Upper Valley Medical Center is a nonprofit short-term acute care hospital in Troy, Ohio. Its CMS Certification Number (CCN) is 360174 and its NPI is 1184638942.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Troy, OH
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. Ohio hospitals |
|---|---|---|---|
| Emergency room visit, high severity | 99285 | $164$158–$170 · 2 rates | 17th percentile · state median $212, mean $227 |
| CT scan, abdomen and pelvis, with contrast | 74177 | Not published | |
| MRI, brain, with and without contrast | 70553 | $9612 rates, all the same | 95th percentile · state median $459, mean $550 |
| Colonoscopy, diagnostic | 45378 | $4202 rates, all the same | 48th percentile · state median $432, mean $482 |
See UnitedHealthcare rates for every billing code at Upper Valley 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
4 out of 5 stars
0 better6 no different0 worsethan national
0 better6 no different0 worsethan national
0 better5 no different2 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 Upper Valley Medical Center.
Upper Valley Medical Center's CMS Certification Number (CCN) is 360174. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Upper Valley Medical Center bills under National Provider Identifier (NPI) 1184638942.
Upper Valley Medical Center bills insurers under tax ID (EIN) 31-0537095, held by UPPER VALLEY MEDICAL CENTER. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Upper Valley Medical Center is enrolled in Medicare as a short-term acute care hospital with nonprofit ownership. Its legal business name is Upper Valley Medical Center.
Upper Valley Medical Center is at 3130 N County Road 25a, Troy, OH 45373.
Upper Valley Medical Center has a CMS overall star rating of 4 out of 5. CMS bases the rating on mortality, safety, readmission, patient experience and timely care measures.
Yes. Upper Valley 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.