Penn Highlands Elk is a nonprofit critical access hospital in St Marys, Pennsylvania. Its CMS Certification Number (CCN) is 391315 and its NPI is 1326434242.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
St Marys, PA
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. Pennsylvania hospitals |
|---|---|---|---|
| Emergency room visit, high severity | 99285 | $201$186–$257 · 5 rates | 49th percentile · state median $202, mean $224 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $410$309–$499 · 11 rates | 62nd percentile · state median $359, mean $398 |
| MRI, brain, with and without contrast | 70553 | $458$327–$913 · 11 rates | 43rd percentile · state median $494, mean $557 |
| Colonoscopy, diagnostic | 45378 | $392$176–$529 · 15 rates | 42nd percentile · state median $424, mean $455 |
See UnitedHealthcare rates for every billing code at Penn Highlands Elk
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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 better5 no different0 worsethan national
0 better1 no different0 worsethan national
1 better5 no different0 worsethan national
Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.
Quick answers about Penn Highlands Elk.
Penn Highlands Elk's CMS Certification Number (CCN) is 391315. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Penn Highlands Elk bills under National Provider Identifier (NPI) 1326434242.
Penn Highlands Elk bills insurers under tax ID (EIN) 25-0585280, held by ELK REGIONAL HEALTH CENTER. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Penn Highlands Elk is enrolled in Medicare as a critical access hospital with nonprofit ownership. Its legal business name is Elk Regional Health Center.
Penn Highlands Elk is at 763 Johnsonburg Road, St Marys, PA 15857.
Penn Highlands Elk 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. Penn Highlands Elk reports emergency services to CMS.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.