Kootenai Health · Coeur D Alene, ID
33
In-network payers
288
Disclosed rate categories
330
Beds
4
Care quality
Kootenai Health is a 330-bed government - hospital district or authority hospital in Coeur D Alene, ID, affiliated with Kootenai Health. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 288 disclosed rate categories.
CCN (Medicare provider number)
130049
NPI
1992798409
Type
Short Term Acute Care Hospital
Ownership
Government - Hospital District Or Authority
Beds
330
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 Kootenai Health 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
$514 - $2,847
from 4 insurers · median $2,621
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$8,935
negotiated rate
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Gynecology
CPT 58558
$964 - $7,990
from 2 insurers · median $4,477
39 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 788
$15,882
negotiated rate
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Cardiology and vascular testing
CPT 93306
$383 - $2,035
from 4 insurers · median $1,897
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$174 - $1,382
from 4 insurers · median $913
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$403 - $1,935
from 4 insurers · median $1,361
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$20,850
negotiated rate
117 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 47562
$15,858
negotiated rate
186 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 71260
$278 - $1,635
from 4 insurers · median $1,213
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$203 - $302
from 4 insurers · median $267
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$744 - $4,554
from 4 insurers · median $3,764
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$2,355 - $6,350
from 4 insurers · median $5,774
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$440 - $3,275
from 2 insurers · median $1,858
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$468 - $2,489
from 4 insurers · median $2,071
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$344 - $1,914
from 4 insurers · median $1,438
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$274 - $1,823
from 4 insurers · median $1,393
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$349 - $3,263
from 2 insurers · median $1,806
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$51 - $253
from 4 insurers · median $231
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$9,103
negotiated rate
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$1,033 - $4,871
from 4 insurers · median $4,071
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$332 - $1,914
from 4 insurers · median $1,431
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$89,644
negotiated rate
12 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 49650
$9,794
negotiated rate
186 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
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* | 14 | 723% | 11 | 0 |
| Insurer B* | 15 | 636% | 13 | 1 |
| Insurer C* | 24 | 386% | 18 | 0 |
| Insurer D* | 16 | 134% | 0 | 16 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 3 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 Kootenai Health.
2003 Kootenai Health Way, Coeur D Alene, ID 83814
(208) 625-4000
The nearest hospitals of similar type and size. Their rates are compared with Kootenai Health for the same insurers and services above.
Providence Holy Family Hospital
▼ Rates typically 44% lower than Kootenai Health (19 services)
Multicare Deaconess Hospital
▼ Rates typically 56% lower than Kootenai Health (19 services)
Logan Health Medical Center
▲ Rates typically 55% higher than Kootenai Health (16 services)
St Patrick Hospital
▼ Rates typically 7% lower than Kootenai Health (22 services)
Kadlec Regional Medical Center
▼ Rates typically 31% lower than Kootenai Health (19 services)
Central Washington Hospital
▼ Rates typically 40% lower than Kootenai Health (21 services)
Eastern Idaho Regional Medical Center (Eirmc)
Grove Creek Medical Center
St. Alphonsus Medical Center - Nampa
St. Alphonsus Regional Med Center
About Kootenai Health's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Kootenai Health range from $468 to $2,489 across 4 insurers. Blue Cross Blue Shield's rate is $1,877. The median at nearby comparable hospitals is $1,246. 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 Kootenai Health range from $514 to $2,847 across 4 insurers. Aetna's rate is $514. The median at nearby comparable hospitals is $1,470. 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 Kootenai Health range from $440 to $3,275 across 2 insurers. Blue Cross Blue Shield's rate is $3,275. The median at nearby comparable hospitals is $2,521. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Kootenai Health range from $8,935 to $8,935 across 1 insurers. Blue Cross Blue Shield's rate is $8,935. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Kootenai Health range from $203 to $302 across 4 insurers. Cigna's rate is $274. The median at nearby comparable hospitals is $207. What a patient pays depends on their plan's deductible, coinsurance and network status.
Kootenai Health has 330 beds. Facility type: Short Term Acute Care Hospital.
Kootenai Health is located at 2003 Kootenai Health Way, Coeur D Alene, ID 83814. Its main phone number is (208) 625-4000.
Kootenai Health's CMS Certification Number (CCN), also called its Medicare provider number, is 130049.
The National Provider Identifier (NPI) on file for Kootenai Health is 1992798409.
Kootenai Health 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.
288 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.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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