Pagosa Springs Medical Center is a government critical access hospital in Pagosa Springs, Colorado. Its CMS Certification Number (CCN) is 061328 and its NPI is 1245401561.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Pagosa Springs, CO
Negotiated rates
In-network rates for clinicians billing at this hospital, from each insurer's price transparency files. Median rate, with the range when more than one contract applies.
| Service | Code | Physician rate | vs. Colorado hospitals |
|---|---|---|---|
| Emergency room visit, high severity | 99285 | $272$260–$284 · 2 rates | 77th percentile · state median $241, mean $259 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $436$307–$565 · 6 rates | 51st percentile · state median $436, mean $473 |
| MRI, brain, with and without contrast | 70553 | $687$649–$725 · 6 rates | 45th percentile · state median $725, mean $683 |
| Colonoscopy, diagnostic | 45378 | $563$317–$578 · 6 rates | 78th percentile · state median $501, mean $522 |
See UnitedHealthcare rates for every billing code at Pagosa Springs Medical Center
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Every billing code
CPT, HCPCS, MS-DRG and revenue codes, not just the four shown here.
Institutional rates
What each insurer pays the hospital itself, its facility fees.
Professional rates
What insurers pay physicians and clinicians billing here.
Inpatient and outpatient
Per-stay rates for admissions and per-visit rates for outpatient care.
The table above shows physician rates: what the insurer pays clinicians for the service. Facility rates are in the full data. Source: insurer Transparency in Coverage files.
From the hospital's Medicare enrollment record.
From CMS Care Compare. Each measure is compared with the national rate.
CMS overall rating
Not rated. CMS only stars hospitals that report enough measures; most critical access and specialty hospitals are not rated.
0 better2 no different0 worsethan national
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Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.
Quick answers about Pagosa Springs Medical Center.
Pagosa Springs Medical Center's CMS Certification Number (CCN) is 061328. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Pagosa Springs Medical Center bills under National Provider Identifier (NPI) 1245401561.
Pagosa Springs Medical Center bills insurers under tax ID (EIN) 84-0866061, held by UPPER SAN JUAN HEALTH SERVICE DISTRICT. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Pagosa Springs Medical Center is enrolled in Medicare as a critical access hospital with government ownership. Its legal business name is Upper San Juan Health Service District.
Pagosa Springs Medical Center is at 95 S Pagosa Blvd, Pagosa Springs, CO 81147.
Yes. Pagosa Springs Medical Center reports emergency services to CMS.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.