Coalgate, OK
37
In-network payers
158
Disclosed rate categories
20
Beds
4
Care quality
Coal County is a 20-bed proprietary hospital in Coalgate, OK. Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 158 disclosed rate categories.
CCN (Medicare provider number)
371319
NPI
1629077227
Type
Critical Access Hospital
Ownership
Proprietary
Beds
20
Care Quality
4
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 Coal County 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
$775 - $1,701
from 4 insurers · median $1,292
Typical for a hospital with this service line
CT imaging
CPT 70450
$377 - $1,035
from 4 insurers · median $725
Typical for a hospital with this service line
CT imaging
CPT 71275
$759 - $1,665
from 4 insurers · median $1,323
Typical for a hospital with this service line
CT imaging
CPT 74176
$184 - $1,440
from 4 insurers · median $813
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$156 - $1,332
from 4 insurers · median $725
Typical for a hospital with this service line
Mammography
CPT 77067
$515
negotiated rate
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$3,428
negotiated rate
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$2,154
negotiated rate
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$13,386
negotiated rate
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$2,243
negotiated rate
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$101 - $223
from 3 insurers · median $102
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$6,601
negotiated rate
Typical for a hospital with this service line
Ultrasound
CPT 76705
$154 - $354
from 4 insurers · median $328
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$246 - $593
from 4 insurers · median $525
Typical for a hospital with this service line
Gynecology
CPT 58571
$10,624
negotiated rate
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$12,382
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 70553
$1,340
negotiated rate
Typical for a hospital with this service line
Ultrasound
CPT 76856
$189 - $414
from 4 insurers · median $372
Typical for a hospital with this service line
Gynecology
CPT 58558
$7,781
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 70551
$1,340
negotiated rate
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$349 - $765
from 4 insurers · median $658
Typical for a hospital with this service line
Gynecology
CPT 58661
$11,030
negotiated rate
Typical for a hospital with this service line
Orthopedics and pain
CPT 29888
$21,070
negotiated rate
Typical for a hospital with this service line
Urology
CPT 50590
$14,348
negotiated rate
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* | 10 | 432% | 0 | 9 |
| Insurer B* | 9 | 366% | 4 | 4 |
| Insurer C* | 24 | 280% | 16 | 5 |
| Insurer D* | 10 | 197% | 3 | 7 |
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 Coal County.
6 North Covington Street, Coalgate, OK 74538
(580) 927-2327
The nearest hospitals of similar type and size. Their rates are compared with Coal County for the same insurers and services above.
Atoka Memorial Hospital
Rates about the same as Coal County (24 services)
Mercy Hospital Tishomingo
Rates about the same as Coal County (22 services)
Holdenville General Hospital
â–¼ Rates typically 10% lower than Coal County (24 services)
Arbuckle Memorial Hospital
Rates about the same as Coal County (24 services)
Alliance Health Madill
â–² Rates typically 32% higher than Coal County (24 services)
Creek Nation Community Hospital
â–² Rates typically 11% higher than Coal County (17 services)
Pawhuska Hospital Inc.
Harmon Memorial Hospital
Eastern Oklahoma Medical Center
About Coal County's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Coal County range from $1,340 to $1,340 across 1 insurers. Blue Cross Blue Shield's rate is $1,340. The median at nearby comparable hospitals is $1,207. 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 Coal County range from $775 to $1,701 across 4 insurers. Aetna's rate is $1,607. The median at nearby comparable hospitals is $1,925. 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 Coal County range from $3,428 to $3,428 across 1 insurers. Blue Cross Blue Shield's rate is $3,428. The median at nearby comparable hospitals is $3,808. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Coal County range from $515 to $515 across 1 insurers. Blue Cross Blue Shield's rate is $515. The median at nearby comparable hospitals is $370. What a patient pays depends on their plan's deductible, coinsurance and network status.
Coal County has 20 beds. Facility type: Critical Access Hospital.
Coal County is located at 6 North Covington Street, Coalgate, OK 74538. Its main phone number is (580) 927-2327.
Coal County's CMS Certification Number (CCN), also called its Medicare provider number, is 371319.
The National Provider Identifier (NPI) on file for Coal County is 1629077227.
Coal County lists 37 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.
158 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