Wellspan Ephrata Community Hospital is a nonprofit short-term acute care hospital in Ephrata, Pennsylvania. Its CMS Certification Number (CCN) is 390225 and its NPI is 1083615587.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Ephrata, 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 | $2831 rate | 83rd percentile · state median $202, mean $224 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $4913 rates, all the same | 80th percentile · state median $359, mean $398 |
| MRI, brain, with and without contrast | 70553 | $5483 rates, all the same | 65th percentile · state median $494, mean $557 |
| Colonoscopy, diagnostic | 45378 | $528$305–$528 · 3 rates | 79th percentile · state median $424, mean $455 |
See UnitedHealthcare rates for every billing code at Wellspan Ephrata Community Hospital
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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 better7 no different0 worsethan national
0 better6 no different0 worsethan national
4 better5 no different0 worsethan national
Units Medicare certifies separately, each with its own CCN.
Rehabilitation unit
Wellspan Ephrata Community Hospital
CCN 39T225
Psychiatric unit
Wellspan Ephrata Community Hospital - Behavioral Health Unit
CCN 39S225
Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.
Quick answers about Wellspan Ephrata Community Hospital.
Wellspan Ephrata Community Hospital's CMS Certification Number (CCN) is 390225. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Wellspan Ephrata Community Hospital bills under National Provider Identifier (NPI) 1083615587.
Wellspan Ephrata Community Hospital bills insurers under tax ID (EIN) 23-1370484, held by EPHRATA COMMUNITY HOSPITAL. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Wellspan Ephrata Community Hospital is enrolled in Medicare as a short-term acute care hospital with nonprofit ownership. Its legal business name is Ephrata Community Hospital.
Wellspan Ephrata Community Hospital is at 169 Martin Ave, Ephrata, PA 17522.
Wellspan Ephrata Community Hospital 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. Wellspan Ephrata Community Hospital reports emergency services to CMS.
Yes. Wellspan Ephrata Community Hospital has 2 Medicare-certified units: rehabilitation unit, psychiatric unit.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.