Susan B Allen Memorial Hospital
Susan B Allen Memorial Hospital in El Dorado, KS publishes cash prices for 45 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
720 W Central Ave,El Dorado,KS,67042 Collected Sep 22, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST | $741.00 | $1,140.00 | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD OR BRAIN WITHOUT CONTRAST | $741.00 | $1,140.00 | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT SCAN OF PELVIS WITH CONTRAST | $741.00 | $1,140.00 | 35% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $154.05 | $237.00 | 35% |
| Diagnostic mammogram, both breasts CPT 77066 DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS | $135.85 | $209.00 | 35% |
| Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI | $154.70 | $238.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $1,253.85 | $1,929.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $1,914.90 | $2,946.00 | 35% |
| MRI of the brain, no contrast dye CPT 70551 MRI SCAN OF BRAIN WITHOUT CONTRAST | $1,253.85 | $1,929.00 | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST | $1,914.90 | $2,946.00 | 35% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST | $1,253.85 | $1,929.00 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE), SINGLE OR FIRST FETUS | $434.85 | $669.00 | 35% |
| Screening mammogram, both breasts CPT 77067 SCREENING MAMMOGRAPHY | $135.85 | $209.00 | 35% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM | $2,018.25 | $3,105.00 | 35% |
| Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND SCAN OF UTERUS, OVARIES, TUBES, CERVIX AND PELVIC AREA THROUGH VAGINA | $323.70 | $498.00 | 35% |
| Ultrasound of the abdomen, complete CPT 76700 COMPLETE ULTRASOUND SCAN OF ABDOMEN | $410.15 | $631.00 | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER AND SACRAL SPINE, MINIMUM OF 4 VIEWS | $260.00 | $400.00 | 35% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BLOOD TEST, BASIC GROUP OF BLOOD CHEMICALS (CALCIUM, TOTAL) | $20.80 | $32.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST, LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $52.65 | $81.00 | 35% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS, WHITE BLOOD CELL, PLATELETS), AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $17.55 | $27.00 | 35% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $5.20 | $8.00 | 35% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS, WHITE BLOOD CELL, PLATELETS), AUTOMATED TEST | $14.95 | $23.00 | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST, COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $26.00 | $40.00 | 35% |
| Kidney function blood test panel CPT 80069 KIDNEY FUNCTION BLOOD TEST PANEL | $21.45 | $33.00 | 35% |
| Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL | $17.55 | $27.00 | 35% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT, FREE | $61.75 | $95.00 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT, TOTAL | $79.30 | $122.00 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $176.80 | $272.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST, PLASMA OR WHOLE BLOOD | $27.30 | $42.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST, CLOTTING TIME | $10.40 | $16.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $22.75 | $35.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST, THYROID STIMULATING HORMONE (TSH) | $40.95 | $63.00 | 35% |
| Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE, AUTOMATED | $16.25 | $25.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $10.40 | $16.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST | $17.55 | $27.00 | 35% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with polyp removal CPT 45385 REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $2,496.65 | $3,841.00 | 35% |
| Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $2,139.80 | $3,292.00 | 35% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $1,069.90 | $1,646.00 | 35% |
| Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE | $3,948.10 | $6,074.00 | 35% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE | $801.45 | $1,233.00 | 35% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $825.50 | $1,270.00 | 35% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $861.25 | $1,325.00 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1 | $599.95 | $923.00 | 35% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE | $1,623.05 | $2,497.00 | 35% |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS) | $2,870.40 | $4,416.00 | 35% |
| Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $1,069.90 | $1,646.00 | 35% |
| Upper endoscopy (EGD), diagnostic CPT 43235 DIAGNOSTIC EXAM OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $1,248.33 | $1,920.50 | 35% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH | $1,387.10 | $2,134.00 | 35% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT, 30-44 MINUTES | $79.30 | $122.00 | 35% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN | $126.10 | $194.00 | 35% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT, 45-59 MINUTES | $79.30 | $122.00 | 35% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN | $152.75 | $235.00 | 35% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN | $202.80 | $312.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $79.30 | $122.00 | 35% |
Source file: https://apim.services.craneware.com/api-pricing-transparency/api/public/8a15f8f47eb640c1696af37b6c70ac7c/charges/mrf