Short Term Acute Care HospitalGovernment - Federal

Usphs Hospital-Zuni

Zuni, NM

Route 301 North B Street, Zuni, NM 87327(505) 782-4431

In-network payers

Disclosed rate categories

Beds

About this hospital

Usphs Hospital-Zuni is a 28-bed government - federal hospital in Zuni, NM. Below you'll find publicly disclosed negotiated rates and facility details, including 3 in-network payers and 58 disclosed rate categories.

CCN

320060

NPI

1497843734

Type

Short Term Acute Care Hospital

Ownership

Government - Federal

Beds

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.

Kaiser PermanentePresbyterian Health Plan

Negotiated Rates

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

Book a call about hospital compliance MRFs

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 Evaluation and Management Range: 99091 - 99499	Negotiated	Very Low
BCBS	Outpatient	CPT Evaluation and Management Range: 99091 - 99499	Percentage of Bill Charged	-
BCBS	Outpatient	CPT Medicine Services and Procedures Range: 90281 - 99607	Percentage of Bill Charged	-
BCBS	Outpatient	CPT Medicine Services and Procedures Range: 90281 - 99607	50% negotiated 50% per Diem	Average
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	-
BCBS	Outpatient	CPT Proprietary Laboratory Analyses Range: 0001U - 0401U	Percentage of Bill Charged	-
BCBS	Outpatient	CPT Proprietary Laboratory Analyses Range: 0001U - 0401U	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.

Showing 1 - 10 of 58

View all hospital rates

Location

Route 301 North B Street, Zuni, NM 87327

(505) 782-4431

Get directions

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.

Schedule a Demo

Heart Hospital Of New Mexico At Lovelace Medical Center

Albuquerque, NMView rates

Mescalero Indian Hospital

Mescalero, NMView rates

Mountainview Regional Medical Center

Las Cruces, NMView rates

Presbyterian Kaseman Hospital

Albuquerque, NMView rates

Frequently asked questions

About Usphs Hospital-Zuni's rates and hospital price transparency.

How many beds does Usphs Hospital-Zuni have?

Usphs Hospital-Zuni has 28 beds. It is a short term acute care hospital, government - federal hospital.

Which insurance plans are in network at Usphs Hospital-Zuni?

Usphs Hospital-Zuni lists 3 in-network payers, including BCBS, Kaiser Permanente, Presbyterian Health Plan, 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 Usphs Hospital-Zuni?

58 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.