Hospital Profile Critical Access Hospitals Proprietary

Ellsworth County Medical Center

1604 AYLWARD AVE, Ellsworth, KS 67439

CMS Overall Rating ★★☆☆☆
Factual Overview

Ellsworth County Medical Center is a Critical Access Hospitals (Proprietary) operating in Ellsworth, KS. Mapped commercial insurance prices across 83 procedures average 3.91x the Medicare baseline. The facility holds a CMS quality rating of 2/5 stars with a patient recommendation score of 76%.

Facility Overview

Setting: rural Bed Count: 19 Beds Teaching Status: Non-Teaching Annual Discharges: 238

Patient Experience

Recommendation Rate: 76% High Patient Rating: 76% ER Wait Time (Med): 120 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 83 codes Avg Markup vs Medicare: 3.91x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Breast lump removal
CPT Code: 19120
$879 Calc
Blood transfusion
CPT Code: 36430
$1,002 Calc
Upper endoscopy with biopsy
CPT Code: 43239
$1,456 Calc
Colonoscopy (diagnostic)
CPT Code: 45378
$1,668 Calc
Colonoscopy with biopsy
CPT Code: 45380
$1,721 Calc
CT scan, head (no contrast)
CPT Code: 70450
$990 Calc
CT scan, head (with contrast)
CPT Code: 70460
$825 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
$950 Calc
CT scan, sinuses
CPT Code: 70486
$785 Calc
MRI, brain (no contrast)
CPT Code: 70551
$962 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
$1,142 Calc
X-ray, chest (single view)
CPT Code: 71045
$156 Calc
X-ray, chest (two views)
CPT Code: 71046
$190 Calc
CT scan, chest (no contrast)
CPT Code: 71250
$692 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
$201 Calc
X-ray, lower back
CPT Code: 72110
$313 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
$945 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
$945 Calc
MRI, lower back (no contrast)
CPT Code: 72148
$962 Calc
X-ray, pelvis
CPT Code: 72170
$159 Calc
CT scan, pelvis
CPT Code: 72192
$885 Calc
X-ray, shoulder
CPT Code: 73030
$177 Calc
X-ray, hand
CPT Code: 73130
$172 Calc
X-ray, hip
CPT Code: 73502
$218 Calc
X-ray, ankle
CPT Code: 73610
$175 Calc
X-ray, foot
CPT Code: 73630
$170 Calc
MRI, knee or other leg joint
CPT Code: 73721
$864 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
$1,770 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
$1,790 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
$606 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
$360 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
$215 Calc
Ultrasound, pelvis
CPT Code: 76856
$215 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
$425 Calc
Screening mammogram (both breasts)
CPT Code: 77067
$155 Calc
Blood test, basic metabolic panel
CPT Code: 80048
$73 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
$90 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
$54 Calc
Blood test, liver function panel
CPT Code: 80076
$72 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
$12 Calc
Blood test, amylase
CPT Code: 82150
$56 Calc
Blood test, vitamin D
CPT Code: 82306
$271 Calc
Blood test, calcium
CPT Code: 82310
$44 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
$31 Calc
Blood test, vitamin B12
CPT Code: 82607
$106 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
$66 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
$32 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
$55 Calc
Blood test, lipase
CPT Code: 83690
$60 Calc
Blood test, magnesium
CPT Code: 83735
$59 Calc
Blood test, potassium
CPT Code: 84132
$40 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
$127 Calc
Blood test, sodium
CPT Code: 84295
$42 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
$54 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
$34 Calc
Blood test, hemoglobin
CPT Code: 85018
$19 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
$16 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
$30 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
$52 Calc
Hepatitis C antibody test
CPT Code: 86803
$96 Calc
Culture, blood
CPT Code: 87040
$125 Calc
Culture, bacterial
CPT Code: 87070
$56 Calc
Psychotherapy session (45 minutes)
CPT Code: 90834
$132 Calc
Psychotherapy session (60 minutes)
CPT Code: 90837
$201 Calc
Speech therapy (language evaluation)
CPT Code: 92507
$110 Calc
Electrocardiogram (ECG/EKG)
CPT Code: 93000
$119 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
$340 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
$1,975 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
$890 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
$53 Calc
Sleep study (overnight, in lab)
CPT Code: 95810
$574 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
$74 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
$78 Calc
Physical therapy (gait training)
CPT Code: 97116
$68 Calc
Physical therapy (manual therapy)
CPT Code: 97140
$78 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
$66 Calc
Occupational therapy (self-care training)
CPT Code: 97535
$60 Calc
Physical therapy (functional capacity test)
CPT Code: 97750
$56 Calc
Orthotic fitting and training
CPT Code: 97760
$50 Calc
Prosthetic fitting and training
CPT Code: 97761
$56 Calc
New patient office visit (30-44 min)
CPT Code: 99203
$212 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
$132 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
$197 Calc