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PricedCare

Susan B Allen Memorial Hospital

720 W Central St, El Dorado, KS 67042 · (316) 321-3300

Acute Care HospitalsVoluntary non-profit - PrivateWichita, KS metroWebsite ↗

Price file

Prices published

File dated 2025-05-27 (older than a year)

396 price rows for 49 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · metro median $21

$21
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $1,469

$741
cash
CT scan of the head, no contrast

CPT 70450 · metro median $1,026

$741
cash
CT scan of the pelvis, with contrast

CPT 72193 · metro median $1,009

$741
cash
Cesarean section hospital stay, no complications

MS-DRG 788

—
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $72

$44
cash
Colonoscopy (diagnostic)

CPT 45378 · metro median $1,070

$1,070
cash
Colonoscopy with biopsy

CPT 45380 · metro median $1,180

$2,140
cash
Colonoscopy with polyp removal

CPT 45385 · metro median $1,180

$2,497
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $18

$5
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $26

$26
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $136

$136
cash
Established patient office visit (about 40 minutes)

CPT 99215 · metro median $185

$185
cash
Gallbladder removal (laparoscopic)

CPT 47562 · metro median $929

$3,948
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $72

$44
cash
Hip or knee replacement, no major complications

MS-DRG 470

—
cash
Hospital stay for digestive disorders, no complications

MS-DRG 392

—
cash
Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—
cash
Lipid panel (cholesterol test)

CPT 80061 · metro median $53

$53
cash
Liver function panel

CPT 80076 · metro median $33

$18
cash
MRI of the brain, with and without contrast

CPT 70553 · metro median $1,915

$1,915
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · metro median $1,254

$1,254
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · metro median $1,378

$1,254
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $1,378

$1,254
cash
Neck (cervical) spinal fusion, no complications

MS-DRG 473

—
cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · metro median $365

$600
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 2 lines · metro median $122

$79
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 2 lines · metro median $176

$79
cash
New patient office visit (about 60 minutes)

CPT 99205 · metro median $222

$203
cash
PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $75

$79
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $25

$5
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · metro median $59

$79
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $412

$435
cash
Prostate biopsy

CPT 55700 · metro median $1,623

$1,623
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 2 lines · metro median $19

$10
cash
Screening mammogram (both breasts)

CPT 77067 · metro median $136

$136
cash
Sleep study (overnight, attended)

CPT 95810 · metro median $2,018

$2,018
cash
Spinal fusion (not neck), no complications

MS-DRG 460

—
cash
Spinal injection, lower back, no imaging guidance

CPT 62322 · metro median $550

$861
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $801

$801
cash
TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $46

$8
cash
Tonsils and adenoids removal (under age 12)

CPT 42820 · metro median $2,619

$2,870
cash
Transvaginal ultrasound

CPT 76830 · metro median $300

$324
cash
Ultrasound of the abdomen (complete)

CPT 76700 · metro median $330

$410
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines · metro median $896

$1,248
cash
Upper endoscopy with biopsy

CPT 43239 · metro median $799

$1,070
cash
Urinalysis with microscope

CPT 81001 · metro median $13

$16
cash
Vaginal delivery hospital stay, no complications

MS-DRG 807

—
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $196

$260
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.