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Critical Access HospitalGovernment - Hospital District Or Authority

Southern Inyo Hospital

Lone Pine, CA

501 East Locust Street, Lone Pine, CA 93545(760) 876-5501

22

In-network payers

114

Disclosed rate categories

4

Beds

About this hospital

Southern Inyo Hospital is a 4-bed government - hospital district or authority hospital in Lone Pine, CA. Below you'll find publicly disclosed negotiated rates and facility details, including 22 in-network payers and 114 disclosed rate categories.

CCN

051302

NPI

1831128602

Type

Critical Access Hospital

Ownership

Government - Hospital District Or Authority

Beds

4

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
Medicaid
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Avera Health PlansCenteneHarvard Pilgrim Health Care (Point32Health)Health SmartJohns Hopkins Health PlansKaiser Permanente

Negotiated Rates

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

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PayerCategoryCode Type & GroupContract Typevs. State Average

BCBS

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

-

BCBS

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

BCBS

Outpatient

CPT Radiology Procedures

Range: 70010 - 79999

Percentage of Bill Charged

-

BCBS

Outpatient

CPT Surgery

Range: 10004 - 69990

Percentage of Bill Charged

-

BCBS

Outpatient

HCPCS Other Therapeutic Procedures

Range: C1052 - C1062

Percentage of Bill Charged

-

BCBS

Outpatient

HCPCS Outpatient PPS

Range: C1713 - C9899

Percentage of Bill Charged

-

BCBS

Outpatient

HCPCS Procedures / Professional Services

Range: G0008 - G9987

Percentage of Bill Charged

-

BCBS

Outpatient

HCPCS Temporary National Codes (Non-Medicare)

Range: S0012 - S9999

Percentage of Bill Charged

-

BCBS

Facility

RC Ambulatory Surgical Care

Range: 0490 - 0499

Percentage of Bill Charged

-

BCBS

Facility

RC Cardiology

Range: 0480 - 0489

Percentage of Bill Charged

-

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

Showing 1 - 10 of 114

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Location

501 East Locust Street, Lone Pine, CA 93545

(760) 876-5501

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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

Book a demo

See it on the hospitals and payers you care about

A data specialist walks you through negotiated rates, compliance files or your chargemaster, using your market.

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Frequently asked questions

About Southern Inyo Hospital's rates and hospital price transparency.

How many beds does Southern Inyo Hospital have?

Southern Inyo Hospital has 4 beds. It is a critical access hospital, government - hospital district or authority hospital.

Which insurance plans are in network at Southern Inyo Hospital?

Southern Inyo Hospital lists 22 in-network payers, including Avera Health Plans, BCBS, Centene, Cigna, plus Medicare and Medicaid. 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 Southern Inyo Hospital?

114 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.