Windber, PA
29
In-network payers
188
Disclosed rate categories
54
Beds
4
Care quality
Windber Medical Center is a 54-bed voluntary non-profit - private hospital in Windber, PA. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 188 disclosed rate categories.
CCN (Medicare provider number)
390112
NPI
1275620536
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
54
Care Quality
4
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 Windber Medical Center 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.
Medicine & Surgery · Inpatient
MS-DRG 470
$3,867 - $18,340
from 3 insurers · median $16,443
17 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 66984
$1,876 - $3,728
from 3 insurers · median $3,482
138 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 74177
$365 - $643
from 4 insurers · median $548
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$16,038 - $19,687
from 2 insurers · median $17,863
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$1,640 - $11,017
from 3 insurers · median $9,121
12 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 47562
$1,766 - $9,169
from 4 insurers · median $5,499
12 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$360 - $932
from 4 insurers · median $840
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$91 - $198
from 4 insurers · median $151
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$440 - $1,898
from 4 insurers · median $1,138
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$368 - $1,430
from 4 insurers · median $1,103
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$4,895 - $24,342
from 3 insurers · median $22,440
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 47563
$1,766 - $11,197
from 4 insurers · median $6,736
12 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 70450
$116 - $327
from 4 insurers · median $207
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$458 - $2,312
from 4 insurers · median $1,823
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$4,350 - $11,017
from 3 insurers · median $9,121
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$60 - $152
from 4 insurers · median $114
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$201 - $408
from 4 insurers · median $360
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$1,569 - $2,157
from 2 insurers · median $1,863
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$3,613 - $9,121
from 3 insurers · median $8,960
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$2,144 - $8,932
from 2 insurers · median $5,538
Typical for a hospital with this service line
CT imaging
CPT 71260
$183 - $557
from 4 insurers · median $368
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$371 - $1,519
from 4 insurers · median $595
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$1,306 - $4,937
from 4 insurers · median $3,318
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$673 - $2,341
from 3 insurers · median $2,144
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* | 21 | 175% | 2 | 10 |
| Insurer B* | 24 | 148% | 2 | 21 |
| Insurer C* | 17 | 128% | 3 | 10 |
| Insurer D* | 21 | 70% | 1 | 19 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 7 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 Windber Medical Center.
600 Somerset Avenue, Windber, PA 15963
(814) 467-3000
The nearest hospitals of similar type and size. Their rates are compared with Windber Medical Center for the same insurers and services above.
Nason Hospital
â–¼ Rates typically 15% lower than Windber Medical Center (24 services)
Upmc Bedford
â–² Rates typically 123% higher than Windber Medical Center (24 services)
Conemaugh Miners Medical Center
â–² Rates typically 165% higher than Windber Medical Center (12 services)
Excela Frick Hospital
â–² Rates typically 76% higher than Windber Medical Center (24 services)
Penn Highlands Connellsville
â–² Rates typically 13% higher than Windber Medical Center (24 services)
Penn Highlands Huntingdon
â–² Rates typically 80% higher than Windber Medical Center (23 services)
St Lukes Hospital Easton Campus
Warren General Hospital
About Windber Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Windber Medical Center range from $371 to $1,519 across 4 insurers. Aetna's rate is $371. The median at nearby comparable hospitals is $807. 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 Windber Medical Center range from $365 to $643 across 4 insurers. Aetna's rate is $365. The median at nearby comparable hospitals is $789. 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 Windber Medical Center range from $440 to $1,898 across 4 insurers. Aetna's rate is $471. The median at nearby comparable hospitals is $1,781. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Windber Medical Center range from $91 to $198 across 4 insurers. Blue Cross Blue Shield's rate is $163. The median at nearby comparable hospitals is $166. 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 Windber Medical Center range from $3,867 to $18,340 across 3 insurers. UnitedHealthcare's rate is $3,867. The median at nearby comparable hospitals is $18,122. What a patient pays depends on their plan's deductible, coinsurance and network status.
Windber Medical Center has 54 beds. Facility type: Short Term Acute Care Hospital.
Windber Medical Center is located at 600 Somerset Avenue, Windber, PA 15963. Its main phone number is (814) 467-3000.
Windber Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 390112.
The National Provider Identifier (NPI) on file for Windber Medical Center is 1275620536.
Windber Medical Center lists 29 in-network payers, including Aetna, Ambetter, Ameri Health, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
188 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