How many shoppable procedure prices are published for Pratt Regional Medical Center?

Pratt Regional Medical Center in Pratt, KS currently has 109 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Pratt Regional Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Pratt Regional Medical Center's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Pratt Regional Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Pratt Regional Medical Center an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 35 Beds · rural Updated: 2025-10-24

Pratt Regional Medical Center

200 Commodore St, Pratt, KS 67124 · 109 Priced Procedures · 81% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Good Deal · Below Fair Market

0.91×vs. Fair Market Price

Typical commercial prices here are 9% below the fair benchmark (0.91×) after accounting for local nurse/doctor wages and patient complexity.

76/100 · Corroborated

76/100Self-Pay Cash Beats Insurance 67% of the Time

File Completeness90

Price Logic48

Peer Alignment72

Clean Billing77

Real Cash Discount100

Regional Value Leader

5-Star CMS clinical quality rating paired with 0.91× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Pratt Regional Medical Center maintains low, disciplined commercial pricing across both routine shoppable procedures (0.9× Medicare, p50 0.88× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 1.00× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#19 of 103 in KS · 17th State Percentile#712 of 3,385 in U.S. · 21st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 9% below peer Fair BaseRate (0.91×)
Self-pay cash beats commercial insurance on 67% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 81% patient recommendation (80/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
Captive ER (0.4×) & laboratory (1.4×) services average 1.11× higher multiples than routine shoppable care (0.9×)
Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 4.7× Medicare (33¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.9× Medicare

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

Back-Door Captive & ER1.11× Divergence

1.0× Medicare

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

Quantile Tail Spread+14% Upper Tail

Q25 0.79× · Q50 0.88× · Q75 1.00×

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

0.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.4× MedicareGood

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

1.1× MedicareGood

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

67% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 80/100Good

Procedure Prices at Pratt Regional Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 109 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$26,739	$26,739	$19,432	1.4×
Cataract surgery with lens implant CPT Code: `66984`	$3,091	$2,175	$2,540	0.9×
Total hip replacement CPT Code: `27130`	$1,882	$1,882	$13,413	0.1×
Total knee replacement CPT Code: `27447`	$1,879	$1,879	$13,523	0.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,694	$1,694	$6,109	0.3×
Trauma team activation HCPCS Code: `G0390`	$1,036	$1,256	$1,453	0.9×
Colonoscopy with biopsy CPT Code: `45380`	$1,240	$1,128	$1,256	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,073	$1,073	$3,372	0.3×
Breast lump removal CPT Code: `19120`	$998	$998	$3,875	0.3×
Colonoscopy (diagnostic) CPT Code: `45378`	$819	$877	$981	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$883	$855	$987	0.9×
Inguinal hernia repair CPT Code: `49505`	$847	$847	$3,629	0.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,448	$809	$1,021	0.8×
Bunion correction surgery CPT Code: `28296`	$749	$749	$3,446	0.2×
Injection procedure for pain management HCPCS Code: `G0260`	$1,295	$665	$855	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,305	$515	$583	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,450	$329	$448	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,618	$329	$511	0.6×
Blood transfusion CPT Code: `36430`	$251	$251	$498	0.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$163	$206	$201	1.0×
Neurobehavioral status check CPT Code: `96116`	$188	$204	$231	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$666	$225	$272	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,352	$225	$303	0.7×
MRI, lower back (no contrast) CPT Code: `72148`	$1,149	$225	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$1,794	$225	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$1,034	$225	$369	0.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$204	$167	$166	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$411	$148	$148	1.0×
Family therapy session CPT Code: `90847`	$204	$167	$173	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$300	$167	$181	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$302	$167	$185	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$824	$165	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$998	$165	$258	0.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$150	$131	$123	1.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	$108	$92	$87	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	$177	$113	$110	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$216	$119	$123	1.0×
X-ray, chest (single view) CPT Code: `71045`	$146	$82	$92	0.9×
X-ray, lower back CPT Code: `72110`	$74	$99	$112	0.9×
X-ray, chest (two views) CPT Code: `71046`	$147	$82	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$60	$82	$93	0.9×
X-ray, hip CPT Code: `73502`	$81	$82	$93	0.9×
X-ray, ankle CPT Code: `73610`	$59	$82	$93	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$308	$99	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$426	$99	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$364	$99	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$460	$99	$134	0.7×
Psychological testing evaluation CPT Code: `96136`	$85	$85	$128	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$735	$99	$160	0.6×
CT scan, pelvis CPT Code: `72192`	$776	$99	$163	0.6×
CT scan, sinuses CPT Code: `70486`	$814	$99	$166	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	$746	$99	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$831	$99	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$723	$99	$169	0.6×
Pneumococcal vaccine HCPCS Code: `90732`	$517	$517	$140	3.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$50	$50	$25	2.0×
Speech therapy (language evaluation) CPT Code: `92507`	$112	$75	$86	0.9×
Psychological testing by technician CPT Code: `96138`	$65	$65	$395	0.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$35	$35	$25	1.4×
Diagnostic procedure preparation HCPCS Code: `G0279`	$41	$39	$35	1.1×
Flu vaccine injection HCPCS Code: `G0008`	$33	$44	$48	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$100	$56	$64	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$63	$33	$38	0.9×
Prosthetic fitting and training CPT Code: `97761`	$56	$39	$45	0.9×
Orthotic fitting and training CPT Code: `97760`	$71	$44	$51	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$78	$32	$38	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$41	$41	$56	0.7×
X-ray, shoulder CPT Code: `73030`	$57	$57	$92	0.6×
X-ray, foot CPT Code: `73630`	$57	$57	$92	0.6×
X-ray, hand CPT Code: `73130`	$52	$52	$93	0.6×
Group therapy session CPT Code: `90853`	$55	$55	$100	0.6×
X-ray, pelvis CPT Code: `72170`	$47	$47	$110	0.4×
Blood test, basic metabolic panel CPT Code: `80048`	$32	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$23	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$46	$14	$14	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$80	$16	$16	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$80	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$18	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$43	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$74	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$42	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$24	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$59	$19	$19	1.0×
Blood test, vitamin D CPT Code: `82306`	$254	$30	$31	1.0×
Hospital observation (per hour) HCPCS Code: `G0378`	$35	$35	$86	0.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$34	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$34	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$29	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$19	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$24	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$26	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$28	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$38	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$175	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$55	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$47	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$97	$20	$20	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$21	$17	$18	0.9×
Blood test, liver function panel CPT Code: `80076`	$55	$8	$9	0.9×
Speech therapy (group session) CPT Code: `92508`	$99	$23	$27	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$77	$34	$40	0.8×
Physical therapy (gait training) CPT Code: `97116`	$74	$28	$33	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$67	$32	$38	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$34	$4	$5	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$89	$28	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$89	$27	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$16	$2	$3	0.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$15	$15	$49	0.3×
Blood antibody screen CPT Code: `86850`	$34	$10	$46	0.2×

Showing top 25 high-impact procedures of 109 total

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

Audit a Bill or Quote at Pratt Regional Medical Center (Zero PHI Required)

CMS CCN: 170027

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $26,739

Insurer Median $26,739

1. Amount on Your Bill or Quote ($) Pre-filled with Pratt Regional Medical Center’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 $11,460 Paying Cash

Self-Pay Cash Rate ($26,739) Beats Your Bill

Pratt Regional Medical Center's published 45 CFR § 180 self-pay cash rate is $26,739 (vs. $26,739 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$18,767 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($38,199) is $18,767 above the denoised Fair BaseRate ($19,432) and 2.7× the $14,044 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)

EIN: 481058737

Filing Period: 198811

Public IRS & CMS ownership records classify Pratt Regional Medical Center 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

CMS Overall5/5 Stars (5/5)

Safety Composite80/100

Would Recommend81%

Rated 9 or 10 (HCAHPS)81%

Median ER Wait99 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Pratt Regional Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-11-07·administrative_or_closure
Closure Notice
Recorded
2025-09-03·cap_corrective_action
CAP Request
Recorded

Source: CMS Hospital Care Compare (315 completed HCAHPS patient surveys). 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

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Pratt Regional Medical Center.

Price Index: 0.92× regional baseline

Quality: 81/100 CMS composite

Median Household Income$64,348U.S. Census ACS

Local Uninsured Share8.6%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 76/100 · Corroborated CMS CCN 170027 EIN 481058737

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 170027) ↗ Verify IRS Form 990 (EIN 481058737) ↗ CMS HCRIS Cost Reports ↗

Published MRF File481058737_pratt-regional-medical-center_standardcharges.json

Publication / Vintage2025-10-24 · 40.66 MB

Validated Rate Rows1,439 (CMS v3.0.0)

File Integrity Digestcc7eda316f0c635be653…

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.

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