▸ Hospital · KS · CCN 174016
Prairie View Inc
1901 EAST FIRST, NEWTON, KS, 67114-0467
2
Compliance grade
B
87/100
Procedures tracked
15
of 209 target codes
Payers
5
with negotiated rates
Rates published
1,769
last crawl 2026-05-22
Source MRF: https://prairieview.org/uploads/media/Standard_Charges_10012022.xlsx · XLSX
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychiatric diagnostic evaluation | CPT | 90791 | 5 | $263 | $249.85 | $75 | $121.87 | $180 |
| Psychiatric eval with medical services | CPT | 90792 | 5 | $331 | $314.45 | $75 | $138 | $201.67 |
| Psychotherapy 30 minutes | CPT | 90832 | 5 | $95 | $90 | $35 | $59.42 | $90 |
| Psychotherapy 45 minutes | CPT | 90834 | 5 | $142 | $135 | $60 | $82.15 | $135 |
| Psychotherapy 60 minutes | CPT | 90837 | 5 | $210 | $200 | $70 | $117.22 | $180 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 5 | $231 | $219.45 | $93 | $131.94 | $225 |
| inpatient | ||||||||
| Initial hospital care, high complexity | CPT | 99223 | 5 | $525 | $498.75 | $105 | $206.36 | $272.55 |
| Hospital discharge, <30 min | CPT | 99238 | 5 | $121 | $114.95 | $45 | $76.1 | $105 |
| Hospital discharge, >30 min | CPT | 99239 | 5 | $221 | $209.95 | $83 | $109.17 | $154.13 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 3 | $85 | $11.4 | $40 | $70.38 | $82.31 |
| Office visit, established patient, 5 min | CPT | 99211 | 5 | $37 | $35.15 | $19.69 | $22.95 | $35 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 5 | $79 | $75.05 | $35.84 | $44.95 | $56.5 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 5 | $105 | $99.75 | $49.17 | $74.53 | $84.92 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 5 | $158 | $150.1 | $77.33 | $99 | $120.38 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 5 | $210 | $199.5 | $88 | $146.77 | $173.62 |
Payer mix (top 5)
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 15 | $108.63 |
| Cigna | 15 | $81.5 |
| UnitedHealthcare | 15 | $93.5 |
| Blue Cross Blue Shield | 14 | $137.35 |
| Humana | 14 | $109.3 |