CMS Price Transparency Data

Review of medical records for care

Facility: Kiowa District Hospital

Billing Code: 90889 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90889
Insurance Median: $38
Cash Discount Price: $32
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Review of medical records for care at Kiowa District Hospital is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $32. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1002 South 4Th Street, Kiowa, KS.

Cash / Self-Pay

$32

Average discount available for prompt cash payment at this facility.

Insurance Median

$38

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

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.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Tricare	$16	N/A
UnitedHealthcare	$32 - $40	N/A
Health Partners Of Ks-All Plans	$35	N/A
Humana	$36	N/A
Multiplan-All Plans	$38	N/A
Triwest-All Plans	$38	N/A
Aetna	$38	N/A
Medicare (plans)	$38	N/A
Gbs Insurance - All Plans	$38	N/A
Medicaid / KanCare	$40	N/A
Providers Care (Wppa)-All Plans	$60	N/A
Liberty Healthshare-All Plans	$65	N/A

Consumer Guidance & Cost Commentary

For the CPT code 90889, "Review of medical records for care," Kiowa District Hospital in Kiowa, KS, lists a gross charge of $40.00. The facility's cash median rate is $32.00, which is lower than the negotiated rates paid by most commercial payers, ranging from $32.00 to $65.00. While the median negotiated rate across all payers is $38.00, patients with high-deductible plans may find the cash price more advantageous if their insurance allows for out-of-network benefits or if the negotiated rate exceeds the cash amount. It is important to note that commercial payers like UnitedHealthcare and Providers Care have negotiated rates significantly higher than the cash price, illustrating how administrative structures can inflate the baseline price for insured members compared to self-pay patients.

This facility operates as a Critical Access Hospital with government ownership, and the data reflects pricing for the 2026-06 vintage. Although specific state or county average comparisons are not provided in the current dataset, the cash rate of $32.00 serves as a direct benchmark for self-pay patients. To minimize costs, consumers should verify if "self-pay" or "prompt-pay" discounts are available before scheduling, as these programs often offer fee reductions for upfront payment. Additionally, patients should request an itemized billing audit to ensure no errors exist in the final invoice, as over 80% of hospital bills contain discrepancies that can be resolved through formal written disputes rather than verbal agreements.

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $32.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90889.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Kiowa District Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90889.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.