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HOSPITALTribal

SAN CARLOS APACHE HEALTHCARE CORPORATION

Peridot, AZ

103 Medicine Way Road, Peridot, AZ 85542(928) 475-1200

Not rated by CMS

CMS star rating

8

Beds

797

Inpatient discharges a year

About this hospital

SAN CARLOS APACHE HEALTHCARE CORPORATION is an 8-bed tribal hospital in Peridot, AZ. Below you'll find publicly disclosed negotiated rates and facility details, including 95 disclosed rate categories.

CCN
031320
County
Gila County
Metro area
Payson, AZ MicroSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
2023
Last CMS survey
2023

Negotiated Rates

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

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PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Outpatient

CPT Anesthesia

Range: 00100 - 01999

Negotiated

Very Low

Aetna

Outpatient

CPT Category II Codes

Range: 0001F - 9007F

Negotiated

Very Low

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Negotiated

Very Low

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Negotiated

Very Low

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

Aetna

Outpatient

CPT Multianalyte Assay

Range: 0002M - 0018M

Negotiated

Very Low

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very Low

Aetna

Outpatient

CPT Proprietary Laboratory Analyses

Range: 0001U - 0401U

Negotiated

Very Low

Aetna

Outpatient

CPT Radiology Procedures

Range: 70010 - 79999

Negotiated

Very Low

Aetna

Outpatient

CPT Surgery

Range: 10004 - 69990

Negotiated

Very Low

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

...

Insurance Accepted

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

Medicare

More about this hospital

Location

103 Medicine Way Road, Peridot, AZ 85542

(928) 475-1200

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Frequently asked questions

About SAN CARLOS APACHE HEALTHCARE CORPORATION's rates and hospital price transparency.

How many patients does SAN CARLOS APACHE HEALTHCARE CORPORATION admit?

SAN CARLOS APACHE HEALTHCARE CORPORATION reported 797 inpatient discharges and 2,343 inpatient days from Oct 1, 2024 to Sep 30, 2025.

How many employees does SAN CARLOS APACHE HEALTHCARE CORPORATION have?

SAN CARLOS APACHE HEALTHCARE CORPORATION reported 1,129 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.

How many doctors are affiliated with SAN CARLOS APACHE HEALTHCARE CORPORATION?

112 clinicians who bill Medicare list SAN CARLOS APACHE HEALTHCARE CORPORATION as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are emergency medicine physician (25), family nurse practitioner (15), diagnostic radiology physician (7).

Is SAN CARLOS APACHE HEALTHCARE CORPORATION accredited?

Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for SAN CARLOS APACHE HEALTHCARE CORPORATION, effective 2023.

Who owns SAN CARLOS APACHE HEALTHCARE CORPORATION?

In its Medicare enrollment, SAN CARLOS APACHE HEALTHCARE CORPORATION reports San Carlos Apache Tribe as 5% or greater direct ownership interest (100%).

Where do SAN CARLOS APACHE HEALTHCARE CORPORATION's patients come from?

In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at SAN CARLOS APACHE HEALTHCARE CORPORATION came from ZIP codes 85550 (98), 85542 (61), 85530 (23).

How many beds does SAN CARLOS APACHE HEALTHCARE CORPORATION have?

SAN CARLOS APACHE HEALTHCARE CORPORATION has 8 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 12 are Medicare-certified beds in CMS's Provider of Services file. Facility type: HOSPITAL.

Where is SAN CARLOS APACHE HEALTHCARE CORPORATION and what is its phone number?

SAN CARLOS APACHE HEALTHCARE CORPORATION is located at 103 Medicine Way Road, Peridot, AZ 85542. Its main phone number is (928) 475-1200.

What is SAN CARLOS APACHE HEALTHCARE CORPORATION's CCN (Medicare provider number)?

SAN CARLOS APACHE HEALTHCARE CORPORATION's CMS Certification Number (CCN), also called its Medicare provider number, is 031320.

What price transparency data is available for SAN CARLOS APACHE HEALTHCARE CORPORATION?

95 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.

For hospital finance and compliance teams

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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.

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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
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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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.

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  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
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