Pineville Community Health Center Inc is a nonprofit short-term acute care hospital in Pineville, Kentucky. Its CMS Certification Number (CCN) is 180154 and its NPI is 1285292219.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Pineville, KY
Negotiated rates
In-network rates for clinicians billing at this hospital, from each insurer's price transparency files. Median rate, with the range when more than one contract applies.
| Service | Code | Physician rate | vs. Kentucky hospitals |
|---|---|---|---|
| Emergency room visit, high severity | 99285 | $154$132–$178 · 3 rates | 10th percentile · state median $214, mean $202 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $269$230–$352 · 9 rates | 5th percentile · state median $337, mean $360 |
| MRI, brain, with and without contrast | 70553 | $301$257–$922 · 9 rates | 5th percentile · state median $746, mean $686 |
| Colonoscopy, diagnostic | 45378 | $347$186–$647 · 9 rates | 8th percentile · state median $455, mean $451 |
See UnitedHealthcare rates for every billing code at Pineville Community Health Center Inc
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Every billing code
CPT, HCPCS, MS-DRG and revenue codes, not just the four shown here.
Institutional rates
What each insurer pays the hospital itself, its facility fees.
Professional rates
What insurers pay physicians and clinicians billing here.
Inpatient and outpatient
Per-stay rates for admissions and per-visit rates for outpatient care.
The table above shows physician rates: what the insurer pays clinicians for the service. Facility rates are in the full data. Source: insurer Transparency in Coverage files.
From the hospital's Medicare enrollment record.
From CMS Care Compare. Each measure is compared with the national rate.
CMS overall rating
1 out of 5 stars
0 better3 no different0 worsethan national
0 better1 no different2 worsethan national
Units Medicare certifies separately, each with its own CCN.
Psychiatric unit
Pineville Community Health Center Inc
CCN 18S154
Swing-bed unit
Pineville Community Health Center Inc
CCN 18U154
Adventhealth Manchester
Manchester, KY
Barbourville Arh Hospital
Barbourville, KY
Middlesboro Arh Hospital
Middlesboro, KY
Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.
Quick answers about Pineville Community Health Center Inc.
Pineville Community Health Center Inc's CMS Certification Number (CCN) is 180154. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Pineville Community Health Center Inc bills under National Provider Identifier (NPI) 1285292219.
Pineville Community Health Center Inc bills insurers under tax ID (EIN) 84-1949748, held by PINEVILLE COMMUNITY HEALTH CENTER INC. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Pineville Community Health Center Inc is enrolled in Medicare as a short-term acute care hospital with nonprofit ownership. Its legal business name is Pineville Community Health Center Inc.
Pineville Community Health Center Inc is at 850 Riverview Ave, Pineville, KY 40977.
Pineville Community Health Center Inc has a CMS overall star rating of 1 out of 5. CMS bases the rating on mortality, safety, readmission, patient experience and timely care measures.
Yes. Pineville Community Health Center Inc reports emergency services to CMS.
Yes. Pineville Community Health Center Inc has 2 Medicare-certified units: psychiatric unit, swing-bed unit.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.