CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$1,205 - $1,798
from 4 insurers · median $1,374
Aetna$1,798
Insurer A*$1,205
Insurer B*$1,284
Insurer C*$1,465
Medicare $330
Common here, based on CMS Medicare volume
HOSPITALGovernment - Local
Harper County Community Hospital
Buffalo, OK
1003 US HIGHWAY 64 NORTH, Buffalo, OK 73834(580) 735-2555
Not rated by CMS
CMS star rating
25
Beds
$6M
Net patient revenue a year
34
In-network payers
About this hospital
Harper County Community Hospital is a 25-bed government - local hospital in Buffalo, OK. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 195 disclosed rate categories.
- CCN
- 370781
- NPI
- 1134128499
- County
- Harper County
- Medicare contractor
- Jurisdiction H, Novitas Solutions (04011)
- In Medicare since
- 2023
- Last CMS survey
- 2026
Prices for common services
The 24 services Harper County Community Hospital 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, or start a free trial.
CT imaging
CT head or brain without contrast
CPT 70450
$465 - $1,365
from 4 insurers · median $1,043
Aetna$1,365
Insurer A*$465
Insurer B*$975
Insurer C*$1,112
Medicare $99
Common here, based on CMS Medicare volume
CT imaging
CT of the abdomen and pelvis, without contrast
CPT 74176
$1,019 - $1,427
from 4 insurers · median $1,184
Aetna$1,427
Insurer A*$1,019
Insurer B*$1,162
Insurer C*$1,205
Medicare $226
Common here, based on CMS Medicare volume
CT imaging
CT angiography of chest blood vessels
CPT 71275
$1,324 - $2,293
from 4 insurers · median $1,752
Aetna$2,293
Insurer A*$1,324
Insurer B*$1,637
Insurer C*$1,867
Medicare $166
Common here, based on CMS Medicare volume
Cardiology and vascular testing
Complete echocardiogram with Doppler and color flow
CPT 93306
$669 - $1,047
from 4 insurers · median $850
Blue Cross$1,047
Insurer A*$669
Insurer B*$764
Insurer C*$937
Medicare $517
Common here, based on CMS Medicare volume
X-ray and bone density
Chest X-ray, two views
CPT 71046
$125 - $272
from 4 insurers · median $208
Cigna$194
Insurer A*$125
Insurer B*$222
Insurer C*$272
Medicare $82
Common here, based on CMS Medicare volume
X-ray and bone density
Bone-density scan of the spine and hip
CPT 77080
$197 - $539
from 4 insurers · median $412
Cigna$385
Insurer A*$197
Insurer B*$439
Insurer C*$539
Medicare $99
Common here, based on CMS Medicare volume
Lung function and sleep
Attended overnight sleep study
CPT 95810
$1,639 - $3,347
from 4 insurers · median $2,082
UnitedHealthcare$1,869
Insurer A*$1,639
Insurer B*$2,295
Insurer C*$3,347
Medicare $813
Common here, based on CMS Medicare volume
Ultrasound
Limited ultrasound of the abdomen
CPT 76705
$254 - $440
from 4 insurers · median $323
Aetna$356
Insurer A*$254
Insurer B*$290
Insurer C*$440
Medicare $99
Common here, based on CMS Medicare volume
Cardiology and vascular testing
Ultrasound of veins in one limb or a limited bilateral study
CPT 93971
$443 - $732
from 4 insurers · median $563
Blue Cross$732
Insurer A*$443
Insurer B*$506
Insurer C*$621
Medicare $99
Common here, based on CMS Medicare volume
Lung function and sleep
Overnight sleep study with positive-airway-pressure titration
CPT 95811
$1,584 - $3,347
from 4 insurers · median $2,013
UnitedHealthcare$1,807
Insurer A*$1,584
Insurer B*$2,219
Insurer C*$3,347
Medicare $813
Common here, based on CMS Medicare volume
Ultrasound
Limited ultrasound of one breast
CPT 76642
$210 - $440
from 4 insurers · median $267
Aetna$295
Insurer A*$210
Insurer B*$240
Insurer C*$440
Medicare $82
Common here, based on CMS Medicare volume
Ultrasound
Transvaginal pelvic ultrasound
CPT 76830
$328 - $459
from 4 insurers · median $407
Aetna$459
Insurer A*$328
Insurer B*$374
Insurer C*$440
Medicare $99
Common here, based on CMS Medicare volume
Ultrasound
Complete ultrasound of kidneys and nearby structures
CPT 76770
$339 - $475
from 4 insurers · median $414
Aetna$475
Insurer A*$339
Insurer B*$387
Insurer C*$440
Medicare $99
Common here, based on CMS Medicare volume
Laboratory and pathology
Comprehensive metabolic panel
CPT 80053
$46 - $64
from 4 insurers · median $57
Blue Cross$62
Insurer A*$46
Insurer B*$52
Insurer C*$64
Medicare $11
Typical for a hospital with this service line
X-ray and bone density
Foot X-ray, at least three views
CPT 73630
$125 - $223
from 4 insurers · median $170
Cigna$159
Insurer A*$125
Insurer B*$182
Insurer C*$223
Medicare $82
Common here, based on CMS Medicare volume
Cardiology and vascular testing
Complete ultrasound of blood vessels in both sides of the neck
CPT 93880
$440 - $668
from 4 insurers · median $511
Blue Cross$440
Insurer A*$477
Insurer B*$544
Insurer C*$668
Medicare $226
Common here, based on CMS Medicare volume
Laboratory and pathology
Basic metabolic panel
CPT 80048
$62 - $148
from 3 insurers · median $129
Blue Cross$62
Insurer A*$129
Insurer B*$148
Medicare $8
Typical for a hospital with this service line
X-ray and bone density
Shoulder X-ray, at least two views
CPT 73030
$125 - $223
from 4 insurers · median $170
Cigna$159
Insurer A*$125
Insurer B*$182
Insurer C*$223
Medicare $82
Common here, based on CMS Medicare volume
Cardiology and vascular testing
Complete ultrasound of veins in both arms or both legs
CPT 93970
$654 - $916
from 4 insurers · median $739
Blue Cross$732
Insurer A*$654
Insurer B*$746
Insurer C*$916
Medicare $226
Common here, based on CMS Medicare volume
Laboratory and pathology
Complete blood count with differential
CPT 85025
$33 - $46
from 4 insurers · median $40
Blue Cross$42
Insurer A*$33
Insurer B*$38
Insurer C*$46
Medicare $8
Typical for a hospital with this service line
Lung function and sleep
Lung-function testing before and after a bronchodilator
CPT 94060
$271 - $858
from 4 insurers · median $656
UnitedHealthcare$699
Insurer A*$271
Insurer B*$612
Insurer C*$858
Medicare $353
Common here, based on CMS Medicare volume
Lung function and sleep
Spirometry lung-function test
CPT 94010
$271 - $437
from 4 insurers · median $334
UnitedHealthcare$356
Insurer A*$271
Insurer B*$312
Insurer C*$437
Medicare $204
Common here, based on CMS Medicare volume
Orthopedics and pain
Aspiration or injection of a major joint, without ultrasound
CPT 20610
$160
negotiated rate
Cignaest.$160
Medicare $291
Common here, based on CMS Medicare volume
How the insurers pay at Harper County Community Hospital
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* | 23 | 381% | 0 | 0 |
| Insurer B* | 22 | 354% | 0 | 0 |
| Insurer C* | 23 | 306% | 0 | 0 |
| Insurer D* | 24 | 253% | 0 | 0 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 21 are common here based on CMS Medicare volume, and 3 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 Harper County Community Hospital, or start a free trial.
Insurance Accepted
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneDean Health Plan
More about this hospital
Quality
Not rated by CMS
See quality ratingsDoctors and services
17 affiliated clinicians
See doctors and servicesFinances
$6M net patient revenue
- Operating margin on patient care -7.3%
- $381,668 unreimbursed and uncompensated care
- $65,808 net income
Ownership and leadership
Owned by SSM Health Care Of Oklahoma, Inc.
- Local
- Kevin M Obrien, chief executive
Tax IDs and NPIs insurers list
The employer identification numbers (EINs) health plans and networks list for Harper County Community Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 73-1285460Harper County Community Hospital | 50Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 45 more | 1134128499 Harper County Community Hospital1801023890 Harper County Community Hospital1447259791 Harper County Community Hospitaland 1 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
Location
1003 US HIGHWAY 64 NORTH, Buffalo, OK 73834
(580) 735-2555
Every CMS quality measure
Each result CMS publishes for Harper County Community Hospital, beside the US median and the average of OK hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Deaths and complications20 measures
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | This hospital | US median | OK average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.5 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 | Not Available | 4.206 | |||
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 12.36 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.611 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 | Not Available | 8.722 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 | Not Available | 11.31 | |||
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 | Not Available | 15.57 | |||
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 13.28 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 | Not Available | 0.5362 | |||
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 176 | |||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 | Not Available | 0.2122 | |||
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 | Not Available | 0.2762 | |||
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 | Not Available | 2.34 | |||
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.699 | |||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 9.965 | |||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 | Not Available | 3.378 | |||
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.356 | |||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.757 | |||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 | Not Available | 1.052 | |||
| CMS Medicare PSI 90: Patient safety and adverse events composite2022-07-01 to 2024-06-30 | Not Available | 0.9791 |
Readmissions and return visits14 measures
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | OK average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 7.121 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 | Not Available | -3.734 | |||
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 | Not Available | -8.01 | |||
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 | Not Available | 13.2 | |||
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.88 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.711 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 | Not Available | 1.026 | |||
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.57 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.24 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 | Not Available | 20.02 | |||
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 21.41 | |||
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 6.068 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 17.29 |
Infections36 measures
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This hospital | US median | OK average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.213 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.152 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | Not Available | 3,613 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 3.643 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | Not Available | 1.722 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.6454 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.186 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.84 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | Not Available | 2,933 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 3.323 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | Not Available | 1.291 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.3961 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4004 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.687 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 102 | |||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 2.76 | |||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 2.978 | |||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.9026 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3225 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.641 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 117 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 1.033 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 1.021 | |||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.7021 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3557 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.404 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | Not Available | 22,964 | |||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 1.566 | |||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 1.121 | |||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.772 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.144 | |||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.37 | |||
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | Not Available | 20,916 | |||
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 13.63 | |||
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | Not Available | 3.489 | |||
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | Not Available | 0.3156 |
Patient survey (HCAHPS)68 measures
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | OK average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 | Not Available | 74.33 | |||
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 | Not Available | 8.534 | |||
| Room was "usually" clean2024-10-01 to 2025-09-30 | Not Available | 17.14 | |||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 86.41 | |||
| Cleanliness - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.426 | |||
| Nurses "always" communicated well2024-10-01 to 2025-09-30 | Not Available | 80.77 | |||
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 91.63 | |||
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 | Not Available | 3.602 | |||
| Nurse communication - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.556 | |||
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 | Not Available | 15.63 | |||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 | Not Available | 80.72 | |||
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 91.11 | |||
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 | Not Available | 5.239 | |||
| Doctor communication - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.222 | |||
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 | Not Available | 14.05 | |||
| Staff "always" explained2024-10-01 to 2025-09-30 | Not Available | 63.34 | |||
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 77.35 | |||
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 | Not Available | 17.88 | |||
| Communication about medicines - star rating2024-10-01 to 2025-09-30 | Not Applicable | 2.741 | |||
| Staff "usually" explained2024-10-01 to 2025-09-30 | Not Available | 18.78 | |||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 85.52 | |||
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 | Not Available | 13.5 | |||
| Discharge information - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.259 | |||
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 | Not Available | 86.5 | |||
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 | Not Available | 15.01 | |||
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 | Not Available | 84.99 | |||
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 75.68 | |||
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 6.382 | |||
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 17.94 | |||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 | Not Available | 78.63 | |||
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 | Not Available | 5.824 | |||
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 | Not Available | 15.54 | |||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 86.24 | |||
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 3.456 | |||
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 10.31 | |||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 | Not Available | 7.42 | |||
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 | Not Available | 19.27 | |||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 | Not Available | 73.31 | |||
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 89 | |||
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.537 | |||
| Staff "always" explained new medications2024-10-01 to 2025-09-30 | Not Available | 75.53 | |||
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 | Not Available | 8.985 | |||
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 | Not Available | 15.49 | |||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 75.5 | |||
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 5.485 | |||
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 19.01 | |||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 | Not Available | 77.97 | |||
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 | Not Available | 4.029 | |||
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 | Not Available | 18 | |||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 87.06 | |||
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 2.397 | |||
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 10.54 | |||
| "Always" quiet at night2024-10-01 to 2025-09-30 | Not Available | 66.14 | |||
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 | Not Available | 6.398 | |||
| "Usually" quiet at night2024-10-01 to 2025-09-30 | Not Available | 27.47 | |||
| Quietness - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 84.83 | |||
| Quietness - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.981 | |||
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 | Not Available | 5.466 | |||
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 | Not Available | 73.73 | |||
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 87.91 | |||
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 | Not Available | 20.81 | |||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.815 | |||
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 | Not Available | 49.99 | |||
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 | Not Available | 28.22 | |||
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 | Not Available | 21.79 | |||
| Summary star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.407 | |||
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 | Not Available | 12.72 | |||
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 | Not Available | 87.28 |
Timely and effective care23 measures
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | OK average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 8.19 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.1 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.35 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 | Not Available | 78.33 | |||
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 128 | |||
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 123 | |||
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 202 | |||
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 254 | |||
| Left before being seen2024-01-01 to 2024-12-31 | Not Available | 1.222 | |||
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 65.13 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 | Not Available | 91.94 | |||
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 88 | |||
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 | Not Available | 60.29 | |||
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 68.47 | |||
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 84.07 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 77.55 | |||
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 90.37 |
Outpatient imaging2 measures
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | OK average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | Not Available | 8.305 | |||
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | Not Available | 7.093 |
Medicare spending per patient1 measure
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This hospital | US median | OK average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | Not Available | 0.9841 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
Accreditation and services
Not accredited
Accreditation
None
Medical school affiliation
Local
Ownership type
15
Medicare-certified beds
7
Registered nurses (full-time equivalent)
2023
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
Size and patient volume
What Harper County Community Hospital reported to Medicare in its latest cost report, covering Oct 1, 2024 to Sep 30, 2025.
39
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 832508). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Medicare outpatient services
The comprehensive outpatient service groups (APCs) Harper County Community Hospital billed Medicare for most in 2024: 21 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 21 | 20 | $4,285 | $1,968 | $2,090 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
Staff and facilities
Staff by profession and the rooms and units Harper County Community Hospital reported at its latest Medicare certification survey (2026). Counts are people, not full-time equivalents.
7
Registered nurses
5
Licensed practical nurses
1
Physicians
3
Physician assistants
1
Respiratory therapists
1
Physical therapists
2
Radiology technicians
1
Laboratory technicians
2
Medical technologists
29
Other personnel
Source: CMS Provider of Services file.
Doctors and clinicians
17 clinicians who bill Medicare list Harper County Community Hospital as a hospital affiliation. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
- Diagnostic Radiology Physician 6
- Physician Assistant 3
- Family Medicine Physician 2
- Interventional Cardiology Physician 2
- Hematology & Oncology Physician 1
- Hospitalist Physician 1
- Medical Physician Assistant 1
- Specialist 1
Islam Fayed, DO
Diagnostic Radiology Physician
NPI 1316300320
See commercial rates for Islam Fayed, DOChester Beam, MD
Diagnostic Radiology Physician
NPI 1316939622
See commercial rates for Chester Beam, MDRichard Costello, D.O.
Diagnostic Radiology Physician
NPI 1710936455
See commercial rates for Richard Costello, D.O.Dwayne Schmidt, MD
Interventional Cardiology Physician
NPI 1568453835
See commercial rates for Dwayne Schmidt, MDJess Armor, M.D.
Hematology & Oncology Physician
NPI 1922059666
See commercial rates for Jess Armor, M.D.Corey Finch, MD
Family Medicine Physician
NPI 1407903644
See commercial rates for Corey Finch, MDThomas Mcgarry, M.D.
Interventional Cardiology Physician
NPI 1427045400
See commercial rates for Thomas Mcgarry, M.D.Leila See, D.O.
Diagnostic Radiology Physician
NPI 1013164268
See commercial rates for Leila See, D.O.Steve Madrid, PA
Physician Assistant
NPI 1245239045
See commercial rates for Steve Madrid, PABrenda Huenergardt, M.D.
Specialist
NPI 1225098460
See commercial rates for Brenda Huenergardt, M.D.Matthew Lambert, MD
Diagnostic Radiology Physician
NPI 1962994517
See commercial rates for Matthew Lambert, MDAmber Pena, MD
Hospitalist Physician
NPI 1720016074
See commercial rates for Amber Pena, MDJana Morris, PA-C
Medical Physician Assistant
NPI 1629043369
See commercial rates for Jana Morris, PA-CNicholas Russenberger, MPAS
Physician Assistant
NPI 1487435053
See commercial rates for Nicholas Russenberger, MPASAaron Sizelove, D.O.
Family Medicine Physician
NPI 1053547950
See commercial rates for Aaron Sizelove, D.O.Nicole Lee
Physician Assistant
NPI 1003303017
See commercial rates for Nicole LeeDaniel Kaiser, MD
Diagnostic Radiology Physician
NPI 1215559802
See commercial rates for Daniel Kaiser, MD
Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Income statement
Revenue, expenses and income Harper County Community Hospital reported to Medicare for Oct 1, 2024 to Sep 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $6.1M | 101.6% |
| Outpatient | $6.1M | 101.6% |
| Contractual allowances and discounts | -$98,067 | -1.6% |
| Net patient revenue | $6M | 100.0% |
| Operating expenses | -$6.5M | -107.3% |
| Operating income from patient care | -$439,437 | -7.3% |
| Other income | $505,245 | 8.4% |
| Contributions and donations | $180 | 0.0% |
| Investment income | $16,799 | 0.3% |
| Other | $488,266 | 8.1% |
| Net income | $65,808 | 1.1% |
Gross revenue by payer
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $1.8M | 32.8% |
| Medicaid (including managed care) | $537,241 | 9.6% |
| Other payers and self-pay | $3.2M | 57.6% |
| Total charges | $5.6M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 832508, amended. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Financial ratios
Computed from Harper County Community Hospital's latest cost report.
-7.3%
Operating margin
Operating income from patient care / net patient revenue
1.0%
Total margin
Net income / net patient revenue plus other income
8.7%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
47% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
2.2%
Return on assets
Net income for a year / total assets
2.9%
Return on equity
Net income for a year / fund balance
0.08
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
4.40
Current ratio
Current assets / current liabilities
3.46
Quick ratio
Cash, temporary investments and net receivables / current liabilities
65 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
36 days
Days in patient receivables
Net patient receivables / daily net patient revenue
29 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
2.22
Asset turnover
Total revenue for a year / total assets
10.6 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 832508, amended. Hospitals report these figures themselves; they are not audited financial statements.
Balance sheet
What Harper County Community Hospital owned and owed at the end of its reporting period (Sep 2025), across all fund types: $2.9M in total assets and a $2.3M fund balance.
Show the balance sheetHide the balance sheet
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $1.1M | 36.8% |
| Patient receivables, net | $592,227 | 20.2% |
| Inventory | $162,061 | 5.5% |
| Total current assets | $2.1M | 72.4% |
| Property and equipment, net of depreciation | $810,684 | 27.6% |
| Total assets | $2.9M | 100.0% |
| Current liabilities | $483,866 | 16.5% |
| Long-term debt | $177,448 | 6.0% |
| Total liabilities | $661,314 | 22.5% |
| Fund balance (net assets) | $2.3M | 77.5% |
Source: CMS cost report (HCRIS, Form 2552-10), report 832508, amended. Hospitals report these figures themselves; they are not audited financial statements.
Charity care and uncompensated care
Care Harper County Community Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$34,345
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$227,227
Bad debt
Patient bills written off as uncollectible, at charges
$263,369
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$381,668
Total unreimbursed and uncompensated care
5.9% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 832508, amended. Hospitals report these figures themselves; they are not audited financial statements.
Financial trend
Harper County Community Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
Show 2 yearsHide 2 years
| Fiscal year ending | Sep 2024 | Sep 2025 |
|---|---|---|
| Net patient revenue | $2.5M | $6M |
| Operating expenses | $6.4M | $6.5M |
| Operating margin | -152.8% | -7.3% |
| Net income | $147,566 | $65,808 |
| Total assets | $3.2M | $2.9M |
| Employees (FTE) | 39 | 39 |
Source: CMS cost report (HCRIS, Form 2552-10), report 832508, amended. Hospitals report these figures themselves; they are not audited financial statements.
Departments
Each cost center Harper County Community Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
Show all 24 departmentsHide all 24 departments
Ancillary and outpatient departments
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Emergency | $1.1M | $1.5M | $312,037 | 4.96 | 443 |
| Rural health clinic | $470,917 | $818,873 | $638,110 | 1.28 | |
| Laboratory | $223,574 | $807,479 | $1.3M | 0.62 | 383 |
| Rural health clinic ii | $431,910 | $785,915 | $607,545 | 1.29 | |
| Physical therapy | $31,564 | $298,341 | $375,482 | 0.79 | 543 |
| Drugs charged to patients | $283,989 | $510,855 | 0.56 | ||
| Radiology-diagnostic | $70,832 | $240,910 | $376,321 | 0.64 | 529 |
| Ct scan | $70,507 | $227,022 | $950,235 | 0.24 | 464 |
| Medical supplies charged to patient | $160,546 | $223,236 | 0.72 | ||
| Respiratory therapy | $160,501 | $186,862 | 0.86 | 428 | |
| Wound care | $3,979 | $73,621 | $89,872 | 0.82 | 270 |
| Sleep studies | $56,847 | $34,141 | 1.67 | 255 |
Overhead (general service) departments
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $164,770 | $1.4M | 774 | ||
| Employee benefits department | $642,673 | ||||
| Cap rel costs-mvble equip | $514,473 | ||||
| Operation of plant | $201,088 | 1,058 | |||
| Nursing administration | $92,385 | $92,385 | 170 | ||
| Cafeteria | $61,114 | 352 | |||
| Pharmacy | $38,054 | $54,680 | 161 | ||
| Cap rel costs-bldg & fixt | $49,847 | 8,828 | |||
| Housekeeping | $29,136 | $44,513 | 190 | ||
| Medical records & library | $42,533 | $42,505 | 241 | ||
| Central services & supply | $25,092 | $28,307 | 361 | ||
| Dietary | $102,794 | $939 | 4 |
Source: CMS cost report (HCRIS, Form 2552-10), report 832508, amended. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
Ownership
Organizations Harper County Community Hospital reports to Medicare as owners or with operational control.
SSM Health Care Of Oklahoma, Inc.
Operational/managerial control, 100%, since 2019
Sources: CMS Hospital All Owners.
Leadership
The officers and board members on Harper County Community Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Officers and directors on the Medicare enrollment
- Kevin M Obrien Officer, CEO, since 2019
- Terry Shuman Director, Board Member, since 2015
- Darla Young Director, Board Chairman, since 2018
- Harry Davis Director, Board Member, since 2021
- Trent Cronk Director, Director, since 2023
- Brandi Peterman Director, Director, since 2024
- Juana Lujan Managing employee, Business Office Manager, since 2014
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment.
Hospital-based units
Hospital-based units with their own Medicare certification
Laverne family health clinic
CCN 378540, certified 2020, Medicare cost reimbursed
Buffalo family health clinic
CCN 378539, certified 2020, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Harper County Community Hospital's latest Medicare cost report (HCRIS).
Frequently asked questions
About Harper County Community Hospital's rates and hospital price transparency.
How much does a CT scan cost at Harper County Community Hospital?
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Harper County Community Hospital range from $1,205 to $1,798 across 4 insurers. Aetna's rate is $1,798. What a patient pays depends on their plan's deductible, coinsurance and network status.
How many employees does Harper County Community Hospital have?
Harper County Community Hospital reported 39 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.
How much revenue does Harper County Community Hospital make?
Harper County Community Hospital reported $6M in net patient revenue on $6.1M of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of -7.3%, and net income of $65,808.
How much charity and uncompensated care does Harper County Community Hospital provide?
Harper County Community Hospital reported $381,668 of unreimbursed and uncompensated care for Oct 1, 2024 to Sep 30, 2025, including $34,345 of charity care at cost.
Who is the CEO of Harper County Community Hospital?
Harper County Community Hospital's Medicare enrollment lists Kevin M Obrien as CEO since 2019.
What is Harper County Community Hospital's tax ID (EIN)?
Insurers' price transparency files list Harper County Community Hospital under employer identification number 73-1285460 (Harper County Community Hospital). 50 health plans and networks list 73-1285460 for it.
How many doctors are affiliated with Harper County Community Hospital?
17 clinicians who bill Medicare list Harper County Community Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are diagnostic radiology physician (6), physician assistant (3), family medicine physician (2).
Is Harper County Community Hospital accredited?
CMS's Provider of Services file lists no accrediting organization for Harper County Community Hospital; it is certified for Medicare through state survey.
Who owns Harper County Community Hospital?
In its Medicare enrollment, Harper County Community Hospital reports SSM Health Care Of Oklahoma, Inc. as Operational/managerial control (100%).
How many beds does Harper County Community Hospital have?
Harper County Community Hospital has 25 beds. 15 are Medicare-certified beds in CMS's Provider of Services file. Facility type: HOSPITAL.
Where is Harper County Community Hospital and what is its phone number?
Harper County Community Hospital is located at 1003 US HIGHWAY 64 NORTH, Buffalo, OK 73834. Its main phone number is (580) 735-2555.
What is Harper County Community Hospital's CCN (Medicare provider number)?
Harper County Community Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 370781.
What is Harper County Community Hospital's NPI number?
The National Provider Identifier (NPI) on file for Harper County Community Hospital is 1134128499.
Which insurance plans are in network at Harper County Community Hospital?
Harper County Community Hospital lists 34 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, 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 Harper County Community Hospital?
195 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
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