Avera Merrill Pioneer Hospital is a nonprofit critical access hospital in Rock Rapids, Iowa. Its CMS Certification Number (CCN) is 161321 and its NPI is 1750854956.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Rock Rapids, IA
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. Iowa hospitals |
|---|---|---|---|
| Emergency room visit, high severity | 99285 | $328$282–$443 · 7 rates | 72nd percentile · state median $251, mean $268 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $396$332–$610 · 21 rates | 61st percentile · state median $367, mean $419 |
| MRI, brain, with and without contrast | 70553 | $441$408–$680 · 21 rates | 16th percentile · state median $628, mean $640 |
| Colonoscopy, diagnostic | 45378 | $514$290–$926 · 21 rates | 50th percentile · state median $525, mean $587 |
See UnitedHealthcare rates for every billing code at Avera Merrill Pioneer Hospital
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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 better1 no different0 worsethan national
0 better2 no different0 worsethan national
Units Medicare certifies separately, each with its own CCN.
Swing-bed unit
Avera Merrill Pioneer Hospital
CCN 16Z321
Same legal entity in Medicare, or billing insurers under the same tax ID.
Avera Dells Area Hospital
Dell Rapids, SD
Avera Flandreau Hospital
Flandreau, SD
Avera Gregory Hospital
Gregory, SD
Avera Hand County Memorial Hospital
Miller, SD
Avera Mckennan Hospital and University Health Center
Sioux Falls, SD
Milbank Area Hospital/Avera Health
Milbank, SD
Hegg Memorial Health Center
Rock Valley, IA
Osceola Regional Health Center
Sibley, IA
Sanford Sheldon Medical Center
Sheldon, IA
Sioux Center Health
Sioux Center, IA
Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.
Quick answers about Avera Merrill Pioneer Hospital.
Avera Merrill Pioneer Hospital's CMS Certification Number (CCN) is 161321. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Avera Merrill Pioneer Hospital bills under National Provider Identifier (NPI) 1750854956.
Avera Merrill Pioneer Hospital bills insurers under tax ID (EIN) 46-0224743, held by AVERA MCKENNAN. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Avera Merrill Pioneer Hospital is enrolled in Medicare as a critical access hospital with nonprofit ownership. Its legal business name is Avera Mckennan.
Avera Merrill Pioneer Hospital is at 1100 S 10th Ave, Rock Rapids, IA 51246.
Yes. Avera Merrill Pioneer Hospital reports emergency services to CMS.
Yes. Avera Merrill Pioneer Hospital has 1 Medicare-certified unit: swing-bed unit.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.