TrueHospitalCost

Mercy Specialty Hospital - Southeast Kansas

198 Four States Dr STE 10 Galena KS 66739

This hospital publishes its prices in a machine-readable file, as federal law requires. Below are the consumer procedures we track from that file. Prices come from the file dated June 9, 2026. See the hospital's own source file.

Procedures and cash prices (34)

ProcedureCash priceList price
CT abdomen and pelvis with contrast CPT 74177$3,543.15$5,451
CT abdomen and pelvis without contrast CPT 74176$3,120$4,800
CT chest with contrast CPT 71260$1,941.55$2,987
CT chest without contrast CPT 71250$1,771.90$2,726
CT head with contrast CPT 70460$1,712.75$2,635
CT head without contrast CPT 70450$1,660.10$2,554
Colonoscopy CPT 45378$4,057.79$6,242.76
Colonoscopy with biopsy CPT 45380$4,708.43$7,243.74
Complete blood count (CBC) CPT 85025$94.25$145
Comprehensive metabolic panel CPT 80053$189.15$291
Electrocardiogram (ECG) CPT 93005$219.05$337
Hemoglobin A1c (diabetes) CPT 83036$95.55$147
Lipid panel (cholesterol) CPT 80061$139.75$215
MRA head without contrast CPT 70544$1,710.80$2,632
MRI brain with and without contrast CPT 70553$3,125.85$4,809
MRI brain with contrast CPT 70552$2,359.50$3,630
MRI brain without contrast CPT 70551$2,341.30$3,602
MRI cervical spine without contrast CPT 72141$1,292.20$1,988
MRI knee without contrast CPT 73721$2,168.40$3,336
MRI lumbar spine without contrast CPT 72148$1,279.20$1,968
MRI thoracic spine with and without contrast CPT 72157$3,409.90$5,246
Office visit established patient level 3 CPT 99213$131.30$202
Office visit established patient level 4 CPT 99214$156$240
Physical therapy evaluation CPT 97161$265.20$408
TSH (thyroid) CPT 84443$17.55$27
Therapeutic exercises (per session) CPT 97110$78$120
Ultrasound abdomen complete CPT 76700$934.70$1,438
Ultrasound pelvis complete CPT 76856$553.80$852
Upper endoscopy (EGD) with biopsy CPT 43239$5,141.02$7,909.26
Urinalysis CPT 81001$71.50$110
X-ray chest 1 view CPT 71045$217.10$334
X-ray chest 2 views CPT 71046$285.35$439
X-ray knee 3 views CPT 73562$290.55$447
X-ray lumbar spine 2-3 views CPT 72100$276.90$426

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