▸ Hospital · KS · CCN 170191
UKHS GREAT BEND CAMPUS
514 CLEVELAND, GREAT BEND, KS, 67530
29 bedsAcute Care Hospitals13
Compliance grade
A
100/100
Procedures tracked
99
of 209 target codes
Payers
30
with negotiated rates
Rates published
25,326
last crawl 2026-05-23
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 30 | $225 | $45 | $78.73 | $135 | $249.16 |
| ED visit level 2 | CPT | 99282 | 30 | $349 | $69.8 | $143.35 | $209.4 | $453.7 |
| ED visit level 3 | CPT | 99283 | 30 | $629 | $125.8 | $254.86 | $377.4 | $806.61 |
| ED visit level 4 | CPT | 99284 | 30 | $1,025 | $205 | $389.57 | $615 | $1,232.95 |
| ED visit level 5 | CPT | 99285 | 32 | $1,474 | $294.8 | $556.01 | $884.4 | $1,759.71 |
| Critical care, first hour | CPT | 99291 | 30 | $1,746 | $349.2 | $733.32 | $1,099.98 | $2,440.8 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 28 | $1,556 | $311.2 | $97.61 | $308.92 | $1,400.4 |
| CT head with contrast | CPT | 70460 | 28 | $1,556 | $311.2 | $163.76 | $518.28 | $1,400.4 |
| CT head with and without contrast | CPT | 70470 | 28 | $1,867 | $373.4 | $163.76 | $518.28 | $1,680.3 |
| CT neck with contrast | CPT | 70491 | 28 | $1,369 | $273.8 | $163.76 | $518.28 | $1,232.1 |
| MRI brain without contrast | CPT | 70551 | 28 | $2,921 | $584.2 | $222.77 | $705.04 | $2,628.9 |
| MRI brain with contrast | CPT | 70552 | 28 | $2,840 | $568 | $325.72 | $1,030.87 | $2,556 |
| MRI brain with and without contrast | CPT | 70553 | 28 | $3,505 | $701 | $325.72 | $1,030.87 | $3,154.5 |
| Chest X-ray single view | CPT | 71045 | 29 | $262 | $52.4 | $47.1 | $94.2 | $257.15 |
| Chest X-ray 2 views | CPT | 71046 | 29 | $354 | $70.8 | $81.25 | $148.68 | $318.6 |
| Chest X-ray 3 views | CPT | 71047 | 27 | $335 | $67 | $81.25 | $169.06 | $301.5 |
| CT chest without contrast | CPT | 71250 | 28 | $1,594 | $318.8 | $97.61 | $308.92 | $1,434.6 |
| CT chest with contrast | CPT | 71260 | 28 | $1,594 | $318.8 | $163.76 | $518.28 | $1,434.6 |
| CT chest with and without contrast | CPT | 71270 | 28 | $1,913 | $382.6 | $163.76 | $518.28 | $1,721.7 |
| MRI chest without contrast | CPT | 71550 | 15 | — | — | $222.77 | $235.01 | $705.04 |
| MRI chest with and without contrast | CPT | 71552 | 28 | $2,883 | $576.6 | $325.72 | $1,030.87 | $2,594.7 |
| Lumbosacral spine X-ray | CPT | 72100 | 29 | $404 | $80.8 | $97.61 | $169.68 | $363.6 |
| CT cervical spine without contrast | CPT | 72125 | 28 | $1,794 | $358.8 | $97.61 | $308.92 | $1,614.6 |
| CT thoracic spine without contrast | CPT | 72128 | 28 | $1,848 | $369.6 | $97.61 | $308.92 | $1,663.2 |
| CT lumbar spine without contrast | CPT | 72131 | 28 | $1,960 | $392 | $97.61 | $308.92 | $1,764 |
| MRI cervical spine without contrast | CPT | 72141 | 28 | $2,658 | $531.6 | $222.77 | $705.04 | $2,392.2 |
| MRI thoracic spine without contrast | CPT | 72146 | 28 | $2,158 | $431.6 | $222.77 | $705.04 | $1,942.2 |
| MRI lumbar spine without contrast | CPT | 72148 | 28 | $2,471 | $494.2 | $222.77 | $705.04 | $2,223.9 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 26 | $2,231 | $446.2 | $325.72 | $937.02 | $2,007.9 |
| MRI cervical spine with and without contrast | CPT | 72156 | 28 | $3,190 | $638 | $325.72 | $1,030.87 | $2,871 |
| MRI lumbar spine with contrast | CPT | 72158 | 28 | $2,965 | $593 | $325.72 | $1,030.87 | $2,668.5 |
| CT pelvis without contrast | CPT | 72192 | 28 | $1,513 | $302.6 | $97.61 | $308.92 | $1,361.7 |
| CT pelvis with contrast | CPT | 72193 | 28 | $1,513 | $302.6 | $163.76 | $518.28 | $1,361.7 |
| Shoulder X-ray | CPT | 73030 | 29 | $798 | $159.6 | $81.25 | $239.4 | $718.2 |
| Humerus X-ray | CPT | 73060 | 29 | $700 | $140 | $63 | $170.62 | $630 |
| Hand X-ray 3 views | CPT | 73130 | 29 | $656 | $131.2 | $81.25 | $196.8 | $590.4 |
| MRI upper extremity joint without contrast | CPT | 73221 | 28 | $5,384 | $1,076.8 | $222.77 | $1,615.2 | $4,845.6 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 28 | $6,460 | $1,292 | $325.72 | $1,938 | $5,814 |
| Knee X-ray 1-2 views | CPT | 73560 | 29 | $584 | $116.8 | $81.25 | $175.2 | $525.6 |
| Ankle X-ray 3 views | CPT | 73610 | 29 | $670 | $134 | $81.25 | $201 | $603 |
| MRI lower extremity joint without contrast | CPT | 73721 | 28 | $5,398 | $1,079.6 | $222.77 | $1,619.4 | $4,858.2 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 28 | $5,176 | $1,035.2 | $325.72 | $1,943.4 | $4,658.4 |
| CT abdomen without contrast | CPT | 74150 | 28 | $1,375 | $275 | $97.61 | $308.92 | $1,237.5 |
| CT abdomen with contrast | CPT | 74160 | 28 | $1,375 | $275 | $163.76 | $518.28 | $1,237.5 |
| CT abdomen with and without contrast | CPT | 74170 | 28 | $1,650 | $330 | $163.76 | $518.28 | $1,485 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 28 | $2,524 | $504.8 | $222.77 | $705.04 | $2,271.6 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 28 | $2,524 | $504.8 | $325.72 | $1,030.87 | $2,271.6 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 28 | $3,029 | $605.8 | $325.72 | $1,030.87 | $2,726.1 |
| MRI abdomen without contrast | CPT | 74181 | 28 | $1,973 | $394.6 | $222.77 | $705.04 | $1,775.7 |
| MRI abdomen with and without contrast | CPT | 74183 | 28 | $2,368 | $473.6 | $325.72 | $994.56 | $2,131.2 |
| Abdominal ultrasound complete | CPT | 76700 | 29 | $942 | $188.4 | $97.61 | $308.92 | $847.8 |
| Abdominal ultrasound limited | CPT | 76705 | 29 | $664 | $132.8 | $97.61 | $244.02 | $597.6 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 29 | $648 | $129.6 | $97.61 | $244.02 | $583.2 |
| Obstetric ultrasound first trimester | CPT | 76801 | 29 | $423 | $84.6 | $97.61 | $177.66 | $380.7 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 29 | $474 | $94.8 | $97.61 | $199.08 | $426.6 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 15 | — | — | $222.77 | $235.01 | $705.04 |
| Transvaginal ultrasound | CPT | 76830 | 29 | $730 | $146 | $97.61 | $255.5 | $657 |
| Pelvic ultrasound complete | CPT | 76856 | 29 | $822 | $164.4 | $97.61 | $287.7 | $739.8 |
| Scrotal ultrasound | CPT | 76870 | 29 | $570 | $114 | $97.61 | $239.4 | $513 |
| Diagnostic mammography unilateral | CPT | 77065 | 18 | $225 | $45 | $67.5 | $135 | $202.5 |
| Diagnostic mammography bilateral | CPT | 77066 | 17 | $450 | $90 | $135 | $270 | $405 |
| Screening mammography bilateral | CPT | 77067 | 20 | $310 | $62 | $55.8 | $130.2 | $279 |
| EKG tracing only | CPT | 93005 | 31 | $239 | $47.8 | $32.4 | $83.65 | $215.1 |
| Transthoracic echocardiogram complete | CPT | 93306 | 31 | $2,702 | $540.4 | $132 | $1,071.32 | $2,431.8 |
| Transthoracic echocardiogram | CPT | 93307 | 33 | $751 | $150.2 | $132 | $315.42 | $705.04 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 14 | $305 | $61 | $45.36 | $112.65 | $274.5 |
| General health panel | CPT | 80050 | 26 | $160 | $32 | $40 | $96 | $160 |
| Electrolyte panel | CPT | 80051 | 14 | $58 | $11.6 | $13.44 | $24.98 | $52.2 |
| Comprehensive metabolic panel | CPT | 80053 | 14 | $485 | $97 | $20.16 | $88.8 | $436.5 |
| Lipid panel | CPT | 80061 | 14 | $355 | $71 | $58.38 | $137.1 | $319.5 |
| Renal function panel | CPT | 80069 | 14 | $138 | $27.6 | $57.96 | $82.8 | $124.2 |
| Hepatic function panel | CPT | 80076 | 14 | $138 | $27.6 | $53.34 | $79.5 | $124.2 |
| Urinalysis non-automated | CPT | 81002 | 14 | $41 | $8.2 | $4.2 | $12 | $36.9 |
| Urinalysis automated | CPT | 81003 | 14 | $77 | $15.4 | $5.88 | $24.6 | $69.3 |
| Glucose quantitative | CPT | 82947 | 14 | $46 | $9.2 | $7.14 | $17.31 | $41.4 |
| Hemoglobin A1c | CPT | 83036 | 14 | $100 | $20 | $42 | $60 | $90 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 14 | $228 | $45.6 | $32.34 | $87.9 | $205.2 |
| Complete blood count with automated differential | CPT | 85025 | 18 | $285 | $57 | $15.12 | $85.5 | $256.5 |
| Complete blood count without differential | CPT | 85027 | 14 | $171 | $34.2 | $12.6 | $54 | $153.9 |
| Urine culture bacterial | CPT | 87086 | 14 | $80 | $16 | $33.6 | $48 | $72 |
| Tissue exam by pathologist level IV | CPT | 88305 | 29 | $905 | $181 | $37.2 | $127.39 | $814.5 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 34 | $1,032 | $206.4 | $188.75 | $309.6 | $597.39 |
| Vaginal delivery only | CPT | 59409 | 32 | $5,157 | $1,031.4 | $1,012.78 | $3,293.44 | $9,565.25 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 20 | $2,725.5 | $545.1 | $293.65 | $1,199.9 | $2,680.01 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 20 | $3,954.34 | $790.87 | $296.08 | $1,404.03 | $2,680.01 |
| Colonoscopy diagnostic | CPT | 45378 | 20 | $3,790.89 | $758.18 | $296.08 | $1,290.02 | $2,747.89 |
| Colonoscopy with biopsy | CPT | 45380 | 19 | $6,669.88 | $1,333.98 | $1,117.22 | $1,872.78 | $3,535.91 |
| Colonoscopy with polyp removal | CPT | 45385 | 19 | $5,563.26 | $1,112.65 | $1,117.22 | $1,872.78 | $3,535.91 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 20 | $51,531 | $10,306 | $3,313.64 | $16,370 | $51,810 |
| Total hip replacement | CPT | 27130 | 20 | $42,962 | $8,592.42 | $3,088.84 | $11,987 | $37,936 |
| Total knee replacement | CPT | 27447 | 20 | $38,472 | $7,694.42 | $4,263.54 | $16,732 | $37,936 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 19 | $29,354 | $5,870.83 | $401.49 | $6,910.14 | $21,441 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 19 | $6,988.26 | $1,397.65 | $3,054.85 | $5,290.46 | $9,668.3 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 20 | $13,659 | $2,731.81 | $1,869.18 | $7,760.92 | $17,864 |
| Vaginal hysterectomy | CPT | 58260 | 20 | $15,246 | $3,049.29 | $1,611.29 | $6,471.36 | $14,782 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 20 | $21,078 | $4,215.53 | $3,334.64 | $13,702 | $31,410 |
| Lap salpingo-oophorectomy | CPT | 58661 | 19 | $16,913 | $3,382.64 | $5,644.31 | $8,977.36 | $17,864 |
| Complex cataract surgery | CPT | 66982 | 20 | $9,421.46 | $1,884.29 | $754.92 | $2,962.66 | $6,819.29 |
| Cataract surgery with lens implant | CPT | 66984 | 20 | $8,344.65 | $1,668.93 | $754.92 | $2,992.59 | $6,819.29 |
Payer mix (top 30)
| Payer | Codes covered | Median rate |
|---|---|---|
| Workers Comp | 97 | $401.49 |
| Humana | 85 | $235.01 |
| centurion [5032000966] | 84 | $289.6 |
| UnitedHealthcare | 83 | $222.77 |
| Ambetter | 82 | $323.01 |
| fort hays state student athletes [5032000960] | 82 | $467.81 |
| occunet [503999930] | 82 | $467.81 |
| 6 degrees health [503999050] | 82 | $556.92 |
| Blue Cross Blue Shield | 81 | $335.49 |
| Cigna | 81 | $350.4 |
| correct care solutions [50311253] | 81 | $361.2 |
| First Health | 81 | $309.6 |
| wppa [503200056] | 81 | $216.72 |
| advanced medical pricing solutions [503301513] | 81 | $705.04 |
| Aetna | 81 | $309.6 |
| aha-healthcare preferred [503200050] | 81 | $309.6 |
| allied national [503999937] | 81 | $309.6 |
| allwell [503200078] | 81 | $229.45 |
| alt carelon behavioral health [503200905] | 81 | $258 |
| alt wppa [5032000964] | 81 | $216.72 |
| ku athletics [503200094] | 81 | $222.77 |
| Medicare | 81 | $227.22 |
| Meritain Health | 81 | $267.09 |
| national assn letter carriers [503200019] | 81 | $309.6 |
| php [503200005] | 81 | $309.6 |
| usa managed care [503999030] | 81 | $464.4 |
| triwest [503201703] | 77 | $235.01 |
| TRICARE | 77 | $235.01 |
| hchsync centrus health direct [503999916] | 27 | $125.4 |
| gallagher bassett [5032000103] | 25 | $1,872.78 |