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Grisell Memorial Hospital

Ransom, KS · 12 beds · 36 procedures priced

Sourced from this hospital's machine-readable file, posted Wed Jun 03 2026 00:00:00 GMT+0000 (Coordinated Universal Time) · data quality 100/100 · source file ↗

Category

Procedure ▲	Negotiated i	Cash i	Gross i
Basic Metabolic Panel	$25$4$43	$41	$43
Chest X-ray (2 Views)	$218$142$250	$238	$250
Complete Abdominal Ultrasound	$262$143$300	$285	$300
Complete Blood Count (CBC) with Differential	$20$3$37	$35	$37
Comprehensive Metabolic Panel	$32$6$56	$54	$56
Critical Care, First Hour	$710$122$1.7k	$1,104	$1,163
CT Abdomen and Pelvis with Contrast	$662$430$759	$721	$759
CT Chest without Contrast	$816$430$936	$889	$936
CT Head without Contrast	$942$430$1.1k	$1,026	$1,080
DEXA Bone Density Scan	$318$186$365	$347	$365
Diagnostic Mammogram (Both Breasts)	$202$116$232	$220	$232
Echocardiogram (Complete with Doppler)	$2,217$1.4k$2.5k	$2,415	$2,542
EKG (Electrocardiogram, 12-lead)	$116$91$122	$116	$122
Emergency Room Visit (Level 3)	$384$40$677	$643	$677
Hemoglobin A1c (Diabetes Test)	$49$8$85	$81	$85
Individual Therapy Session (45 Minutes)	$182$94$209	$198	$209
Initial Hospital Admission (Level 1)	$95$61$133	$157	$166
Initial Psychiatric Diagnostic Evaluation	$297$159$341	$324	$341
Lipid Panel (Cholesterol Test)	$53$12$88	$83	$88
MRI Abdomen with and without Contrast	$942$495$1.1k	$1,026	$1,080
MRI Brain with and without Contrast	$785$495$900	$855	$900
MRI Brain with Contrast	$774$495$888	$844	$888
MRI Brain without Contrast	$764$495$876	$832	$876
MRI Cervical Spine (Neck) without Contrast	$764$495$876	$832	$876
MRI Knee without Contrast	$764$495$876	$832	$876
MRI Lower Back (Lumbar Spine) without Contrast	$816$495$936	$889	$936
MRI Thoracic Spine (Mid-back) without Contrast	$816$495$936	$889	$936
Office Visit, Established Patient (Level 3)	$106$64$316	$124	$131
Office Visit, New Patient (Level 3)	$167$95$316	$214	$225
Pregnancy Ultrasound (Second or Third Trimester)	$209$124$240	$228	$240
PSA Prostate Cancer Screening	$86$27$145	$138	$145
Screening Mammogram	$188$116$232	$220	$232
Skin Lesion Removal (Benign, up to 0.5 cm)	$348$259$807	$331	$348
TSH Thyroid Function Test	$56$16$95	$90	$95
Urinalysis with Microscopy	$40$1$70	$55	$58
Vitamin D Blood Test	$292$150$508	$482	$508

Median facility price per procedure. Negotiated shows the median across payers with the full range. Figures as reported in the hospital's file — not a quote.