▸ Hospital · KS · CCN 171378

Kingman Healthcare Center

750 AVENUE D WEST, KINGMAN, KS, 67068

25 bedsCritical Access Hospitals2

Compliance grade

100/100

Rates published

3,484

last crawl 2026-05-22

Procedures tracked

156

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All KS hospitals JSON

Source MRF: https://mrfs.hyvehealthcare.com/NinnescahValleyHealth/480761700_kingman-healthcare-center_standardcharges.json · JSON

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	13	—	—	$79.56	$3,200	$12,999
Psychiatric eval with medical services	CPT	90792	11	—	—	$40	$44	$159.23
Crisis psychotherapy 60 minutes	CPT	90839	11	—	—	$40	$44	$124.7
emergency
ED visit level 1	CPT	99281	1	—	—	$90	$90	$90
ED visit level 2	CPT	99282	1	—	—	$90	$90	$90
ED visit level 3	CPT	99283	1	—	—	$90	$90	$90
ED visit level 4	CPT	99284	1	—	—	$90	$90	$90
ED visit level 5	CPT	99285	1	—	—	$90	$90	$90
imaging
CT head without contrast	CPT	70450	11	—	—	$40	$44	$315.72
CT head with contrast	CPT	70460	11	—	—	$40	$44	$408.08
CT head with and without contrast	CPT	70470	11	—	—	$40	$44	$502.72
CT neck with contrast	CPT	70491	11	—	—	$40	$44	$485.17
MRI brain without contrast	CPT	70551	11	—	—	$40	$44	$900.44
MRI brain with contrast	CPT	70552	11	—	—	$40	$44	$992.02
MRI brain with and without contrast	CPT	70553	11	—	—	$40	$44	$1,277.52
Chest X-ray single view	CPT	71045	11	—	—	$20.62	$44	$90
Chest X-ray 2 views	CPT	71046	11	—	—	$26.74	$44	$90
Chest X-ray 3 views	CPT	71047	11	—	—	$33.67	$44	$90
CT chest without contrast	CPT	71250	11	—	—	$40	$44	$408.85
CT chest with contrast	CPT	71260	11	—	—	$40	$44	$506.55
CT chest with and without contrast	CPT	71270	11	—	—	$40	$44	$639.36
MRI chest without contrast	CPT	71550	11	—	—	$40	$44	$997.37
MRI chest with contrast	CPT	71551	11	—	—	$40	$44	$1,111.11
MRI chest with and without contrast	CPT	71552	11	—	—	$40	$44	$1,508.83
Lumbosacral spine X-ray	CPT	72100	11	—	—	$31.71	$44	$90
CT cervical spine without contrast	CPT	72125	11	—	—	$40	$44	$410.37
CT thoracic spine without contrast	CPT	72128	11	—	—	$40	$44	$408.85
CT lumbar spine without contrast	CPT	72131	11	—	—	$40	$44	$408.08
MRI cervical spine without contrast	CPT	72141	11	—	—	$40	$44	$792.79
MRI thoracic spine without contrast	CPT	72146	11	—	—	$40	$44	$811.89
MRI lumbar spine without contrast	CPT	72148	11	—	—	$40	$44	$811.12
MRI lumbar spine with and without contrast	CPT	72149	11	—	—	$40	$44	$988.99
MRI cervical spine with and without contrast	CPT	72156	11	—	—	$40	$44	$1,257.67
MRI lumbar spine with contrast	CPT	72158	11	—	—	$40	$44	$1,256.16
CT pelvis without contrast	CPT	72192	11	—	—	$40	$44	$387.46
CT pelvis with contrast	CPT	72193	11	—	—	$40	$44	$481.36
Shoulder X-ray	CPT	73030	11	—	—	$27.42	$43.06	$90
Humerus X-ray	CPT	73060	11	—	—	$25.53	$43.06	$90
Hand X-ray 3 views	CPT	73130	11	—	—	$29.22	$44	$90
MRI upper extremity joint without contrast	CPT	73221	11	—	—	$40	$44	$853.86
MRI upper extremity joint with and without contrast	CPT	73223	11	—	—	$40	$44	$1,257.67
Knee X-ray 1-2 views	CPT	73560	11	—	—	$27.11	$43.06	$90
MRI lower extremity joint without contrast	CPT	73721	11	—	—	$40	$44	$872.19
MRI lower extremity joint with and without contrast	CPT	73723	11	—	—	$40	$44	$1,253.87
CT abdomen without contrast	CPT	74150	11	—	—	$40	$44	$383.66
CT abdomen with contrast	CPT	74160	11	—	—	$40	$44	$547.01
CT abdomen with and without contrast	CPT	74170	11	—	—	$40	$44	$747.76
CT abdomen and pelvis without contrast	CPT	74176	11	—	—	$40	$44	$151.64
CT abdomen and pelvis with contrast	CPT	74177	11	—	—	$40	$44	$252.18
CT abdomen and pelvis with and without contrast	CPT	74178	11	—	—	$40	$44	$282.47
MRI abdomen without contrast	CPT	74181	11	—	—	$40	$44	$794.33
MRI abdomen with and without contrast	CPT	74183	11	—	—	$40	$44	$1,324.86
Abdominal ultrasound complete	CPT	76700	11	—	—	$40	$44	$193.58
Abdominal ultrasound limited	CPT	76705	11	—	—	$40	$44	$149.31
Retroperitoneal ultrasound complete	CPT	76770	11	—	—	$40	$44	$187.46
Obstetric ultrasound first trimester	CPT	76801	11	—	—	$40	$44	$159.98
Obstetric ultrasound after first trimester	CPT	76805	11	—	—	$40	$44	$194.35
Obstetric ultrasound with fetal anatomy	CPT	76811	11	—	—	$40	$44	$200.44
Transvaginal ultrasound	CPT	76830	11	—	—	$40	$44	$173.73
Pelvic ultrasound complete	CPT	76856	11	—	—	$40	$44	$173.73
Scrotal ultrasound	CPT	76870	11	—	—	$40	$44	$176.02
Diagnostic mammography bilateral	CPT	77066	11	—	—	$40	$44	$125.93
Screening mammography bilateral	CPT	77067	11	—	—	$40	$44	$102.03
Transthoracic echocardiogram complete	CPT	93306	11	—	—	$40	$44	$178.27
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	13	—	—	$79.56	$3,200	$18,911
COPD w MCC	MS-DRG	190	13	—	—	$79.56	$3,200	$11,190
COPD w CC	MS-DRG	191	13	—	—	$79.56	$3,200	$8,382.63
COPD w/o CC/MCC	MS-DRG	192	13	—	—	$79.56	$3,200	$7,223.86
Simple pneumonia & pleurisy w CC	MS-DRG	194	13	—	—	$79.56	$3,200	$8,907.41
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	13	—	—	$79.56	$3,200	$6,807.04
AMI discharged alive w MCC	MS-DRG	280	13	—	—	$79.56	$3,200	$15,639
AMI discharged alive w CC	MS-DRG	281	13	—	—	$79.56	$3,200	$9,719.78
AMI discharged alive w/o CC/MCC	MS-DRG	282	13	—	—	$79.56	$3,200	$7,703.61
Heart failure & shock w MCC	MS-DRG	291	13	—	—	$79.56	$3,200	$13,521
Heart failure & shock w CC	MS-DRG	292	13	—	—	$79.56	$3,200	$7,462.5
Heart failure & shock w/o CC/MCC	MS-DRG	293	13	—	—	$79.56	$3,200	$5,634.31
Cardiac arrhythmia w MCC	MS-DRG	308	13	—	—	$79.56	$3,200	$10,378
Cardiac arrhythmia w CC	MS-DRG	309	13	—	—	$79.56	$3,200	$7,176.95
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	13	—	—	$79.56	$3,200	$5,267.86
GI hemorrhage w CC	MS-DRG	378	13	—	—	$79.56	$3,200	$9,144.07
GI hemorrhage w/o CC/MCC	MS-DRG	379	13	—	—	$79.56	$3,200	$5,506.78
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	13	—	—	$79.56	$3,200	$7,171.29
Fractures of femur w/o MCC	MS-DRG	533	13	—	—	$79.56	$3,200	$15,781
Kidney/UTI w MCC	MS-DRG	689	13	—	—	$79.56	$3,200	$9,629.1
Kidney/UTI w/o MCC	MS-DRG	690	13	—	—	$79.56	$3,200	$7,499.28
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	13	—	—	$79.56	$3,200	$17,193
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	13	—	—	$79.56	$3,200	$9,753.29
Initial hospital care, low complexity	CPT	99221	1	—	—	$63	$63	$63
Initial hospital care, moderate complexity	CPT	99222	1	—	—	$63	$63	$63
Initial hospital care, high complexity	CPT	99223	1	—	—	$63	$63	$63
Hospital discharge, <30 min	CPT	99238	1	—	—	$63	$63	$63
Hospital discharge, >30 min	CPT	99239	1	—	—	$63	$63	$63
lab
Basic metabolic panel (BMP)	CPT	80048	10	$12	$6	$1.84	$5.28	$10.8
General health panel	CPT	80050	10	$12.74	$6.37	$5.09	$5.6	$63.03
Electrolyte panel	CPT	80051	5	$1.67	—	$1.5	$1.5	$7.1
Comprehensive metabolic panel	CPT	80053	11	$7.16	$3.58	$2.86	$3.15	$10.7
Lipid panel	CPT	80061	11	$2.84	$1.42	$1.13	$1.24	$13.56
Renal function panel	CPT	80069	11	$2.64	$1.32	$1.05	$1.16	$8.79
Hepatic function panel	CPT	80076	11	$5	$2.5	$2	$2.2	$8.27
Urinalysis automated	CPT	81003	11	$4.36	$2.18	$1.08	$1.91	$3.92
Glucose quantitative	CPT	82947	3	—	—	$3.93	$3.93	$3.98
Hemoglobin A1c	CPT	83036	11	$21.41	$10.71	$2.94	$8.56	$19.26
Thyroid stimulating hormone (TSH)	CPT	84443	11	$2.95	$1.48	$1.18	$1.29	$17.01
Complete blood count with automated differential	CPT	85025	11	$3	$1.5	$1.2	$1.32	$7.87
Complete blood count without differential	CPT	85027	11	$5	$2.5	$1.24	$2.2	$6.56
Urine culture bacterial	CPT	87086	11	$12	$6	$4.8	$5.28	$10.8
Urine culture identification	CPT	87088	11	$8	$4	$3.2	$3.52	$8.2
Tissue exam by pathologist level IV	CPT	88305	11	$31.24	$15.62	$40	$44	$137.08
maternity
Vaginal delivery with postpartum	CPT	59410	11	—	—	$40	$44	$947.12
Routine obstetric care with C-section	CPT	59510	11	—	—	$40	$44	$2,351.51
C-section delivery only	CPT	59514	11	—	—	$40	$44	$1,004.96
C-section with postpartum	CPT	59515	11	—	—	$40	$44	$1,168.72
surgery
Total shoulder arthroplasty	CPT	23472	11	—	—	$40	$44	$1,286.09
Hip hemiarthroplasty	CPT	27125	11	—	—	$40	$44	$1,008.64
Total hip replacement	CPT	27130	11	—	—	$40	$44	$1,141.94
Total knee replacement	CPT	27447	11	—	—	$40	$44	$1,156.5
Knee revision arthroplasty single component	CPT	27486	11	—	—	$40	$44	$1,248.6
Knee revision arthroplasty all components	CPT	27487	11	—	—	$40	$44	$1,555.39
Shoulder arthroscopy with decompression	CPT	29826	11	—	—	$40	$44	$542.24
Shoulder arthroscopy with rotator cuff repair	CPT	29827	11	—	—	$40	$44	$968.23
Knee arthroscopy with meniscectomy	CPT	29881	11	—	—	$40	$44	$494.35
ACL reconstruction	CPT	29888	11	—	—	$40	$44	$871.31
Major small/large bowel procedures w MCC	MS-DRG	329	13	—	—	$79.56	$3,200	$42,227
Major small/large bowel procedures w CC	MS-DRG	330	13	—	—	$79.56	$3,200	$24,999
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	13	—	—	$79.56	$3,200	$16,293
CABG single arterial graft	CPT	33533	11	—	—	$40	$44	$1,641.12
CABG 2 arterial grafts	CPT	33534	11	—	—	$40	$44	$1,900.37
CABG 3 arterial grafts	CPT	33535	11	—	—	$40	$44	$2,112.54
CABG 4+ arterial grafts	CPT	33536	11	—	—	$40	$44	$2,276.61
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	13	—	—	$79.56	$3,200	$14,597
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	13	—	—	$79.56	$3,200	$11,499
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	13	—	—	$79.56	$3,200	$30,390
Spinal fusion (non-cervical) w MCC	MS-DRG	459	1	—	—	$58,192	$58,192	$58,192
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	1	—	—	$37,122	$37,122	$37,122
Major joint replacement w MCC	MS-DRG	469	13	—	—	$79.56	$3,200	$29,497
Major joint replacement w/o MCC	MS-DRG	470	13	—	—	$79.56	$3,200	$22,152
Hip & femur procedures except major joint w MCC	MS-DRG	480	13	—	—	$79.56	$3,200	$27,990
Hip & femur procedures except major joint w CC	MS-DRG	481	13	—	—	$79.56	$3,200	$20,667
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	13	—	—	$79.56	$3,200	$14,305
Total abdominal hysterectomy	CPT	58150	11	—	—	$40	$44	$913.9
Vaginal hysterectomy	CPT	58260	11	—	—	$40	$44	$755.36
Lap-assisted vaginal hysterectomy	CPT	58550	11	—	—	$40	$44	$793.96
Lap-assisted vaginal hysterectomy >250g	CPT	58552	11	—	—	$40	$44	$882.03
OR procedure for obesity w MCC	MS-DRG	619	13	—	—	$79.56	$3,200	$24,912
OR procedure for obesity w CC	MS-DRG	620	13	—	—	$79.56	$3,200	$16,193
OR procedure for obesity w/o CC/MCC	MS-DRG	621	13	—	—	$79.56	$3,200	$14,327
Intravitreal injection	CPT	67028	11	—	—	$40	$44	$140.25
Vitrectomy mechanical	CPT	67042	11	—	—	$40	$44	$1,037.94
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	13	—	—	$79.56	$3,200	$10,217
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	13	—	—	$79.56	$3,200	$15,516
PCI single major coronary artery	CPT	92920	11	—	—	$40	$44	$455.51
PCI with drug-eluting stent	CPT	92928	11	—	—	$40	$44	$506.83
PCI bypass graft	CPT	92937	11	—	—	$40	$44	$506.68
Left heart catheterization	CPT	93452	11	—	—	$40	$44	$744.86
Coronary angiography with cath	CPT	93455	11	—	—	$40	$44	$848.19
Coronary angiography with bypass cath	CPT	93458	11	—	—	$40	$44	$874.03

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 13)

Payer	Codes covered	Median rate
Aetna	153	$90
triwest	144	$42.11
health partners	143	$90
Cigna	143	$90
UnitedHealthcare	143	$90
sunflower state	143	$44
WellCare	142	$40
celtic insurance company	142	$44
Humana	142	$40
Ambetter	142	$44
healthy blue	141	$321.95
Blue Cross Blue Shield	42	$13,260
wppa	40	$1,200

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