Kootenai Health · Orofino, ID
33
In-network payers
223
Disclosed rate categories
23
Beds
3
Care quality
Clearwater Valley Hospital is a 23-bed voluntary non-profit - private hospital in Orofino, ID, affiliated with Kootenai Health. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 223 disclosed rate categories.
CCN (Medicare provider number)
131320
NPI
1255449013
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
23
Care Quality
3
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 Clearwater Valley 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
$148 - $2,304
from 4 insurers · median $996
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$290 - $1,980
from 4 insurers · median $1,658
Typical for a hospital with this service line
CT imaging
CPT 74176
$142 - $1,918
from 4 insurers · median $1,463
Typical for a hospital with this service line
CT imaging
CPT 70450
$70 - $1,146
from 4 insurers · median $350
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$49 - $227
from 3 insurers · median $217
Typical for a hospital with this service line
Mammography
CPT 77067
$61 - $518
from 4 insurers · median $181
Typical for a hospital with this service line
CT imaging
CPT 71275
$160 - $1,862
from 4 insurers · median $697
Typical for a hospital with this service line
MRI imaging
CPT 72148
$124 - $1,882
from 4 insurers · median $1,548
Typical for a hospital with this service line
MRI imaging
CPT 70553
$196 - $2,728
from 4 insurers · median $1,136
Typical for a hospital with this service line
MRI imaging
CPT 74183
$187 - $3,123
from 4 insurers · median $2,474
Typical for a hospital with this service line
Ultrasound
CPT 76705
$49 - $532
from 4 insurers · median $455
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$3,264 - $4,129
from 3 insurers · median $3,996
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$38 - $668
from 4 insurers · median $524
Typical for a hospital with this service line
MRI imaging
CPT 72197
$187 - $1,951
from 4 insurers · median $1,860
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$57 - $391
from 3 insurers · median $355
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$391 - $533
from 4 insurers · median $497
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$696 - $824
from 3 insurers · median $797
Typical for a hospital with this service line
X-ray and bone density
CPT 73130
$228 - $312
from 3 insurers · median $302
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93880
$661 - $937
from 3 insurers · median $907
Typical for a hospital with this service line
Lung function and sleep
CPT 95811
$860 - $3,137
from 3 insurers · median $3,003
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$309 - $635
from 4 insurers · median $412
Typical for a hospital with this service line
Mammography
CPT 77066
$80 - $589
from 4 insurers · median $399
Typical for a hospital with this service line
Ultrasound
CPT 76700
$67 - $657
from 4 insurers · median $519
Typical for a hospital with this service line
X-ray and bone density
CPT 72100
$234 - $334
from 3 insurers · median $323
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* | 24 | 495% | 4 | 4 |
| Insurer B* | 24 | 364% | 20 | 1 |
| Insurer C* | 24 | 325% | 14 | 8 |
| Insurer D* | 16 | 54% | 0 | 9 |
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 Clearwater Valley Hospital.
301 Cedar, Orofino, ID 83544
(208) 476-4555
The nearest hospitals of similar type and size. Their rates are compared with Clearwater Valley Hospital for the same insurers and services above.
Tri-State Memorial Hospital
▼ Rates typically 58% lower than Clearwater Valley Hospital (24 services)
Gritman Medical Center
▼ Rates typically 17% lower than Clearwater Valley Hospital (24 services)
Syringa General Hospital
▲ Rates typically 6% higher than Clearwater Valley Hospital (24 services)
Pullman Regional Hospital
▼ Rates typically 16% lower than Clearwater Valley Hospital (24 services)
Benewah Community Hospital
Rates about the same as Clearwater Valley Hospital (24 services)
Whitman Hospital & Medical Center
▼ Rates typically 50% lower than Clearwater Valley Hospital (24 services)
St. Marys Hospital
St. Luke S Mccall Medical Center
Elmore Medical Center
St. Lukes Jerome Ltd
About Clearwater Valley Hospital's rates and hospital price transparency.
For MRI lumbar spine without contrast (CPT 72148), published negotiated rates at Clearwater Valley Hospital range from $124 to $1,882 across 4 insurers. UnitedHealthcare's rate is $124. The median at nearby comparable hospitals is $400. 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 Clearwater Valley Hospital range from $148 to $2,304 across 4 insurers. Aetna's rate is $458. The median at nearby comparable hospitals is $741. 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 Clearwater Valley Hospital range from $391 to $533 across 4 insurers. UnitedHealthcare's rate is $533. The median at nearby comparable hospitals is $766. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Clearwater Valley Hospital range from $61 to $518 across 4 insurers. Aetna's rate is $188. The median at nearby comparable hospitals is $169. What a patient pays depends on their plan's deductible, coinsurance and network status.
Clearwater Valley Hospital has 23 beds. Facility type: Critical Access Hospital.
Clearwater Valley Hospital is located at 301 Cedar, Orofino, ID 83544. Its main phone number is (208) 476-4555.
Clearwater Valley Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 131320.
The National Provider Identifier (NPI) on file for Clearwater Valley Hospital is 1255449013.
Clearwater Valley Hospital is affiliated with Kootenai Health.
Clearwater Valley Hospital lists 33 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.
223 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