▸ Hospital · KS · CCN 170103
Nmc Health
600 MEDICAL CENTER DRIVE, NEWTON, KS, 67114-
76 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
102
of 209 target codes
Payers
12
with negotiated rates
Rates published
2,772
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 12 | $258 | $181 | $75 | $131 | $245 |
| ED visit level 2 | CPT | 99282 | 12 | $402 | $281 | $90 | $231 | $382 |
| ED visit level 3 | CPT | 99283 | 12 | $618 | $433 | $122 | $355.5 | $587 |
| ED visit level 4 | CPT | 99284 | 12 | $1,052 | $736 | $171 | $605 | $999 |
| ED visit level 5 | CPT | 99285 | 12 | $1,635 | $1,145 | $248 | $922.5 | $1,553 |
| Critical care, first hour | CPT | 99291 | 12 | $1,587 | $1,111 | $816 | $1,111 | $1,508 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 11 | $1,581 | $1,107 | $101 | $1,028 | $1,502 |
| CT head with contrast | CPT | 70460 | 12 | $1,581 | $1,107 | $169 | $909.5 | $1,502 |
| CT head with and without contrast | CPT | 70470 | 12 | $2,357 | $1,650 | $169 | $1,355 | $2,239 |
| CT neck with contrast | CPT | 70491 | 11 | $1,264 | $885 | $169 | $822 | $1,201 |
| MRI brain without contrast | CPT | 70551 | 12 | $2,424 | $1,697 | $225 | $1,393.5 | $2,303 |
| MRI brain with contrast | CPT | 70552 | 12 | $5,370 | $3,759 | $354 | $3,088 | $5,102 |
| MRI brain with and without contrast | CPT | 70553 | 12 | $5,370 | $3,759 | $354 | $3,088 | $5,102 |
| Chest X-ray single view | CPT | 71045 | 11 | $269 | $188 | $84 | $175 | $256 |
| Chest X-ray 2 views | CPT | 71046 | 11 | $269 | $188 | $84 | $175 | $256 |
| CT chest without contrast | CPT | 71250 | 12 | $1,581 | $1,107 | $101 | $909.5 | $1,502 |
| CT chest with contrast | CPT | 71260 | 12 | $1,581 | $1,107 | $169 | $909.5 | $1,502 |
| CT chest with and without contrast | CPT | 71270 | 12 | $2,357 | $1,650 | $169 | $1,355 | $2,239 |
| MRI chest with and without contrast | CPT | 71552 | 12 | $2,908 | $2,036 | $354 | $1,672 | $2,763 |
| Lumbosacral spine X-ray | CPT | 72100 | 11 | $451 | $263 | $41 | $162 | $357 |
| CT cervical spine without contrast | CPT | 72125 | 12 | $1,581 | $1,107 | $101 | $909.5 | $1,502 |
| CT thoracic spine without contrast | CPT | 72128 | 12 | $1,581 | $1,107 | $101 | $909.5 | $1,502 |
| CT lumbar spine without contrast | CPT | 72131 | 12 | $1,581 | $1,107 | $101 | $909.5 | $1,502 |
| MRI cervical spine without contrast | CPT | 72141 | 12 | $2,907 | $2,035 | $225 | $1,671.5 | $2,762 |
| MRI thoracic spine without contrast | CPT | 72146 | 12 | $2,907 | $2,035 | $225 | $1,671.5 | $2,762 |
| MRI lumbar spine without contrast | CPT | 72148 | 12 | $2,423 | $1,696 | $225 | $1,393.5 | $2,302 |
| MRI cervical spine with and without contrast | CPT | 72156 | 12 | $5,370 | $3,759 | $354 | $3,088 | $5,102 |
| MRI lumbar spine with contrast | CPT | 72158 | 12 | $4,835 | $3,385 | $354 | $2,780 | $4,593 |
| CT pelvis without contrast | CPT | 72192 | 12 | $1,400 | $980 | $101 | $805 | $1,330 |
| CT pelvis with contrast | CPT | 72193 | 12 | $1,400 | $980 | $169 | $805 | $1,330 |
| Shoulder X-ray | CPT | 73030 | 12 | $667 | $449 | $9 | $140 | $609 |
| Humerus X-ray | CPT | 73060 | 12 | $641 | $449 | $40 | $255 | $609 |
| Hand X-ray 3 views | CPT | 73130 | 12 | $663 | $417 | $34 | $137 | $565 |
| MRI upper extremity joint without contrast | CPT | 73221 | 12 | $5,806 | $4,064 | $225 | $2,180 | $5,516 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 12 | $2,424 | $1,697 | $354 | $1,454 | $2,303 |
| Knee X-ray 1-2 views | CPT | 73560 | 12 | $609 | $408 | $8 | $134 | $554 |
| Ankle X-ray 3 views | CPT | 73610 | 12 | $627 | $419 | $8 | $139 | $569 |
| MRI lower extremity joint without contrast | CPT | 73721 | 12 | $5,806 | $4,064 | $225 | $2,180 | $5,516 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 12 | $5,806 | $4,064 | $354 | $1,818 | $5,516 |
| CT abdomen without contrast | CPT | 74150 | 12 | $1,400 | $980 | $101 | $805 | $1,330 |
| CT abdomen with contrast | CPT | 74160 | 12 | $1,400 | $980 | $169 | $805 | $1,330 |
| CT abdomen with and without contrast | CPT | 74170 | 12 | $1,919 | $1,343 | $169 | $1,103 | $1,823 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 12 | $2,036 | $1,425 | $225 | $1,272.5 | $1,934 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 11 | $2,036 | $1,425 | $354 | $1,323 | $1,934 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 12 | $2,792 | $1,954 | $354 | $1,745 | $2,652 |
| MRI abdomen without contrast | CPT | 74181 | 11 | $2,183 | $1,528 | $225 | $1,419 | $2,074 |
| MRI abdomen with and without contrast | CPT | 74183 | 12 | $5,370 | $3,759 | $354 | $3,088 | $5,102 |
| Abdominal ultrasound complete | CPT | 76700 | 11 | $544 | $381 | $101 | $354 | $517 |
| Abdominal ultrasound limited | CPT | 76705 | 12 | $386 | $270 | $101 | $232 | $367 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 11 | $533 | $373 | $101 | $346 | $506 |
| Obstetric ultrasound first trimester | CPT | 76801 | 12 | $570 | $399 | $101 | $328 | $542 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 12 | $570 | $399 | $101 | $328 | $542 |
| Transvaginal ultrasound | CPT | 76830 | 12 | $416 | $291 | $101 | $239.5 | $395 |
| Pelvic ultrasound complete | CPT | 76856 | 12 | $416 | $291 | $101 | $239.5 | $395 |
| Scrotal ultrasound | CPT | 76870 | 12 | $346 | $242 | $101 | $199 | $329 |
| Diagnostic mammography unilateral | CPT | 77065 | 9 | $332 | $232 | $123 | $216 | $315 |
| Diagnostic mammography bilateral | CPT | 77066 | 9 | $364 | $255 | $123 | $237 | $346 |
| Screening mammography bilateral | CPT | 77067 | 9 | $318 | $223 | $146 | $207 | $302 |
| EKG complete | CPT | 93000 | 8 | $70 | $49 | $39 | $49.5 | $67 |
| EKG tracing only | CPT | 93005 | 11 | $186 | $130 | $56 | $121 | $177 |
| Transthoracic echocardiogram complete | CPT | 93306 | 12 | $2,145 | $1,502 | $355 | $1,340.5 | $2,038 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 10 | $95 | $67 | $1 | $13 | $9,427 |
| GI hemorrhage w CC | MS-DRG | 378 | 10 | $355 | $248 | $4 | $68 | $9,427 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 8 | $87 | $61 | $48 | $61 | $83 |
| General health panel | CPT | 80050 | 8 | $393 | $275 | $216 | $275 | $373 |
| Electrolyte panel | CPT | 80051 | 8 | $58 | $41 | $32 | $41 | $55 |
| Comprehensive metabolic panel | CPT | 80053 | 8 | $193 | $135 | $106 | $135 | $183 |
| Lipid panel | CPT | 80061 | 8 | $152 | $106 | $84 | $106.5 | $144 |
| Renal function panel | CPT | 80069 | 8 | $107 | $75 | $59 | $75 | $102 |
| Hepatic function panel | CPT | 80076 | 8 | $102 | $71 | $56 | $71.5 | $97 |
| Urinalysis automated | CPT | 81003 | 12 | $56 | $39 | $2 | $30 | $53 |
| Glucose quantitative | CPT | 82947 | 8 | $50 | $35 | $28 | $35.5 | $48 |
| Hemoglobin A1c | CPT | 83036 | 9 | $137 | $96 | $31 | $89 | $130 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 9 | $168 | $118 | $44 | $106 | $160 |
| Complete blood count with automated differential | CPT | 85025 | 8 | $122 | $85 | $67 | $85.5 | $116 |
| Complete blood count without differential | CPT | 85027 | 8 | $103 | $72 | $57 | $72 | $98 |
| Urine culture bacterial | CPT | 87086 | 8 | $106 | $74 | $58 | $74.5 | $101 |
| Urine culture identification | CPT | 87088 | 8 | $77 | $54 | $42 | $54 | $73 |
| Tissue exam by pathologist level IV | CPT | 88305 | 9 | $245 | $172 | $135 | $159 | $233 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 11 | $660 | $462 | $183 | $429 | $627 |
| office | ||||||||
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 8 | $181 | $127 | $96 | $124.5 | $172 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 8 | $259 | $181 | $138 | $178 | $246 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 8 | $327 | $229 | $174 | $225.5 | $311 |
| Office visit, established patient, 5 min | CPT | 99211 | 12 | $187 | $102 | $8 | $37 | $138 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 8 | $130 | $91 | $58 | $85 | $124 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 8 | $160 | $112 | $88 | $112 | $152 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 8 | $354 | $248 | $195 | $248 | $336 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 8 | $301 | $211 | $166 | $211 | $286 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 12 | $3,513 | $2,459 | $343 | $1,183.5 | $3,507 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 12 | $3,289 | $2,302 | $395 | $1,243.5 | $4,852 |
| Colonoscopy diagnostic | CPT | 45378 | 12 | $2,800 | $1,960 | $452 | $1,333 | $4,852 |
| Colonoscopy with biopsy | CPT | 45380 | 12 | $3,095 | $2,167 | $538 | $1,533 | $4,852 |
| Colonoscopy with polyp removal | CPT | 45385 | 12 | $3,296 | $2,307 | $606 | $1,612 | $4,852 |
| surgery | ||||||||
| Shoulder arthroscopy with decompression | CPT | 29826 | 9 | $17,783 | $12,448 | $206 | $431 | $16,894 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 12 | $11,306 | $7,914 | $619 | $1,293 | $10,741 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 12 | $59,616 | $41,731 | $5,597 | $37,936 | $56,635 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 12 | $28,300 | $19,810 | $5,597 | $18,395 | $26,885 |
| Laparoscopic cholecystectomy | CPT | 47562 | 12 | $13,804 | $9,663 | $547 | $1,143.5 | $13,114 |
| PCI single major coronary artery | CPT | 92920 | 11 | $6,127 | $4,289 | $3,370 | $5,049 | $8,414 |
| PCI with drug-eluting stent | CPT | 92928 | 11 | $15,748 | $11,024 | $8,661 | $11,811 | $16,195 |
| Coronary angiography with cath | CPT | 93455 | 11 | $8,158 | $5,711 | $2,998 | $5,303 | $7,750 |
| Coronary angiography with bypass cath | CPT | 93458 | 11 | $9,636 | $6,745 | $2,998 | $6,263 | $9,154 |
Payer mix (top 12)
| Payer | Codes covered | Median rate |
|---|---|---|
| wppa | 102 | $229 |
| medincrease health plan | 102 | $270 |
| occunet | 102 | $250 |
| prime health services | 102 | $312 |
| samaritan ministries international | 102 | $270 |
| UnitedHealthcare | 102 | $374 |
| Cigna | 102 | $395 |
| Aetna | 100 | $304.5 |
| Ambetter | 75 | $270 |
| bluestem pace | 75 | $169 |
| leading age | 75 | $270 |
| Blue Cross Blue Shield | 65 | $480 |