Medicine Lodge Memorial Hospital
Medicine Lodge, KS · Critical Access Hospital
Posts prices for 41 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) | $625 | $625 | 0.2× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) likely a partial charge, not the full procedure |
$578 | $578 | 0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) range across 3 matching MRF lines |
$588–$1,435 | $588–$1,435 | varies |
| Upper GI endoscopy (EGD) with biopsy (43239) range across 3 matching MRF lines |
$630–$1,600 | $630–$1,600 | varies |
| Diagnostic colonoscopy (45378) range across 3 matching MRF lines |
$637–$1,835 | $637–$1,835 | varies |
| Colonoscopy with biopsy (45380) range across 3 matching MRF lines |
$823–$1,900 | $823–$1,900 | varies |
| Colonoscopy with lesion removal (45385) range across 3 matching MRF lines |
$922–$2,065 | $922–$2,065 | varies |
| Laparoscopic gallbladder removal (47562) range across 2 matching MRF lines |
$1,470–$9,550 | $1,470–$9,550 | varies |
| Inguinal hernia repair (age 5+) (49505) range across 2 matching MRF lines |
$1,560–$5,150 | $1,560–$5,150 | varies |
| Epidural injection, lumbar/sacral (with imaging) (62322) | $850 | $850 | 1.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) range across 3 matching MRF lines |
$322–$963.80 | $322–$963.80 | varies |
| CT head/brain without contrast (70450) | $632.54 | $632.54 | 6.6× |
| MRI brain without contrast (70551) | $727.49 | $727.49 | 3.3× |
| MRI brain with contrast (70552) | $727.49 | $727.49 | 2.3× |
| MRI brain without and with contrast (70553) | $727.49 | $727.49 | 2.3× |
| X-ray lower spine, 4+ views (72110) | $438.90 | $438.90 | 4.6× |
| MRI lumbar spine without contrast (72148) | $727.49 | $727.49 | 3.3× |
| CT pelvis with contrast (72193) | $778.85 | $778.85 | 4.8× |
| MRI lower-extremity joint without contrast (73721) range across 2 matching MRF lines |
$646.90–$727.49 | $646.90–$727.49 | varies |
| CT abdomen and pelvis with contrast (74177) | $779.16 | $779.16 | 2.4× |
| Ultrasound, abdomen complete (76700) | $457.05 | $457.05 | 4.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $356.40 | $356.40 | 3.7× |
| Ultrasound, transvaginal (76830) | $246.40 | $246.40 | 2.6× |
| Basic metabolic panel (80048) | $50.41 | $50.41 | 6.0× |
| Comprehensive metabolic panel (80053) | $61.54 | $61.54 | 5.8× |
| Lipid panel (80061) | $56.43 | $56.43 | 4.2× |
| Renal function panel (80069) | $68.75 | $68.75 | 7.9× |
| Hepatic function panel (80076) | $42.98 | $42.98 | 5.3× |
| Urinalysis, non-automated, without microscopy (81002) | $13.54 | $13.54 | 3.9× |
| PSA, total (84153) range across 4 matching MRF lines |
$88.81–$204 | $88.81–$204 | varies |
| Thyroid stimulating hormone (TSH) (84443) | $57.46 | $57.46 | 3.4× |
| CBC with automated differential (85025) | $40.61 | $40.61 | 5.2× |
| CBC, automated (85027) | $37.32 | $37.32 | 5.8× |
| Prothrombin time (PT) (85610) range across 2 matching MRF lines |
$21.01–$38.60 | $21.01–$38.60 | varies |
| Partial thromboplastin time (PTT) (85730) range across 3 matching MRF lines |
$30.36–$47 | $30.36–$47 | varies |
| Sleep study (attended polysomnography) (95810) | $1,764 | $1,764 | 2.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $64.68 | $64.68 | 2.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 2 matching MRF lines |
$107–$145 | $107–$145 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 2 matching MRF lines |
$173–$215 | $173–$215 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 3 matching MRF lines |
$125.95–$218 | $125.95–$218 | varies |
| Preventive visit, new patient (age 40–64) (99386) | $150 | $150 | — |
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: 147 codes with posted prices and Medicare benchmarks
- Lab & pathology: 384 codes with posted prices and Medicare benchmarks
- Visits & medical services: 102 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 405 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, 16.9 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.