CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$272 - $401
from 2 insurers · median $336
Aetna$401
Insurer A*$272
Medicare $356Nearby hospitals $76256% below nearby hospitals
Typical for a hospital with this service line
Critical Access HospitalVoluntary Non-Profit - Private
Tri-State Memorial Hospital
Clarkston, WA
1221 Highland Avenue, Clarkston, WA 99403(509) 758-5511
33
In-network payers
308
Disclosed rate categories
62
Beds
4
Care quality
About this hospital
Tri-State Memorial Hospital is a 62-bed voluntary non-profit - private hospital in Clarkston, WA. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 308 disclosed rate categories.
CCN (Medicare provider number)
501332
NPI
1760485221
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
62
Care Quality
4
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.
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene
Prices for common services
The 24 services Tri-State 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.
Mammography
Screening mammography, bilateral
CPT 77067
$118 - $151
from 2 insurers · median $134
Aetna$118
Insurer A*$151
Medicare $92Nearby hospitals $18126% below nearby hospitals
Typical for a hospital with this service line
CT imaging
CT head or brain without contrast
CPT 70450
$113 - $281
from 3 insurers · median $149
Aetna$113
Insurer A*$149
Insurer B*$281
Medicare $107Nearby hospitals $28147% below nearby hospitals
Typical for a hospital with this service line
Digestive procedures
Upper GI endoscopy with biopsy
CPT 43239
$577 - $690
from 2 insurers · median $634
UnitedHealthcare$690
Insurer A*$577
Medicare $927Nearby hospitals $50825% above nearby hospitals
Typical for a hospital with this service line
Digestive procedures
Colonoscopy with biopsy
CPT 45380
$657 - $797
from 2 insurers · median $727
UnitedHealthcare$797
Insurer A*$657
Medicare $1,223Nearby hospitals $725In line with nearby hospitals
Typical for a hospital with this service line
Digestive procedures
Colonoscopy with polyp removal
CPT 45385
$342 - $805
from 3 insurers · median $673
UnitedHealthcare$805
Insurer A*$342
Insurer B*$673
Medicare $1,223Nearby hospitals $51930% above nearby hospitals
Typical for a hospital with this service line
Cardiology and vascular testing
Complete echocardiogram with Doppler and color flow
CPT 93306
$223 - $299
from 2 insurers · median $261
Aetna$299
Insurer A*$223
Medicare $558Nearby hospitals $58655% below nearby hospitals
Typical for a hospital with this service line
CT imaging
CT angiography of chest blood vessels
CPT 71275
$217 - $338
from 2 insurers · median $277
Aetna$217
Insurer A*$338
Medicare $179Nearby hospitals $53348% below nearby hospitals
Typical for a hospital with this service line
CT imaging
CT of the abdomen and pelvis, without contrast
CPT 74176
$146 - $233
from 2 insurers · median $189
Aetna$233
Insurer A*$146
Medicare $244Nearby hospitals $52764% below nearby hospitals
Typical for a hospital with this service line
X-ray and bone density
Chest X-ray, two views
CPT 71046
$32 - $87
from 2 insurers · median $59
Blue Cross$32
Insurer A*$87
Medicare $89Nearby hospitals $8631% below nearby hospitals
Typical for a hospital with this service line
MRI imaging
MRI brain before and after contrast
CPT 70553
$302 - $792
from 3 insurers · median $304
Blue Cross$302
Insurer A*$304
Insurer B*$792
Medicare $356Nearby hospitals $79262% below nearby hospitals
Typical for a hospital with this service line
Digestive procedures
Diagnostic colonoscopy
CPT 45378
$251 - $785
from 2 insurers · median $518
UnitedHealthcare$785
Insurer A*$251
Medicare $950Nearby hospitals $535In line with nearby hospitals
Typical for a hospital with this service line
Cardiology and vascular testing
Ultrasound of veins in one limb or a limited bilateral study
CPT 93971
$82 - $389
from 2 insurers · median $235
Aetna$389
Insurer A*$82
Medicare $107Nearby hospitals $2207% above nearby hospitals
Typical for a hospital with this service line
Ultrasound
Limited ultrasound of the abdomen
CPT 76705
$60 - $112
from 3 insurers · median $109
Blue Cross$60
Insurer A*$109
Insurer B*$112
Medicare $107Nearby hospitals $16433% below nearby hospitals
Typical for a hospital with this service line
Mammography
Diagnostic mammography, unilateral
CPT 77065
$146 - $154
from 2 insurers · median $150
Aetna$154
Insurer A*$146
Medicare $87Nearby hospitals $23436% below nearby hospitals
Typical for a hospital with this service line
MRI imaging
MRI of the brain, without contrast
CPT 70551
$138 - $387
from 3 insurers · median $220
Blue Cross$138
Insurer A*$220
Insurer B*$387
Medicare $244Nearby hospitals $38743% below nearby hospitals
Typical for a hospital with this service line
Medicine & Surgery
Laparoscopic cholecystectomy
CPT 47562
$2,594
negotiated rate
Insurer A*$2,594
Medicare $6,176
Typical for a hospital with this service line
MRI imaging
MRI lower-extremity joint without contrast
CPT 73721
$198 - $393
from 3 insurers · median $269
Blue Cross$198
Insurer A*$269
Insurer B*$393
Medicare $244Nearby hospitals $39331% below nearby hospitals
Typical for a hospital with this service line
Ultrasound
Transvaginal pelvic ultrasound
CPT 76830
$119 - $150
from 3 insurers · median $134
Blue Cross$119
Insurer A*$134
Insurer B*$150
Medicare $107Nearby hospitals $17524% below nearby hospitals
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
Uterine and adnexa procedure for non-malignancy without CC or MCC
MS-DRG 743
$9,357
negotiated rate
Insurer A*$9,357
Medicare $8,362
Hospital reports inpatient surgical services to CMS
Mammography
Diagnostic mammography, bilateral
CPT 77066
$141 - $196
from 2 insurers · median $168
Aetna$196
Insurer A*$141
Medicare $112Nearby hospitals $26737% below nearby hospitals
Typical for a hospital with this service line
Ultrasound
Complete pelvic ultrasound
CPT 76856
$94 - $158
from 3 insurers · median $132
Blue Cross$94
Insurer A*$132
Insurer B*$158
Medicare $107Nearby hospitals $20234% below nearby hospitals
Typical for a hospital with this service line
MRI imaging
MRI of the abdomen, before and after contrast
CPT 74183
$238 - $824
from 3 insurers · median $343
Blue Cross$238
Insurer A*$343
Insurer B*$824
Medicare $356Nearby hospitals $1,05467% below nearby hospitals
Typical for a hospital with this service line
X-ray and bone density
Knee X-ray, three views
CPT 73562
$44 - $195
from 2 insurers · median $119
Blue Cross$44
Insurer A*$195
Medicare $89Nearby hospitals $10315% above nearby hospitals
Typical for a hospital with this service line
How the insurers pay at Tri-State Memorial Hospital
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* | 12 | 136% | 1 | 0 |
| Insurer B* | 23 | 102% | 5 | 15 |
| Insurer C* | 20 | 76% | 0 | 19 |
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 Tri-State Memorial Hospital.
Location
1221 Highland Avenue, Clarkston, WA 99403
(509) 758-5511
Comparable hospitals nearby
The nearest hospitals of similar type and size. Their rates are compared with Tri-State Memorial Hospital for the same insurers and services above.
Pullman Regional Hospital
Pullman, WA · 22 mi · 25 bedsView rates
Rates about the same as Tri-State Memorial Hospital (23 services)
Gritman Medical Center
Moscow, ID · 23 mi · 25 bedsView rates
â–² Rates typically 182% higher than Tri-State Memorial Hospital (24 services)
Garfield Memorial Hospital
Pomeroy, WA · 27 mi · 45 bedsView rates
â–² Rates typically 45% higher than Tri-State Memorial Hospital (22 services)
Whitman Hospital & Medical Center
Colfax, WA · 36 mi · 25 bedsView rates
Rates about the same as Tri-State Memorial Hospital (22 services)
Clearwater Valley Hospital
Orofino, ID · 38 mi · 23 bedsView rates
â–² Rates typically 72% higher than Tri-State Memorial Hospital (22 services)
St. Marys Hospital
Cottonwood, ID · 41 mi · 25 bedsView rates
â–² Rates typically 79% higher than Tri-State Memorial Hospital (22 services)
Dayton General Hospital
Dayton, WAView rates
East Adams Rural Hospital
Ritzville, WAView rates
Coulee Medical Center
Grand Coulee, WAView rates
Lourdes Medical Center
Pasco, WAView rates
Frequently asked questions
About Tri-State Memorial Hospital's rates and hospital price transparency.
How much does an MRI cost at Tri-State Memorial Hospital?
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Tri-State Memorial Hospital range from $302 to $792 across 3 insurers. Blue Cross Blue Shield's rate is $302. The median at nearby comparable hospitals is $792. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a CT scan cost at Tri-State Memorial Hospital?
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Tri-State Memorial Hospital range from $272 to $401 across 2 insurers. Aetna's rate is $401. The median at nearby comparable hospitals is $762. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a colonoscopy cost at Tri-State Memorial Hospital?
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Tri-State Memorial Hospital range from $657 to $797 across 2 insurers. UnitedHealthcare's rate is $797. The median at nearby comparable hospitals is $725. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a mammogram cost at Tri-State Memorial Hospital?
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Tri-State Memorial Hospital range from $118 to $151 across 2 insurers. Aetna's rate is $118. The median at nearby comparable hospitals is $181. What a patient pays depends on their plan's deductible, coinsurance and network status.
How many beds does Tri-State Memorial Hospital have?
Tri-State Memorial Hospital has 62 beds. Facility type: Critical Access Hospital.
Where is Tri-State Memorial Hospital and what is its phone number?
Tri-State Memorial Hospital is located at 1221 Highland Avenue, Clarkston, WA 99403. Its main phone number is (509) 758-5511.
What is Tri-State Memorial Hospital's CCN (Medicare provider number)?
Tri-State Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 501332.
What is Tri-State Memorial Hospital's NPI number?
The National Provider Identifier (NPI) on file for Tri-State Memorial Hospital is 1760485221.
Which insurance plans are in network at Tri-State Memorial Hospital?
Tri-State Memorial Hospital lists 33 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, 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 Tri-State Memorial Hospital?
308 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.
What is a hospital price transparency MRF?
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.
What is a chargemaster review?
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
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.
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
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