PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Short Term Acute Care HospitalGovernment - Federal

Pine Ridge Indian Health Service Hospital

Pine Ridge, SD

East Highway 18, Pine Ridge, SD 57770(605) 867-5131

2

In-network payers

45

Beds

About this hospital

Pine Ridge Indian Health Service Hospital is a 45-bed government - federal hospital in Pine Ridge, SD. Below you'll find publicly disclosed negotiated rates and facility details, including 2 in-network payers.

CCN (Medicare provider number)

430098

NPI

1497786412

Type

Short Term Acute Care Hospital

Ownership

Government - Federal

Beds

45

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
Kaiser PermanenteSanford Health Plan

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.

Location

East Highway 18, Pine Ridge, SD 57770

(605) 867-5131

Get directions

Frequently asked questions

About Pine Ridge Indian Health Service Hospital's rates and hospital price transparency.

How many beds does Pine Ridge Indian Health Service Hospital have?

Pine Ridge Indian Health Service Hospital has 45 beds. Facility type: Short Term Acute Care Hospital.

Where is Pine Ridge Indian Health Service Hospital and what is its phone number?

Pine Ridge Indian Health Service Hospital is located at East Highway 18, Pine Ridge, SD 57770. Its main phone number is (605) 867-5131.

What is Pine Ridge Indian Health Service Hospital's CCN (Medicare provider number)?

Pine Ridge Indian Health Service Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 430098.

What is Pine Ridge Indian Health Service Hospital's NPI number?

The National Provider Identifier (NPI) on file for Pine Ridge Indian Health Service Hospital is 1497786412.

Which insurance plans are in network at Pine Ridge Indian Health Service Hospital?

Pine Ridge Indian Health Service Hospital lists 2 in-network payers, including Kaiser Permanente, Sanford Health Plan, 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