Wichita County Health Center
Leoti, 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 |
|---|---|---|---|
| Upper GI endoscopy (EGD), diagnostic (43235) | $720 | $900 | 0.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) range across 2 matching MRF lines |
$720–$1,160 | $900–$1,450 | varies |
| Diagnostic colonoscopy (45378) range across 2 matching MRF lines |
$720–$1,328.80 | $900–$1,661 | varies |
| Colonoscopy with biopsy (45380) range across 2 matching MRF lines |
$720–$1,382.40 | $900–$1,728 | varies |
| Colonoscopy with lesion removal (45385) range across 3 matching MRF lines |
$540–$1,496 | $675–$1,870 | varies |
| CT head/brain without contrast (70450) | $1,003.20 | $1,254 | 10.4× |
| MRI brain without contrast (70551) | $918.40 | $1,148 | 4.2× |
| MRI brain without and with contrast (70553) | $918.40 | $1,148 | 2.9× |
| X-ray lower spine, 4+ views (72110) | $418.40 | $523 | 4.4× |
| MRI lumbar spine without contrast (72148) | $918.40 | $1,148 | 4.2× |
| CT pelvis with contrast (72193) | $1,003.20 | $1,254 | 6.2× |
| MRI lower-extremity joint without contrast (73721) | $918.40 | $1,148 | 4.2× |
| CT abdomen and pelvis with contrast (74177) | $1,003.20 | $1,254 | 3.1× |
| Ultrasound, abdomen complete (76700) | $455.20 | $569 | 4.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $455.20 | $569 | 4.7× |
| Ultrasound, transvaginal (76830) | $455.20 | $569 | 4.7× |
| Mammography, both breasts (diagnostic) (77066) | $188.80 | $236 | 1.7× |
| Mammography, screening (bilateral) (77067) | $188.80 | $236 | 2.1× |
| Basic metabolic panel (80048) | $72 | $90 | 8.5× |
| Comprehensive metabolic panel (80053) range across 2 matching MRF lines |
$8–$108.50 | $10–$135.63 | varies |
| Lipid panel (80061) range across 2 matching MRF lines |
$8–$38.11 | $10–$47.63 | varies |
| Renal function panel (80069) | $92 | $115 | 10.6× |
| Hepatic function panel (80076) | $64 | $80 | 7.8× |
| Urinalysis, non-automated, without microscopy (81002) | $13.60 | $17 | 3.9× |
| PSA, total (84153) | $92 | $115 | 5.0× |
| Thyroid stimulating hormone (TSH) (84443) range across 2 matching MRF lines |
$8–$52.39 | $10–$65.49 | varies |
| CBC with automated differential (85025) | $40 | $50 | 5.1× |
| CBC, automated (85027) | $40 | $50 | 6.2× |
| Prothrombin time (PT) (85610) | $32 | $40 | 7.5× |
| Partial thromboplastin time (PTT) (85730) | $28.80 | $36 | 4.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $62.40 | $78 | 2.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) | $116 | $145 | 0.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $160 | $200 | 1.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $180 | $225 | 1.5× |
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: 76 codes with posted prices and Medicare benchmarks
- Lab & pathology: 146 codes with posted prices and Medicare benchmarks
- Visits & medical services: 51 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 109 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 8 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 698.8 KB) ↓ — 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.