Review of medical records for care
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 90889 (CPT)
- CPT Billing Code: 90889
- Insurance Median: $30
- Cash Discount Price: $64
- vs. Medicare Baseline: N/A Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Providrs Care | $30 | N/A |
Consumer Guidance & Cost Commentary
For the CPT code 90889, "Review of medical records for care," Ascension Via Christi Hospital Manhattan, Inc. lists a cash median price of $64.00, which is significantly lower than the negotiated rate of $30.00 shown for the single payer, Providrs Care. This price transparency data indicates that paying out-of-pocket directly may result in a lower total cost compared to using insurance for this specific service, as the cash price is less than the insurer's contracted amount. Patients with high-deductible plans should consider paying the cash price upfront to avoid potential balance billing, which occurs when an out-of-network provider bills the difference between their full chargemaster rate and the insurance allowed amount. It is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available before scheduling, as these programs can further reduce the final bill by bypassing costly claims processing fees.
This facility, located in Manhattan, Kansas, operates as a voluntary non-profit acute care hospital and currently has no Medicare or Medicaid data available for this procedure. While the data does not provide a direct comparison to state or county averages for this specific code, the absence of a negotiated rate for multiple payers suggests that commercial insurance coverage for this service is limited to a single plan. Consumers should be aware that hospitals often inflate their chargemaster lists to make discounts appear larger; therefore, comparing rates to the Medicare benchmark is a more accurate method for evaluating fair pricing, even though no Medicare amount is listed here. To ensure accuracy, patients should request a full itemized billing audit if they receive a summary bill, as over 80% of hospital invoices contain errors such as unb