Hodgeman County Health Center
Jetmore, KS · Critical Access Hospital
Posts prices for 39 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-11.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Upper GI endoscopy (EGD), diagnostic (43235) | $1,406.40 | $1,758 | 1.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $1,832 | $2,290 | 2.2× |
| Diagnostic colonoscopy (45378) | $1,632 | $2,040 | 1.9× |
| Colonoscopy with biopsy (45380) | $1,768.80 | $2,211 | 1.6× |
| Colonoscopy with lesion removal (45385) | $1,836.80 | $2,296 | 1.7× |
| Laparoscopic gallbladder removal (47562) | $8,752 | $10,940 | 1.6× |
| Inguinal hernia repair (age 5+) (49505) | $5,293.60 | $6,617 | 1.6× |
| Epidural injection, lumbar/sacral (with imaging) (62322) range across 2 matching MRF lines |
$707.20–$960 | $884–$1,200 | varies |
| Transforaminal epidural injection, lumbar/sacral (64483) range across 3 matching MRF lines |
$960–$3,979.20 | $1,200–$4,974 | varies |
| CT head/brain without contrast (70450) | $1,354.40 | $1,693 | 14.1× |
| MRI brain without contrast (70551) | $1,796 | $2,245 | 8.2× |
| MRI brain with contrast (70552) | $1,876 | $2,345 | 5.8× |
| MRI brain without and with contrast (70553) | $2,052 | $2,565 | 6.4× |
| X-ray lower spine, 4+ views (72110) | $556.80 | $696 | 5.8× |
| MRI lumbar spine without contrast (72148) | $1,796 | $2,245 | 8.2× |
| CT pelvis with contrast (72193) | $1,392 | $1,740 | 8.6× |
| MRI lower-extremity joint without contrast (73721) | $1,796 | $2,245 | 8.2× |
| CT abdomen and pelvis with contrast (74177) | $2,015.20 | $2,519 | 6.3× |
| Ultrasound, abdomen complete (76700) | $408.80 | $511 | 4.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $389.60 | $487 | 4.1× |
| Ultrasound, transvaginal (76830) | $389.60 | $487 | 4.1× |
| Mammography, one breast (diagnostic) (77065) | $199.20 | $249 | 2.3× |
| Mammography, both breasts (diagnostic) (77066) | $199.20 | $249 | 1.8× |
| Mammography, screening (bilateral) (77067) | $207.20 | $259 | 2.3× |
| Basic metabolic panel (80048) | $107.20 | $134 | 12.7× |
| Comprehensive metabolic panel (80053) | $152 | $190 | 14.4× |
| Lipid panel (80061) | $132 | $165 | 9.9× |
| Renal function panel (80069) | $92 | $115 | 10.6× |
| Hepatic function panel (80076) | $127.20 | $159 | 15.6× |
| Urinalysis, non-automated, without microscopy (81002) | $45.60 | $57 | 13.1× |
| PSA, total (84153) range across 2 matching MRF lines |
$127.20–$132 | $159–$165 | varies |
| Thyroid stimulating hormone (TSH) (84443) | $112.80 | $141 | 6.7× |
| CBC with automated differential (85025) | $89.60 | $112 | 11.5× |
| CBC, automated (85027) | $70.40 | $88 | 10.9× |
| Prothrombin time (PT) (85610) | $59.20 | $74 | 13.8× |
| Partial thromboplastin time (PTT) (85730) | $66.40 | $83 | 11.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $78.40 | $98 | 2.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) | $220 | $275 | 1.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $240 | $300 | 2.0× |
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: 180 codes with posted prices and Medicare benchmarks
- Lab & pathology: 374 codes with posted prices and Medicare benchmarks
- Visits & medical services: 87 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 277 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, 8.7 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.