Coupeville, WA
34
In-network payers
326
Disclosed rate categories
25
Beds
3
Care quality
Whidbey General Hospital is a 25-bed government - hospital district or authority hospital in Coupeville, WA. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 326 disclosed rate categories.
CCN (Medicare provider number)
501339
NPI
1710927231
Type
Critical Access Hospital
Ownership
Government - Hospital District Or Authority
Beds
25
Care Quality
3
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 Whidbey General 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.
Childbirth · Inpatient
MS-DRG 807
$2,963 - $25,434
from 4 insurers · median $24,270
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
$4,618 - $38,751
from 4 insurers · median $36,977
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
CT imaging
CPT 74177
$371 - $4,778
from 4 insurers · median $2,499
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$2,963 - $25,434
from 4 insurers · median $24,270
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
CT imaging
CPT 74176
$213 - $3,885
from 4 insurers · median $2,009
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$269 - $2,500
from 4 insurers · median $1,362
Typical for a hospital with this service line
Mammography
CPT 77067
$151 - $513
from 4 insurers · median $273
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$523 - $3,887
from 4 insurers · median $2,181
Hospital reports nuclear medicine services to CMS
CT imaging
CPT 70450
$122 - $552
from 4 insurers · median $210
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$38 - $410
from 4 insurers · median $124
Typical for a hospital with this service line
CT imaging
CPT 74178
$440 - $4,240
from 4 insurers · median $2,294
Typical for a hospital with this service line
MRI imaging
CPT 70553
$380 - $1,866
from 4 insurers · median $621
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$413 - $790
from 3 insurers · median $632
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$46 - $589
from 4 insurers · median $312
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$357 - $550
from 4 insurers · median $396
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$354 - $775
from 4 insurers · median $507
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$163 - $589
from 4 insurers · median $373
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$244 - $1,194
from 4 insurers · median $706
Typical for a hospital with this service line
Mammography
CPT 77065
$157 - $514
from 4 insurers · median $335
Typical for a hospital with this service line
Mammography
CPT 77066
$199 - $648
from 4 insurers · median $419
Typical for a hospital with this service line
Ultrasound
CPT 76642
$97 - $321
from 4 insurers · median $214
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 470
$17,903
negotiated rate
Hospital reports orthopedic surgery services to CMS
MRI imaging
CPT 72156
$286 - $3,518
from 4 insurers · median $1,930
Typical for a hospital with this service line
MRI imaging
CPT 72148
$226 - $2,170
from 4 insurers · median $335
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* | 23 | 538% | 13 | 5 |
| Insurer B* | 23 | 430% | 7 | 4 |
| Insurer C* | 24 | 108% | 0 | 21 |
| Insurer D* | 22 | 100% | 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 Whidbey General Hospital.
101 North Main Street, Coupeville, WA 98239
(360) 678-5151
The nearest hospitals of similar type and size. Their rates are compared with Whidbey General Hospital for the same insurers and services above.
Jefferson General Hospital
â–² Rates typically 8% higher than Whidbey General Hospital (21 services)
Peacehealth Peace Island Medical Center
â–² Rates typically 20% higher than Whidbey General Hospital (20 services)
Peacehealth United General Medical Center
â–² Rates typically 58% higher than Whidbey General Hospital (20 services)
Snoqualmie Valley Hospital
Rates about the same as Whidbey General Hospital (21 services)
Mason General Hospital
â–² Rates typically 9% higher than Whidbey General Hospital (20 services)
St. Elizabeth Hospital
â–² Rates typically 101% higher than Whidbey General Hospital (21 services)
Kittitas Valley Community Hospital
Three Rivers Hospital
Lake Chelan Community Hospital
Odessa Memorial Healthcare Center
About Whidbey General Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Whidbey General Hospital range from $380 to $1,866 across 4 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $782. 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 Whidbey General Hospital range from $371 to $4,778 across 4 insurers. Aetna's rate is $372. The median at nearby comparable hospitals is $1,049. 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 Whidbey General Hospital range from $413 to $790 across 3 insurers. Blue Cross Blue Shield's rate is $413. The median at nearby comparable hospitals is $1,317. 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 Whidbey General Hospital range from $2,963 to $25,434 across 4 insurers. Blue Cross Blue Shield's rate is $2,963. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Whidbey General Hospital range from $151 to $513 across 4 insurers. Cigna's rate is $513. The median at nearby comparable hospitals is $221. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Whidbey General Hospital range from $17,903 to $17,903 across 1 insurers. Blue Cross Blue Shield's rate is $17,903. The median at nearby comparable hospitals is $47,011. What a patient pays depends on their plan's deductible, coinsurance and network status.
Whidbey General Hospital has 25 beds. Facility type: Critical Access Hospital.
Whidbey General Hospital is located at 101 North Main Street, Coupeville, WA 98239. Its main phone number is (360) 678-5151.
Whidbey General Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 501339.
The National Provider Identifier (NPI) on file for Whidbey General Hospital is 1710927231.
Whidbey General Hospital lists 34 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.
326 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