UPMC Horizon is a nonprofit short-term acute care hospital in Greenville, Pennsylvania. Its CMS Certification Number (CCN) is 390178 and its NPI is 1225048838.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Greenville, 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 | $3341 rate | 91st percentile · state median $202, mean $224 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $6163 rates, all the same | 93rd percentile · state median $359, mean $398 |
| MRI, brain, with and without contrast | 70553 | $6893 rates, all the same | 76th percentile · state median $494, mean $557 |
| Colonoscopy, diagnostic | 45378 | $675$390–$675 · 3 rates | 94th percentile · state median $424, mean $455 |
See UnitedHealthcare rates for every billing code at UPMC Horizon
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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 better4 no different0 worsethan national
0 better9 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 UPMC Horizon.
UPMC Horizon's CMS Certification Number (CCN) is 390178. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
UPMC Horizon bills under National Provider Identifier (NPI) 1225048838.
UPMC Horizon bills insurers under tax ID (EIN) 25-0523970, held by UPMC. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
UPMC Horizon is enrolled in Medicare as a short-term acute care hospital with nonprofit ownership. Its legal business name is UPMC Horizon.
UPMC Horizon is at 110 N Main St, Greenville, PA 16125.
UPMC Horizon 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. UPMC Horizon reports emergency services to CMS.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.