Prosser, WA
31
In-network payers
300
Disclosed rate categories
25
Beds
5
Care quality
Prosser Memorial Hospital is a 25-bed government - hospital district or authority hospital in Prosser, WA. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 300 disclosed rate categories.
CCN (Medicare provider number)
501312
NPI
1306897681
Type
Critical Access Hospital
Ownership
Government - Hospital District Or Authority
Beds
25
Care Quality
5
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 Prosser Memorial 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
$533 - $4,623
from 4 insurers · median $2,973
Typical for a hospital with this service line
CT imaging
CPT 74176
$451 - $3,821
from 4 insurers · median $2,556
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$4,675
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
Childbirth · Inpatient
MS-DRG 788
$8,648
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
$369 - $2,385
from 4 insurers · median $2,169
Typical for a hospital with this service line
CT imaging
CPT 71275
$544 - $3,550
from 4 insurers · median $2,422
Typical for a hospital with this service line
Mammography
CPT 77067
$243 - $563
from 4 insurers · median $548
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$81 - $471
from 4 insurers · median $424
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$1,800 - $40,184
from 2 insurers · median $20,992
Typical for a hospital with this service line
Gynecology
CPT 58571
$28,250
negotiated rate
Typical for a hospital with this service line
CT imaging
CPT 70450
$262 - $281
from 3 insurers · median $269
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$74 - $787
from 4 insurers · median $721
Typical for a hospital with this service line
MRI imaging
CPT 74183
$653 - $4,054
from 4 insurers · median $2,386
Typical for a hospital with this service line
MRI imaging
CPT 70553
$449 - $4,510
from 4 insurers · median $1,033
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$161 - $999
from 4 insurers · median $599
Typical for a hospital with this service line
Ultrasound
CPT 76642
$161 - $760
from 4 insurers · median $483
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$376 - $1,110
from 3 insurers · median $775
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$555 - $1,115
from 4 insurers · median $698
Typical for a hospital with this service line
Mammography
CPT 77066
$300 - $671
from 4 insurers · median $658
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$4,675
negotiated rate
CMS lists this service as CPT 59610, 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
Mammography
CPT 77065
$238 - $513
from 4 insurers · median $438
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$259 - $812
from 4 insurers · median $418
Typical for a hospital with this service line
MRI imaging
CPT 72148
$270 - $3,093
from 4 insurers · median $528
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$242 - $1,265
from 4 insurers · median $745
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* | 18 | 599% | 15 | 3 |
| Insurer B* | 20 | 512% | 12 | 6 |
| Insurer C* | 23 | 456% | 7 | 4 |
| Insurer D* | 19 | 150% | 2 | 16 |
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 Prosser Memorial Hospital.
723 Memorial Street, Prosser, WA 99350
(509) 786-2222
The nearest hospitals of similar type and size. Their rates are compared with Prosser Memorial Hospital for the same insurers and services above.
Astria Sunnyside Hospital
â–¼ Rates typically 49% lower than Prosser Memorial Hospital (20 services)
Lourdes Medical Center
â–¼ Rates typically 24% lower than Prosser Memorial Hospital (20 services)
Good Shepherd Medical Center
â–² Rates typically 40% higher than Prosser Memorial Hospital (21 services)
Othello Community Hospital
Rates about the same as Prosser Memorial Hospital (20 services)
Klickitat Valley Health
â–¼ Rates typically 53% lower than Prosser Memorial Hospital (20 services)
Pioneer Memorial Hospital
â–² Rates typically 240% higher than Prosser Memorial Hospital (8 services)
Jefferson General Hospital
Dayton General Hospital
Whidbey General Hospital
About Prosser Memorial Hospital's rates and hospital price transparency.
For MRI of the abdomen, before and after contrast (CPT 74183), published negotiated rates at Prosser Memorial Hospital range from $653 to $4,054 across 4 insurers. Aetna's rate is $4,054. The median at nearby comparable hospitals is $788. 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 Prosser Memorial Hospital range from $533 to $4,623 across 4 insurers. Aetna's rate is $4,590. The median at nearby comparable hospitals is $1,754. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Prosser Memorial Hospital range from $376 to $1,110 across 3 insurers. UnitedHealthcare's rate is $775. The median at nearby comparable hospitals is $1,686. 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 Prosser Memorial Hospital range from $4,675 to $4,675 across 1 insurers. UnitedHealthcare's rate is $4,675. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Prosser Memorial Hospital range from $243 to $563 across 4 insurers. Cigna's rate is $555. The median at nearby comparable hospitals is $308. What a patient pays depends on their plan's deductible, coinsurance and network status.
Prosser Memorial Hospital has 25 beds. Facility type: Critical Access Hospital.
Prosser Memorial Hospital is located at 723 Memorial Street, Prosser, WA 99350. Its main phone number is (509) 786-2222.
Prosser Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 501312.
The National Provider Identifier (NPI) on file for Prosser Memorial Hospital is 1306897681.
Prosser Memorial Hospital lists 31 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.
300 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