Home › Hospitals › Kiowa County Memorial Hospital Posts prices for 39 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
See something wrong with these prices? Tell us →
Compare this hospital against others interactively →
Procedure Cash price Gross charge × Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $760.75
$895
0.9×
Upper GI endoscopy (EGD) with biopsy (43239) $869.55
$1,023
1.0×
Diagnostic colonoscopy (45378) $860.62
$1,012.50
1.0×
Colonoscopy with biopsy (45380) $1,021.70
$1,202
0.9×
Colonoscopy with lesion removal (45385) $1,102.88
$1,297.50
1.0×
Transforaminal epidural injection, lumbar/sacral (64483) $461.12
$542.50
0.6×
CT head/brain without contrast (70450) $680
$800
7.1×
MRI brain without contrast (70551) $850
$1,000
3.9×
MRI brain with contrast (70552) $935
$1,100
2.9×
MRI brain without and with contrast (70553) $1,105
$1,300
3.4×
X-ray lower spine, 4+ views (72110) $318.75
$375
3.3×
MRI lumbar spine without contrast (72148) $850
$1,000
3.9×
CT pelvis with contrast (72193) $850
$1,000
5.3×
MRI lower-extremity joint without contrast (73721) $1,062.50
$1,250
4.8×
CT abdomen and pelvis with contrast (74177) $1,147.50
$1,350
3.6×
Ultrasound, abdomen complete (76700) $178.50
$210
1.9×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $191.25
$225
2.0×
Ultrasound, transvaginal (76830) $148.75
$175
1.5×
Mammography, one breast (diagnostic) (77065) $170
$200
2.0×
Mammography, both breasts (diagnostic) (77066) $170
$200
1.5×
Mammography, screening (bilateral) (77067) $195.50
$230
2.1×
Basic metabolic panel (80048) $82.45
$97
9.7×
Comprehensive metabolic panel (80053) $119
$140
11.3×
Lipid panel (80061) $100.30
$118
7.5×
Hepatic function panel (80076) $99.45
$117
12.2×
Urinalysis, non-automated, without microscopy (81002) $18.70
$22
5.4×
PSA, total (84153) $114.75
$135
6.2×
Thyroid stimulating hormone (TSH) (84443) $108.80
$128
6.5×
CBC with automated differential (85025) $87.55
$103
11.3×
CBC, automated (85027) $56.10
$66
8.7×
Prothrombin time (PT) (85610) $50.15
$59
11.7×
Partial thromboplastin time (PTT) (85730) $48.45
$57
8.1×
Physical therapy, therapeutic exercise (per 15 min) (97110) $66.30
$78
2.3×
Office visit, new patient (low complexity, ~30 min) (99203) $119
$140
1.0×
Office visit, new patient (moderate complexity, ~45 min) (99204) $211.65
$249
1.7×
Office visit, new patient (high complexity, ~60 min) (99205) $204
$240
1.7×
Office consultation (moderate complexity, ~40 min) (99244) $170
$200
1.4×
Preventive visit, new patient (age 18–39) (99385) $137.70
$162
—
Preventive visit, new patient (age 40–64) (99386) $150.45
$177
—
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