Hot Springs, SD
24
In-network payers
140
Disclosed rate categories
25
Beds
Fall River Health Services - Hot Springs is a 25-bed government - local hospital in Hot Springs, SD. Below you'll find publicly disclosed negotiated rates and facility details, including 24 in-network payers and 140 disclosed rate categories.
CCN (Medicare provider number)
431322
NPI
1679544555
Type
Critical Access Hospital
Ownership
Government - Local
Beds
25
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Fall River Health Services - Hot Springs most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$247 - $6,278
from 4 insurers · median $5,666
Typical for a hospital with this service line
CT imaging
CPT 74176
$170 - $4,516
from 2 insurers · median $2,343
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$169 - $2,699
from 4 insurers · median $2,436
Typical for a hospital with this service line
CT imaging
CPT 71260
$156 - $3,288
from 4 insurers · median $2,967
Typical for a hospital with this service line
MRI imaging
CPT 70553
$226 - $5,066
from 4 insurers · median $4,572
Typical for a hospital with this service line
CT imaging
CPT 71275
$236 - $3,464
from 2 insurers · median $1,850
Typical for a hospital with this service line
MRI imaging
CPT 72148
$108 - $4,366
from 4 insurers · median $3,940
Typical for a hospital with this service line
MRI imaging
CPT 70551
$111 - $4,367
from 4 insurers · median $3,941
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$30 - $413
from 4 insurers · median $373
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$401 - $2,806
from 4 insurers · median $2,532
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,609 - $1,927
from 3 insurers · median $1,869
Typical for a hospital with this service line
MRI imaging
CPT 74183
$323 - $5,091
from 4 insurers · median $4,595
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$1,817 - $2,176
from 3 insurers · median $2,110
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$92 - $1,297
from 4 insurers · median $1,171
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$1,832 - $2,194
from 3 insurers · median $2,128
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$4 - $210
from 3 insurers · median $180
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$3,171 - $3,798
from 3 insurers · median $3,684
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$4,739 - $5,676
from 3 insurers · median $5,506
Typical for a hospital with this service line
Ultrasound
CPT 76856
$72 - $948
from 4 insurers · median $856
Typical for a hospital with this service line
Ultrasound
CPT 76705
$60 - $513
from 4 insurers · median $463
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$617 - $5,510
from 4 insurers · median $4,973
Typical for a hospital with this service line
Ultrasound
CPT 76830
$109 - $790
from 4 insurers · median $713
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$145 - $1,691
from 4 insurers · median $1,526
Typical for a hospital with this service line
Ultrasound
CPT 76770
$99 - $965
from 4 insurers · median $871
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 22 | 695% | 0 | 0 |
| Insurer B* | 21 | 694% | 15 | 4 |
| Insurer C* | 24 | 679% | 0 | 17 |
| Insurer D* | 19 | 68% | 0 | 19 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Fall River Health Services - Hot Springs.
1201 Highway 71 South, Hot Springs, SD 57747
(605) 745-8910
The nearest hospitals of similar type and size. Their rates are compared with Fall River Health Services - Hot Springs for the same insurers and services above.
Monument Health Custer Hospital
â–² Rates typically 24% higher than Fall River Health Services - Hot Springs (22 services)
Weston County Health Services
â–¼ Rates typically 38% lower than Fall River Health Services - Hot Springs (18 services)
Chadron Community Hospital
â–² Rates typically 6% higher than Fall River Health Services - Hot Springs (21 services)
Niobrara Health And Life Center
â–¼ Rates typically 6% lower than Fall River Health Services - Hot Springs (6 services)
Monument Health Lead-Deadwood Hospital
â–² Rates typically 23% higher than Fall River Health Services - Hot Springs (22 services)
Monument Health Sturgis Hospital
â–² Rates typically 23% higher than Fall River Health Services - Hot Springs (22 services)
Avera Hand County Memorial Hospital
Madison Regional Health System
Community Memorial Hospital - Redfield
Eureka Community Health Services Avera
About Fall River Health Services - Hot Springs's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Fall River Health Services - Hot Springs range from $226 to $5,066 across 4 insurers. Blue Cross Blue Shield's rate is $5,066. The median at nearby comparable hospitals is $4,807. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Fall River Health Services - Hot Springs range from $247 to $6,278 across 4 insurers. Aetna's rate is $247. The median at nearby comparable hospitals is $5,170. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Fall River Health Services - Hot Springs range from $401 to $2,806 across 4 insurers. Cigna's rate is $2,722. The median at nearby comparable hospitals is $3,301. What a patient pays depends on their plan's deductible, coinsurance and network status.
Fall River Health Services - Hot Springs has 25 beds. Facility type: Critical Access Hospital.
Fall River Health Services - Hot Springs is located at 1201 Highway 71 South, Hot Springs, SD 57747. Its main phone number is (605) 745-8910.
Fall River Health Services - Hot Springs's CMS Certification Number (CCN), also called its Medicare provider number, is 431322.
The National Provider Identifier (NPI) on file for Fall River Health Services - Hot Springs is 1679544555.
Fall River Health Services - Hot Springs lists 24 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
140 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers