Ellett Memorial Hospital
Appleton City, MO · Critical Access Hospital
Posts prices for 39 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-15.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Upper GI endoscopy (EGD), diagnostic (43235) | $619.12 | $825.50 | 0.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $688.12 | $917.50 | 0.8× |
| Diagnostic colonoscopy (45378) | $702.94 | $937.25 | 0.8× |
| Colonoscopy with biopsy (45380) | $702.94 | $937.25 | 0.6× |
| Colonoscopy with lesion removal (45385) | $825.38 | $1,100.50 | 0.7× |
| CT head/brain without contrast (70450) range across 2 matching MRF lines |
$144.38–$144.75 | $192.50–$193 | varies |
| MRI brain without contrast (70551) | $249.75 | $333 | 1.0× |
| MRI brain with contrast (70552) range across 2 matching MRF lines |
$299.81–$300 | $399.75–$400 | varies |
| MRI brain without and with contrast (70553) | $396 | $528 | 1.1× |
| X-ray lower spine, 4+ views (72110) | $53.06 | $70.75 | 0.5× |
| MRI lumbar spine without contrast (72148) range across 2 matching MRF lines |
$251.62–$252 | $335.50–$336 | varies |
| CT pelvis with contrast (72193) range across 2 matching MRF lines |
$196.12–$196.50 | $261.50–$262 | varies |
| MRI lower-extremity joint without contrast (73721) range across 6 matching MRF lines |
$227.06–$2,342.81 | $302.75–$3,123.75 | varies |
| CT abdomen and pelvis with contrast (74177) range across 2 matching MRF lines |
$201.94–$202.50 | $269.25–$270 | varies |
| Ultrasound, abdomen complete (76700) range across 2 matching MRF lines |
$138.38–$138.75 | $184.50–$185 | varies |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) range across 2 matching MRF lines |
$167.62–$168 | $223.50–$224 | varies |
| Ultrasound, transvaginal (76830) | $115.88 | $154.50 | 1.1× |
| Basic metabolic panel (80048) range across 2 matching MRF lines |
$23.25–$148.88 | $31–$198.50 | varies |
| Comprehensive metabolic panel (80053) range across 2 matching MRF lines |
$46.50–$199.88 | $62–$266.50 | varies |
| Lipid panel (80061) range across 2 matching MRF lines |
$35.25–$100.69 | $47–$134.25 | varies |
| Renal function panel (80069) range across 2 matching MRF lines |
$23.25–$162 | $31–$216 | varies |
| Hepatic function panel (80076) range across 2 matching MRF lines |
$23.25–$164.62 | $31–$219.50 | varies |
| PSA, total (84153) range across 2 matching MRF lines |
$42–$150.56 | $56–$200.75 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 2 matching MRF lines |
$75–$108.75 | $100–$145 | varies |
| CBC with automated differential (85025) range across 2 matching MRF lines |
$46.50–$126.94 | $62–$169.25 | varies |
| CBC, automated (85027) range across 2 matching MRF lines |
$29.06–$30.75 | $38.75–$41 | varies |
| Prothrombin time (PT) (85610) range across 2 matching MRF lines |
$18–$48 | $24–$64 | varies |
| Partial thromboplastin time (PTT) (85730) range across 2 matching MRF lines |
$79.50–$208.50 | $106–$278 | varies |
| Family psychotherapy, without patient (50 min) (90846) | $91.50 | $122 | 0.5× |
| Family psychotherapy, with patient (50 min) (90847) | $161.25 | $215 | 0.9× |
| Electrocardiogram (ECG), complete (93000) | $46.50 | $62 | 0.8× |
| Sleep study (attended polysomnography) (95810) | $281.25 | $375 | 0.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 2 matching MRF lines |
$47.81–$126.56 | $63.75–$168.75 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 3 matching MRF lines |
$131.25–$186.19 | $175–$248.25 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 3 matching MRF lines |
$225–$264 | $300–$352 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 3 matching MRF lines |
$300–$327 | $400–$436 | varies |
| Office consultation (low complexity, ~30 min) (99243) | $105 | $140 | 0.8× |
| Preventive visit, new patient (age 18–39) (99385) range across 4 matching MRF lines |
$15–$146.25 | $20–$195 | varies |
| Preventive visit, new patient (age 40–64) (99386) range across 3 matching MRF lines |
$42.75–$174 | $57–$232 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 256 codes with posted prices and Medicare benchmarks
- Lab & pathology: 523 codes with posted prices and Medicare benchmarks
- Visits & medical services: 150 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 199 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 21 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 1.1 MB) ↓ — captured 2026-08-15
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.