CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$3,346 - $6,084
from 3 insurers · median $5,780
UnitedHealthcare$3,346
Insurer A*est.$5,780
Insurer B*$6,084
Medicare $356
Typical for a hospital with this service line
Critical Access HospitalVoluntary Non-Profit - Private
Faulkton Area Medical Center
Faulkton, SD
1300 Oak Street, Faulkton, SD 57438(605) 598-6262
25
In-network payers
113
Disclosed rate categories
12
Beds
About this hospital
Faulkton Area Medical Center is a 12-bed voluntary non-profit - private hospital in Faulkton, SD. Below you'll find publicly disclosed negotiated rates and facility details, including 25 in-network payers and 113 disclosed rate categories.
CCN (Medicare provider number)
431301
NPI
1245212877
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
12
Insurance Accepted
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.
Ameri HealthAvera Health PlansCenteneFirst HealthHarvard Pilgrim Health Care (Point32Health)Health Smart
Prices for common services
The 24 services Faulkton Area Medical Center 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
CT of the abdomen and pelvis, without contrast
CPT 74176
$2,782 - $4,806
from 2 insurers · median $3,794
UnitedHealthcare$2,782
Insurer A*est.$4,806
Medicare $244
Typical for a hospital with this service line
MRI imaging
MRI brain before and after contrast
CPT 70553
$3,626 - $6,592
from 3 insurers · median $6,262
Blue Cross$6,592
Insurer A*$3,626
Insurer B*est.$6,262
Medicare $356
Typical for a hospital with this service line
CT imaging
CT angiography of chest blood vessels
CPT 71275
$1,918 - $3,488
from 3 insurers · median $3,314
UnitedHealthcare$1,918
Insurer A*est.$3,314
Insurer B*$3,488
Medicare $179
Typical for a hospital with this service line
CT imaging
CT of the chest, with contrast
CPT 71260
$2,007 - $3,467
from 2 insurers · median $2,737
UnitedHealthcare$2,007
Insurer A*est.$3,467
Medicare $179
Typical for a hospital with this service line
Nuclear imaging
Nuclear imaging of blood flow to the heart, multiple studies
CPT 78452
$4,189 - $7,616
from 3 insurers · median $7,235
Cignaest.$7,235
Insurer A*$4,189
Insurer B*$7,616
Medicare $1,323
Hospital reports nuclear medicine services to CMS
Mammography
Screening mammography, bilateral
CPT 77067
$283 - $515
from 3 insurers · median $489
Blue Cross$515
Insurer A*$283
Insurer B*est.$489
Medicare $92
Typical for a hospital with this service line
Cardiology and vascular testing
Complete echocardiogram with Doppler and color flow
CPT 93306
$953 - $1,733
from 3 insurers · median $1,646
UnitedHealthcare$953
Insurer A*est.$1,646
Insurer B*$1,733
Medicare $558
Typical for a hospital with this service line
Digestive procedures
Upper GI endoscopy with biopsy
CPT 43239
$1,003 - $2,961
from 3 insurers · median $2,813
Blue Cross$2,961
Insurer A*$1,003
Insurer B*est.$2,813
Medicare $927
Typical for a hospital with this service line
X-ray and bone density
Chest X-ray, two views
CPT 71046
$249 - $453
from 3 insurers · median $430
Cignaest.$430
Insurer A*$249
Insurer B*$453
Medicare $89
Typical for a hospital with this service line
Digestive procedures
Colonoscopy with biopsy
CPT 45380
$1,128 - $3,296
from 3 insurers · median $3,131
Blue Cross$3,296
Insurer A*$1,128
Insurer B*est.$3,131
Medicare $1,223
Typical for a hospital with this service line
Ultrasound
Limited ultrasound of the abdomen
CPT 76705
$761 - $1,383
from 3 insurers · median $1,314
UnitedHealthcare$761
Insurer A*est.$1,314
Insurer B*$1,383
Medicare $107
Typical for a hospital with this service line
MRI imaging
MRI of the brain, without contrast
CPT 70551
$1,700 - $3,090
from 3 insurers · median $2,936
Blue Cross$3,090
Insurer A*$1,700
Insurer B*est.$2,936
Medicare $244
Typical for a hospital with this service line
MRI imaging
MRI of the pelvis, before and after contrast
CPT 72197
$3,451 - $6,274
from 3 insurers · median $5,960
Blue Cross$6,274
Insurer A*$3,451
Insurer B*est.$5,960
Medicare $356
Typical for a hospital with this service line
MRI imaging
MRI lower-extremity joint without contrast
CPT 73721
$1,813 - $3,296
from 3 insurers · median $3,131
Blue Cross$3,296
Insurer A*$1,813
Insurer B*est.$3,131
Medicare $244
Typical for a hospital with this service line
Ultrasound
Limited ultrasound of one breast
CPT 76642
$623 - $1,133
from 3 insurers · median $1,076
UnitedHealthcare$623
Insurer A*est.$1,076
Insurer B*$1,133
Medicare $89
Typical for a hospital with this service line
Digestive procedures
Diagnostic colonoscopy
CPT 45378
$908 - $2,678
from 3 insurers · median $2,544
Blue Cross$2,678
Insurer A*$908
Insurer B*est.$2,544
Medicare $950
Typical for a hospital with this service line
Ultrasound
Ultrasound of head or neck soft tissues
CPT 76536
$670 - $1,218
from 3 insurers · median $1,157
UnitedHealthcare$670
Insurer A*est.$1,157
Insurer B*$1,218
Medicare $107
Typical for a hospital with this service line
Digestive procedures
Colonoscopy with polyp removal
CPT 45385
$463 - $1,649
from 3 insurers · median $1,125
Blue Cross$1,125
Insurer A*$463
Insurer B*est.$1,649
Medicare $1,223
Typical for a hospital with this service line
Laboratory and pathology
Comprehensive metabolic panel
CPT 80053
$118 - $203
from 2 insurers · median $161
UnitedHealthcare$118
Insurer A*est.$203
Medicare $11
Typical for a hospital with this service line
Ultrasound
Complete pelvic ultrasound
CPT 76856
$531 - $965
from 3 insurers · median $917
UnitedHealthcare$531
Insurer A*est.$917
Insurer B*$965
Medicare $107
Typical for a hospital with this service line
Lung function and sleep
Attended overnight sleep study
CPT 95810
$2,855 - $5,191
from 3 insurers · median $4,931
Blue Cross$5,191
Insurer A*$2,855
Insurer B*est.$4,931
Medicare $877
Typical for a hospital with this service line
Laboratory and pathology
Complete blood count with differential
CPT 85025
$74 - $135
from 3 insurers · median $135
UnitedHealthcare$74
Insurer A*est.$135
Insurer B*$135
Medicare $8
Typical for a hospital with this service line
Lung function and sleep
Overnight sleep study with positive-airway-pressure titration
CPT 95811
$3,156 - $5,739
from 3 insurers · median $5,452
Blue Cross$5,739
Insurer A*$3,156
Insurer B*est.$5,452
Medicare $877
Typical for a hospital with this service line
How the insurers pay at Faulkton Area Medical Center
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* | 24 | 1144% | 0 | 0 |
| Insurer B* | 21 | 904% | 0 | 0 |
| Insurer C* | 24 | 662% | 0 | 0 |
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 Faulkton Area Medical Center.
Location
1300 Oak Street, Faulkton, SD 57438
(605) 598-6262
Comparable hospitals nearby
The nearest hospitals of similar type and size. Their rates are compared with Faulkton Area Medical Center for the same insurers and services above.
Community Memorial Hospital - Redfield
Redfield, SD · 32 mi · 25 bedsView rates
Too few shared services to compare rates
Avera Hand County Memorial Hospital
Miller, SD · 36 mi · 11 bedsView rates
▼ Rates typically 75% lower than Faulkton Area Medical Center (10 services)
Bowdle Hospital
Bowdle, SD · 39 mi · 12 bedsView rates
Too few shared services to compare rates
Avera Missouri River Health Center
Gettysburg, SD · 40 mi · 6 bedsView rates
Too few shared services to compare rates
Eureka Community Health Services Avera
Eureka, SD · 56 mi · 4 bedsView rates
Too few shared services to compare rates
Huron Regional Medical Center
Huron, SD · 65 mi · 25 bedsView rates
Rates about the same as Faulkton Area Medical Center (24 services)
Douglas County Memorial Hospital
Armour, SDView rates
St. Michael S Hospital Avera
Tyndall, SDView rates
Sanford Chamberlain Medical Center
Chamberlain, SDView rates
Avera Flandreau Hospital
Flandreau, SDView rates
Frequently asked questions
About Faulkton Area Medical Center's rates and hospital price transparency.
How much does an MRI cost at Faulkton Area Medical Center?
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Faulkton Area Medical Center range from $3,626 to $6,592 across 3 insurers. Blue Cross Blue Shield's rate is $6,592. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a CT scan cost at Faulkton Area Medical Center?
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Faulkton Area Medical Center range from $3,346 to $6,084 across 3 insurers. UnitedHealthcare's rate is $3,346. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a colonoscopy cost at Faulkton Area Medical Center?
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Faulkton Area Medical Center range from $1,128 to $3,296 across 3 insurers. Blue Cross Blue Shield's rate is $3,296. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a mammogram cost at Faulkton Area Medical Center?
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Faulkton Area Medical Center range from $283 to $515 across 3 insurers. Blue Cross Blue Shield's rate is $515. What a patient pays depends on their plan's deductible, coinsurance and network status.
How many beds does Faulkton Area Medical Center have?
Faulkton Area Medical Center has 12 beds. Facility type: Critical Access Hospital.
Where is Faulkton Area Medical Center and what is its phone number?
Faulkton Area Medical Center is located at 1300 Oak Street, Faulkton, SD 57438. Its main phone number is (605) 598-6262.
What is Faulkton Area Medical Center's CCN (Medicare provider number)?
Faulkton Area Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 431301.
What is Faulkton Area Medical Center's NPI number?
The National Provider Identifier (NPI) on file for Faulkton Area Medical Center is 1245212877.
Which insurance plans are in network at Faulkton Area Medical Center?
Faulkton Area Medical Center lists 25 in-network payers, including Ameri Health, Avera Health Plans, BCBS, Centene, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
What price transparency data is available for Faulkton Area Medical Center?
113 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.
What is a hospital price transparency MRF?
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.
What is a chargemaster review?
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.
For hospital finance and compliance teams
Running price transparency at a hospital like this one?
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
Publish a CMS-compliant machine-readable file
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
CMS v3 example: standard_charge_information[0]
{
"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
}
]
}]
}- CMS template layout, in JSON or CSV
- Gross, discounted cash, payer-specific and de-identified min / max charges
- cms-hpt.txt file and homepage footer link
- Refreshed when your contracts change
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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
CodingPricingPayer contractsCompliance
- CPT, HCPCS, revenue code and modifier errors flagged line by line
- Missing, duplicate and outdated charge lines identified
- Charges set below payer allowables caught before lesser-of clauses cut payment
- Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
- Your negotiated rates benchmarked against peer hospitals for the same payers