Penn Highlands Healthcare · Tyrone, PA
28
In-network payers
237
Disclosed rate categories
25
Beds
Tyrone Hospital is a 25-bed voluntary non-profit - private hospital in Tyrone, PA, affiliated with Penn Highlands Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 237 disclosed rate categories.
CCN (Medicare provider number)
391307
NPI
1659472447
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
25
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 Tyrone 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
CPT 74177
$528 - $1,487
from 4 insurers · median $577
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$637 - $2,286
from 4 insurers · median $1,824
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$505 - $2,043
from 4 insurers · median $859
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$637 - $2,767
from 3 insurers · median $1,776
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$637 - $2,503
from 3 insurers · median $1,776
Typical for a hospital with this service line
Mammography
CPT 77067
$119 - $470
from 4 insurers · median $176
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 470
$11,613 - $29,165
from 2 insurers · median $20,389
Hospital reports orthopedic surgery services to CMS
X-ray and bone density
CPT 71046
$59 - $156
from 4 insurers · median $138
Typical for a hospital with this service line
CT imaging
CPT 70450
$132 - $446
from 4 insurers · median $176
Typical for a hospital with this service line
CT imaging
CPT 74176
$250 - $689
from 4 insurers · median $397
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$637 - $1,776
from 2 insurers · median $1,207
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 743
$7,291 - $18,759
from 2 insurers · median $13,025
Hospital reports inpatient surgical services to CMS
CT imaging
CPT 71275
$277 - $1,140
from 4 insurers · median $333
Typical for a hospital with this service line
MRI imaging
CPT 70553
$421 - $1,531
from 4 insurers · median $582
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$863 - $2,862
from 3 insurers · median $1,776
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$1,776 - $2,304
from 2 insurers · median $2,040
Typical for a hospital with this service line
Ultrasound
CPT 76705
$114 - $419
from 4 insurers · median $172
Typical for a hospital with this service line
MRI imaging
CPT 72148
$242 - $875
from 4 insurers · median $393
Typical for a hospital with this service line
MRI imaging
CPT 70551
$253 - $952
from 4 insurers · median $393
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$348 - $582
from 4 insurers · median $496
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$155 - $377
from 4 insurers · median $219
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$50 - $159
from 4 insurers · median $137
Typical for a hospital with this service line
MRI imaging
CPT 74183
$468 - $1,829
from 4 insurers · median $581
Typical for a hospital with this service line
Gynecology
CPT 58571
$4,804
negotiated rate
Typical for a hospital with this service line
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* | 20 | 318% | 4 | 12 |
| Insurer B* | 23 | 168% | 0 | 0 |
| Insurer C* | 16 | 148% | 6 | 9 |
| Insurer D* | 23 | 131% | 13 | 6 |
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 Tyrone Hospital.
187 Hospital Drive, Tyrone, PA 16686
(814) 684-1255
The nearest hospitals of similar type and size. Their rates are compared with Tyrone Hospital for the same insurers and services above.
Fulton County Medical Center
▼ Rates typically 9% lower than Tyrone Hospital (18 services)
Bucktail Medical Center
▼ Rates typically 46% lower than Tyrone Hospital (14 services)
Geisinger Jersey Shore Hospital
▼ Rates typically 19% lower than Tyrone Hospital (21 services)
Meyersdale Community Hospital
▲ Rates typically 57% higher than Tyrone Hospital (22 services)
War Memorial Hospital
▲ Rates typically 27% higher than Tyrone Hospital (22 services)
Upmc Cole
Rates about the same as Tyrone Hospital (21 services)
Penn Highlands Elk
Brookville Hospital
Upmc Wellsboro
Upmc Muncy
About Tyrone Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Tyrone Hospital range from $421 to $1,531 across 4 insurers. Blue Cross Blue Shield's rate is $1,531. The median at nearby comparable hospitals is $863. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Tyrone Hospital range from $528 to $1,487 across 4 insurers. Aetna's rate is $533. The median at nearby comparable hospitals is $884. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Tyrone Hospital range from $637 to $2,767 across 3 insurers. UnitedHealthcare's rate is $637. The median at nearby comparable hospitals is $1,580. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Tyrone Hospital range from $119 to $470 across 4 insurers. Blue Cross Blue Shield's rate is $470. The median at nearby comparable hospitals is $271. 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 Tyrone Hospital range from $11,613 to $29,165 across 2 insurers. Aetna's rate is $29,165. What a patient pays depends on their plan's deductible, coinsurance and network status.
Tyrone Hospital has 25 beds. Facility type: Critical Access Hospital.
Tyrone Hospital is located at 187 Hospital Drive, Tyrone, PA 16686. Its main phone number is (814) 684-1255.
Tyrone Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 391307.
The National Provider Identifier (NPI) on file for Tyrone Hospital is 1659472447.
Tyrone Hospital is affiliated with Penn Highlands Healthcare.
Tyrone Hospital lists 28 in-network payers, including Aetna, Ambetter, 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.
237 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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{
"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