Calverthealth Medical Center is a nonprofit short-term acute care hospital in Prince Frederick, Maryland. Its CMS Certification Number (CCN) is 210039 and its NPI is 1457389298.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Prince Frederick, MD
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. Maryland hospitals |
|---|---|---|---|
| Emergency room visit, high severity | 99285 | $182$115–$189 · 3 rates | 42nd percentile · state median $191, mean $224 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $245$138–$245 · 9 rates | 16th percentile · state median $363, mean $452 |
| MRI, brain, with and without contrast | 70553 | $258$258–$409 · 9 rates | 16th percentile · state median $604, mean $696 |
| Colonoscopy, diagnostic | 45378 | $359$180–$550 · 9 rates | 29th percentile · state median $429, mean $482 |
See UnitedHealthcare rates for every billing code at Calverthealth Medical Center
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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
5 out of 5 stars
0 better6 no different0 worsethan national
0 better5 no different0 worsethan national
0 better8 no different0 worsethan national
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Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.
Quick answers about Calverthealth Medical Center.
Calverthealth Medical Center's CMS Certification Number (CCN) is 210039. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Calverthealth Medical Center bills under National Provider Identifier (NPI) 1457389298.
Calverthealth Medical Center bills insurers under tax ID (EIN) 52-0619000, held by CALVERTHEALTH MEDICAL CENTER INC. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Calverthealth Medical Center is enrolled in Medicare as a short-term acute care hospital with nonprofit ownership. Its legal business name is Calverthealth Medical Center Inc.
Calverthealth Medical Center is at 100 Hospital Rd, Prince Frederick, MD 20678.
Calverthealth Medical Center has a CMS overall star rating of 5 out of 5. CMS bases the rating on mortality, safety, readmission, patient experience and timely care measures.
Yes. Calverthealth Medical Center reports emergency services to CMS.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.