Review of medical records for care
Facility: Cloud County Health Center
Billing Code: 90889 (CPT)
- CPT Billing Code: 90889
- Insurance Median: $125
- Cash Discount Price: $92
- 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 |
|---|---|---|
| Mpi-All Plans | $125 | N/A |
| Pponext-All Plans | $125 | N/A |
Consumer Guidance & Cost Commentary
For the CPT code 90889, "Review of medical records for care," Cloud County Health Center in Concordia, KS, lists a cash median price of $92.00 and a median negotiated rate of $125.00. While the cash price is notably lower than the negotiated amount, patients should be aware that paying out-of-pocket may not always be the most economical option. If your insurance plan has a high deductible or if the negotiated rate exceeds your out-of-pocket maximum, the cash price of $92.00 could result in significant savings. However, because this facility is a Critical Access Hospital with a voluntary non-profit ownership structure, it is essential to explicitly request a "self-pay" or "prompt-pay" discount before scheduling any services to ensure you receive the lowest possible rate.
This specific service does not appear in the provided data for state or county average comparisons, so no direct regional benchmarking is available for this transaction. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network providers at in-network facilities, this rate reflects the facility's standard negotiated agreement with two payers (Mpi-All Plans and Pponext-All Plans). If you encounter a surprise bill later, you should never pay immediately out of fear of credit damage; instead, request a formal itemized billing audit to identify any unbundled codes or services not rendered, as over 80% of hospital bills contain errors that can be corrected through written dispute.