In the following locations:
- Puerto Natales
- Punta Arenas
- In the lodges, refugios along the hiking trail of Patagonia
Which currency do they accept? It looks like the above locations are within Chile. Do they only accept Chilean pesos?
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Yes, in Chile most venues will only accept Chilean pesos.
It's different across the border in Argentina though, there you will fare much better with US dollars.
Update: In December 2015, the new Argentinian government removed the exchange restrictions which fed the demand for black market dollars, so they are now probably in much less demand.