Short Term Acute Care HospitalGovernment - Federal

Standing Rock Ihs Hospital

Fort Yates, ND

10 North River Road, Fort Yates, ND 58538(701) 854-3831

Beds

Inpatient discharges a year

In-network payers

About this hospital

Standing Rock Ihs Hospital is a 12-bed government - federal hospital in Fort Yates, ND. Below you'll find publicly disclosed negotiated rates and facility details, including 3 in-network payers and 246 disclosed rate categories.

CCN: 350064
NPI: 1609851039
Medicare contractor: Jurisdiction H, Novitas Solutions (04011)

Negotiated Rates

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

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Payer	Category	Code Type & Group	Contract Type	vs. State Average
BCBS	Outpatient	CPT Anesthesia Range: 00100 - 01999	Percentage of Bill Charged	-
BCBS	Outpatient	CPT Category II Codes Range: 0001F - 9007F	Percentage of Bill Charged	-
BCBS	Outpatient	CPT Category III Codes Range: 0042T - 0810T	Percentage of Bill Charged	-
BCBS	Outpatient	CPT Evaluation and Management Range: 99091 - 99499	Percentage of Bill Charged	-
BCBS	Outpatient	CPT Evaluation and Management Range: 99091 - 99499	Negotiated	Very Low
BCBS	Outpatient	CPT Medicine Services and Procedures Range: 90281 - 99607	Negotiated	Very Low
BCBS	Outpatient	CPT Medicine Services and Procedures Range: 90281 - 99607	Percentage of Bill Charged	-
BCBS	Outpatient	CPT Multianalyte Assay Range: 0002M - 0018M	Percentage of Bill Charged	-
BCBS	Outpatient	CPT Pathology and Laboratory Procedures Range: 80047 - 89398	Negotiated	Very Low
BCBS	Outpatient	CPT Pathology and Laboratory Procedures Range: 80047 - 89398	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 246

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Insurance Accepted

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

Kaiser PermanenteSanford Health Plan

More about this hospital

Doctors and services
18 services
See doctors and services
Finances
-$38.5M net income
See finances

Location

10 North River Road, Fort Yates, ND 58538

(701) 854-3831

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Accreditation and services

18 services at Standing Rock Ihs Hospital

Emergency and trauma: Emergency DepartmentEmergency Psychiatric Care
Surgery: Orthopedic Surgery
Imaging: Diagnostic Radiology
Transplant and dialysis: Acute Renal Dialysis
Women and children: Clinical LaboratoryObstetrics / Child BirthPediatric Care
Behavioral health: Outpatient Psychiatric CarePsychiatric Care of Children and/or Adolescents
Rehabilitation and therapy: AudiologyPT (Physical Therapy)
Other services: Dental CareDietary CareOptometricOutpatientPharmacySocial Care

Source: CMS Provider of Services file, as reported by the hospital and state surveyors.

Size and patient volume

What Standing Rock Ihs Hospital reported to Medicare in its latest cost report, covering Oct 1, 2020 to Oct 28, 2021.

83
Inpatient discharges
Medicare 8%, Medicaid 30%
396
Inpatient days
9% of available bed days used
183
Employees (full-time equivalent)

Source: CMS cost report (HCRIS) (report 730261). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges Standing Rock Ihs Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	25	137	234	396
Discharges	7	25	51	83
Average length of stay	3.6 days	5.5 days	4.6 days	4.8 days
Average daily census	0.1	0.3	0.6	1.0

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	12	396	25	9%

Source: CMS cost report (HCRIS, Form 2552-10), report 730261, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Finances

Revenue, income and charity care Standing Rock Ihs Hospital reported to Medicare for Oct 1, 2020 to Oct 28, 2021.

-$38.5M
Net income, including non-patient income

Source: CMS cost report (HCRIS) (report 730261). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Departments

Each cost center Standing Rock Ihs Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 25 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Clinic	$5.7M	$6.4M	$27,797	230.58	6,979
Emergency	$557,915	$5.6M	$27,797	200.20	3,085
Laboratory	$174,681	$1.6M	$27,797	58.26	1,290
Radiology-diagnostic	$180,068	$815,485	$27,797	29.34	1,240
Drugs charged to patients		$551,612	$27,797	19.84	53
Behavioral health	$618,750	$433,258	$27,797	15.59	1,353
Diabetes-mellitus	$185,454	$113,155	$27,797	4.07	138
Observation beds (non-distinct part		$21,281	$27,797	0.77
Delivery room & labor room		$344	$27,797	0.01

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Adults & pediatrics		$787,406	$396	1988.40	1,531

Overhead (general service) departments

Department	Salaries	Direct cost	Paid hours	Average hourly wage	Square feet
Other admin & general	$1.1M	$4.8M			2,463
Employee benefits department	$10,513	$1.1M	1	$22545.00	749
Operation of plant	$718,868	$1.1M	1	$539342.00	10,738
Central services & supply	$172,202	$1M	1	$172202.00	5,388
Medical records & library	$479,327	$890,206	1	$588185.00	1,205
Hospital only admin and general	$213,029	$853,749			90
Business office	$293,793	$607,624			1,452
Cap rel costs-bldg & fixt		$578,426			53,346
Housekeeping	$98,384	$496,266	1	$308432.00	1,129
Nursing administration	$47,027	$443,819	1	$336388.00	360
Pharmacy	$902,018	$366,873	1	$4697.00	163
Cap rel costs-mvble equip		$240,436
Dietary	$222,272	$227,572	1	$152376.00	1,094
Laundry & linen service		$97,714	1	$54273.00	238
Cafeteria		-$25,371			313

Source: CMS cost report (HCRIS, Form 2552-10), report 730261, 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.

Frequently asked questions

About Standing Rock Ihs Hospital's rates and hospital price transparency.

How many patients does Standing Rock Ihs Hospital admit?

Standing Rock Ihs Hospital reported 83 inpatient discharges and 396 inpatient days from Oct 1, 2020 to Oct 28, 2021.

How many employees does Standing Rock Ihs Hospital have?

Standing Rock Ihs Hospital reported 183 full-time-equivalent employees on payroll from Oct 1, 2020 to Oct 28, 2021.

What services does Standing Rock Ihs Hospital offer?

CMS lists 18 services at Standing Rock Ihs Hospital, including Acute Renal Dialysis, Audiology, Clinical Laboratory, Dental Care, Diagnostic Radiology, Dietary Care.

How many beds does Standing Rock Ihs Hospital have?

Standing Rock Ihs Hospital has 12 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.

Where is Standing Rock Ihs Hospital and what is its phone number?

Standing Rock Ihs Hospital is located at 10 North River Road, Fort Yates, ND 58538. Its main phone number is (701) 854-3831.

What is Standing Rock Ihs Hospital's CCN (Medicare provider number)?

Standing Rock Ihs Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 350064.

What is Standing Rock Ihs Hospital's NPI number?

The National Provider Identifier (NPI) on file for Standing Rock Ihs Hospital is 1609851039.

Which insurance plans are in network at Standing Rock Ihs Hospital?

Standing Rock Ihs Hospital lists 3 in-network payers, including BCBS, 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 price transparency data is available for Standing Rock Ihs Hospital?

246 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.

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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

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Missing, duplicate and outdated charge lines identified
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