Fall River Health Services is a nonprofit critical access hospital in Hot Springs, South Dakota. Its CMS Certification Number (CCN) is 431322 and its NPI is 1679544555.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Hot Springs, SD
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. South Dakota hospitals |
|---|---|---|---|
| Emergency room visit, high severity | 99285 | $168$151–$185 · 2 rates | 7th percentile · state median $290, mean $272 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $313$283–$344 · 6 rates | 7th percentile · state median $470, mean $461 |
| MRI, brain, with and without contrast | 70553 | $366$315–$417 · 6 rates | 7th percentile · state median $556, mean $522 |
| Colonoscopy, diagnostic | 45378 | $289$164–$344 · 6 rates | 7th percentile · state median $514, mean $619 |
See UnitedHealthcare rates for every billing code at Fall River Health Services
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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
0 better2 no different0 worsethan national
Units Medicare certifies separately, each with its own CCN.
Swing-bed unit
Fall River Health Services
CCN 43Z322
Black Hills Surgical Hospital LLC
Rapid City, SD
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Custer, SD
Monument Health Lead-Deadwood Hospital
Deadwood, SD
Monument Health Rapid City Hospital
Rapid City, SD
Monument Health Spearfish Hospital
Spearfish, SD
Monument Health Sturgis Hospital
Sturgis, SD
Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.
Quick answers about Fall River Health Services.
Fall River Health Services's CMS Certification Number (CCN) is 431322. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Fall River Health Services bills under National Provider Identifier (NPI) 1679544555.
Fall River Health Services bills insurers under tax ID (EIN) 46-0450523, held by FALL RIVER HEALTH SERVICES. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Fall River Health Services is enrolled in Medicare as a critical access hospital with nonprofit ownership. Its legal business name is Fall River Health Services.
Fall River Health Services is at 1201 Highway 71 South, Hot Springs, SD 57747.
Yes. Fall River Health Services reports emergency services to CMS.
Yes. Fall River Health Services 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.