TriState Health

Clarkston, WA · Critical Access Hospital

Posts prices for 56 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-28.

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ProcedurePosted cashPosted gross× Medicare
Breast lesion removal (open) (19120)
range across 2 matching MRF lines
$706.86–$883.08 $714–$892 varies
Shoulder arthroscopy with decompression (29826) $371.40 $375.15 —
Knee arthroscopy with meniscectomy (29881) $1,138.50 $1,150 0.3×
Upper GI endoscopy (EGD), diagnostic (43235) $239.58 $242 0.2×
Upper GI endoscopy (EGD) with biopsy (43239) $270.27 $273 0.3×
Diagnostic colonoscopy (45378) $361.35 $365 0.3×
Colonoscopy with biopsy (45380) $392.04 $396 0.3×
Colonoscopy with lesion removal (45385) $496.98 $502 0.4×
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure
$1,263.24 $1,276 0.2×
Inguinal hernia repair (age 5+) (49505) $997.92 $1,008 0.3×
Laparoscopic radical prostatectomy (55866)
likely a partial charge, not the full procedure
$2,491.83 $2,517 0.2×
Obstetric care, vaginal delivery (global) (59400) $4,424.06 $4,468.75 —
Obstetric care, cesarean delivery (global) (59510) $4,853.57 $4,902.60 —
Epidural injection, lumbar/sacral (with imaging) (62322)
range across 4 matching MRF lines
$410.85–$1,485.99 $415–$1,501 varies
Transforaminal epidural injection, lumbar/sacral (64483)
range across 3 matching MRF lines
$235.62–$2,642.31 $238–$2,669 varies
CT head/brain without contrast (70450)
range across 2 matching MRF lines
$91.08–$1,263.24 $92–$1,276 varies
MRI brain without contrast (70551)
range across 2 matching MRF lines
$158.40–$2,458.17 $160–$2,483 varies
MRI brain with contrast (70552)
range across 2 matching MRF lines
$174.24–$2,628.27 $176–$2,654.82 varies
MRI brain without and with contrast (70553)
range across 2 matching MRF lines
$244.53–$3,557.07 $247–$3,593 varies
X-ray lower spine, 4+ views (72110)
range across 2 matching MRF lines
$34.65–$475.51 $35–$480.31 varies
MRI lumbar spine without contrast (72148)
range across 2 matching MRF lines
$158.40–$2,458.17 $160–$2,483 varies
CT pelvis with contrast (72193)
range across 2 matching MRF lines
$123.75–$1,348.28 $125–$1,361.90 varies
MRI lower-extremity joint without contrast (73721)
range across 2 matching MRF lines
$145.53–$2,458.17 $147–$2,483 varies
CT abdomen and pelvis with contrast (74177)
range across 2 matching MRF lines
$195.03–$2,974.95 $197–$3,005 varies
Ultrasound, abdomen complete (76700)
range across 2 matching MRF lines
$87.12–$762.30 $88–$770 varies
Ultrasound, pregnant uterus (≥14 weeks) (76805)
range across 2 matching MRF lines
$108.90–$651.70 $110–$658.28 varies
Ultrasound, transvaginal (76830)
range across 2 matching MRF lines
$75.24–$762.30 $76–$770 varies
Mammography, one breast (diagnostic) (77065)
range across 2 matching MRF lines
$70.29–$750.42 $71–$758 varies
Mammography, both breasts (diagnostic) (77066)
range across 2 matching MRF lines
$87.12–$947.43 $88–$957 varies
Mammography, screening (bilateral) (77067)
range across 4 matching MRF lines
$70.29–$550.44 $71–$556 varies
Basic metabolic panel (80048)
range across 2 matching MRF lines
$39.69–$113.96 $40.09–$115.11 varies
Comprehensive metabolic panel (80053)
range across 3 matching MRF lines
$56.93–$150 $57.50–$151.52 varies
Lipid panel (80061)
range across 2 matching MRF lines
$75.46–$217.46 $76.22–$219.66 varies
Renal function panel (80069)
range across 2 matching MRF lines
$66.46–$132.82 $67.13–$134.16 varies
Hepatic function panel (80076)
range across 2 matching MRF lines
$37.52–$98.85 $37.90–$99.85 varies
Urinalysis, non-automated, with microscopy (81000) $8.42 $8.50 2.1×
Urinalysis, non-automated, without microscopy (81002)
range across 3 matching MRF lines
$8.40–$8.91 $8.48–$9 varies
PSA, total (84153)
range across 4 matching MRF lines
$21.78–$144.26 $22–$145.72 varies
Thyroid stimulating hormone (TSH) (84443)
range across 4 matching MRF lines
$81.31–$233.74 $82.13–$236.10 varies
CBC with automated differential (85025)
range across 2 matching MRF lines
$40.77–$80.83 $41.18–$81.65 varies
CBC, automated (85027)
range across 2 matching MRF lines
$37.57–$75.19 $37.95–$75.95 varies
Prothrombin time (PT) (85610)
range across 4 matching MRF lines
$46.05–$125.14 $46.52–$126.40 varies
Partial thromboplastin time (PTT) (85730)
range across 6 matching MRF lines
$13.47–$132.98 $13.61–$134.32 varies
Psychotherapy, 30 minutes (90832) $121.77 $123 0.6×
Psychotherapy, 45 minutes (90834) $183.15 $185 0.9×
Psychotherapy, 60 minutes (90837) $269.28 $272 1.4×
Family psychotherapy, without patient (50 min) (90846) $177.21 $179 0.9×
Family psychotherapy, with patient (50 min) (90847) $184.14 $186 0.9×
Electrocardiogram (ECG), complete (93000) $110.88 $112 1.7×
Sleep study (attended polysomnography) (95810)
range across 2 matching MRF lines
$229.68–$4,600.92 $232–$4,647.39 varies
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 2 matching MRF lines
$44.55–$103.99 $45–$105.04 varies
Office visit, new patient (low complexity, ~30 min) (99203)
range across 10 matching MRF lines
$36.73–$347.49 $37.10–$351 varies
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 10 matching MRF lines
$39.60–$448.47 $40–$453 varies
Office visit, new patient (high complexity, ~60 min) (99205)
range across 10 matching MRF lines
$44.55–$548.46 $45–$554 varies
Preventive visit, new patient (age 18–39) (99385) $227.70 $230 —
Preventive visit, new patient (age 40–64) (99386) $263.34 $266 —

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.

As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.

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Download the machine-readable file (CSV, 196.8 MB) ↓ — captured 2026-08-28

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