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Critical Access HospitalGovernment - Hospital District Or Authority

Coulee Medical Center

Grand Coulee, WA

411 Fortuyn Road, Grand Coulee, WA 99133(509) 633-1753

22

In-network payers

140

Disclosed rate categories

25

Beds

About this hospital

Coulee Medical Center is a 25-bed government - hospital district or authority hospital in Grand Coulee, WA. Below you'll find publicly disclosed negotiated rates and facility details, including 22 in-network payers and 140 disclosed rate categories.

CCN (Medicare provider number)

501308

NPI

1184844185

Type

Critical Access Hospital

Ownership

Government - Hospital District Or Authority

Beds

25

Insurance Accepted

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.

Medicare
Aetna
BCBS
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

Prices for common services

The 24 services Coulee Medical Center 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

CT abdomen and pelvis with contrast

CPT 74177

$401 - $3,462

from 4 insurers · median $3,443

Aetna$401
Insurer A*$3,424
Insurer B*$3,462
Insurer C*$3,462
Medicare $356Nearby hospitals $1,76395% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$233 - $3,252

from 4 insurers · median $3,216

Aetna$233
Insurer A*est.$3,179
Insurer B*est.$3,252
Insurer C*est.$3,252
Medicare $244Nearby hospitals $1,249157% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT angiography of chest blood vessels

CPT 71275

$183 - $2,930

from 4 insurers · median $2,914

Aetna$183
Insurer A*$2,898
Insurer B*$2,930
Insurer C*$2,930
Medicare $179Nearby hospitals $1,57785% above nearby hospitals

Typical for a hospital with this service line

Mammography

Screening mammography, bilateral

CPT 77067

$159 - $377

from 4 insurers · median $374

Blue Cross$371
Insurer A*$159
Insurer B*$377
Insurer C*$377
Medicare $92Nearby hospitals $28531% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the chest, with contrast

CPT 71260

$468 - $1,743

from 4 insurers · median $1,733

Aetna$1,743
Insurer A*$468
Insurer B*$1,723
Insurer C*$1,743
Medicare $179Nearby hospitals $621179% above nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Chest X-ray, two views

CPT 71046

$40 - $243

from 4 insurers · median $240

Aetna$40
Insurer A*est.$237
Insurer B*est.$243
Insurer C*est.$243
Medicare $89Nearby hospitals $20517% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$344 - $854

from 4 insurers · median $817

Blue Cross$845
Insurer A*$344
Insurer B*$790
Insurer C*$854
Medicare $1,223Nearby hospitals $790In line with nearby hospitals

Typical for a hospital with this service line

Orthopedics and pain

Arthroscopic ACL reconstruction

CPT 29888

$1,870 - $15,386

from 4 insurers · median $15,301

Cigna$15,386
Insurer A*$1,870
Insurer B*$15,216
Insurer C*$15,386
Medicare $7,413Nearby hospitals $1,870718% above nearby hospitals

Typical for a hospital with this service line

Laboratory and pathology

Comprehensive metabolic panel

CPT 80053

$4 - $198

from 4 insurers · median $103

Cigna$198
Insurer A*$4
Insurer B*$10
Insurer C*$196
Medicare $11Nearby hospitals $35193% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with biopsy

CPT 45380

$465 - $775

from 4 insurers · median $671

Blue Cross$667
Insurer A*$465
Insurer B*$675
Insurer C*$775
Medicare $1,223Nearby hospitals $1,22945% below nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI brain before and after contrast

CPT 70553

$427 - $792

from 2 insurers · median $609

UnitedHealthcare$792
Insurer A*$427
Medicare $356Nearby hospitals $1,54661% below nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$460 - $550

from 3 insurers · median $465

Blue Cross$460
Insurer A*$465
Insurer B*$550
Medicare $927Nearby hospitals $5017% below nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Laparoscopic gallbladder removal with bile-duct imaging

CPT 47563

$6,840 - $6,916

from 4 insurers · median $6,916

Blue Cross$6,840
Insurer A*$6,916
Insurer B*$6,916
Insurer C*$6,916
Medicare $6,176

Typical for a hospital with this service line

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$2,878 - $2,911

from 4 insurers · median $2,911

Aetna$2,911
Insurer A*$2,878
Insurer B*$2,911
Insurer C*$2,911
Medicare $10,860

Typical for a hospital with this service line

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$2,138 - $2,162

from 4 insurers · median $2,162

UnitedHealthcare$2,162
Insurer A*$2,138
Insurer B*$2,162
Insurer C*$2,162
Medicare $6,176

Typical for a hospital with this service line

Laboratory and pathology

Complete blood count with differential

CPT 85025

$3 - $128

from 4 insurers · median $67

Cigna$128
Insurer A*$3
Insurer B*$7
Insurer C*$126
Medicare $8Nearby hospitals $30122% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI lumbar spine without contrast

CPT 72148

$214 - $400

from 2 insurers · median $307

UnitedHealthcare$400
Insurer A*$214
Medicare $244Nearby hospitals $1,03770% below nearby hospitals

Typical for a hospital with this service line

Laboratory and pathology

Complete blood count

CPT 85027

$2 - $124

from 4 insurers · median $64

Cigna$124
Insurer A*$2
Insurer B*$6
Insurer C*$122
Medicare $6Nearby hospitals $21208% above nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$299

negotiated rate

Aetna$299
Medicare $558Nearby hospitals $1,23676% below nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI of the brain, without contrast

CPT 70551

$155 - $387

from 2 insurers · median $271

UnitedHealthcare$387
Insurer A*$155
Medicare $244Nearby hospitals $93771% below nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI lower-extremity joint without contrast

CPT 73721

$269 - $393

from 2 insurers · median $331

UnitedHealthcare$393
Insurer A*$269
Medicare $244Nearby hospitals $91764% below nearby hospitals

Typical for a hospital with this service line

Gynecology

Hysteroscopy with destruction of the uterine lining

CPT 58563

$1,800 - $5,950

from 4 insurers · median $5,917

Aetna$5,950
Insurer A*$1,800
Insurer B*$5,884
Insurer C*$5,950
Medicare $5,111Nearby hospitals $1,800229% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Limited ultrasound of the abdomen

CPT 76705

$80 - $112

from 2 insurers · median $96

UnitedHealthcare$112
Insurer A*$80
Medicare $107Nearby hospitals $23058% below nearby hospitals

Typical for a hospital with this service line

Urology

Diagnostic examination of the bladder with a scope

CPT 52000

$572 - $1,345

from 4 insurers · median $1,337

Blue Cross$1,330
Insurer A*$572
Insurer B*$1,345
Insurer C*$1,345
Medicare $712Nearby hospitals $572134% above nearby hospitals

Typical for a hospital with this service line

How the insurers pay at Coulee Medical Center

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*18
240%
81
Insurer B*18
236%
101
Insurer C*23
105%
50
Insurer D*23
94%
116

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 Coulee Medical Center.

Location

411 Fortuyn Road, Grand Coulee, WA 99133

(509) 633-1753

Get directions

Frequently asked questions

About Coulee Medical Center's rates and hospital price transparency.

How much does an MRI cost at Coulee Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Coulee Medical Center range from $427 to $792 across 2 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $1,546. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Coulee Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Coulee Medical Center range from $401 to $3,462 across 4 insurers. Aetna's rate is $401. The median at nearby comparable hospitals is $1,763. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Coulee Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Coulee Medical Center range from $344 to $854 across 4 insurers. Blue Cross Blue Shield's rate is $845. The median at nearby comparable hospitals is $790. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Coulee Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Coulee Medical Center range from $159 to $377 across 4 insurers. Blue Cross Blue Shield's rate is $371. The median at nearby comparable hospitals is $285. What a patient pays depends on their plan's deductible, coinsurance and network status.

How many beds does Coulee Medical Center have?

Coulee Medical Center has 25 beds. Facility type: Critical Access Hospital.

Where is Coulee Medical Center and what is its phone number?

Coulee Medical Center is located at 411 Fortuyn Road, Grand Coulee, WA 99133. Its main phone number is (509) 633-1753.

What is Coulee Medical Center's CCN (Medicare provider number)?

Coulee Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 501308.

What is Coulee Medical Center's NPI number?

The National Provider Identifier (NPI) on file for Coulee Medical Center is 1184844185.

Which insurance plans are in network at Coulee Medical Center?

Coulee Medical Center lists 22 in-network payers, including Aetna, Ambetter, 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.

What price transparency data is available for Coulee Medical Center?

140 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.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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