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Short Term Acute Care HospitalProprietary

Valley Forge Medical Center

Norristown, PA

1033 West Germantown Pike, Norristown, PA 19403(215) 539-8500

3

In-network payers

5

Disclosed rate categories

50

Beds

About this hospital

Valley Forge Medical Center is a 50-bed proprietary hospital in Norristown, PA. Below you'll find publicly disclosed negotiated rates and facility details, including 3 in-network payers and 5 disclosed rate categories.

CCN (Medicare provider number)

390272

NPI

1528026671

Type

Short Term Acute Care Hospital

Ownership

Proprietary

Beds

50

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
BCBS
Ameri HealthComPsych

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

BCBS

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

BCBS

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

-

BCBS

Outpatient

CPT Radiology Procedures

Range: 70010 - 79999

Percentage of Bill Charged

-

BCBS

Outpatient

CPT Surgery

Range: 10004 - 69990

Percentage of Bill Charged

-

BCBS

Outpatient

HCPCS Temporary National Codes (Non-Medicare)

Range: S0012 - S9999

Percentage of Bill Charged

-

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

Showing 1 - 5 of 5

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Location

1033 West Germantown Pike, Norristown, PA 19403

(215) 539-8500

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Frequently asked questions

About Valley Forge Medical Center's rates and hospital price transparency.

How many beds does Valley Forge Medical Center have?

Valley Forge Medical Center has 50 beds. Facility type: Short Term Acute Care Hospital.

Where is Valley Forge Medical Center and what is its phone number?

Valley Forge Medical Center is located at 1033 West Germantown Pike, Norristown, PA 19403. Its main phone number is (215) 539-8500.

What is Valley Forge Medical Center's CCN (Medicare provider number)?

Valley Forge Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 390272.

What is Valley Forge Medical Center's NPI number?

The National Provider Identifier (NPI) on file for Valley Forge Medical Center is 1528026671.

Which insurance plans are in network at Valley Forge Medical Center?

Valley Forge Medical Center lists 3 in-network payers, including Ameri Health, BCBS, ComPsych, 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 Valley Forge Medical Center?

5 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