Medicine & Surgery · Inpatient
Major lower-extremity joint replacement without MCC
MS-DRG 470
$21,175 - $36,289
from 4 insurers · median $31,171
172 Medicare discharges for this DRG in CMS hospital data
Pratt, KS
33
In-network payers
329
Disclosed rate categories
35
Beds
5
Care quality
Pratt Regional Medical Center is a 35-bed proprietary hospital in Pratt, KS. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 329 disclosed rate categories.
CCN (Medicare provider number)
170027
NPI
1578596904
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
35
Care Quality
5
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.





The 24 services Pratt Regional Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Medicine & Surgery · Inpatient
MS-DRG 470
$21,175 - $36,289
from 4 insurers · median $31,171
172 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$409 - $3,325
from 4 insurers · median $1,685
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 63030
$8,706 - $13,177
from 3 insurers · median $11,540
93 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$5,315
negotiated rate
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Cardiology and vascular testing
CPT 93306
$344 - $1,770
from 4 insurers · median $1,503
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$265 - $3,192
from 4 insurers · median $1,627
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$83 - $997
from 4 insurers · median $671
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 788
$7,774
negotiated rate
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
CT imaging
CPT 71275
$305 - $1,710
from 4 insurers · median $1,306
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$1,276 - $3,846
from 3 insurers · median $1,473
102 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Nuclear imaging
CPT 78452
$497 - $4,130
from 4 insurers · median $2,543
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$313 - $1,558
from 4 insurers · median $1,380
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$121 - $278
from 4 insurers · median $198
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$6,928
negotiated rate
26 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 66984
$2,789 - $4,195
from 3 insurers · median $3,674
50 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
MRI imaging
CPT 70553
$346 - $2,196
from 4 insurers · median $1,231
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$1,645 - $7,111
from 2 insurers · median $4,378
26 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 57288
$6,417
negotiated rate
22 Medicare claims in Level 5 Gynecologic Procedures (CMS 2024)
Digestive procedures
CPT 45385
$505 - $1,524
from 4 insurers · median $1,374
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$7,064
negotiated rate
26 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
MRI imaging
CPT 73721
$329 - $2,535
from 4 insurers · median $1,373
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$26 - $200
from 4 insurers · median $163
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$879 - $1,153
from 3 insurers · median $1,003
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$393 - $2,435
from 4 insurers · median $1,329
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 18 | 317% | 0 | 0 |
| Insurer B* | 19 | 277% | 15 | 3 |
| Insurer C* | 24 | 128% | 1 | 0 |
| Insurer D* | 14 | 109% | 1 | 13 |
How we chose these services: 8 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 2 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Pratt Regional Medical Center.
200 Commodore Street, Pratt, KS 67124
(620) 450-1160
About Pratt Regional Medical Center's rates and hospital price transparency.
For MRI lumbar spine without contrast (CPT 72148), published negotiated rates at Pratt Regional Medical Center range from $313 to $1,558 across 4 insurers. UnitedHealthcare's rate is $1,365. The median at nearby comparable hospitals is $408. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Pratt Regional Medical Center range from $409 to $3,325 across 4 insurers. Aetna's rate is $409. The median at nearby comparable hospitals is $450. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Pratt Regional Medical Center range from $505 to $1,524 across 4 insurers. Blue Cross Blue Shield's rate is $1,412. The median at nearby comparable hospitals is $1,373. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Pratt Regional Medical Center range from $5,315 to $5,315 across 1 insurers. Blue Cross Blue Shield's rate is $5,315. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Pratt Regional Medical Center range from $121 to $278 across 4 insurers. UnitedHealthcare's rate is $244. The median at nearby comparable hospitals is $148. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Pratt Regional Medical Center range from $21,175 to $36,289 across 4 insurers. Blue Cross Blue Shield's rate is $21,175. The median at nearby comparable hospitals is $12,686. What a patient pays depends on their plan's deductible, coinsurance and network status.
Pratt Regional Medical Center has 35 beds. Facility type: Short Term Acute Care Hospital.
Pratt Regional Medical Center is located at 200 Commodore Street, Pratt, KS 67124. Its main phone number is (620) 450-1160.
Pratt Regional Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 170027.
The National Provider Identifier (NPI) on file for Pratt Regional Medical Center is 1578596904.
Pratt Regional Medical Center lists 33 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
329 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers