Erlanger Health is a nonprofit critical access hospital in Pikeville, Tennessee. Its CMS Certification Number (CCN) is 441306 and its NPI is 1336841568.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Pikeville, TN
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. Tennessee hospitals |
|---|---|---|---|
| Emergency room visit, high severity | 99285 | $270$142–$490 · 13 rates | 74th percentile · state median $185, mean $222 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $328$278–$568 · 38 rates | 30th percentile · state median $364, mean $404 |
| MRI, brain, with and without contrast | 70553 | $366$311–$690 · 38 rates | 18th percentile · state median $520, mean $659 |
| Colonoscopy, diagnostic | 45378 | $490$153–$911 · 39 rates | 64th percentile · state median $463, mean $479 |
See UnitedHealthcare rates for every billing code at Erlanger Health
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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
Not rated. CMS only stars hospitals that report enough measures; most critical access and specialty hospitals are not rated.
0 better2 no different0 worsethan national
1 better1 no different0 worsethan national
Units Medicare certifies separately, each with its own CCN.
Swing-bed unit
Erlanger Bledsoe Hospital
CCN 44Z306
Same legal entity in Medicare, or billing insurers under the same tax ID.
Hamilton Medical Center
Cleveland, TN
Highpoint Health - Winchester With Ascension Saint Thomas
Winchester, TN
Lincoln Medical Center
Fayetteville, TN
Rhea County Hospital
Dayton, TN
Starr Regional Medical Center
Athens, TN
Unity Medical Center
Manchester, TN
Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.
Quick answers about Erlanger Health.
Erlanger Health's CMS Certification Number (CCN) is 441306. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Erlanger Health bills under National Provider Identifier (NPI) 1336841568.
Erlanger Health bills insurers under tax ID (EIN) 88-3616696, held by ERLANGER HEALTH. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Erlanger Health is enrolled in Medicare as a critical access hospital with nonprofit ownership. Its legal business name is Erlanger Health.
Erlanger Health is at 71 Wheelertown Ave, Pikeville, TN 37367.
Yes. Erlanger Health reports emergency services to CMS.
Yes. Erlanger Health has 1 Medicare-certified unit: swing-bed unit.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.