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Smith County Memorial Hospital

Kansas · 1,356 published self-pay prices, from $1.23 to $14,540.

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 1,356 published items.

ItemCash priceSetting
02 HUMIDIFIER CONDEN$5.00Outpatient
10FR GRAD SUCTION CATH KIT$5.00Outpatient
3D breast mammography of 1 breast$170Outpatient
3D breast mammography of both breasts$200Outpatient
3D radiographic procedure$486Outpatient
5% DEXTROSE/NORMAL SALINE (500 ML = 1 UNIT)$90.00Outpatient
5% DEXTROSE/WATER (500 ML = 1 UNIT)$3.60Outpatient
90461 Immunization Administration 18 yrs and younger; each additional vaccine$20.00Outpatient
A-PEP, PEP THERAPY SYSTEM$36.40Outpatient
A6402, DRESSING, TELFA 3X 4 NON ADHESIVE$5.00Outpatient
ABD 5X9 ABDOMINAL NPAD$5.00Outpatient
ABDOMINAL BINDER 62-74 IN XL$16.50Outpatient
Acute hepatitis panel$212Outpatient
ADAPTER, CAPNOSTAT AIRWAY, PEDIATRIC/ADULT$30.70Outpatient
Administration of chemotherapy into vein, 1 hour or less$301Outpatient
Administration of chemotherapy into vein, each additional hour$301Outpatient
Administration of first vaccine or toxoid component with counseling (18 years or younger)$20.00Outpatient
ADMINISTRATION OF HEPATITIS B VACCINE$20.00Outpatient
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle$60.00Outpatient
ADMINISTRATION OF INFLUENZA VIRUS VACCINE$20.00Outpatient
Administration of nasal or oral vaccine, 1 vaccine$20.00Outpatient
Administration of nasal or oral vaccine, each additional vaccine$20.00Outpatient
ADMINISTRATION OF PNEUMOCOCCAL VACCINE$20.00Outpatient
Administration of respiratory syncytial virus, monoclonal antibody, seasonal dose by intramuscular injection$20.00Outpatient
Administration of seasonal dose by intramuscular injection, with counseling by physician or other qualified health care professional$67.00Outpatient
Administration of vaccine$20.00Outpatient
Administration of vaccine or toxoid component with counseling (18 years or younger), each additional vaccine or toxoid component$20.00Outpatient
Administration of vaccine, each additional vaccine$20.00Outpatient
Adrenocorticotropic hormone (ACTH) level$182Outpatient
ADULT RESUSCITATOR BAG W/MASK$32.70Outpatient
Advance care planning, first 30 minutes$100Outpatient
AERO ECLIPSE II NEBULIZER, MOUTHPIECE, FILTERED$9.70Outpatient
AEROBIKA OPEP$80.50Outpatient
AEROCHAMBER PLUS Z STAT$12.40Outpatient
AEROCLIPSE II BREATH ACTUATED NEBULIZER$9.70Outpatient
AIRWAY BERMAN 100MM$5.00Outpatient
Albumin (protein) level$22.00Outpatient
ALBUTEROL SUL 2.5 MG/3 ML SOLN$1.80Outpatient
Alcohols levels$18.00Outpatient
Aldolase (enzyme) level$40.00Outpatient
Aldosterone hormone level$198Outpatient
ALGINATE OR OTHER FIBER GELLING DRESSING, WOUND COVER, STERILE, PAD SIZE 16 SQ. IN. OR LESS, EACH DRESSING$11.00Outpatient
ALGINATE OR OTHER FIBER GELLING DRESSING, WOUND FILLER, STERILE, PER 6 INCHES$19.95Outpatient
Alkaloids levels$114Outpatient
ALLIANCE II SINGLE USE SYRINGE/GAUGE ASSEMBLY$82.10Outpatient
Alpha-1-antitrypsin (protein) blood test, phenotype$68.66Outpatient
Alpha-1-antitrypsin (protein) blood test, total$63.00Outpatient
Alpha-fetoprotein (AFP) level, serum$85.43Outpatient
Ammonia level$75.83Outpatient
AMNIHOOK AMNIO MEMBRANE PERFORATOR$5.00Outpatient
Amphetamines levels, 1 or 2$159Outpatient
Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen$175Outpatient
Amylase (enzyme) level$38.00Outpatient
Analysis for antibody (IgM) to Cytomegalovirus (CMV)$111Outpatient
Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria)$141Outpatient
Analysis for antibody to Cytomegalovirus (CMV)$111Outpatient
Analysis for antibody to Ehrlichia (bacteria transmitted by ticks)$194Outpatient
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen$96.12Outpatient
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid$99.62Outpatient
Analysis for antibody to fungus$100Outpatient
Analysis for antibody to Herpes simplex virus, type 1$97.56Outpatient
Analysis for antibody to Herpes simplex virus, type 2$103Outpatient
Analysis for antibody to mumps virus$99.74Outpatient
Analysis for antibody to protozoa (parasite)$54.00Outpatient
Analysis for antibody to Rubella (German measles virus)$47.45Outpatient
Analysis for antibody to Rubeola (measles virus)$105Outpatient
Analysis for antibody to varicella-zoster virus (chicken pox)$102Outpatient
Analysis for detection of tumor marker$208Outpatient
Analysis of substance using immunoassay technique, multiple step method$92.00Outpatient
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE)$893Outpatient
ANES CRNA 00300 INTEGUMENTARY SYS NECK$120Outpatient
ANES CRNA 00400 SKIN EXT/PER/ATRUNK$120Outpatient
ANES CRNA 00532 VASCULAR ACCESS$120Outpatient
ANES CRNA 00731 UPPER GI SCOPE NOS$120Outpatient
ANES CRNA 00750 REPAIR OF HERNIA$120Outpatient
ANES CRNA 00790 UPPER ABDOMEN$120Outpatient
ANES CRNA 00811 LWR INTST SCOPE NOS$120Outpatient
ANES CRNA 00812 LWR INTST SCR COLSC$120Outpatient
ANES CRNA 00813 UPR LWR GI NDSC PX$120Outpatient
ANES CRNA 00832 VENTRAL & INCISION HERNIA$120Outpatient
ANES CRNA 00902 ANORECTAL SURGERY$120Outpatient
ANES CRNA 00910 ANES TRANSURETHRAL W/URETHROCYSTOSCOPY NOS$120Outpatient
ANES CRNA 00921 VASECTOMY$120Outpatient
ANES CRNA 00940 VAGINAL PROCEDURES$120Outpatient
ANES CRNA 01470 LOWER LEG ANES$120Outpatient
ANES CRNA 01480 LOWER LEG, ANKLE, FOOT$120Outpatient
ANES CRNA 01630 SURGERY OF SHOULDER$120Outpatient
ANES CRNA 01810 NRVS MUSC TEN FWH$120Outpatient
ANES CRNA 01961 CESAREAN SECTION$120Outpatient
ANES CRNA 01967 ANALG VAG DELIVERY$604Outpatient
ANES CRNA 01968 ANALG CS DELIVER ADD-ON$120Outpatient
ANESTHESIA CIRCUIT ADULT (NEW)$19.70Outpatient
Antibody identification test for white blood cell antibodies$111Outpatient
Antidepressants levels, 1 or 2 (tricyclic and other cyclicals)$159Outpatient
Antithrombin III antigen (clotting inhibitor) activity$65.98Outpatient
Antithrombin III antigen (clotting inhibitor) level$150Outpatient
Apolipoprotein level$42.00Outpatient
APOLLO RF I90, ASPIRATING ABLATOR 90 DEG$446Outpatient
Application of chemical to stop tissue regrowth in wound$113Outpatient
Application of elbow to finger cast$600Outpatient
Application of hand and lower forearm cast$235Outpatient
Application of hot or cold packs$30.00Outpatient
Application of hot wax bath$38.00Outpatient
Application of long leg splint from thigh to ankle or toe$208Both
Application of lower and upper arm splint$190Both
Application of mechanical traction$83.00Outpatient
Application of medication using electrical current, each 15 minutes$78.00Outpatient
Application of nonmoveable forearm to hand splint$177Outpatient
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$5,212Outpatient
Application of ultrasound, each 15 minutes$82.00Outpatient
Application of vein wound compression bandages on lower leg, ankle, and foot$248Outpatient
ARFORMOTEROL 15 MCG/2 ML SOLN$8.20Outpatient
Artery puncture collection of blood sample$104Outpatient
Aspiration and/or injection of fluid from large joint$169Outpatient
Aspiration and/or injection of fluid from medium joint$152Outpatient
Aspiration and/or injection of fluid from small joint$440Outpatient
Aspiration and/or injection of fluid large joint using ultrasound guidance$660Outpatient
Aspiration of abscess, blood, or cyst$1,200Outpatient
ASPIRATOR, NASAL BBG 4.5 PEDI$8.48Outpatient
Assessment of emotional or behavioral problems$25.00Outpatient
ASTHMANEFRIN RFILL 2.25% SOLN$1.80Outpatient
Automated urinalysis test$25.00Outpatient
Bacterial blood culture$140Outpatient
Bacterial colony count, urine$46.65Outpatient
Bacterial culture for aerobic isolates$47.07Outpatient
Bacterial culture for anaerobic isolates$47.07Outpatient
Bacterial culture, any other source except urine, blood or stool, aerobic$40.00Outpatient
Bacterial culture, any source, except blood, anaerobic$47.93Outpatient
Bacterial urine culture$40.23Outpatient
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm$2,406Outpatient
BALLOON ESOPHAGEAL 18-20MM CRE FIXED$521Outpatient
BANDAGE ESMARK 4X9 BLUE$5.00Outpatient
BANDAID, FLEXIBLE, FABRIC, X-LARGE, 2 X 3.75 INCH$5.00Outpatient
Barbiturates levels$159Outpatient
BARIETTE, NDD MEDICAL EQUIPMENT, RT$5.00Outpatient
BELT, STRAP, SLEEVE, GARMENT, OR COVERING, ANY TYPE$11.70Outpatient
Benzodiazepines levels, 1-12$159Outpatient
Beta 2 glycoprotein 1 antibody (autoantibody) measurement$146Outpatient
BIFURCATED EXTENSION SET 5 INCH ICU MEDICAL 1212001$8.20Outpatient
Bilirubin level, direct$30.00Outpatient
Bilirubin level, total$32.00Outpatient
BIOPATCH PROTECTIVE DISK$13.68Outpatient
Biopsy and scraping of cervix using an endoscope$3,100Outpatient
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope$1,771Outpatient
Biopsy of large bowel using a flexible endoscope$2,094Outpatient
Biopsy of lining of uterus$1,855Outpatient
Biopsy of related skin growth, first growth$282Outpatient
BIOPSY PUNCH 4MM DISPOSABLE$5.00Outpatient
BIOPSY PUNCH 5MM DISPOSABLE$5.00Outpatient
BLADE, MICRO SAGITTAL 6.9 X 0.38 X 25.0MM$169Outpatient
BLADE, SURGICAL CLIPPER 9680$5.00Outpatient
Blood count, hemoglobin$26.00Outpatient
Blood creatinine level$20.00Outpatient
Blood gases measurement$105Outpatient
Blood glucose (sugar) level$22.00Outpatient
Blood glucose (sugar) level after receiving dose of glucose$30.00Outpatient
Blood glucose (sugar) measurement using reagent strip$12.99Outpatient
Blood glucose (sugar) test performed by hand-held instrument$13.00Outpatient
Blood glucose (sugar) tolerance test, 3 specimens$75.00Outpatient
Blood glucose (sugar) tolerance test, each additional beyond 3 specimens$25.00Outpatient
Blood group typing (ABO)$25.41Outpatient
Blood osmolality (concentration) measurement$36.00Outpatient
Blood pH level$75.18Outpatient
Blood potassium level$20.00Outpatient
BLOOD SET SECONDARY 36$5.00Outpatient
BLOOD SET,W/HAND PUMP 85IN$10.40Outpatient
Blood sodium level$20.00Outpatient
Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)$48.00Outpatient
Blood test panel for obstetrics ( cbc, differential wbc count, hepatitis b, hiv, rubella, syphilis, antibody screening, rbc, blood typing)$235Outpatient
Blood test, basic group of blood chemicals (Calcium, total)$36.00Outpatient
Blood test, clotting time$25.00Outpatient
Blood test, comprehensive group of blood chemicals$42.99Outpatient
Blood test, lipids (cholesterol and triglycerides)$65.00Outpatient
Blood test, thyroid stimulating hormone (TSH)$67.52Outpatient
Blood typing for red blood cell antigens$65.37Outpatient
Blood typing for Rh (D) antigen$24.92Outpatient
Blood unit compatibility test, antiglobulin technique$64.54Outpatient
Blood unit compatibility test, immediate spin technique$71.14Outpatient
Body fluid cell count with cell identification$63.65Outpatient
Breath test analysis for helicobacter pylori$422Outpatient
BRIDION 500 MG/5 ML VIAL$414Outpatient
BROVANA 15 MCG/2 ML SOLUTION$21.80Outpatient
BUDESONIDE 0.5 MG/2 ML SUSP$1.80Outpatient
BUGBEE FULGURATING ELECTRODE$132Outpatient
BULB SYRINGE STERILE EAR/ULCER NURSERY$5.00Outpatient
Buprenorphine level$114Outpatient
BURR, OVAL, 8 FLUTE 4.0MM X 13CM$112Outpatient
C-peptide (protein) level$102Outpatient
CADD AMINISTRATION SET (OB)$13.21Outpatient
Calcium level, ionized$71.33Outpatient
Calcium level, total$22.00Outpatient
Cannabinoids levels, natural$159Outpatient
CANNULA ADULT W/MALE ADAPTER$7.40Outpatient
CANNULA OVER THE EAR W/7' TUBE$5.00Outpatient
CANNULA SOFTECH NASAL ADULT 25'$5.00Outpatient
CANNULA, MICROSTREAM CAPNOLINE O2 ADULT CO2 ORAL/NASAL$29.40Outpatient
CANNULA, NASAL HIGH- FLOW, 22MM AC611$59.90Outpatient
CANNULA, NASAL OXYGEN, COMFORT SOFT PLUS,$5.00Outpatient
CANNULA, NEOTECH 15 MM ADAPTER, INFANT MORE THAN 2500 GRAMS$28.00Outpatient
CANNULA, NOMOLINE ADULT NASAL CO2 WITH O2$13.90Outpatient
CANNULA, TWIST-IN$47.50Outpatient
CAP STOCKING THIGH HI LG LONG TED HOSE$13.30Outpatient
CAP STOCKING THIGH HI LG REG TED HOSE$12.20Outpatient
CAP STOCKING THIGH HI LG SHORT TED HOSE$7.80Outpatient
CAP STOCKING THIGH HI SM LONG$7.60Outpatient
CAP STOCKING THIGH X-LARGE REG$10.50Outpatient
CAP STOCKING THIGH X-LARGE SHORT$13.30Outpatient
CAPIO SLIM SUTURE CAPTURING DEVICE$1,410Outpatient
CARA KLENZ WOUND CLEANER/ SKINTEGRITY WOUND CLEANSER$7.70Outpatient
Carbon dioxide (bicarbonate) level$25.00Outpatient
Carcinoembryonic antigen (CEA) protein level$109Outpatient
Cardiolipin antibody (tissue antibody) measurement$119Outpatient
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional$94.00Outpatient
CAST PADDING,WEBRIL, 100 % COTTON 3 INCH X 4 YD STERILE$5.00Outpatient
Catecholamines (organic nitrogen) level$144Outpatient
CATHETER FOLEY 16FR 30ML BALLOON$11.55Outpatient
CATHETER FOLEY 12FR SILICONE$7.30Outpatient
CATHETER FOLEY 3-WAY 18FR 30ML$25.50Outpatient
CATHETER FOLEY 3-WAY COUDE HEMATURIA$55.90Outpatient
CATHETER FOLEY COUDE 14FR 5ML$14.00Outpatient
CATHETER, BALLOON DILATATION, NON-VASCULAR$542Outpatient
CATHETER, CHOLANGIOGRAM 4.5 FR. X 74 CM (30 INCH)$121Outpatient
CATHETER, FOLEY 12FR 16 RED URETHRAL (NEW)$5.00Outpatient
CATHETER, FOLEY 14FR 16 RED URETHRAL (NEW)$5.00Outpatient
CATHETER, FOLEY 16FR 16 RED URETHRAL (NEW)$5.00Outpatient
CATHETER, FOLEY, PEDIATRIC 8FR 3ML LF$9.50Outpatient
CATHETER, FOLEY, 16 FR WITH 10 ML BALLOON$7.20Outpatient
CATHETER, FOLEY, 16FR 5CC 2-WAY SILICONE$14.80Outpatient
CAUTERY LOOP TIP HIGH TEMP$15.30Outpatient
Cell examination of specimen, selective cellular enhancement technique$126Outpatient
Ceruloplasmin (protein) level$57.00Outpatient
CERVICAL, COLLAR, SEMI-RIGID, THERMOPLASTIC FOAM, TWO PIECE WITH THORACIC EXTENSION, PREFABRICATED, OFF-THE-SHELF$114Outpatient
CERVICAL, FLEXIBLE, NON-ADJUSTABLE, PREFABRICATED, OFF-THE-SHELF (FOAM COLLAR)$51.30Outpatient
Cervicovaginal secretion of placenta protein$191Outpatient
Cesarean delivery$1,236Outpatient
Cesarean delivery with care before and after delivery$3,624Outpatient
Chemical analysis using chromatography technique$210Outpatient
Chemical receptor analysis$356Outpatient
CIRCUIT NEONATAL KIT$12.90Outpatient
CIRCUIT, BREATHING, ADULT 22MM SINGLE LIMB$41.00Outpatient
CIRCUIT, FLOW SENSOR AND EXPIRATORY VALVE SET$114Outpatient
CIRCUIT, NON INVASIVE EXHAUST PORT W/FILTER PORT$9.90Outpatient
CIRCUIT, PATIENT KIT, EXPANDABLE, 120$20.70Outpatient
Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation$1,220Both
Closed treatment of broken midpart of forearm bone on thumb side with manipulation$1,198Both
Closed treatment of broken or growth plate separate of forearm bone at wrist with manipulation$1,400Both
Closed treatment of dislocated finger joint with manipulation$523Outpatient
Closed treatment of dislocated forearm bone on thumb side at elbow with manipulation, child$578Both
Clotting factor X assessment test, diluted$41.50Outpatient
Coagulation assessment blood test, plasma or whole blood$34.60Outpatient
Coagulation function measurement, D-dimer; quantitative$113Outpatient
Collagen cross links test, (urine test to evaluate bone health)$200Outpatient
Collection of blood sample from central venous tube$223Outpatient
COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK$1,546Outpatient
COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK$1,546Outpatient
COLORECTAL CANCER SCREENING; FLEXIBLE SIGMOIDOSCOPY$1,050Outpatient
Complete blood cell count (red cells, white blood cell, platelets), automated test$30.00Outpatient
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count$39.99Outpatient
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts$738Outpatient
Complete ultrasound scan behind abdominal cavity$287Outpatient
Complete ultrasound scan of 1 breast$146Outpatient
Complete ultrasound scan of abdomen$365Outpatient
Complete ultrasound scan of joint$219Outpatient
Complete ultrasound scan of pelvis$297Outpatient
Complete X-ray of body bones$778Outpatient
COMPOSITE DRESSING, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING$5.00Outpatient
COMPUTED TOMOGRAPHIC ANGIOGRAPHY (CTA), HEAD AND NECK, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES, WHEN PERFORMED, AND IMAGE POSTPROCESSING$1,950Outpatient
Concentration of specimen for infectious agents$54.91Outpatient
Confirmation test for antibody to Borrelia burgdorferi (Lyme disease bacteria)$126Outpatient
CONFORMING BANDAGE, NON-ELASTIC, KNITTED/WOVEN, NON-STERILE, WIDTH GREATER THAN OR EQUAL TO 5 INCHES, PER YARD$5.00Outpatient
CONFORMING BANDAGE, NON-ELASTIC, KNITTED/WOVEN, NON-STERILE, WIDTH LESS THAN THREE INCHES, PER YARD$5.00Outpatient
CONFORMING BANDAGE, NON-ELASTIC, KNITTED/WOVEN, STERILE, WIDTH GREATER THAN OR EQUAL TO THREE INCHES AND LESS THAN FIVE INCHES, PER YARD$5.00Outpatient
CONFORMING BANDAGE, NON-ELASTIC, KNITTED/WOVEN, STERILE, WIDTH LESS THAN THREE INCHES, PER YARD$5.00Outpatient
Copper level$58.00Outpatient
Cortisol (hormone) measurement, free$83.00Outpatient
Cortisol (hormone) measurement, total$77.92Outpatient
COVIDIEN, LIGASURE,5MM - 37CM$1,206Outpatient
Creatine kinase (cardiac enzyme) level, total$35.00Outpatient
Creatinine level to test for kidney function or muscle injury$27.00Outpatient
Critical care, each additional 30 minutes$466Both
Critical care, first 30-74 minutes$1,569Both
Crystal identification from tissue or body fluid$113Outpatient
CT scan head or brain without contrast$696Outpatient
CT scan of abdomen and pelvis before and after contrast$850Outpatient
CT scan of abdomen and pelvis with contrast$703Outpatient
CT scan of abdomen and pelvis without contrast$703Outpatient
CT scan of abdomen without contrast$703Outpatient
CT scan of abdominal aorta and both leg arteries with contrast$1,919Outpatient
CT scan of arm without contrast$703Outpatient
CT scan of blood vessels of abdomen and pelvis with contrast$2,617Outpatient
CT scan of blood vessels of chest with contrast$1,757Outpatient
CT scan of blood vessels of head with contrast$1,779Outpatient
CT scan of blood vessels of neck with contrast$1,781Outpatient
CT scan of chest before and after contrast$725Outpatient
CT scan of chest with contrast$703Outpatient
CT scan of chest without contrast$703Outpatient
CT scan of cranial cavity without contrast$703Outpatient
CT scan of face before and after contrast$725Outpatient
CT scan of face with contrast$703Outpatient
CT scan of face without contrast$672Outpatient

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