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Hodgeman County Health Center

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Hospital Overview
Facility Details

CCN

171369

NPI

1821098252

Type

Critical Access Hospital

Ownership

Government - Local

Beds

50

Contact Information

Address

809 Bramley Street

Jetmore, KS 67854

Phone

(620) 357-8361

Insurance Accepted
Medicare
Medicaid
Aetna
BCBS
Cigna
United (incl Optum)

💡

Important Notice

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.

Price Transparency Contract Information

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

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

PayerCategoryCode Type & GroupContract TypeRate Compared to State Average

Aetna

Facility

RC

Nursery

Range: 0170 - 0179

Per Diem

Very Low

Aetna

Outpatient

CPT

Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

Aetna

Facility

RC

Other Room and Board

Range: 0160 - 0169

Per Diem

Very Low

Aetna

Facility

RC

Intensive Care Unit

Range: 0200 - 0209

Per Diem

Very Low

Aetna

Facility

RC

Pharmacy (Also see 063X, an extension of 250X)

Range: 0250 - 0259

Percentage of Bill Charged

Aetna

Facility

RC

Emergency Room

Range: 0450 - 0459

Percentage of Bill Charged

Aetna

Facility

RC

Room and Board (3 and 4 beds)

Range: 0130 - 0139

Per Diem

Very Low

Aetna

Outpatient

HCPCS

Procedures / Professional Services

Range: G0008 - G9987

Percentage of Bill Charged

Aetna

Facility

RC

Room and Board Semi-private (two beds)

Range: 0120 - 0129

Per Diem

Very Low

Aetna

Facility

RC

Subacute Care

Range: 0190 - 0199

Per Diem

Very Low

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COMPLEMENTARY MARKET OVERVIEW

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