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Edgewood Surgical Hospital
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Insurance Plans

Health Plans Accepted at Our Facilities:

Aetna (PP0, POS, HMO,EPO)

Aetna Better Health

Aetna Medicare

America Health Mercy (Caritas)

Anthem Blue Cross

Assurant Health

Beechstreet Network

Champus / Tricare

Coventry Health Care

Cigna

Devon Health Network

Emerald Health Network

First Health Network (Now Aetna)

Freedom Blue Cross

Gateway Health – (Medicaid)

Gateway Health – (Medicare)

Geha

Health America /Health Assurance

Highmark Blue Cross

Highmark Blue Card

Highmark –out state plans

HM Health Insurance Co (Highmark)

Humana – In network

Intergroup Network

Mutual of Ohio (PPO / POS) thru Cigna

Medicaid –PA – Access / Access Plus

Medicaid – Ohio –Traditional

Medicare

Medicare Suppliment Plans

Mercer First Choice

Multiplan Network

National Preferred Provider Network (NPPN)

Private Health Care Systems (PHCS)

Security Blue

Tricare/ Champus

United Healthcare

United Healthcare Community plan Families

United Healthcare Community plan /Kids

United Healthcare Medicare Dual Complete

United Healthcare Medicare Complete –HMO

United Healthcare Medicare Advantage –PPO

United Healthcare Medicare AARP Complete Choice

UPMC for Kids (CHIP – HMO)

UPMC Health Plan Conversion HMO

UPMC Health Plan Conversion PPO

UPMC Health Plan Enhanced Access POS

UPMC Health Plan HMO

UPMC Health Plan Point of Service

UPMC Health Plan Premium EPO

UPMC Health Plan Premium PPO

UPMC Health Plan Premium PPO-Silver Advantage

UPMC Individual Advantage EPO

UPMC Individual Advantage –(employee plans) card says

UPMC Health Plan Standard HMO w/ referral (individual)

UPMC Health Plan Standard HMO w/ referral (small grp)

UPMC for YOU (Medical Assistance) HMO

UPMC for LIFE HMO Plan- Medicare Advantage HMO

UPMC for LIFE PPO Plan –Medicare Advantage PPO

UPMC for LIFE DUAL Plan – (Medicare/Medicaid)

UPMC Community Health Choice

Vantage PPO Network

Vantage PPO plus Network

Workers COMP –PA

Workers COMP-OH

Not covered by any of these plans? Contact us and we’ll find the best solution to suit your needs.

Edgewood Surgical Hospital – Our Commitment to Price Transparency

Effective January 1, 2021, all hospitals operating in the United States are required to provide clear, accessible pricing information online about the items and services they provide.  At Edgewood Surgical Hospital, we believe that our patients have the right to know and understand the cost associated with their healthcare.  We also believe it is important for our patients to fully understand their out-of-pocket financial responsibilities.  Our patients should note that any out-of-pocket requirements are directly related to contractually agreed upon rates as well as any applicable co-pays, deductibles, and co-insurance requirements.  Once a patient has met their maximum out-of-pocket expense or their deductible for the year, they may not owe anything.  Prior to receiving any services, consumers should contact their insurance carriers for the most accurate estimate of expected out-of-pocket costs.  Patients are also encouraged to contact us and speak with a financial counselor at 724-646-0400 to discuss the details of their expected services.

Things we will review:

  • Your Service or Procedure
  • Your Insurance – to include an evaluation of your out-of-pocket cost (Deductibles, Co-Pay, and Co-Insurance)

If you are interested in obtaining a more accurate estimate of these costs, we encourage you to contact us directly.

Hospital Charges:

In accordance with the Centers for Medicare and Medicaid Services (CMS) requirement for hospitals to post a list of their standard charges online in a machine-readable format, our file is a comprehensive list of standard charges for services provided by Edgewood Surgical Hospital and is commonly referred to as a chargemaster.  Patients can learn more about this requirement at www.cms.gov.

Notes on the Chargemaster:

  1. Charges are subject to change and based on our commitment to patient satisfaction, we will do everything we can to keep this file updated.
  2. The charge amount provided is Edgewood Surgical Hospital’s standard fee for each medical service, drug, or medical supply. The charge amount is not the cost a patient should anticipate.
  3. The chargemaster provided is applicable to technical services performed by Edgewood which include rooms, supplies, equipment, or drugs. Patients should expect to receive additional bills for any professional services provided, including but not limited to, charges from their surgeon, radiologist, pathologist, or other professional provider that may have provided services during their visit to our facility.
  4. It is also important to understand that the information represented in the chargemaster for certain items or services (i.e. surgeries, anesthesia and recovery) may be based on an estimated unit of time and complexity. Accordingly, these items and services may be difficult to accurately estimate in advance.

Edgewood Surgical Hospital

Edgewood Chargemaster

Patient Cost Estimation Tool

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Edgewood Surgical Hospital

239 Edgewood Dr. Extension
Transfer, PA 16154

Phone: (724)-646-0400

Fax: (724) 646-0413

Lawrence County Surgery Center

2 E Laurel Ave.
New Castle, PA 16101

Phone: (724) 656-9181

 

 

 

Edgewood Center for Spine & Pain Management

225 Edgewood Dr. Extension
Transfer, PA 16154

Phone: (724)-646-7246

Fax: (724) 928-9113

Edgewood Surgical Hospital Orthopedic Center of Excellence

3347 West 12th Street, STE 104
Erie, PA 16505

 

 

 

 

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