 - $1,270

from 2 insurers ยท median $1,094

Aetna$1,270
Insurer A*$919
Medicare $314Nearby hospitals $1,0336% above nearby hospitals

Typical for a hospital with this service line

Mammography

Diagnostic mammography, unilateral

CPT 77065

$291 - $415

from 2 insurers ยท median $353

Blue Cross$415
Insurer A*$291
Medicare $87Nearby hospitals $25041% above nearby hospitals

Typical for a hospital with this service line

Laboratory and pathology

Comprehensive metabolic panel

CPT 80053

$32 - $93

from 2 insurers ยท median $62

Blue Cross$93
Insurer A*$32
Medicare $11Nearby hospitals $4830% above nearby hospitals

Typical for a hospital with this service line

Mammography

Diagnostic mammography, bilateral

CPT 77066

$363 - $502

from 2 insurers ยท median $433

Blue Cross$502
Insurer A*$363
Medicare $112Nearby hospitals $37515% above nearby hospitals

Typical for a hospital with this service line

Lung function and sleep

Attended overnight sleep study

CPT 95810

$485 - $3,610

from 2 insurers ยท median $2,047

Insurer A*$485
Insurer B*$3,610
Medicare $877Nearby hospitals $2,58521% below nearby hospitals

Typical for a hospital with this service line

How the insurers pay at Troy Community Hospital

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
477%
186
Insurer B*24
188%
911

How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 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 Troy Community Hospital.

Location

275 Guthrie Drive, Troy, PA 16947

(570) 297-2121

Get directions

Frequently asked questions

About Troy Community Hospital's rates and hospital price transparency.

How much does an MRI cost at Troy Community Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Troy Community Hospital range from $702 to $2,902 across 2 insurers. Blue Cross Blue Shield's rate is $2,902. The median at nearby comparable hospitals is $1,697. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Troy Community Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Troy Community Hospital range from $771 to $1,705 across 2 insurers. Aetna's rate is $771. The median at nearby comparable hospitals is $1,508. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Troy Community Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Troy Community Hospital range from $1,130 to $1,759 across 2 insurers. Aetna's rate is $1,130. The median at nearby comparable hospitals is $1,988. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Troy Community Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Troy Community Hospital range from $256 to $462 across 2 insurers. Blue Cross Blue Shield's rate is $462. The median at nearby comparable hospitals is $271. What a patient pays depends on their plan's deductible, coinsurance and network status.

How many beds does Troy Community Hospital have?

Troy Community Hospital has 25 beds. Facility type: Critical Access Hospital.

Where is Troy Community Hospital and what is its phone number?

Troy Community Hospital is located at 275 Guthrie Drive, Troy, PA 16947. Its main phone number is (570) 297-2121.

What is Troy Community Hospital's CCN (Medicare provider number)?

Troy Community Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 391305.

What is Troy Community Hospital's NPI number?

The National Provider Identifier (NPI) on file for Troy Community Hospital is 1306847926.

What health system is Troy Community Hospital part of?

Troy Community Hospital is affiliated with Guthrie Healthcare System.

Which insurance plans are in network at Troy Community Hospital?

Troy Community Hospital lists 36 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

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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