How many shoppable procedure prices are published for Ellsworth County Medical Center?

Ellsworth County Medical Center in Ellsworth, KS currently has 99 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Ellsworth County Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Ellsworth County Medical Center's median negotiated commercial rate is 2.1× the regionally adjusted fair BaseRate benchmark.

What is Ellsworth County Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Ellsworth County Medical Center an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Proprietary 19 Beds · rural Updated: 2026-08-04

Ellsworth County Medical Center

1604 Aylward Avenue, Ellsworth, KS 67439 · 99 Priced Procedures · 76% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

High Markup · Shop Alternatives

2.15×vs. Fair Market Price

Typical commercial prices here are +115% above the fair benchmark (2.15×) even after accounting for local nurse/doctor wages and patient complexity.

60/100 · Caution

60/100Self-Pay Cash Beats Insurance 18% of the Time

File Completeness100

Price Logic35

Peer Alignment74

Clean Billing83

Real Cash Discount6

High Price · Lower Safety

2-Star CMS clinical quality rating paired with 2.15× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +45% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Ellsworth County Medical Center prices routine shoppable procedures at 3.1× Medicare (median 1.96× Fair BaseRate) while upper-quartile commercial rates jump +45% to 2.85× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#90 of 103 in KS · 86th State Percentile#3,152 of 3,385 in U.S. · 93rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.37× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 18% of shoppable procedures (25/100 Cash Honesty)
2-Star CMS clinical rating with 76% patient recommendation (71/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
Commercial insurance median sits at 1.96× Fair BaseRate (3.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.85×) jump +45% above the median procedure ratio (Q50 1.96×)
Unnegotiated chargemaster list prices average 4.3× Medicare (31¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

3.1× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.71× Divergence

2.2× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+45% Upper Tail

Q25 1.37× · Q50 1.96× · Q75 2.85×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

3.1× MedicareFair

Outpatient Surgery & ORBack-Door Captive

1.2× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.1× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

2.0× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

18% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 71/100Fair

Procedure Prices at Ellsworth County Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 99 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,975	$1,975	$583	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,770	$1,770	$303	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,790	$1,790	$448	unverified
Colonoscopy with biopsy CPT Code: `45380`	$1,721	$1,721	$1,256	1.4×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,668	$1,668	$981	unverified
Rabies immune globulin HCPCS Code: `90375`	$1,583	$1,583	$322	4.9×
Upper endoscopy with biopsy CPT Code: `43239`	$1,456	$1,456	$987	1.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,143	$1,143	$511	2.2×
Blood transfusion CPT Code: `36430`	$1,002	$1,002	$498	unverified
CT scan, head (no contrast) CPT Code: `70450`	$990	$990	$160	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$945	$945	$168	5.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$945	$945	$169	5.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$950	$950	$258	3.7×
MRI, lower back (no contrast) CPT Code: `72148`	$962	$962	$338	2.8×
MRI, brain (no contrast) CPT Code: `70551`	$962	$962	$343	2.8×
MRI, knee or other leg joint CPT Code: `73721`	$864	$864	$369	2.3×
Breast lump removal CPT Code: `19120`	$879	$879	$3,875	0.2×
CT scan, pelvis CPT Code: `72192`	$885	$885	$163	unverified
CT scan, head (with contrast) CPT Code: `70460`	$825	$825	$242	3.4×
CT scan, sinuses CPT Code: `70486`	$785	$785	$166	4.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$891	$758	$272	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$693	$669	$167	4.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$606	$606	$132	4.6×
Sleep study (overnight, in lab) CPT Code: `95810`	$574	$476	$1,021	0.5×
Trauma team activation HCPCS Code: `G0390`	$465	$465	$1,453	0.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$425	$425	$148	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$360	$360	$134	2.7×
Injection procedure for pain management HCPCS Code: `G0260`	$317	$317	$855	0.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$340	$340	$64	unverified
X-ray, lower back CPT Code: `72110`	$313	$313	$112	2.8×
X-ray, hip CPT Code: `73502`	$218	$218	$93	2.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$201	$201	$93	2.2×
X-ray, chest (two views) CPT Code: `71046`	$190	$190	$93	2.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$215	$215	$126	1.7×
Ultrasound, pelvis CPT Code: `76856`	$215	$215	$130	1.7×
X-ray, shoulder CPT Code: `73030`	$177	$177	$92	1.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$201	$201	$181	1.1×
X-ray, ankle CPT Code: `73610`	$175	$175	$93	1.9×
X-ray, hand CPT Code: `73130`	$172	$172	$93	1.8×
X-ray, foot CPT Code: `73630`	$170	$170	$92	1.8×
X-ray, chest (single view) CPT Code: `71045`	$156	$156	$92	1.7×
X-ray, pelvis CPT Code: `72170`	$159	$159	$110	1.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	$197	$172	$123	1.4×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$119	$119	$25	4.8×
New patient office visit (30-44 min) CPT Code: `99203`	$191	$139	$110	1.3×
Screening mammogram (both breasts) CPT Code: `77067`	$155	$155	$123	1.3×
Speech therapy (language evaluation) CPT Code: `92507`	$110	$110	$86	1.3×
Psychotherapy session (45 minutes) CPT Code: `90834`	$132	$132	$166	0.8×
Typhoid vaccine HCPCS Code: `90675`	$466	$469	$347	1.4×
Blood test, vitamin D CPT Code: `82306`	$271	$271	$31	8.7×
Pneumococcal vaccine HCPCS Code: `90732`	$257	$257	$140	1.8×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$159	$159	$20	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$127	$127	$19	unverified
Culture, blood CPT Code: `87040`	$125	$125	$11	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$90	$90	$11	8.2×
Hepatitis C antibody test CPT Code: `86803`	$96	$96	$15	6.4×
Blood test, vitamin B12 CPT Code: `82607`	$106	$106	$16	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$110	$110	$56	unverified
Blood test, lipase CPT Code: `83690`	$60	$60	$7	8.6×
Blood test, basic metabolic panel CPT Code: `80048`	$73	$73	$9	8.1×
Blood test, liver function panel CPT Code: `80076`	$72	$72	$9	8.0×
Blood test, calcium CPT Code: `82310`	$45	$45	$5	9.0×
Blood test, amylase CPT Code: `82150`	$56	$56	$7	8.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$66	$66	$14	4.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$32	$32	$4	8.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$31	$31	$5	6.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$55	$55	$10	5.5×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$54	$54	$14	3.9×
Physical therapy (manual therapy) CPT Code: `97140`	$78	$78	$34	2.3×
Electrical stimulation therapy HCPCS Code: `G0283`	$56	$43	$14	3.1×
Physical therapy (gait training) CPT Code: `97116`	$68	$68	$33	2.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$78	$78	$38	2.1×
Extended office visit (prolonged) HCPCS Code: `G2212`	$60	$60	$33	1.8×
Flu vaccine injection HCPCS Code: `G0008`	$60	$60	$48	1.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	$60	$60	$49	1.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$135	$76	$87	0.9×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$34	$34	$4	8.5×
Blood test, magnesium CPT Code: `83735`	$59	$59	$7	8.4×
Culture, bacterial CPT Code: `87070`	$56	$56	$9	6.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$55	$55	$18	3.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$74	$74	$35	2.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$66	$66	$40	1.6×
Physical therapy (functional capacity test) CPT Code: `97750`	$56	$56	$38	1.5×
Prosthetic fitting and training CPT Code: `97761`	$56	$56	$45	1.2×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$48	$48	$39	1.2×
Colorectal cancer screening HCPCS Code: `G0010`	$60	$60	$49	1.2×
Orthotic fitting and training CPT Code: `97760`	$50	$50	$51	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$60	$32	$38	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$53	$53	$201	0.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$57	$57	$6	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$17	$17	$8	2.1×
Flu vaccine (high dose) HCPCS Code: `90656`	$36	$36	$25	1.4×
Hepatitis B vaccine HCPCS Code: `90744`	$47	$47	$37	1.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$33	$33	$86	0.4×
Blood test, potassium CPT Code: `84132`	$40	$40	$5	unverified
Blood test, sodium CPT Code: `84295`	$42	$42	$5	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$12	$12	$3	4.0×
Blood test, hemoglobin CPT Code: `85018`	$19	$19	$3	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$34	$34	$5	unverified

Showing top 25 high-impact procedures of 99 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Ellsworth County Medical Center (Zero PHI Required)

CMS CCN: 171327

CPT 93306

Select Procedure to Audit:

Fair BaseRate™ $583

Medicare Rate $558

Self-Pay Cash $1,975

Insurer Median $1,975

1. Amount on Your Bill or Quote ($) Pre-filled with Ellsworth County Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $1,975

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ellsworth County Medical Center's published 45 CFR § 180 self-pay cash rate is $1,975 (vs. $1,975 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$1,392 Above Fair BaseRate

Negotiate Toward $583 Fair BaseRate ($558 Medicare)

Your bill ($1,975) is $1,392 above the denoised Fair BaseRate ($583) and 3.5× the $558 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 481135075

Filing Period: 199403

Public IRS & CMS ownership records classify Ellsworth County Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite71/100

Would Recommend76%

Rated 9 or 10 (HCAHPS)76%

Median ER Wait120 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (34 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Ellsworth County Medical Center.

Price Index: 0.88× regional baseline

Quality: 48/100 CMS composite

Median Household Income$66,792U.S. Census ACS

Local Uninsured Share3.4%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 60/100 · Caution CMS CCN 171327 EIN 481135075

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 171327) ↗ Verify IRS Form 990 (EIN 481135075) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-08-04 · 24.29 MB

Validated Rate Rows1,527 (CMS v3.0.0)

File Integrity Digest2d791e262e118f489f7d…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy