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Short Term Acute Care Hospital

Pauls Valley General Hospital

Pauls Valley, OK

100 Valley Drive, Pauls Valley, OK 730754052385501

1

In-network payers

About this hospital

Pauls Valley General Hospital is a hospital in Pauls Valley, OK. Below you'll find publicly disclosed negotiated rates and facility details, including 1 in-network payers.

CCN
370156
NPI
1932169950

Negotiated Rates

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

Book a call about hospital compliance MRFs

No contract information available for this hospital.

Contract data may be available through direct hospital inquiry.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Kaiser Permanente

More about this hospital

Location

100 Valley Drive, Pauls Valley, OK 73075

4052385501

Get directions

Frequently asked questions

About Pauls Valley General Hospital's rates and hospital price transparency.

What services does Pauls Valley General Hospital offer?

CMS lists 17 services at Pauls Valley General Hospital, including Anesthesia, Clinical Laboratory, CT Scan, Designated Trauma Center, Diagnostic Radiology, Dietary Care.

Where is Pauls Valley General Hospital and what is its phone number?

Pauls Valley General Hospital is located at 100 Valley Drive, Pauls Valley, OK 73075. Its main phone number is 4052385501.

What is Pauls Valley General Hospital's CCN (Medicare provider number)?

Pauls Valley General Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 370156.

What is Pauls Valley General Hospital's NPI number?

The National Provider Identifier (NPI) on file for Pauls Valley General Hospital is 1932169950.

Which insurance plans are in network at Pauls Valley General Hospital?

Pauls Valley General Hospital lists 1 in-network payers, including 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 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