Digestive procedures
Upper GI endoscopy with biopsy
CPT 43239
$800 - $1,760
from 2 insurers · median $1,280
Aetna$800
Insurer A*$1,760
Medicare $927Nearby hospitals $1,68224% below nearby hospitals
Typical for a hospital with this service line
Southern Plains Medical Center Of Garvin County Llc
Pauls Valley, OK
Pauls Valley, OK
43
Beds
477
Inpatient discharges a year
$9.5M
Net patient revenue a year
24
In-network payers
About this hospital
Southern Plains Medical Center Of Garvin County Llc is a 43-bed hospital in Pauls Valley, OK. Below you'll find publicly disclosed negotiated rates and facility details, including 24 in-network payers and 176 disclosed rate categories.
- Disproportionate share hospital
- CCN
- 370243
- NPI
- 1053997338
- Teaching
- No Medicare-funded residents
- County
- Garvin County
- Medicare contractor
- Jurisdiction H, Novitas Solutions (04011)
- In Medicare since
- 2021
- Last CMS survey
- 2021
Prices for common services
The 24 services Southern Plains Medical Center Of Garvin County Llc most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
CT imaging
CT head or brain without contrast
CPT 70450
$57 - $281
from 2 insurers · median $169
Aetna$57
Insurer A*$281
Medicare $107Nearby hospitals $20517% below nearby hospitals
Typical for a hospital with this service line
Digestive procedures
Colonoscopy with polyp removal
CPT 45385
$830 - $1,000
from 2 insurers · median $915
Aetna$1,000
Insurer A*$830
Medicare $1,223Nearby hospitals $2,28260% below nearby hospitals
Typical for a hospital with this service line
Digestive procedures
Colonoscopy with biopsy
CPT 45380
$830 - $1,000
from 2 insurers · median $915
Aetna$1,000
Insurer A*$830
Medicare $1,223Nearby hospitals $2,09256% below nearby hospitals
Typical for a hospital with this service line
Medicine & Surgery
Laparoscopic cholecystectomy
CPT 47562
$9,200
negotiated rate
UnitedHealthcare$9,200
Medicare $6,176Nearby hospitals $9,9067% below nearby hospitals
Typical for a hospital with this service line
Digestive procedures
Diagnostic colonoscopy
CPT 45378
$830 - $1,000
from 2 insurers · median $915
Aetna$1,000
Insurer A*$830
Medicare $950Nearby hospitals $2,12057% below nearby hospitals
Typical for a hospital with this service line
MRI imaging
MRI brain before and after contrast
CPT 70553
$181 - $792
from 2 insurers · median $487
UnitedHealthcare$792
Insurer A*$181
Medicare $356Nearby hospitals $61521% below nearby hospitals
Typical for a hospital with this service line
Gynecology
Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g
CPT 58571
$9,200
negotiated rate
UnitedHealthcare$9,200
Medicare $10,860Nearby hospitals $16,75145% below nearby hospitals
Typical for a hospital with this service line
CT imaging
CT of the chest, with contrast
CPT 71260
$100 - $468
from 2 insurers · median $284
Aetna$100
Insurer A*$468
Medicare $179Nearby hospitals $33315% below nearby hospitals
Typical for a hospital with this service line
Medicine & Surgery
Cataract removal with lens insertion
CPT 66984
$1,400 - $1,500
from 2 insurers · median $1,450
UnitedHealthcare$1,500
Insurer A*$1,400
Medicare $2,358Nearby hospitals $2,89350% below nearby hospitals
Typical for a hospital with this service line
CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$214
negotiated rate
Aetna$214
Medicare $356Nearby hospitals $38644% below nearby hospitals
Typical for a hospital with this service line
Gynecology
Laparoscopic removal of an ovary or fallopian tube
CPT 58661
$9,200
negotiated rate
UnitedHealthcare$9,200
Medicare $6,176Nearby hospitals $9,8036% below nearby hospitals
Typical for a hospital with this service line
Gynecology
Hysteroscopy with sampling of the uterine lining
CPT 58558
$1,100 - $2,900
from 2 insurers · median $2,000
UnitedHealthcare$2,900
Insurer A*$1,100
Medicare $3,307Nearby hospitals $4,82259% below nearby hospitals
Typical for a hospital with this service line
CT imaging
CT of the chest, without contrast
CPT 71250
$73 - $313
from 2 insurers · median $193
Aetna$73
Insurer A*$313
Medicare $107Nearby hospitals $2139% below nearby hospitals
Typical for a hospital with this service line
Urology
Shock-wave treatment of kidney stones
CPT 50590
$1,000 - $7,100
from 2 insurers · median $4,050
Aetna$1,000
Insurer A*$7,100
Medicare $3,601Nearby hospitals $5,25823% below nearby hospitals
Typical for a hospital with this service line
Ear, nose and throat
Ear-tube insertion under general anesthesia
CPT 69436
$1,000 - $1,760
from 2 insurers · median $1,380
Aetna$1,000
Insurer A*$1,760
Medicare $1,585Nearby hospitals $2,51745% below nearby hospitals
Typical for a hospital with this service line
Mammography
Screening mammography, bilateral
CPT 77067
$88
negotiated rate
Aetna$88
Medicare $92Nearby hospitals $12127% below nearby hospitals
Typical for a hospital with this service line
Gynecology
Laparoscopic removal of pelvic lesions
CPT 58662
$9,200
negotiated rate
UnitedHealthcare$9,200
Medicare $6,176Nearby hospitals $9,8036% below nearby hospitals
Typical for a hospital with this service line
Orthopedics and pain
Aspiration or injection of a major joint, without ultrasound
CPT 20610
$500 - $610
from 2 insurers · median $555
UnitedHealthcare$610
Insurer A*$500
Medicare $314Nearby hospitals $84334% below nearby hospitals
Typical for a hospital with this service line
MRI imaging
MRI of the abdomen, before and after contrast
CPT 74183
$163 - $824
from 2 insurers · median $494
UnitedHealthcare$824
Insurer A*$163
Medicare $356Nearby hospitals $60619% below nearby hospitals
Typical for a hospital with this service line
MRI imaging
MRI lumbar spine without contrast
CPT 72148
$106 - $400
from 2 insurers · median $253
UnitedHealthcare$400
Insurer A*$106
Medicare $244Nearby hospitals $39235% below nearby hospitals
Typical for a hospital with this service line
Medicine & Surgery
Laparoscopic radical prostatectomy
CPT 55866
$14,100
negotiated rate
UnitedHealthcare$14,100
Medicare $10,860Nearby hospitals $16,75116% below nearby hospitals
Typical for a hospital with this service line
MRI imaging
MRI of the brain, without contrast
CPT 70551
$109 - $387
from 2 insurers · median $248
UnitedHealthcare$387
Insurer A*$109
Medicare $244Nearby hospitals $34027% below nearby hospitals
Typical for a hospital with this service line
Medicine & Surgery
Arthroscopic knee meniscectomy
CPT 29881
$1,500 - $2,685
from 2 insurers · median $2,093
UnitedHealthcare$2,685
Insurer A*$1,500
Medicare $3,343Nearby hospitals $4,33252% below nearby hospitals
Typical for a hospital with this service line
How the insurers pay at Southern Plains Medical Center Of Garvin County Llc
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 22 | 149% | 2 | 13 |
| Insurer B* | 19 | 59% | 0 | 19 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Southern Plains Medical Center Of Garvin County Llc, or start a free trial.
Insurance Accepted
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Aspirus Health PlanAvera Health PlansBanner HealthEMI HealthHarvard Pilgrim Health Care (Point32Health)Health Alliance
More about this hospital
Quality
No Medicare readmissions penalty
See quality ratingsDoctors and services
No Medicare-funded residents
See doctors and servicesFinances
$9.5M net patient revenue
- Operating margin on patient care -77.3%
- $1.1M unreimbursed and uncompensated care
- -$7.3M net income
Ownership and leadership
Private (for profit)
See ownership and leadership
Tax IDs and NPIs insurers list
The employer identification numbers (EINs) health plans and networks list for Southern Plains Medical Center Of Garvin County Llc in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 85-2073647Southern Plains Medical Center Of Garvin County LLC | 37Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 32 more | 1083280622 Southern Plains Medical Center Of Garvin County Llc1053997338 Southern Plains Medical Center Of Garvin County Llc1235867938 Southern Plains Medical Center Of Garvin County Llcand 1 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
Location
Pauls Valley, OK
Medicare quality penalties and bonuses
How Medicare adjusts Southern Plains Medical Center Of Garvin County Llc's inpatient payments for its readmissions, quality and cost results.
No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
0.00% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Accreditation and services
Not accredited
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
43
Medicare-certified beds
16
Registered nurses (full-time equivalent)
2021
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
Size and patient volume
What Southern Plains Medical Center Of Garvin County Llc reported to Medicare in its latest cost report, covering Jan 1, 2023 to Dec 31, 2023.
477
Inpatient discharges
Medicare 18%, Medicaid 13%
573
Inpatient days
4% of available bed days used
23
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 779646). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Utilization by payer and unit
Inpatient days and discharges Southern Plains Medical Center Of Garvin County Llc reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 484 | 74 | 15 | 573 |
| Discharges | 88 | 62 | 327 | 477 |
| Average length of stay | 5.5 days | 1.2 days | 0.0 days | 1.2 days |
| Average daily census | 1.3 | 0.2 | 0.0 | 1.6 |
Beds and days by unit
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 43 | 477 | 400 | 3% |
Source: CMS cost report (HCRIS, Form 2552-10), report 779646, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
Staff and facilities
Staff by profession and the rooms and units Southern Plains Medical Center Of Garvin County Llc reported at its latest Medicare certification survey (2021). Counts are people, not full-time equivalents.
16
Registered nurses
5
Licensed practical nurses
5
Radiology technicians
2
Laboratory technicians
2
Medical technologists
17
Other personnel
Source: CMS Provider of Services file.
Income statement
Revenue, expenses and income Southern Plains Medical Center Of Garvin County Llc reported to Medicare for Jan 1, 2023 to Dec 31, 2023. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $20.3M | 213.6% |
| Inpatient | $17.6M | 185.0% |
| Outpatient | $2.7M | 28.6% |
| Contractual allowances and discounts | -$10.8M | -113.6% |
| Net patient revenue | $9.5M | 100.0% |
| Operating expenses | -$16.8M | -177.3% |
| Operating income from patient care | -$7.3M | -77.3% |
| Net income | -$7.3M | -77.3% |
Gross revenue by payer
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $2.9M | 22.7% |
| Medicaid (including managed care) | $3.1M | 24.2% |
| Other payers and self-pay | $6.9M | 53.1% |
| Total charges | $13M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 779646, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Financial ratios
Computed from Southern Plains Medical Center Of Garvin County Llc's latest cost report.
-77.3%
Operating margin
Operating income from patient care / net patient revenue
-77.3%
Total margin
Net income / net patient revenue plus other income
-65.5%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
23% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$45.36
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-134.4%
Return on assets
Net income for a year / total assets
-0.52
Current ratio
Current assets / current liabilities
-0.62
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
-36 days
Days in patient receivables
Net patient receivables / daily net patient revenue
34 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.74
Asset turnover
Total revenue for a year / total assets
2.2 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 779646, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Balance sheet
What Southern Plains Medical Center Of Garvin County Llc owned and owed at the end of its reporting period (Dec 2023), across all fund types: $5.5M in total assets and a -$5.3M fund balance.
Show the balance sheetHide the balance sheet
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $21,120 | 0.4% |
| Patient receivables, net | -$939,600 | -17.2% |
| Inventory | $137,065 | 2.5% |
| Total current assets | -$781,415 | -14.3% |
| Property and equipment, net of depreciation | $6M | 109.9% |
| Investments and other assets | $239,758 | 4.4% |
| Total assets | $5.5M | 100.0% |
| Current liabilities | $1.5M | 27.3% |
| Long-term debt | $7.3M | 133.0% |
| Total liabilities | $10.8M | 196.9% |
| Fund balance (net assets) | -$5.3M | -96.9% |
Source: CMS cost report (HCRIS, Form 2552-10), report 779646, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Charity care and uncompensated care
Care Southern Plains Medical Center Of Garvin County Llc provided without full payment, as reported on Worksheet S-10 of its cost report.
$1.1M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$1.1M
Total unreimbursed and uncompensated care
6.3% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 779646, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Financial trend
Southern Plains Medical Center Of Garvin County Llc's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
Show 2 yearsHide 2 years
| Fiscal year ending | Dec 2022 | Dec 2023 |
|---|---|---|
| Net patient revenue | $28.3M | $9.5M |
| Operating expenses | $31.1M | $16.8M |
| Operating margin | -9.8% | -77.3% |
| Net income | -$2.8M | -$7.3M |
| Total assets | $12.7M | $5.5M |
| Discharges | 259 | 477 |
| Inpatient days | 518 | 573 |
| Beds | 43 | 43 |
| Employees (FTE) | 23 | 23 |
Source: CMS cost report (HCRIS, Form 2552-10), report 779646, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Departments
Each cost center Southern Plains Medical Center Of Garvin County Llc reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
Show all 25 departmentsHide all 25 departments
Ancillary and outpatient departments
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Emergency | $790,668 | $2.8M | $4.7M | 0.61 | 3,285 |
| Laboratory | $190,259 | $1.2M | $1.2M | 0.98 | 2,858 |
| Radiology-diagnostic | $362,292 | $620,740 | $638,412 | 0.97 | 1,838 |
| Observation beds (non-distinct part | $499,403 | $513,000 | 0.97 | ||
| Ct scan | $216,174 | $349,114 | $547,409 | 0.64 | |
| Physical therapy | $137,424 | $165,121 | 0.83 | 1,944 | |
| Operating room | $32,302 | $104,757 | $128,264 | 0.82 | |
| Medical supplies charged to patient | $4,320 | $34,273 | $49,146 | 0.70 | |
| Blood laboratory | $26,839 | $29,801 | $45,496 | 0.66 |
Inpatient units
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $533,063 | $4.6M | $3.5M | 1.32 | 14,288 |
| Skilled nursing facility | $540,279 | $1.8M | $1M | 1.72 | |
| Nursing facility | $138,423 | $448,911 | $498,838 | 0.90 |
Overhead (general service) departments
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Cap rel costs-bldg & fixt | $634,087 | 33,645 | |||
| Central services & supply | $38,453 | $580,272 | 1,219 | $31.54 | 125 |
| Operation of plant | $27,883 | $519,151 | 825 | ||
| Cap rel costs-mvble equip | $492,972 | ||||
| Administrative & general | $275,274 | $487,735 | 3,225 | ||
| Dietary | $165,275 | $263,646 | 8,954 | $18.46 | 2,588 |
| Maintenance & repairs | $49,997 | $249,739 | 1,432 | $34.91 | |
| Nursing administration | $104,873 | $208,856 | 1,036 | $101.23 | |
| Employee benefits department | $42,147 | $208,655 | 7,654 | $5.51 | |
| Medical records & library | $192,242 | $196,256 | 1,544 | ||
| Pharmacy | $156,901 | ||||
| Housekeeping | $92,740 | $113,973 | 6,347 | $14.61 | 1,125 |
| Maintenance of personnel | $51,884 | $51,884 | 2,606 | $19.91 |
Source: CMS cost report (HCRIS, Form 2552-10), report 779646, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
Medicare payment profile
The factors Medicare uses to set what it pays Southern Plains Medical Center Of Garvin County Llc for an inpatient stay.
0.89
Case mix index
Higher than 1% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
16.3%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
5
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
Show FY 2023 to FY 2027Hide FY 2023 to FY 2027
| IPPS fiscal year | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|
| Case mix index | 1.17 | 1.26 | 1.41 | 1.70 | 0.89 |
| Wage index | 0.803 | 0.843 | 0.919 | 0.902 | 0.890 |
| Readmissions adjustment | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% |
| Value-based purchasing adjustment | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% |
| Medicare inpatient stays | 12 | 75 | 98 | 40 | 5 |
Source: CMS IPPS final rule Impact File (FY 2027).
Leadership
The officers and board members on Southern Plains Medical Center Of Garvin County Llc's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Officers and directors on the Medicare enrollment
- Madhukar Sharma Operational or managerial control, since 2022
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment.
Hospital-based units
Hospital-based units with their own Medicare certification
Southern plains med ctr of garvin co
CCN 37U243, certified 2021, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Southern Plains Medical Center Of Garvin County Llc's latest Medicare cost report (HCRIS).
Frequently asked questions
About Southern Plains Medical Center Of Garvin County Llc's rates and hospital price transparency.
How much does an MRI cost at Southern Plains Medical Center Of Garvin County Llc?
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Southern Plains Medical Center Of Garvin County Llc range from $181 to $792 across 2 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $615. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a CT scan cost at Southern Plains Medical Center Of Garvin County Llc?
For CT head or brain without contrast (CPT 70450), published negotiated rates at Southern Plains Medical Center Of Garvin County Llc range from $57 to $281 across 2 insurers. Aetna's rate is $57. The median at nearby comparable hospitals is $205. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a colonoscopy cost at Southern Plains Medical Center Of Garvin County Llc?
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Southern Plains Medical Center Of Garvin County Llc range from $830 to $1,000 across 2 insurers. Aetna's rate is $1,000. The median at nearby comparable hospitals is $2,282. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a mammogram cost at Southern Plains Medical Center Of Garvin County Llc?
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Southern Plains Medical Center Of Garvin County Llc range from $88 to $88 across 1 insurers. Aetna's rate is $88. The median at nearby comparable hospitals is $121. What a patient pays depends on their plan's deductible, coinsurance and network status.
Is Southern Plains Medical Center Of Garvin County Llc a teaching hospital?
CMS reports no Medicare-funded interns or residents at Southern Plains Medical Center Of Garvin County Llc for fiscal year 2027.
Does Medicare penalize Southern Plains Medical Center Of Garvin County Llc for readmissions?
No. Southern Plains Medical Center Of Garvin County Llc has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.
What is Southern Plains Medical Center Of Garvin County Llc's case mix index?
Southern Plains Medical Center Of Garvin County Llc's Medicare case mix index is 0.89 for fiscal year 2027, higher than 1% of hospitals paid under the inpatient prospective payment system.
How many patients does Southern Plains Medical Center Of Garvin County Llc admit?
Southern Plains Medical Center Of Garvin County Llc reported 477 inpatient discharges and 573 inpatient days from Jan 1, 2023 to Dec 31, 2023.
How many employees does Southern Plains Medical Center Of Garvin County Llc have?
Southern Plains Medical Center Of Garvin County Llc reported 23 full-time-equivalent employees on payroll from Jan 1, 2023 to Dec 31, 2023.
How much revenue does Southern Plains Medical Center Of Garvin County Llc make?
Southern Plains Medical Center Of Garvin County Llc reported $9.5M in net patient revenue on $20.3M of gross charges for Jan 1, 2023 to Dec 31, 2023, an operating margin of -77.3%, and net income of -$7.3M.
How much charity and uncompensated care does Southern Plains Medical Center Of Garvin County Llc provide?
Southern Plains Medical Center Of Garvin County Llc reported $1.1M of unreimbursed and uncompensated care for Jan 1, 2023 to Dec 31, 2023.
What is Southern Plains Medical Center Of Garvin County Llc's tax ID (EIN)?
Insurers' price transparency files list Southern Plains Medical Center Of Garvin County Llc under employer identification number 85-2073647 (Southern Plains Medical Center Of Garvin County LLC). 37 health plans and networks list 85-2073647 for it.
Is Southern Plains Medical Center Of Garvin County Llc accredited?
CMS's Provider of Services file lists no accrediting organization for Southern Plains Medical Center Of Garvin County Llc; it is certified for Medicare through state survey.
How many beds does Southern Plains Medical Center Of Garvin County Llc have?
Southern Plains Medical Center Of Garvin County Llc has 43 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report.
Where is Southern Plains Medical Center Of Garvin County Llc and what is its phone number?
Southern Plains Medical Center Of Garvin County Llc is located at Pauls Valley, OK.
What is Southern Plains Medical Center Of Garvin County Llc's CCN (Medicare provider number)?
Southern Plains Medical Center Of Garvin County Llc's CMS Certification Number (CCN), also called its Medicare provider number, is 370243.
What is Southern Plains Medical Center Of Garvin County Llc's NPI number?
The National Provider Identifier (NPI) on file for Southern Plains Medical Center Of Garvin County Llc is 1053997338.
Which insurance plans are in network at Southern Plains Medical Center Of Garvin County Llc?
Southern Plains Medical Center Of Garvin County Llc lists 24 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. 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 Plains Medical Center Of Garvin County Llc?
176 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.
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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
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