Grisell Memorial Hospital
Ransom, KS · Critical Access Hospital
Posts prices for 34 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-11.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| CT head/brain without contrast (70450) | $1,077.30 | $1,134 | 11.2× |
| MRI brain without contrast (70551) | $873.81 | $919.80 | 4.0× |
| MRI brain with contrast (70552) | $885.78 | $932.40 | 2.8× |
| MRI brain without and with contrast (70553) | $897.75 | $945 | 2.8× |
| X-ray lower spine, 4+ views (72110) | $410.57 | $432.18 | 4.3× |
| MRI lumbar spine without contrast (72148) | $933.66 | $982.80 | 4.3× |
| CT pelvis with contrast (72193) | $945.63 | $995.40 | 5.9× |
| MRI lower-extremity joint without contrast (73721) range across 2 matching MRF lines |
$865.49–$873.81 | $911.04–$919.80 | varies |
| CT abdomen and pelvis with contrast (74177) range across 3 matching MRF lines |
$742.72–$757.14 | $781.81–$796.99 | varies |
| Ultrasound, abdomen complete (76700) | $299.25 | $315 | 3.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $239.40 | $252 | 2.5× |
| Ultrasound, transvaginal (76830) | $209.48 | $220.50 | 2.2× |
| Mammography, one breast (diagnostic) (77065) | $228.82 | $240.86 | 2.7× |
| Mammography, both breasts (diagnostic) (77066) | $231.02 | $243.18 | 2.1× |
| Mammography, screening (bilateral) (77067) range across 3 matching MRF lines |
$203.91–$231.02 | $214.64–$243.18 | varies |
| Basic metabolic panel (80048) | $42.68 | $44.93 | 5.0× |
| Comprehensive metabolic panel (80053) | $55.73 | $58.66 | 5.3× |
| Obstetric panel (80055) | $132.79 | $139.78 | 2.8× |
| Lipid panel (80061) | $86.55 | $91.10 | 6.5× |
| Renal function panel (80069) | $47.42 | $49.92 | 5.5× |
| Hepatic function panel (80076) | $71.14 | $74.88 | 8.7× |
| Urinalysis, non-automated, without microscopy (81002) range across 2 matching MRF lines |
$20.75–$24.90 | $21.84–$26.21 | varies |
| PSA, total (84153) | $137.94 | $145.20 | 7.5× |
| Thyroid stimulating hormone (TSH) (84443) | $93.66 | $98.59 | 5.6× |
| CBC with automated differential (85025) range across 2 matching MRF lines |
$35.34–$36.76 | $37.20–$38.69 | varies |
| CBC, automated (85027) | $26.09 | $27.46 | 4.0× |
| Prothrombin time (PT) (85610) | $39.12 | $41.18 | 9.1× |
| Partial thromboplastin time (PTT) (85730) range across 2 matching MRF lines |
$34.38–$52.44 | $36.19–$55.20 | varies |
| Electrocardiogram (ECG), complete (93000) | $120.54 | $126.88 | 2.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $87.73 | $92.35 | 3.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 2 matching MRF lines |
$214.61–$387.66 | $225.90–$408.06 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 2 matching MRF lines |
$292.64–$387.66 | $308.04–$408.06 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 2 matching MRF lines |
$356.25–$387.66 | $375–$408.06 | varies |
| Preventive visit, new patient (age 18–39) (99385) | $233.70 | $246 | — |
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: 198 codes with posted prices and Medicare benchmarks
- Lab & pathology: 342 codes with posted prices and Medicare benchmarks
- Visits & medical services: 76 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 112 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 16 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 4.7 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.