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Medicine Lodge Memorial Hospital prices. From its own published file.

Medicine Lodge Memorial Hospital in Medicine Lodge, KS publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

1,437prices published
Aug 2026file last updated
$250cash price for emergency visit, highest (level 5) (list $1,390)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$150$570$40.48–$570
Emergency visit, high (level 4)
99284
$200$973$97.68–$973
Emergency visit, highest (level 5)
99285
$250$1,390$98.48–$1,390
Comprehensive metabolic panel
80053
$61.54$61.54$21.55–$61.54
Basic metabolic panel
80048
$50.41$50.41$18.67–$50.41
Complete blood count (CBC)
85025
$40.61$40.61$12.69–$40.61
Blood draw (venipuncture)
36415
$22.90$22.90$11.45–$22.90
Urinalysis
81001
$18.04$18.04$9.23–$18.04
Troponin (heart test)
84484
$89.64$89.64$64.68–$89.64
EKG tracing
93005
$64.70$64.70$46.69–$164
Chest X-ray, 2 views
71046
$274$274$143–$274
CT head without contrast
70450
$633$633$456–$633
CT abdomen and pelvis with contrast
74177
$779$779$456–$779
MRI lower back without contrast
72148
$727$727$525–$727
Ultrasound, abdomen
76700
$457$457$144–$457
IV push, single drug
96374
$75.00$361$69.38–$361
IV fluids, first hour
96360
$275$307$198–$307
Ketorolac injection, 15 mg
J1885
$11.00$12.56$0.61–$25.13
Ondansetron injection
J2405
$3.00$3.00$0.10–$3.00
Colonoscopy, diagnostic
45378
$637$1,727$135–$1,835
Upper GI endoscopy with biopsy
43239
$630$1,507$102–$1,600

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Medicine Lodge Memorial Hospital price transparency page.

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