Saint Maries, ID
32
In-network payers
233
Disclosed rate categories
19
Beds
Benewah Community Hospital is a 19-bed government - local hospital in Saint Maries, ID. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 233 disclosed rate categories.
CCN (Medicare provider number)
131317
NPI
1548320435
Type
Critical Access Hospital
Ownership
Government - Local
Beds
19
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Benewah Community Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$924 - $1,829
from 4 insurers · median $1,199
Typical for a hospital with this service line
CT imaging
CPT 70450
$356 - $651
from 4 insurers · median $484
Typical for a hospital with this service line
Mammography
CPT 77067
$193 - $365
from 4 insurers · median $310
Typical for a hospital with this service line
CT imaging
CPT 74176
$724 - $1,332
from 4 insurers · median $868
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$524 - $4,406
from 4 insurers · median $1,916
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$2,839 - $5,834
from 4 insurers · median $3,076
Typical for a hospital with this service line
CT imaging
CPT 71275
$893 - $1,051
from 3 insurers · median $937
Typical for a hospital with this service line
MRI imaging
CPT 70553
$1,216 - $1,677
from 3 insurers · median $1,355
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,749
negotiated rate
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$284 - $2,451
from 4 insurers · median $1,090
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$413 - $1,510
from 4 insurers · median $1,384
Typical for a hospital with this service line
MRI imaging
CPT 72148
$965 - $2,163
from 4 insurers · median $1,088
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$101 - $181
from 4 insurers · median $120
Typical for a hospital with this service line
MRI imaging
CPT 70551
$765 - $1,537
from 4 insurers · median $976
Typical for a hospital with this service line
MRI imaging
CPT 74183
$1,554 - $1,733
from 3 insurers · median $1,705
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$3,385 - $3,783
from 3 insurers · median $3,552
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$3,019 - $3,627
from 3 insurers · median $3,168
Typical for a hospital with this service line
Ultrasound
CPT 76642
$268 - $359
from 3 insurers · median $343
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$46 - $86
from 4 insurers · median $72
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$343 - $436
from 4 insurers · median $396
Typical for a hospital with this service line
Lung function and sleep
CPT 95811
$3,242 - $3,536
from 3 insurers · median $3,402
Typical for a hospital with this service line
Gynecology
CPT 58661
$3,942 - $4,406
from 3 insurers · median $4,137
Typical for a hospital with this service line
Mammography
CPT 77065
$185 - $345
from 4 insurers · median $316
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$177 - $422
from 4 insurers · median $241
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 17 | 395% | 14 | 0 |
| Insurer B* | 22 | 392% | 15 | 2 |
| Insurer C* | 23 | 350% | 10 | 8 |
| Insurer D* | 23 | 318% | 5 | 12 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Benewah Community Hospital.
229 South Seventh Street, Saint Maries, ID 83861
(208) 245-5551
The nearest hospitals of similar type and size. Their rates are compared with Benewah Community Hospital for the same insurers and services above.
Shoshone Medical Center
â–² Rates typically 59% higher than Benewah Community Hospital (21 services)
Gritman Medical Center
â–¼ Rates typically 6% lower than Benewah Community Hospital (23 services)
Whitman Hospital & Medical Center
â–¼ Rates typically 66% lower than Benewah Community Hospital (23 services)
Pullman Regional Hospital
â–¼ Rates typically 51% lower than Benewah Community Hospital (23 services)
Clearwater Valley Hospital
Rates about the same as Benewah Community Hospital (22 services)
Newport Community Hospital
Rates about the same as Benewah Community Hospital (22 services)
Boundary Community Hospital
Cassia Regional Hospital
Caribou Memorial Hospital
Franklin County Medical Center
About Benewah Community Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Benewah Community Hospital range from $1,216 to $1,677 across 3 insurers. Blue Cross Blue Shield's rate is $1,677. The median at nearby comparable hospitals is $1,572. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Benewah Community Hospital range from $924 to $1,829 across 4 insurers. Blue Cross Blue Shield's rate is $1,367. The median at nearby comparable hospitals is $1,569. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Benewah Community Hospital range from $524 to $4,406 across 4 insurers. Aetna's rate is $4,406. The median at nearby comparable hospitals is $634. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Benewah Community Hospital range from $193 to $365 across 4 insurers. Aetna's rate is $365. The median at nearby comparable hospitals is $203. What a patient pays depends on their plan's deductible, coinsurance and network status.
Benewah Community Hospital has 19 beds. Facility type: Critical Access Hospital.
Benewah Community Hospital is located at 229 South Seventh Street, Saint Maries, ID 83861. Its main phone number is (208) 245-5551.
Benewah Community Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 131317.
The National Provider Identifier (NPI) on file for Benewah Community Hospital is 1548320435.
Benewah Community Hospital lists 32 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
233 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers