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Short Term Acute Care HospitalProprietary

Tyler Memorial Hospital

Community Health Systems · Tunkhannock, PA

5950 State Route 6, Tunkhannock, PA 18657(570) 836-2161

7

In-network payers

55

Disclosed rate categories

44

Beds

3

Care quality

About this hospital

Tyler Memorial Hospital is a 44-bed proprietary hospital in Tunkhannock, PA, affiliated with Community Health Systems. Below you'll find publicly disclosed negotiated rates and facility details, including 7 in-network payers and 55 disclosed rate categories.

CCN (Medicare provider number)

390192

NPI

1518256726

Type

Short Term Acute Care Hospital

Ownership

Proprietary

Beds

44

Care Quality

3

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
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthHarvard Pilgrim Health Care (Point32Health)Kaiser PermanenteMagnaCareMedicaMedical Mutual

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 Low

United

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

United

Outpatient

CPT Surgery

Range: 10004 - 69990

Negotiated

Very Low

United

Outpatient

HCPCS Outpatient PPS

Range: C1713 - C9899

Negotiated

Very Low

United

Outpatient

HCPCS Procedures / Professional Services

Range: G0008 - G9987

Negotiated

Very Low

United

Outpatient

HCPCS Temporary National Codes (Non-Medicare)

Range: S0012 - S9999

Negotiated

Very Low

United

Inpatient

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

Range: 894 - 897

Negotiated

Average

United

Inpatient

MS-DRG Burns

Range: 927 - 935

Negotiated

Average

United

Inpatient

MS-DRG Diseases & Disorders of the Circulatory System

Range: 212 - 320

Negotiated

Average

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 55

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Location

5950 State Route 6, Tunkhannock, PA 18657

(570) 836-2161

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Frequently asked questions

About Tyler Memorial Hospital's rates and hospital price transparency.

How many beds does Tyler Memorial Hospital have?

Tyler Memorial Hospital has 44 beds. Facility type: Short Term Acute Care Hospital.

Where is Tyler Memorial Hospital and what is its phone number?

Tyler Memorial Hospital is located at 5950 State Route 6, Tunkhannock, PA 18657. Its main phone number is (570) 836-2161.

What is Tyler Memorial Hospital's CCN (Medicare provider number)?

Tyler Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 390192.

What is Tyler Memorial Hospital's NPI number?

The National Provider Identifier (NPI) on file for Tyler Memorial Hospital is 1518256726.

What health system is Tyler Memorial Hospital part of?

Tyler Memorial Hospital is affiliated with Community Health Systems.

Which insurance plans are in network at Tyler Memorial Hospital?

Tyler Memorial Hospital lists 7 in-network payers, including Ameri Health, Harvard Pilgrim Health Care (Point32Health), Kaiser Permanente, MagnaCare, 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 Tyler Memorial Hospital?

55 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.

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
Talk to us about your MRF
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
Talk to us about your chargemaster