Keefe Memorial Hospital
Cheyenne Wells, CO · Critical Access Hospital
Posts prices for 43 of the 66 common shoppable procedures we track. Price file retrieved 2026-06-28.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Tonsillectomy and adenoidectomy (under age 12) (42820) likely a partial charge, not the full procedure |
$1,524.80 | $1,906 | 0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) | $1,632 | $2,040 | 1.7× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $1,960.80 | $2,451 | 2.0× |
| Diagnostic colonoscopy (45378) range across 2 matching MRF lines |
$1,796.80–$1,943.20 | $2,246–$2,429 | varies |
| Colonoscopy with biopsy (45380) range across 2 matching MRF lines |
$1,859.90–$1,953.60 | $2,442–$2,657 | varies |
| Colonoscopy with lesion removal (45385) range across 2 matching MRF lines |
$1,859.90–$1,953.60 | $2,442–$2,657 | varies |
| CT head/brain without contrast (70450) | $1,160 | $1,450 | 10.5× |
| MRI brain without contrast (70551) | $2,081.80 | $2,974 | 8.3× |
| MRI brain with contrast (70552) | $2,277.80 | $3,254 | 6.2× |
| MRI brain without and with contrast (70553) | $2,874.20 | $4,106 | 7.8× |
| X-ray lower spine, 4+ views (72110) | $578 | $578 | 5.2× |
| MRI lumbar spine without contrast (72148) | $2,230.20 | $3,186 | 8.9× |
| CT pelvis with contrast (72193) | $1,902.60 | $2,718 | 10.3× |
| CT abdomen and pelvis with contrast (74177) | $3,395 | $4,850 | 9.2× |
| Ultrasound, abdomen complete (76700) | $935 | $935 | 8.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $922 | $922 | 8.4× |
| Ultrasound, transvaginal (76830) | $723 | $723 | 6.6× |
| Mammography, both breasts (diagnostic) (77066) | $484 | $484 | 4.4× |
| Mammography, screening (bilateral) (77067) | $358 | $358 | 3.9× |
| Basic metabolic panel (80048) | $158 | $158 | 18.7× |
| Comprehensive metabolic panel (80053) range across 3 matching MRF lines |
$22–$188 | $22–$188 | varies |
| Obstetric panel (80055) | $260.18 | $260.18 | 5.4× |
| Lipid panel (80061) range across 5 matching MRF lines |
$151–$166 | $151–$166 | varies |
| Renal function panel (80069) | $167 | $167 | 19.2× |
| Hepatic function panel (80076) | $167 | $167 | 20.4× |
| Urinalysis, non-automated, with microscopy (81000) | $60 | $60 | 14.9× |
| PSA, total (84153) range across 5 matching MRF lines |
$5–$207 | $5–$207 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 5 matching MRF lines |
$3–$138 | $3–$138 | varies |
| CBC with automated differential (85025) range across 2 matching MRF lines |
$6–$104 | $6–$104 | varies |
| CBC, automated (85027) | $74 | $74 | 11.4× |
| Prothrombin time (PT) (85610) | $71 | $71 | 16.6× |
| Partial thromboplastin time (PTT) (85730) range across 2 matching MRF lines |
$98–$138 | $98–$138 | varies |
| Psychotherapy, 30 minutes (90832) | $185 | $185 | 1.0× |
| Psychotherapy, 45 minutes (90834) | $245 | $245 | 1.3× |
| Psychotherapy, 60 minutes (90837) | $359 | $359 | 1.9× |
| Sleep study (attended polysomnography) (95810) | $2,375.80 | $3,394 | 2.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) | $283 | $283 | 2.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $421 | $421 | 3.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $556 | $556 | 4.0× |
| Office consultation (low complexity, ~30 min) (99243) | $365 | $365 | 2.6× |
| Office consultation (moderate complexity, ~40 min) (99244) | $540 | $540 | 3.8× |
| Preventive visit, new patient (age 18–39) (99385) | $359 | $359 | — |
| Preventive visit, new patient (age 40–64) (99386) | $312 | $312 | — |
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: 222 codes with posted prices and Medicare benchmarks
- Lab & pathology: 539 codes with posted prices and Medicare benchmarks
- Visits & medical services: 82 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 266 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 14 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 12.2 MB) ↓ — captured 2026-06-28
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.