Home › Facilities › Ellsworth County Medical Center

Ellsworth County Medical Center

Kansas · 1,500 published self-pay prices, from $46.00 to $32,181.

These items are published without a standard CPT or HCPCS code, so they cannot be reliably matched against the same service at another hospital. They are shown exactly as this facility published them, and are excluded from every median, average and comparison elsewhere on this site.

Showing the 300 lowest-priced of 1,500 published items.

ItemCash priceSetting
5% DEXTROSE/NORMAL SALINE (500 ML = 1 UNIT)$54.00Outpatient
5% DEXTROSE/WATER (500 ML = 1 UNIT)$54.00Outpatient
A6404 KIT BREATH TUBE & CHAMBER$152Outpatient
A6550 DRESSING, WHITEFOAM SMALL$119Outpatient
A7000 WOUND VAC, CANISTERS, INFOVAC/ULTA 500 ML$69.40Outpatient
Acne surgery$180Outpatient
Addition of walker to previously applied cast$81.00Outpatient
Administration of chemotherapy into vein using push technique$160Both
Administration of chemotherapy into vein, 1 hour or less$244Outpatient
Administration of chemotherapy into vein, each additional hour$243Outpatient
Administration of first vaccine or toxoid component with counseling (18 years or younger)$58.00Both
ADMINISTRATION OF HEPATITIS B VACCINE$58.00Outpatient
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle$118Outpatient
Administration of severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine by intramuscular injection, single dose$54.00Outpatient
Administration of vaccine or toxoid component with counseling (18 years or younger), each additional vaccine or toxoid component$58.00Outpatient
Adrenocorticotropic hormone (ACTH) level$253Outpatient
Advance care planning, first 30 minutes$80.00Outpatient
AFFINITY, PER SQUARE CENTIMETER$2,550Outpatient
Albumin (protein) level$46.00Outpatient
ALCOHOL AND/OR SUBSTANCE (OTHER THAN TOBACCO) MISUSE STRUCTURED ASSESSMENT (E.G., AUDIT, DAST), AND INTERVENTION, GREATER THAN 30 MINUTES$143Outpatient
Alcohol and/or substance abuse screening and intervention, 15-30 minutes$69.00Outpatient
Alcohol and/or substance abuse screening and intervention, more than 30 minutes$133Outpatient
Aldolase (enzyme) level$69.00Outpatient
Aldosterone hormone level$173Outpatient
Alkaloids levels$68.89Outpatient
Alpha-1-antitrypsin (protein) blood test, total$114Outpatient
Alpha-fetoprotein (AFP) level, serum$119Outpatient
Ambulatory blood pressure monitoring, 1 day or longer, with recording, scanning analysis, interpretation, and report$324Outpatient
Ammonia level$126Outpatient
AMOX-CLAV 250-62.5 MG/5 ML SUS$152Outpatient
Amphetamines levels, 1 or 2$95.00Outpatient
Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen$128Outpatient
Amplifed nucleic acid probe typing of disease agent in blood culture specimen$545Outpatient
Amputation of finger or thumb with direct closure$5,824Both
Amputation of finger or thumb with tissue flap$3,394Both
Amputation of toe at joint between forefoot and toes$6,964Both
Amylase (enzyme) level$56.00Outpatient
Analysis for antibody (IgM) to Cytomegalovirus (CMV)$162Outpatient
Analysis for antibody (IgM) to West Nile virus$103Outpatient
Analysis for antibody bordetella (respiratory bacteria)$175Outpatient
Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria)$98.00Outpatient
Analysis for antibody to blastomyces (fungus)$205Outpatient
Analysis for antibody to Coccidioides (bacteria)$153Outpatient
Analysis for antibody to Cytomegalovirus (CMV)$53.00Outpatient
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen$74.25Outpatient
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen$74.25Outpatient
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid$80.50Outpatient
Analysis for antibody to fungus$104Outpatient
Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria)$54.00Outpatient
Analysis for antibody to Herpes simplex virus, type 1$56.00Outpatient
Analysis for antibody to Herpes simplex virus, type 2$56.00Outpatient
Analysis for antibody to histoplasma (fungus)$70.00Outpatient
Analysis for antibody to HIV -1 virus$89.00Outpatient
Analysis for antibody to HIV-2 virus$82.00Outpatient
Analysis for antibody to Legionella (waterborne bacteria)$125Outpatient
Analysis for antibody to mumps virus$147Outpatient
Analysis for antibody to Mycoplasma (bacteria)$161Outpatient
Analysis for antibody to parvovirus$101Outpatient
Analysis for antibody to Rickettsia (bacteria)$157Outpatient
Analysis for antibody to Rubeola (measles virus)$154Outpatient
Analysis for antibody to varicella-zoster virus (chicken pox)$150Outpatient
Analysis for antibody to West Nile virus$103Outpatient
Analysis of voice and resonance production$165Outpatient
Androstenedione (hormone) level$269Outpatient
Angiotensin l - converting enzyme (ACE) level$70.00Outpatient
ANKLE FOOT ORTHOSIS, MULTILIGAMENTOUS ANKLE SUPPORT, PREFABRICATED, OFF-THE-SHELF$56.00Outpatient
ANKLE FOOT ORTHOSIS, PLASTIC OR OTHER MATERIAL, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT$72.00Outpatient
ANKLE SUPPORT LACE UP MED$51.60Outpatient
ANKLE SUPPORT LACE UP X-LARGE$51.60Outpatient
ANNUAL WELLNESS VISIT, INCLUDES A PERSONALIZED PREVENTION PLAN OF SERVICE (PPS), SUBSEQUENT VISIT$374Outpatient
ANNUAL WELLNESS VISIT; INCLUDES A PERSONALIZED PREVENTION PLAN OF SERVICE (PPS), INITIAL VISIT$479Outpatient
Antidepressants levels, 6 or more (tricyclic and other cyclicals)$120Outpatient
Antithrombin III antigen (clotting inhibitor) activity$99.00Outpatient
APLIGRAF, PER SQUARE CENTIMETER$2,550Outpatient
Apolipoprotein level$115Outpatient
Application of chemical to stop tissue regrowth in wound$130Outpatient
Application of elbow to finger cast$250Outpatient
Application of electrical stimulation with therapist present, each 15 minutes$70.00Outpatient
Application of finger cast$85.00Both
Application of hand and lower forearm cast$170Outpatient
Application of hinged finger splint$373Both
Application of long leg cast from thigh to toe$246Outpatient
Application of long leg splint from thigh to ankle or toe$149Outpatient
Application of lower and upper arm splint$158Outpatient
Application of mechanical traction$70.00Outpatient
Application of medication using electrical current, each 15 minutes$49.00Outpatient
Application of moveable or hinged forearm to hand splint$373Both
Application of nonmoveable finger splint$75.00Both
Application of nonmoveable forearm to hand splint$116Outpatient
Application of short leg cast$130Both
Application of short leg splint from calf to foot$151Both
Application of shoulder to hand cast$173Both
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less$648Outpatient
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, each additional 25.0 sq cm of wound 100.0 sq cm or less$4,573Outpatient
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less$648Outpatient
Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of wound 100.0 sq cm or less$3,075Outpatient
Application of thigh to lower leg cylinder cast$222Both
Application of vein wound compression bandages on lower leg, ankle, and foot$277Outpatient
Application of vein wound compression bandages on upper arm, forearm, hand, and fingers$277Outpatient
Application of walking cast covering below knee to toe$185Outpatient
Artery puncture collection of blood sample$84.00Both
Aspiration and/or injection of cyst of tendon$108Both
Aspiration and/or injection of fluid from large joint$117Outpatient
Aspiration and/or injection of fluid from medium joint$96.00Outpatient
Aspiration and/or injection of fluid from medium joint using ultrasound guidance$300Outpatient
Aspiration and/or injection of fluid from small joint$84.00Outpatient
Aspiration and/or injection of fluid from small joint using ultrasound guidance$146Both
Aspiration and/or injection of fluid large joint using ultrasound guidance$176Outpatient
Aspiration of abscess, blood, or cyst$231Outpatient
Aspiration of bladder with insertion of bladder tube to skin$900Both
Aspiration of bone marrow sample for diagnosis$750Both
Aspiration of cyst of breast, first cyst$201Outpatient
Aspiration of fluid from chest cavity$355Both
Aspiration of fluid from chest cavity using imaging guidance$425Both
Assessment by trained clinical staff of implant and/or foreign body for MR safety, including identification and verification of implant components from appropriate sources, analyzing current MR conditional status of individual components and systems, and consulting published professional guidance with written report, each additional 30 minutes$97.04Outpatient
Assessment by trained clinical staff of implant and/or foreign body for MR safety, including identification and verification of implant components from appropriate sources, analyzing current MR conditional status of individual components and systems, and consulting published professional guidance with written report, initial 15 minutes$50.04Outpatient
B4087 GASTROSTOMY FEEDING TUBE 22FR$93.30Outpatient
Bacterial blood culture$125Outpatient
Bacterial culture for aerobic isolates$61.00Outpatient
Bacterial culture for anaerobic isolates$69.50Outpatient
Bacterial urine culture$56.00Outpatient
Balloon dilation of esophagus using a flexible endoscope, less than 3.0 cm$1,336Outpatient
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm$1,978Outpatient
Balloon dilation of large bowel using a flexible endoscope$1,836Outpatient
Banding of hemorrhoids using a flexible endoscope (colonoscope)$1,950Outpatient
Banding of hemorrhoids using a flexible endoscope (sigmoidoscope)$1,020Outpatient
Barbiturates levels$120Outpatient
BED/CHAIR ALARM SENSOR PAD$61.00Outpatient
Benzodiazepines levels, 1-12$246Outpatient
Beta 2 glycoprotein 1 antibody (autoantibody) measurement$55.00Outpatient
Beta-2 microglobulin (protein) level$86.00Outpatient
Biopsy and scraping of cervix using an endoscope$275Outpatient
Biopsy of breast through incision$604Outpatient
Biopsy of cervix or removal of growth$230Outpatient
Biopsy of cervix using an endoscope$259Outpatient
Biopsy of cervix using an endoscope with loop electrode$507Outpatient
Biopsy of deep tissue of leg or ankle$877Both
Biopsy of deep tissue of pelvis and hip$1,310Both
Biopsy of ear$200Outpatient
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope$1,456Outpatient
Biopsy of extensive area of vaginal mucous membrane$246Outpatient
Biopsy of eyelid$303Outpatient
Biopsy of large bowel using a flexible endoscope$1,721Outpatient
Biopsy of lining of uterus$198Outpatient
Biopsy of lower large bowel using a flexible endoscope$293Outpatient
Biopsy of related skin growth, each additional growth$84.00Outpatient
Biopsy of related skin growth, first growth$212Outpatient
Biopsy of small bowel using an endoscope$1,415Outpatient
Biopsy of small bowel using an endoscope inserted through surgically created opening from lower small bowel to skin$1,149Outpatient
Biopsy or removal of deep lymph nodes of neck$800Both
Biopsy or removal of deep lymph nodes of underarm$6,119Both
BiPolar Probe$145Outpatient
Blood Administration Transfusion$55.00Outpatient
Blood gases measurement$138Outpatient
Blood glucose (sugar) tolerance test, 3 specimens$135Outpatient
Blood glucose (sugar) tolerance test, each additional beyond 3 specimens$66.00Outpatient
Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)$62.00Outpatient
Blood test, basic group of blood chemicals (Calcium, ionized)$85.00Outpatient
Blood test, basic group of blood chemicals (Calcium, total)$73.00Outpatient
Blood test, lipids (cholesterol and triglycerides)$53.50Outpatient
Blood test, thyroid stimulating hormone (TSH)$54.50Outpatient
Blood typing for red blood cell antigens$111Outpatient
Blood typing Rh phenotyping$111Outpatient
Blood unit compatibility test, antiglobulin technique$160Outpatient
Body fluid cell count with cell identification$125Outpatient
BONE MARROW BIOPSY SUPPLIES$153Outpatient
BRIEF FACE-TO-FACE BEHAVIORAL COUNSELING FOR ALCOHOL MISUSE, 15 MINUTES$80.00Outpatient
C-peptide (protein) level$53.00Outpatient
Calcium level, ionized$57.50Outpatient
Cannabinoids levels, natural$216Outpatient
Cannula Nasal Medium$62.10Outpatient
CANNULA, NASAL LARGE$62.10Outpatient
CANNULA, NASAL SMALL$62.10Outpatient
CAPSAICIN 8% PATCH, PER SQUARE CENTIMETER$2,244Outpatient
CAPVAXIVE 0.5 ML SYRINGE$546Outpatient
Carcinoembryonic antigen (CEA) protein level$99.63Outpatient
Catecholamines (organic nitrogen) level$175Outpatient
CATHETER 16FR 30CC$49.30Outpatient
CATHETER 20FR 3-WAY$62.50Outpatient
CATHETER COUDE 16FR RED$52.00Outpatient
CATHETER TRAY 16FR SILICONE$49.40Outpatient
CATHETER TRAY 18FR SILICONE$51.00Outpatient
CATHETER, DRAINAGE$83.50Outpatient
CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)$382Outpatient
Cell examination of specimen, selective cellular enhancement technique$79.00Outpatient
Ceruloplasmin (protein) level$84.00Outpatient
CERVICAL OR VAGINAL CANCER SCREENING; PELVIC AND CLINICAL BREAST EXAMINATION$91.00Outpatient
CERVICAL, COLLAR, SEMI-RIGID THERMOPLASTIC FOAM, TWO-PIECE, PREFABRICATED, OFF-THE-SHELF$61.00Outpatient
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month$108Outpatient
Chronic care management services for two or more chronic conditions, additional 30 minutes provided personally by health care professional, per calendar month$136Outpatient
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month$195Outpatient
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month$143Outpatient
CIRCUIT NONHEATED PASSIVE 22MM$59.00Outpatient
CLINIMIX E 8%-14% SOLUTION$195Outpatient
Closed treatment of 2 broken lower leg bones at ankle$2,356Both
Closed treatment of 2 broken lower leg bones at ankle with manipulation$2,356Both
Closed treatment of 3 broken lower leg bones at ankle with manipulation$3,104Both
Closed treatment of back portion of shin bone at ankle$190Both
Closed treatment of broken ankle joint bone$424Outpatient
Closed treatment of broken base of forearm bone on small finger side at wrist$574Outpatient
Closed treatment of broken bone in forefoot or midfoot$398Both
Closed treatment of broken collar bone$392Outpatient
Closed treatment of broken elbow$606Outpatient
Closed treatment of broken end of finger or thumb$331Both
Closed treatment of broken end of finger or thumb with manipulation$877Both
Closed treatment of broken finger or hand at base of finger$1,310Both
Closed treatment of broken finger or hand at base of finger with manipulation$4,075Both
Closed treatment of broken finger or thumb at midportion or part near hand$355Outpatient
Closed treatment of broken finger or thumb at midportion or part near hand with manipulation$603Outpatient
Closed treatment of broken foot with manipulation$2,620Both
Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation$1,030Both
Closed treatment of broken forearm bone on small finger side at elbow$520Both
Closed treatment of broken forearm bone on thumb side at elbow$467Both
Closed treatment of broken great toe$261Outpatient
Closed treatment of broken great toe with manipulation$2,620Both
Closed treatment of broken hand bone$526Outpatient
Closed treatment of broken hand bone with manipulation$574Outpatient
Closed treatment of broken heel bone$449Outpatient
Closed treatment of broken inside or outside portion of lower end of thigh bone$946Outpatient
Closed treatment of broken kneecap$579Both
Closed treatment of broken middle or upper end of outside lower leg bone$549Both
Closed treatment of broken middle part of shin bone$621Outpatient
Closed treatment of broken middle part of upper arm bone$639Outpatient
Closed treatment of broken midpart of both forearm bones$499Outpatient
Closed treatment of broken midpart of both forearm bones with manipulation$931Outpatient
Closed treatment of broken midpart of forearm bone on small finger side$467Both
Closed treatment of broken midpart of forearm bone on thumb side$486Both
Closed treatment of broken nose bone with manipulation$500Both
Closed treatment of broken or growth plate separate of forearm bone at wrist with manipulation$984Outpatient
Closed treatment of broken outer part of upper arm bone at elbow$575Outpatient
Closed treatment of broken outside lower leg bone at ankle$568Outpatient
Closed treatment of broken shin bone$541Both
Closed treatment of broken shin bone at lower weight bearing joint$564Outpatient
Closed treatment of broken shin bone with traction$2,356Both
Closed treatment of broken spine bone with cast or brace$553Outpatient
Closed treatment of broken thigh bone at midportion with manipulation$2,356Both
Closed treatment of broken toe$223Both
Closed treatment of broken toe with manipulation$290Both
Closed treatment of broken top of upper arm bone$2,356Both
Closed treatment of broken wrist bone near base of thumb$544Outpatient
Closed treatment of dislocated finger joint with manipulation$496Both
Closed treatment of dislocated finger joint with manipulation under anesthesia$681Outpatient
Closed treatment of dislocated forearm bone at wrist with manipulation$1,310Both
Closed treatment of dislocated forearm bone on thumb side at elbow with manipulation, child$450Both
Closed treatment of dislocated hand bone at wrist joint with manipulation$1,310Both
Closed treatment of dislocated hand joint at base of finger with manipulation$584Outpatient
Closed treatment of dislocated hand joint at base of finger with manipulation under anesthesia$689Outpatient
Closed treatment of dislocated hip$877Both
Closed treatment of dislocated hip prosthesis$1,361Both
Closed treatment of dislocated hip prosthesis under anesthesia$900Both
Closed treatment of dislocated jaw joint$110Outpatient
Closed treatment of dislocated joint between toe and foot under anesthesia$280Both
Closed treatment of dislocated joint in toe$210Both
Closed treatment of dislocated knee$1,310Both
Closed treatment of dislocated kneecap$1,310Both
Closed treatment of dislocated kneecap under anesthesia$900Both
Closed treatment of dislocated shoulder with manipulation$562Both
Closed treatment of dislocated shoulder with manipulation under anesthesia$341Both
Closed treatment of dislocated thumb at wrist with manipulation$665Outpatient
Closed treatment of inside portion of shin bone at ankle$600Outpatient
Closed treatment of inside portion of shin bone at ankle with manipulation$2,356Both
Closed treatment of middle part of broken shin bone with manipulation$2,356Both
CLOSED TREATMENT OF NASAL BONE FRACTURE WITHOUT MANIPULATION$235Outpatient
Clotting factor II prothrombin, measurement$179Outpatient
Clotting factor X assessment test, diluted$147Outpatient
Coagulation assessment blood test, plasma or whole blood$52.00Outpatient
Coagulation assessment blood test, substitution, plasma fractions$147Outpatient
Coagulation function measurement, D-dimer; quantitative$74.00Outpatient
Coagulation function measurement, qualitative or semiquantitative$109Outpatient
COLLAGEN BASED WOUND FILLER, DRY FORM, STERILE, PER GRAM OF COLLAGEN$46.80Outpatient
Collagen cross links test, (urine test to evaluate bone health)$260Outpatient
COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK$1,271Outpatient
COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK$1,271Outpatient
COMBI-TUBE KIT$120Outpatient
Complete ultrasound of abdomen and pelvis artery and vein blood flow$606Outpatient
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts$606Outpatient
Complete ultrasound scan behind abdominal cavity$335Outpatient
Complete ultrasound scan of 1 breast$119Outpatient
Complete ultrasound scan of abdomen$360Outpatient
Complete ultrasound scan of pelvis$215Outpatient
Complete X-ray of body bones$639Outpatient
Complex chronic care management services for two or more chronic conditions, each additional 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month$166Outpatient
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month$308Outpatient
Complex control of nose bleed$962Both
Complex drainage of wound infection after surgery$440Outpatient
Complicated change of bladder tube$503Both
Complicated drainage of abscess in finger$1,721Both
Complicated drainage of cyst of tailbone$482Outpatient
Complicated or multiple drainage of skin abscess$375Outpatient
Complicated removal of foreign body in foot$968Outpatient
Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm$300Outpatient
Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm$2,621Both
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm$753Outpatient
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm$841Both
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less$200Both
Complicated repair of wound of scalp, arms, or legs, 1.1-2.5 cm$332Outpatient
Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm$617Both
Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less$421Both
Complicated repair of wound of trunk, 1.1-2.5 cm$503Outpatient
Complicated repair of wound of trunk, 2.6-7.5 cm$698Outpatient

Compare coded procedures

For procedures with standard CPT codes — where prices can be compared across hospitals — see prices in Kansas or browse all procedures.