How many shoppable procedure prices are published for Kiowa District Hospital?

Kiowa District Hospital in Kiowa, KS currently has 96 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Kiowa District Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Kiowa District Hospital's median negotiated commercial rate is 2.2× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 10 Beds · rural Updated: 2026-08-05

Kiowa District Hospital

1002 South 4Th Street, Kiowa, KS 67070 · 96 Priced Procedures

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

2.18×vs. Fair Market Price

Typical commercial prices here are +118% above the fair benchmark (2.18×) even after accounting for local nurse/doctor wages and patient complexity.

69/100 · Caution

69/100Self-Pay Cash Beats Insurance 75% of the Time

File Completeness100

Price Logic33

Peer Alignment78

Clean Billing45

Real Cash Discount100

High-Markup · Check Safety

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Kiowa District Hospital maintains elevated commercial insurance contracts (2.18× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 75% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#92 of 103 in KS · 88th State Percentile#3,160 of 3,385 in U.S. · 93rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.53× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 75% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (69/100 safety score) with 72% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (2.18× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 2.19× Fair BaseRate (2.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.55×) jump +16% above the median procedure ratio (Q50 2.19×)
Unnegotiated chargemaster list prices average 4.9× Medicare (35¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.9× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.83× Divergence

2.4× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+16% Upper Tail

Q25 1.53× · Q50 2.19× · Q75 2.55×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.9× MedicareFair

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.8× MedicareFair

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.5× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

75% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Kiowa District Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 96 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Gallbladder removal (laparoscopic) CPT Code: `47562`	$6,800	$8,359	$6,109	unverified
Inguinal hernia repair CPT Code: `49505`	$5,706	$6,209	$3,629	unverified
Colonoscopy with biopsy CPT Code: `45380`	$1,516	$1,801	$1,256	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$1,360	$1,504	$981	1.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$760	$952	$511	1.9×
Upper endoscopy with biopsy CPT Code: `43239`	$912	$912	$987	0.9×
CT scan, sinuses CPT Code: `70486`	$705	$881	$166	5.3×
CT scan, chest (no contrast) CPT Code: `71250`	$705	$881	$167	5.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$705	$881	$303	2.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$711	$889	$448	2.0×
MRI, lower back (no contrast) CPT Code: `72148`	$760	$766	$338	2.3×
MRI, brain (no contrast) CPT Code: `70551`	$760	$766	$343	2.2×
Breast lump removal CPT Code: `19120`	$763	$763	$3,875	0.2×
MRI, knee or other leg joint CPT Code: `73721`	$760	$736	$369	2.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$748	$695	$258	2.7×
CT scan, head (no contrast) CPT Code: `70450`	$691	$659	$160	4.1×
CT scan, pelvis CPT Code: `72192`	$691	$659	$163	4.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$691	$659	$168	3.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$691	$659	$169	3.9×
CT scan, head (with contrast) CPT Code: `70460`	$704	$668	$242	2.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$545	$579	$132	4.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$536	$573	$272	2.1×
X-ray, lower back CPT Code: `72110`	$390	$366	$112	3.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$315	$315	$86	3.7×
Rabies immune globulin HCPCS Code: `90375`	$438	$324	$322	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$296	$297	$134	2.2×
Ultrasound, pelvis CPT Code: `76856`	$282	$288	$130	2.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$251	$237	$93	2.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$229	$255	$126	2.0×
X-ray, hip CPT Code: `73502`	$180	$225	$93	2.4×
X-ray, shoulder CPT Code: `73030`	$221	$218	$92	2.4×
X-ray, chest (two views) CPT Code: `71046`	$219	$217	$93	2.3×
X-ray, ankle CPT Code: `73610`	$219	$217	$93	2.3×
X-ray, foot CPT Code: `73630`	$212	$212	$92	2.3×
X-ray, hand CPT Code: `73130`	$214	$214	$93	2.3×
Group therapy session CPT Code: `90853`	$240	$219	$100	2.2×
X-ray, pelvis CPT Code: `72170`	$199	$237	$110	2.2×
Psychotherapy session (45 minutes) CPT Code: `90834`	$200	$240	$166	1.4×
Family therapy session CPT Code: `90847`	$200	$240	$173	1.4×
Psychotherapy session (60 minutes) CPT Code: `90837`	$200	$240	$181	1.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$200	$240	$185	1.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$184	$196	$64	3.1×
X-ray, chest (single view) CPT Code: `71045`	$194	$201	$92	2.2×
Speech therapy (language evaluation) CPT Code: `92507`	$148	$152	$86	1.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$164	$164	$123	1.3×
New patient office visit (30-44 min) CPT Code: `99203`	$120	$120	$110	1.1×
Blood transfusion CPT Code: `36430`	$138	$138	$498	0.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$116	$116	$87	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$101	$84	$38	2.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$86	$83	$40	2.1×
Typhoid vaccine HCPCS Code: `90675`	$588	$581	$347	1.7×
Blood test, vitamin D CPT Code: `82306`	$343	$343	$31	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$128	$128	$11	11.6×
Pneumococcal vaccine HCPCS Code: `90732`	$160	$148	$140	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$253	$151	$203	0.7×
Blood test, thyroid (TSH) CPT Code: `84443`	$108	$108	$18	6.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$110	$110	$20	5.5×
Blood test, PSA (prostate screen) CPT Code: `84153`	$128	$128	$19	unverified
Blood antibody screen CPT Code: `86850`	$146	$129	$46	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$70	$70	$9	7.8×
Blood test, liver function panel CPT Code: `80076`	$62	$62	$9	6.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$84	$84	$14	6.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$58	$58	$10	5.8×
Culture, blood CPT Code: `87040`	$61	$61	$11	5.5×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$68	$68	$14	4.9×
Blood test, vitamin B12 CPT Code: `82607`	$77	$77	$16	4.8×
Hepatitis C antibody test CPT Code: `86803`	$71	$71	$15	4.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$86	$79	$35	2.3×
Physical therapy (manual therapy) CPT Code: `97140`	$79	$75	$34	2.2×
Physical therapy (gait training) CPT Code: `97116`	$73	$69	$33	2.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$79	$76	$38	2.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$138	$87	$111	0.8×
Orthotic fitting and training CPT Code: `97760`	$60	$60	$51	1.2×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$31	$31	$3	10.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$31	$31	$4	7.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$31	$31	$4	7.8×
Blood test, lipase CPT Code: `83690`	$44	$44	$7	6.3×
Blood test, calcium CPT Code: `82310`	$31	$31	$5	6.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$31	$31	$5	6.2×
Blood test, potassium CPT Code: `84132`	$31	$31	$5	6.2×
Blood test, sodium CPT Code: `84295`	$31	$31	$5	6.2×
Blood test, magnesium CPT Code: `83735`	$42	$42	$7	6.0×
Blood test, hemoglobin CPT Code: `85018`	$18	$18	$3	6.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$35	$35	$6	5.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$29	$29	$5	5.8×
Blood test, amylase CPT Code: `82150`	$40	$40	$7	5.7×
Culture, bacterial CPT Code: `87070`	$50	$50	$9	5.6×
Blood test, complete blood count (CBC) CPT Code: `85025`	$40	$40	$8	5.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$50	$47	$14	3.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$77	$53	$56	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$20	$23	$25	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$24	$30	$49	0.6×
Flu vaccine injection HCPCS Code: `G0008`	$16	$16	$48	0.3×
Colorectal cancer screening HCPCS Code: `G0010`	$16	$16	$49	0.3×
Review of medical records for care CPT Code: `90889`	$32	$32	$114	0.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$81	$41	$201	0.2×

Showing top 25 high-impact procedures of 96 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Kiowa District Hospital (Zero PHI Required)

CMS CCN: 171331

CPT 47562

Select Procedure to Audit:

Fair BaseRate™ $6,109

Medicare Rate $6,176

Self-Pay Cash $6,800

Insurer Median $8,359

1. Amount on Your Bill or Quote ($) Pre-filled with Kiowa District Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Save $1,700 Paying Cash

Self-Pay Cash Rate ($6,800) Beats Your Bill

Kiowa District Hospital's published 45 CFR § 180 self-pay cash rate is $6,800 (vs. $8,359 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$2,391 Above Fair BaseRate

Negotiate Toward $6,109 Fair BaseRate ($6,176 Medicare)

Your bill ($8,500) is $2,391 above the denoised Fair BaseRate ($6,109) and 1.4× the $6,176 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Kiowa District Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

Safety Composite69/100

Median ER Wait76 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Kiowa District Hospital.

Price Index: 1.13× regional baseline

Quality: 57/100 CMS composite

Median Household Income$57,615U.S. Census ACS

Local Uninsured Share6.9%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 69/100 · Caution CMS CCN 171331

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 171331) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-08-05 · 18.89 MB

Validated Rate Rows983 (CMS v3.0.0)

File Integrity Digest51041721c01b641fd0e0…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy