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Grisell Memorial Hospital

Kansas · 1,500 published self-pay prices, from $2.80 to $14,868.

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
20FR CHEST CATHETER$55.39Outpatient
24FR CHEST CATHETER$31.54Outpatient
28FR CHEST CATHETER$54.34Outpatient
3 ORTHO-GLASS$134Outpatient
32FR CHEST CATHETER$21.85Outpatient
36FR CHEST CATHETER$31.16Outpatient
3D breast mammography of 1 breast$47.88Outpatient
3D breast mammography of both breasts$47.88Outpatient
3D radiographic procedure$434Outpatient
3D radiographic procedure with computerized image postprocessing$306Outpatient
4 ORTHO-GLASS$165Outpatient
4-IN-1 CLEANSING LOTION$9.41Outpatient
4oz SKIN REPAIR CREAM$7.79Outpatient
5% DEXTROSE IN LACTATED RINGERS INFUSION, UP TO 1000 CC$14.25Outpatient
5% DEXTROSE/NORMAL SALINE (500 ML = 1 UNIT)$14.25Outpatient
5% DEXTROSE/WATER (500 ML = 1 UNIT)$14.25Outpatient
A-K PAD 14 X 20$37.91Outpatient
A-K PAD 18 X 24$43.89Outpatient
A4385 OSTOMY ADAPT CERARING$13.68Outpatient
A4409 OSTOMY FLANGE$2.85Outpatient
A4425 OSTOMY POUCH 2-PIECE$9.50Outpatient
A4565 ARM SLING LARGE$10.45Outpatient
A4565 ARM SLING MEDIUM$10.36Outpatient
A4565 ARM SLING SMALL$10.36Outpatient
A4565 ARM SLING X-LARGE$11.12Outpatient
A4565 SPLINT SLING ARM CHILD$10.26Outpatient
A4570 SAM SPLINT 18$25.75Outpatient
A4570 SAM SPLINT 36$32.21Outpatient
A4570 SAM SPLINT 9$11.50Outpatient
A4570 SAM SPLINT SM$3.61Outpatient
A4570 SAM SPLINT XL$29.55Outpatient
A4570 SOFT SAM SPLINT 12$67.17Outpatient
A4570 SOFT SAM SPLINT 15$67.69Outpatient
A4570 SOFT SAM SPLINT 9$67.17Outpatient
A4570 SPLINT DISPOSABLE 12$2.85Outpatient
A4570 SPLINT DISPOSABLE 18$3.42Outpatient
A4570 SPLINT DISPOSABLE 24$4.75Outpatient
A5057 OSTOMY POUCH$10.17Outpatient
ACETYLCYSTEINE 20% VIAL$14.20Outpatient
Acute hepatitis panel$295Outpatient
ADACEL TDAP SYRINGE$83.09Outpatient
ADACEL TDAP VIAL$80.05Outpatient
ADENOSINE 6 MG/2 ML VIAL$23.75Outpatient
Administration of first vaccine or toxoid component with counseling (18 years or younger)$24.70Outpatient
ADMINISTRATION OF HEPATITIS B VACCINE$73.11Outpatient
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle$67.26Outpatient
ADMINISTRATION OF INFLUENZA VIRUS VACCINE$15.81Outpatient
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle$72.90Outpatient
ADMINISTRATION OF PNEUMOCOCCAL VACCINE$73.11Outpatient
Administration of severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine by intramuscular injection, single dose$21.85Outpatient
Administration of vaccine$22.47Outpatient
Administration of vaccine or toxoid component with counseling (18 years or younger), each additional vaccine or toxoid component$20.75Outpatient
Administration of vaccine, each additional vaccine$18.24Outpatient
Adrenocorticotropic hormone (ACTH) level$258Outpatient
ADULT WIPES$6.08Outpatient
ADVANCED LIFE SUPPORT, LEVEL 2 (ALS 2)$940Outpatient
AEROBIKA$109Outpatient
AEROCHAMBERS$2.85Outpatient
AIRSUPRA 90-80 MCG INHALER$590Outpatient
AIRWAY 100MM LG ADULT$2.85Outpatient
AIRWAY 80MM SM ADULT$3.90Outpatient
AIRWAY ESOPHAGEAL$110Outpatient
Albumin (protein) level$26.09Outpatient
ALBURX (HUMAN) 25% VIAL$140Outpatient
Alcohols levels$82.08Outpatient
Alcohols levels, 1 or 2$68.40Outpatient
Aldolase (enzyme) level$58.09Outpatient
Aldosterone hormone level$269Outpatient
Alkaloids levels$64.98Outpatient
Alpha-1-antitrypsin (protein) blood test, total$117Outpatient
Alpha-fetoprotein (AFP) analysis$179Outpatient
Alpha-fetoprotein (AFP) level, serum$123Outpatient
AMBU BAG ADULT$114Outpatient
AMBU BAG CHILD$67.69Outpatient
AMBU BAG INFANT$67.69Outpatient
AMBU BAG PED.$53.01Outpatient
AMBULANCE SERVICE, ADVANCED LIFE SUPPORT, EMERGENCY TRANSPORT, LEVEL 1 (ALS 1 - EMERGENCY)$747Outpatient
AMBULANCE SERVICE, ADVANCED LIFE SUPPORT, NON-EMERGENCY TRANSPORT, LEVEL 1 (ALS 1)$627Outpatient
AMBULANCE SERVICE, BASIC LIFE SUPPORT, EMERGENCY TRANSPORT (BLS-EMERGENCY)$627Outpatient
AMBULANCE SERVICE, BASIC LIFE SUPPORT, NON-EMERGENCY TRANSPORT, (BLS)$513Outpatient
AMIDATE 20 MG/10 ML VIAL$23.75Outpatient
Ammonia level$109Outpatient
Amphetamines levels, 5 or more$79.80Outpatient
Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen$178Outpatient
Amylase (enzyme) level$56.91Outpatient
Analgesics levels, 1 or 2$85.37Outpatient
Analgesics levels, 3-5$103Outpatient
Analysis for antibody (IgM) to Cytomegalovirus (CMV)$160Outpatient
Analysis for antibody (IgM) to West Nile virus$96.90Outpatient
Analysis for antibody bacteria$114Outpatient
Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria)$178Outpatient
Analysis for antibody to aspergillus (fungus)$119Outpatient
Analysis for antibody to blastomyces (fungus)$32.55Outpatient
Analysis for antibody to Candida (yeast)$70.68Outpatient
Analysis for antibody to Coccidioides (bacteria)$61.41Outpatient
Analysis for antibody to Cryptococcus (yeast)$55.29Outpatient
Analysis for antibody to Cytomegalovirus (CMV)$166Outpatient
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen$138Outpatient
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen$143Outpatient
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid$137Outpatient
Analysis for antibody to fungus$71.82Outpatient
Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria)$84.18Outpatient
Analysis for antibody to Herpes simplex virus, type 1$148Outpatient
Analysis for antibody to Herpes simplex virus, type 2$142Outpatient
Analysis for antibody to histoplasma (fungus)$94.85Outpatient
Analysis for antibody to HIV-1 and HIV-2 virus$86.55Outpatient
Analysis for antibody to mumps virus$102Outpatient
Analysis for antibody to Rickettsia (bacteria)$282Outpatient
Analysis for antibody to Rubella (German measles virus)$79.80Outpatient
Analysis for antibody to Rubeola (measles virus)$153Outpatient
Analysis for antibody to varicella-zoster virus (chicken pox)$154Outpatient
Analysis for antibody to West Nile virus$101Outpatient
Analysis for antibody, Treponema pallidum$124Outpatient
Analysis for detection of tumor marker$178Outpatient
Analysis of substance using immunoassay technique, multiple step method$96.03Outpatient
Analysis test by nucleic acid for Hepatitis C virus$730Outpatient
Angiotensin l - converting enzyme (ACE) level$78.25Outpatient
ANKLE ORTHOSIS, ANKLE GAUNTLET OR SIMILAR, WITH OR WITHOUT JOINTS, PREFABRICATED, OFF-THE-SHELF$35.15Outpatient
ANNUAL WELLNESS VISIT, INCLUDES A PERSONALIZED PREVENTION PLAN OF SERVICE (PPS), SUBSEQUENT VISIT$192Outpatient
ANNUAL WELLNESS VISIT; INCLUDES A PERSONALIZED PREVENTION PLAN OF SERVICE (PPS), INITIAL VISIT$192Outpatient
ANTI FUNGAL POWDER$7.98Outpatient
Antibody identification test for white blood cell antibodies$60.47Outpatient
Antidepressants levels, 3-5 (serotonergic class)$217Outpatient
Antidepressants levels, 6 or more (tricyclic and other cyclicals)$144Outpatient
Antidepressants levels, not specified$45.60Outpatient
Antiepileptics levels, 4-6$104Outpatient
Antipsychotics levels, 7 or more$131Outpatient
Antithrombin III antigen (clotting inhibitor) activity$251Outpatient
Antithrombin III antigen (clotting inhibitor) level$261Outpatient
Apolipoprotein level$40.70Outpatient
Application of blood vessel compression device$128Outpatient
Application of chemical to stop tissue regrowth in wound$584Outpatient
Application of elbow to finger cast$241Outpatient
Application of electrical stimulation with therapist present, each 15 minutes$87.73Outpatient
Application of heat wave therapy$140Outpatient
Application of hot and cold baths, each 15 minutes$87.73Outpatient
Application of hot or cold packs$44.46Outpatient
Application of hot wax bath$140Outpatient
Application of mechanical traction$96.03Outpatient
Application of medication using electrical current, each 15 minutes$96.03Outpatient
Application of nonmoveable forearm to hand splint$203Outpatient
Application of short leg splint from calf to foot$377Both
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$2,152Outpatient
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$2,152Outpatient
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$2,152Outpatient
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$2,152Outpatient
Application of ultrasound, each 15 minutes$34.58Outpatient
Application of vein wound compression bandages on lower leg, ankle, and foot$304Outpatient
Application of walking cast covering foot, ankle, and lower leg$814Outpatient
Application of whirlpool therapy$140Outpatient
AQUACEL$30.40Outpatient
AQUACEL AG$28.88Outpatient
AQUACEL AG ADVANTAGE$45.13Outpatient
AQUACEL EXTRA$12.73Outpatient
Artery puncture collection of blood sample$111Outpatient
ASPEN COLLAR - ADULT$136Outpatient
ASPEN COLLAR - PED$115Outpatient
Aspiration and/or injection of cyst of tendon$131Outpatient
Aspiration and/or injection of fluid from large joint$217Outpatient
Aspiration and/or injection of fluid from medium joint$169Outpatient
Aspiration and/or injection of fluid from small joint$894Outpatient
Aspiration of abscess, blood, or cyst$1,184Outpatient
ATROPINE 1% EYE DROPS$22.68Outpatient
AUTOLOGOUS PLATELET RICH PLASMA (PRP) OR OTHER BLOOD-DERIVED PRODUCT FOR DIABETIC CHRONIC WOUNDS/ULCERS, USING AN FDA-CLEARED DEVICE FOR THIS INDICATION, (INCLUDES AS APPLICABLE ADMINISTRATION, DRESSINGS, PHLEBOTOMY, CENTRIFUGATION OR MIXING, AND ALL OTHE$6,008Outpatient
Automated urinalysis test$11.93Outpatient
Automated white blood cell count$15.41Outpatient
BABY POWDER$2.85Outpatient
Bacterial blood culture$86.55Outpatient
Bacterial colony count, urine$68.76Outpatient
Bacterial culture for aerobic isolates$69.54Outpatient
Bacterial culture for anaerobic isolates$69.54Outpatient
Bacterial culture, any other source except urine, blood or stool, aerobic$71.14Outpatient
Bacterial culture, any source, except blood, anaerobic$67.26Outpatient
Bacterial urine culture$55.86Outpatient
BACTERIOSTATIC SALINE VIAL$14.25Outpatient
BACTERIOSTATIC WATER VIAL$14.25Outpatient
Barbiturates levels$74.21Outpatient
Beta 2 glycoprotein 1 antibody (autoantibody) measurement$228Outpatient
Beta Lactamase$45.05Outpatient
Beta-2 microglobulin (protein) level$88.92Outpatient
BETADINE SOLUTION$9.69Outpatient
Bilirubin level, direct$47.42Outpatient
Bilirubin level, total$47.42Outpatient
Biopsy of bone using needle or trocar$4,809Outpatient
Biopsy of related skin growth, each additional growth$584Outpatient
Biopsy of related skin growth, first growth$584Outpatient
Blood chloride level$26.09Outpatient
Blood count, hemoglobin$21.74Outpatient
Blood creatinine level$26.09Outpatient
Blood glucose (sugar) level$26.09Outpatient
Blood glucose (sugar) level after receiving dose of glucose$52.16Outpatient
Blood glucose (sugar) measurement using reagent strip$10.45Outpatient
Blood glucose (sugar) tolerance test, 3 specimens$99.18Outpatient
Blood glucose (sugar) tolerance test, each additional beyond 3 specimens$52.16Outpatient
Blood Glucose POC (82947)$10.45Outpatient
Blood group typing (ABO)$311Outpatient
Blood osmolality (concentration) measurement$68.76Outpatient
Blood potassium level$26.09Outpatient
Blood sodium level$26.09Outpatient
Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)$47.42Outpatient
Blood test, basic group of blood chemicals (Calcium, total)$42.68Outpatient
Blood test, clotting time$39.12Outpatient
Blood test, comprehensive group of blood chemicals$55.73Outpatient
Blood test, lipids (cholesterol and triglycerides)$86.55Outpatient
Blood test, thyroid stimulating hormone (TSH)$93.66Outpatient
Blood typing for red blood cell antigens$60.42Outpatient
Blood typing for Rh (D) antigen$94.05Outpatient
Blood unit compatibility test, immediate spin technique$68.40Outpatient
BLOOD WARMING COIL DISP$30.88Outpatient
Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative POC (82274)$36.10Outpatient
Body fluid cell count with cell identification$92.34Outpatient
Body fluid pH level$41.50Outpatient
BOUGIE ET INTRODUCER ADULT$32.49Outpatient
BOUGIE ET INTRODUCER PED$32.49Outpatient
Breath test analysis for helicobacter pylori$522Outpatient
BRIEF L$15.30Outpatient
BRIEF M$9.03Outpatient
BRIEF XL$15.20Outpatient
BRIEF XXL$19.10Outpatient
BRIEF XXXL$26.79Outpatient
BUMETANIDE 1 MG/4 ML VIAL$14.25Outpatient
Buprenorphine level$45.60Outpatient
BUTTERFLY 21 X 3/4$3.04Outpatient
BUTTERFLY 23 X 3/4$3.04Outpatient
C-PAP MASK A$66.22Outpatient
C-PAP MASK B$66.22Outpatient
C-PAP MASK C$66.22Outpatient
C-PAP MASK XS$66.22Outpatient
C-peptide (protein) level$154Outpatient
CALAZIME PROTECTANT PASTE$7.41Outpatient
Calcium level, ionized$103Outpatient
Calcium level, total$18.24Outpatient
Cannabinoids levels, natural$138Outpatient
Carbohydrate analysis, single qualitative$94.85Outpatient
Carbon dioxide (bicarbonate) level$26.09Outpatient
Carboxyhemoglobin (protein) level$113Outpatient
Carcinoembryonic antigen (CEA) protein level$165Outpatient
Cardiolipin antibody (tissue antibody) measurement$166Outpatient
CARRAKLENZ$9.03Outpatient
CAST BOOT MEDIUM$5.13Outpatient
CAST BOOT SMALL$5.13Outpatient
CASTILE TOWELETTES$7.13Outpatient
Catecholamines (organic nitrogen) level$152Outpatient
CATH 14FR 5CC COUDE$26.22Outpatient
CATH COUDE$34.20Outpatient
CATH COUDE 16FR 5CC$62.23Outpatient
CATH EXTERNAL MALE$2.85Outpatient
CATH FOLEY 12FR 5CC$9.12Outpatient
CATH FOLEY 14FR 5CC$8.46Outpatient
CATH FOLEY 16FR 5CC$9.41Outpatient
CATH FOLEY 18FR 5CC.$9.12Outpatient
CATH FOLEY 20FR 5CC.$8.36Outpatient
CATH FOLEY 24FR 5CC$9.12Outpatient
CATH FOLEY 3-WAY$34.49Outpatient
CATH LEG STRAP$8.36Outpatient
CATH PEDS SPECI KIT$4.56Outpatient
CATHETER TRAY/FOLEY 16 FR.$18.24Outpatient
CATHETER, URETERAL$14.82Outpatient
CAUTERY GROUNDING PAD ADULT$7.03Outpatient
CDC 2019 NOVEL CORONAVIRUS (2019-NCOV) REAL-TIME RT-PCR DIAGNOSTIC PANEL$178Outpatient
CEFAZOLIN 1 G/50 ML-DEXTROSE$38.00Outpatient
CENTRAL LINE DRSG TRAY$31.83Outpatient
CEPHALEXIN 250 MG/5 ML SUSP$19.27Outpatient
CERVICAL OR VAGINAL CANCER SCREENING; PELVIC AND CLINICAL BREAST EXAMINATION$144Outpatient
CERVICAL, FLEXIBLE, NON-ADJUSTABLE, PREFABRICATED, OFF-THE-SHELF (FOAM COLLAR)$17.01Outpatient
CERVICAL, SEMI-RIGID, ADJUSTABLE MOLDED CHIN CUP (PLASTIC COLLAR WITH MANDIBULAR/OCCIPITAL PIECE)$19.95Outpatient
Chemical analysis using spectrophotometry (light)$117Outpatient
Chemical receptor analysis$201Outpatient
CHEST DRAIN$236Outpatient
CHEST TUBE KIT$80.85Outpatient
CHLORAPREP SWABS$2.85Outpatient
Cholesterol level$20.16Outpatient
Citrate level$230Outpatient
CLAVE 7 EXTENSION SET$5.04Outpatient
Closed treatment of broken tailbone$326Both
Clotting factor II prothrombin, measurement$151Outpatient
Clotting factor V (AcG or proaccelerin) measurement$88.92Outpatient
Clotting factor VIII (AHG) measurement$143Outpatient
Clotting factor VIII (von Willebrand factor) measurement$285Outpatient
Clotting factor VIII (VW factor) antigen$285Outpatient
Clotting factor VIII (VW factor) measurement$285Outpatient
Clotting factor X assessment test, diluted$60.47Outpatient
CO2 DETECTOR$38.57Outpatient
Coagulation assessment blood test, plasma or whole blood$34.38Outpatient
Coagulation function analysis, agglutination slide, semiquantitative$79.80Outpatient
Coagulation function measurement, D-dimer; quantitative$225Outpatient
COBAN WRAP$2.85Outpatient
Cocaine level$48.61Outpatient
coflex ltc calamine lite$43.61Outpatient
CoFlex-LTC Lite$29.17Outpatient
Collection of blood sample from central venous tube$228Outpatient
Collection of blood sample from implanted device$200Outpatient
COLORECTAL CANCER SCREENING; FECAL OCCULT BLOOD TEST, IMMUNOASSAY, 1-3 SIMULTANEOUS$24.70Outpatient
COLOSTOMY POUCH$27.08Outpatient
Complete blood cell count (red cells, white blood cell, platelets), automated test$26.09Outpatient
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count$35.34Outpatient
Complete ultrasound of abdomen and pelvis artery and vein blood flow$994Outpatient
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts$994Outpatient
Complete ultrasound scan behind abdominal cavity$251Outpatient
Complete ultrasound scan of 1 breast$162Outpatient

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