Kansas / Pratt Regional Medical Center
CMS certification 170027 · Pratt, KS · 2 entries in CMS's price-transparency list
Pratt Regional Medical Center: charges and Medicare payments
Pratt Regional Medical Center reported 302 Medicare inpatient stays across 7 DRGs in 2024. Across them it charged 1.84 times what it was paid — among the lower ratios in Kansas, number 36 of 36 hospitals with at least 100 stays (state median 3.35×, national 4.15×). Its most frequent stay was DRG 470, Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC: 169 stays at an average charge of $37,593, 60% below the national average. It also billed 541 outpatient services, charging 4.24 times what Medicare paid.
- 1Medicare inpatient stays 302
- 2Charge ÷ paid, inpatient 1.84×
- 3Rank in KS (highest ratio = 1) 36 of 36
- 4CMS price-transparency actions 2
Inpatient stays
For the 7 DRGs that can be compared with the national average, Pratt Regional Medical Center charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 169 | $37,593 | -60% | $19,571 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 33 | $27,082 | -70% | $20,047 |
| 481 Hip and Femur Procedures except Major Joint with CC | 24 | $38,452 | -62% | $21,139 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 24 | $50,612 | -60% | $25,600 |
| 193 Simple Pneumonia and Pleurisy with MCC | 20 | $20,839 | -65% | $13,423 |
| 462 Bilateral or Multiple Major Joint Procedures of Lower... | 19 | $55,805 | -60% | $29,671 |
| 291 Heart Failure and Shock with MCC | 13 | $26,285 | -53% | $13,050 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 3 Musculoskeletal Procedures | 102 | $9,599 | $2,960 |
| Level 4 Musculoskeletal Procedures | 93 | $17,196 | $6,429 |
| Level 1 Intraocular Procedures | 50 | $5,055 | $2,131 |
| Comprehensive Observation Services | 46 | $10,851 | $2,503 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 37 | $5,492 | $1,450 |
| Level 2 Musculoskeletal Procedures | 33 | $6,770 | $1,470 |
| Level 2 Upper GI Procedures | 32 | $7,624 | $1,740 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 28 | $10,014 | $2,598 |
| Level 1 Laparoscopy and Related Services | 26 | $23,190 | $5,114 |
| Level 4 Urology and Related Services | 22 | $10,408 | $3,188 |
| Level 5 Gynecologic Procedures | 22 | $14,023 | $4,548 |
| Level 1 Nerve Procedures | 22 | $8,285 | $1,766 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 15 | $16,193 | $3,163 |
| Level 3 Vascular Procedures | 13 | $9,628 | $2,466 |
Against the Kansas average
For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Pratt Regional Medical Center charged $37,593 on average, 36% less than the Kansas average of $58,902, and was paid $19,571 against a state average of $14,067. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Pratt Regional Medical Center charged $27,082 on average, 68% less than the Kansas average of $85,277, and was paid $20,047 against a state average of $15,541. For Hip and Femur Procedures except Major Joint with CC (DRG 481), Pratt Regional Medical Center charged $38,452 on average, 56% less than the Kansas average of $88,081, and was paid $21,139 against a state average of $16,274. For Major Joint or Limb Reattachment Procedures of Upper Extremities (DRG 483), Pratt Regional Medical Center charged $50,612 on average, 32% less than the Kansas average of $74,162, and was paid $25,600 against a state average of $18,153. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $9,599 was 39% below the state average of $15,738. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $17,196 was 47% below the state average of $32,564. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $5,055 was 52% below the state average of $10,535. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $10,851 was 52% below the state average of $22,571.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Pratt Regional Medical Center in Pratt, KS, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- CAP Request — 2025-09-03 (CMS case 6435)
- Closure Notice — 2025-11-07 (CMS case 6435)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.