CMS Price Transparency Data
Review of medical records for care
Facility: Kiowa District Hospital
Billing Code: 90889 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$138
modeled fair price · typically $53–$285
modeled estimate · not a bill or quote
Fair price $138 Cash price $32 Hospital's list price $40
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $32 - $40 | — |
| Aetnamajor | $38 | — |
| Humanamajor | $36 | — |
| HealthPartners | $35 | — |
| + 3 smaller / regional plans | $38 - $65 |
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Kiowa District Hospital
Compare: Review of medical records for care at other KS hospitals
Insurance negotiated median for the same procedure, sorted lowest first.