Madison Community Hospital is a nonprofit critical access hospital in Madison, South Dakota. Its CMS Certification Number (CCN) is 431300 and its NPI is 1588644058.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Madison, 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 | $2081 rate | 22nd percentile · state median $290, mean $272 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $3733 rates, all the same | 18th percentile · state median $470, mean $461 |
| MRI, brain, with and without contrast | 70553 | $3923 rates, all the same | 11th percentile · state median $556, mean $522 |
| Colonoscopy, diagnostic | 45378 | $441$236–$441 · 3 rates | 27th percentile · state median $514, mean $619 |
See UnitedHealthcare rates for every billing code at Madison Community 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 better3 no different0 worsethan national
1 better1 no different0 worsethan national
Units Medicare certifies separately, each with its own CCN.
Swing-bed unit
Madison Regional Health System
CCN 43Z300
Avera Dells Area Hospital
Dell Rapids, SD
Avera Flandreau Hospital
Flandreau, SD
Avera Sacred Heart Hospital
Yankton, SD
Brookings Health System
Brookings, SD
Dunes Surgical Hospital
Dakota Dunes, SD
Freeman Medical Center
Freeman, SD
Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.
Quick answers about Madison Community Hospital.
Madison Community Hospital's CMS Certification Number (CCN) is 431300. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Madison Community Hospital bills under National Provider Identifier (NPI) 1588644058.
Madison Community Hospital bills insurers under tax ID (EIN) 46-0228038, held by MADISON COMMUNITY HOSPITAL. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Madison Community Hospital is enrolled in Medicare as a critical access hospital with nonprofit ownership. Its legal business name is Madison Community Hospital.
Madison Community Hospital is at 323 SW 10th St, Madison, SD 57042.
Yes. Madison Community Hospital reports emergency services to CMS.
Yes. Madison Community 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.