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Critical Access HospitalVoluntary Non-Profit - Private

Hans P Peterson Memorial Hospital

Philip, SD

503 West Pine Street, Philip, SD 57567(605) 859-2511

8

In-network payers

102

Disclosed rate categories

18

Beds

About this hospital

Hans P Peterson Memorial Hospital is an 18-bed voluntary non-profit - private hospital in Philip, SD. Below you'll find publicly disclosed negotiated rates and facility details, including 8 in-network payers and 102 disclosed rate categories.

CCN (Medicare provider number)

431319

NPI

1750300646

Type

Critical Access Hospital

Ownership

Voluntary Non-Profit - Private

Beds

18

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.

Medicare
BCBS
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Avera Health PlansHarvard Pilgrim Health Care (Point32Health)Kaiser PermanenteMass General Brigham (formerly AllWays Health Partners)MedicaSanford Health Plan

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

BCBS

Facility

RC Acquisition of Body Components

Range: 0810 - 0819

Percentage of Bill Charged

-

BCBS

Facility

RC Administration, Processing and Storage for Blood and Blood Components

Range: 0390 - 0399

Percentage of Bill Charged

-

BCBS

Facility

RC Adult Care

Range: 3100 - 3109

Percentage of Bill Charged

-

BCBS

Facility

RC All-inclusive Ancillary

Range: 0240 - 0249

Percentage of Bill Charged

-

BCBS

Facility

RC All-inclusive Rate

Range: 0100 - 0109

Percentage of Bill Charged

-

BCBS

Facility

RC Alternative Therapy Services

Range: 2100 - 2109

Percentage of Bill Charged

-

BCBS

Facility

RC Ambulance

Range: 0540 - 0549

Percentage of Bill Charged

-

BCBS

Facility

RC Ambulatory Surgical Care

Range: 0490 - 0499

Percentage of Bill Charged

-

BCBS

Facility

RC Anesthesia

Range: 0370 - 0379

Percentage of Bill Charged

-

BCBS

Facility

RC Audiology

Range: 0470 - 0479

Percentage of Bill Charged

-

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

Showing 1 - 10 of 102

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Location

503 West Pine Street, Philip, SD 57567

(605) 859-2511

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Frequently asked questions

About Hans P Peterson Memorial Hospital's rates and hospital price transparency.

How many beds does Hans P Peterson Memorial Hospital have?

Hans P Peterson Memorial Hospital has 18 beds. Facility type: Critical Access Hospital.

Where is Hans P Peterson Memorial Hospital and what is its phone number?

Hans P Peterson Memorial Hospital is located at 503 West Pine Street, Philip, SD 57567. Its main phone number is (605) 859-2511.

What is Hans P Peterson Memorial Hospital's CCN (Medicare provider number)?

Hans P Peterson Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 431319.

What is Hans P Peterson Memorial Hospital's NPI number?

The National Provider Identifier (NPI) on file for Hans P Peterson Memorial Hospital is 1750300646.

Which insurance plans are in network at Hans P Peterson Memorial Hospital?

Hans P Peterson Memorial Hospital lists 8 in-network payers, including Avera Health Plans, BCBS, Harvard Pilgrim Health Care (Point32Health), Kaiser Permanente, 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 Hans P Peterson Memorial Hospital?

102 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.

Compliance MRF

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
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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
Talk to us about your chargemaster