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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Upmc Horizon - Shenango Valley

UPMC · Farrell, PA

110 N Main St, Farrell, PA 16121(724) 588-2100

4 of 5

CMS star rating

109

Beds

4,620

Inpatient discharges a year

$201.3M

Net patient revenue a year

9

In-network payers

About this hospital

Upmc Horizon - Shenango Valley is a 109-bed voluntary non-profit - private hospital in Farrell, PA, affiliated with UPMC. Below you'll find publicly disclosed negotiated rates and facility details, including 9 in-network payers and 200 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
390178
NPI
1386024081
Website
upmc.com
Health system
UPMC
Teaching
Teaching hospital
County
Mercer County
Metro area
Hermitage, PA MicroSA
Medicare contractor
Jurisdiction L, Novitas Solutions (12001)
In Medicare since
1966
Last CMS survey
2007

Prices for common services

The 24 services Upmc Horizon - Shenango Valley 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, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$6,962

negotiated rate

Blue Cross$6,962

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 obstetrics / child birth services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$10,436

negotiated rate

Blue Cross$10,436

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 obstetrics / child birth services to CMS

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$1,868 - $7,309

from 3 insurers · median $3,183

UnitedHealthcare$3,183
Insurer A*$1,868
Insurer B*$7,309
Medicare $3,119Nearby hospitals $4,59031% below nearby hospitals

13 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$1,341 - $2,739

from 4 insurers · median $2,091

Aetna$2,667
Insurer A*$1,341
Insurer B*$1,514
Insurer C*$2,739
Medicare $336Nearby hospitals $716192% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Upmc Horizon - Shenango Valley

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*17
674%
121
Insurer B*20
353%
181
Insurer C*20
221%
163
Insurer D*24
208%
912

How we chose these services: 1 appear in this hospital's own Medicare claims, 17 are common here based on CMS Medicare volume, and 6 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 Upmc Horizon - Shenango Valley, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
CenteneHealth SmartLuminare HealthMass General Brigham (formerly AllWays Health Partners)MedicaMultiPlan

More about this hospital

  • Quality

    4 of 5 stars

    • 156 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.33%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 33 services
    • 652 affiliated clinicians
    See doctors and services
  • Finances

    $201.3M net patient revenue

    • Operating margin on patient care -10.0%
    • $4M unreimbursed and uncompensated care
    • -$1.1M net income
    See finances
  • Ownership and leadership

    Owned by Upmc

    • Private (not for profit)
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
25-0523970UPMC Horizon59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 54 more1225048838 Upmc Horizon1952465890 Upmc Horizon1134139744 Upmc Horizonand 5 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

110 N Main St, Farrell, PA 16121

(724) 588-2100

Get directions

Frequently asked questions

About Upmc Horizon - Shenango Valley's rates and hospital price transparency.

How much does an MRI cost at Upmc Horizon - Shenango Valley?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Upmc Horizon - Shenango Valley range from $1,349 to $2,762 across 4 insurers. Blue Cross Blue Shield's rate is $2,722. The median at nearby comparable hospitals is $843. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Upmc Horizon - Shenango Valley?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Upmc Horizon - Shenango Valley range from $1,341 to $2,739 across 4 insurers. Aetna's rate is $2,667. The median at nearby comparable hospitals is $716. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Upmc Horizon - Shenango Valley?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Upmc Horizon - Shenango Valley range from $1,395 to $2,449 across 4 insurers. Cigna's rate is $1,651. The median at nearby comparable hospitals is $2,445. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Upmc Horizon - Shenango Valley?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Upmc Horizon - Shenango Valley range from $6,962 to $6,962 across 1 insurers. Blue Cross Blue Shield's rate is $6,962. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Upmc Horizon - Shenango Valley?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Upmc Horizon - Shenango Valley range from $127 to $305 across 4 insurers. Aetna's rate is $305. The median at nearby comparable hospitals is $138. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Upmc Horizon - Shenango Valley's CMS star rating?

Upmc Horizon - Shenango Valley has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Upmc Horizon - Shenango Valley a teaching hospital?

Yes. CMS counts 0.03 Medicare-funded residents per bed at Upmc Horizon - Shenango Valley for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Upmc Horizon - Shenango Valley for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Upmc Horizon - Shenango Valley's base inpatient payments by an estimated 0.33% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Upmc Horizon - Shenango Valley?

In 2024, the most common were heart failure and shock with mcc (39 discharges), simple pneumonia and pleurisy with mcc (38 discharges), septicemia or severe sepsis without mv >96 hours with mcc (29 discharges).

What is Upmc Horizon - Shenango Valley's case mix index?

Upmc Horizon - Shenango Valley's Medicare case mix index is 1.30 for fiscal year 2027, higher than 11% of hospitals paid under the inpatient prospective payment system.

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.

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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
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
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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.

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  • Missing, duplicate and outdated charge lines identified
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