Carilion Clinic is a nonprofit critical access hospital in Pearisburg, Virginia. Its CMS Certification Number (CCN) is 491302 and its NPI is 1194718304.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Pearisburg, VA
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. Virginia hospitals |
|---|---|---|---|
| Emergency room visit, high severity | 99285 | $228$207–$249 · 2 rates | 46th percentile · state median $249, mean $245 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $419$380–$458 · 6 rates | 44th percentile · state median $434, mean $429 |
| MRI, brain, with and without contrast | 70553 | $490$424–$556 · 6 rates | 33rd percentile · state median $556, mean $691 |
| Colonoscopy, diagnostic | 45378 | $562$291–$641 · 6 rates | 67th percentile · state median $552, mean $520 |
See UnitedHealthcare rates for every billing code at Carilion Clinic
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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 better4 no different0 worsethan national
0 better1 no different0 worsethan national
0 better4 no different1 worsethan national
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Stuart, VA
Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.
Quick answers about Carilion Clinic.
Carilion Clinic's CMS Certification Number (CCN) is 491302. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Carilion Clinic bills under National Provider Identifier (NPI) 1194718304.
Carilion Clinic bills insurers under tax ID (EIN) 54-0549603, held by CARILION GILES COMMUNITY HOSPITAL. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Carilion Clinic is enrolled in Medicare as a critical access hospital with nonprofit ownership. Its legal business name is Carilion Giles Community Hospital.
Carilion Clinic is at 159 Hartley Way, Pearisburg, VA 24134.
Carilion Clinic 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. Carilion Clinic reports emergency services to CMS.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.