Ellsworth County Medical Center
Ellsworth, KS · Critical Access Hospital
Posts prices for 46 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-11.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Breast lesion removal (open) (19120) | $879 | $879 | 0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) | $1,304.33 | $1,304.33 | 1.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $1,456.05 | $1,456.05 | 1.7× |
| Diagnostic colonoscopy (45378) | $1,667.70 | $1,667.70 | 1.9× |
| Colonoscopy with biopsy (45380) | $1,721.25 | $1,721.25 | 1.6× |
| Colonoscopy with lesion removal (45385) | $1,876.80 | $1,876.80 | 1.7× |
| Epidural injection, lumbar/sacral (with imaging) (62322) | $601 | $601 | 0.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) range across 4 matching MRF lines |
$440–$5,180 | $440–$5,180 | varies |
| CT head/brain without contrast (70450) | $990 | $990 | 10.3× |
| MRI brain without contrast (70551) | $962 | $962 | 4.4× |
| MRI brain with contrast (70552) | $1,142 | $1,142 | 3.6× |
| MRI brain without and with contrast (70553) | $1,142.50 | $1,142.50 | 3.6× |
| X-ray lower spine, 4+ views (72110) | $313 | $313 | 3.3× |
| MRI lumbar spine without contrast (72148) | $962 | $962 | 4.4× |
| CT pelvis with contrast (72193) | $940 | $940 | 5.8× |
| MRI lower-extremity joint without contrast (73721) | $864 | $864 | 3.9× |
| CT abdomen and pelvis with contrast (74177) | $1,790 | $1,790 | 5.6× |
| Ultrasound, abdomen complete (76700) | $360 | $360 | 3.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $180 | $180 | 1.9× |
| Ultrasound, transvaginal (76830) | $368 | $368 | 3.8× |
| Mammography, one breast (diagnostic) (77065) | $255 | $255 | 3.0× |
| Mammography, both breasts (diagnostic) (77066) | $425 | $425 | 3.8× |
| Mammography, screening (bilateral) (77067) | $155 | $155 | 1.7× |
| Basic metabolic panel (80048) | $73 | $73 | 8.6× |
| Comprehensive metabolic panel (80053) range across 2 matching MRF lines |
$28.25–$152 | $28.25–$152 | varies |
| Lipid panel (80061) | $53.50 | $53.50 | 4.0× |
| Renal function panel (80069) | $75 | $75 | 8.6× |
| Hepatic function panel (80076) | $72 | $72 | 8.8× |
| Urinalysis, non-automated, without microscopy (81002) range across 4 matching MRF lines |
$8–$23 | $8–$23 | varies |
| PSA, total (84153) range across 4 matching MRF lines |
$31–$209 | $31–$209 | varies |
| Thyroid stimulating hormone (TSH) (84443) | $54.50 | $54.50 | 3.2× |
| CBC with automated differential (85025) | $16.50 | $16.50 | 2.1× |
| CBC, automated (85027) | $45 | $45 | 7.0× |
| Prothrombin time (PT) (85610) range across 3 matching MRF lines |
$27–$44 | $27–$44 | varies |
| Partial thromboplastin time (PTT) (85730) range across 2 matching MRF lines |
$52–$62 | $52–$62 | varies |
| Psychotherapy, 30 minutes (90832) | $93 | $93 | 0.6× |
| Psychotherapy, 45 minutes (90834) | $132 | $132 | 0.8× |
| Psychotherapy, 60 minutes (90837) | $201 | $201 | 1.2× |
| Electrocardiogram (ECG), complete (93000) | $119 | $119 | 2.2× |
| Sleep study (attended polysomnography) (95810) range across 2 matching MRF lines |
$347.73–$800 | $347.73–$800 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 2 matching MRF lines |
$69–$78 | $69–$78 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 3 matching MRF lines |
$177–$208 | $177–$208 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 3 matching MRF lines |
$266–$288 | $266–$288 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 3 matching MRF lines |
$343–$370 | $343–$370 | varies |
| Preventive visit, new patient (age 18–39) (99385) | $262 | $262 | — |
| Preventive visit, new patient (age 40–64) (99386) | $306 | $306 | — |
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: 199 codes with posted prices and Medicare benchmarks
- Lab & pathology: 350 codes with posted prices and Medicare benchmarks
- Visits & medical services: 143 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 459 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 30 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 25.5 MB) ↓ — captured 2026-09-11
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.