Bob Wilson Memorial Hospital
415 N Main Street, Ulysses, KS 67880 · 119 Priced Procedures
Typical commercial prices here are +66% above the fair benchmark (1.66×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Bob Wilson Memorial Hospital prices routine shoppable procedures at 2.1× Medicare (median 1.56× Fair BaseRate) while upper-quartile commercial rates jump +31% to 2.04× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.20× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 90% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (69/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (68.9% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 2.6× markup over Medicare rates
- Commercial insurance median sits at 1.56× Fair BaseRate (2.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 2.04×) jump +31% above the median procedure ratio (Q50 1.56×)
- Unnegotiated chargemaster list prices average 9.8× Medicare (26¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Bob Wilson Memorial Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 119 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $28,883 | unverified |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $25,585 | unverified |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $22,417 | 1.2× |
| Total hip replacement CPT Code: 27130 | $21,040 | unverified |
| Total knee replacement CPT Code: 27447 | $21,040 | unverified |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $9,350 | 1.1× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $9,172 | unverified |
| Breast lump removal CPT Code: 19120 | $5,530 | unverified |
| Inguinal hernia repair CPT Code: 49505 | $5,500 | unverified |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $4,798 | unverified |
| Bunion correction surgery CPT Code: 28296 | $4,438 | unverified |
| Cataract surgery with lens implant CPT Code: 66984 | $3,612 | 1.4× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,820 | unverified |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,763 | unverified |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,540 | 1.6× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,346 | 2.3× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,098 | 1.1× |
| Injection procedure for pain management HCPCS Code: G0260 | $840 | 1.0× |
| Blood transfusion CPT Code: 36430 | $688 | 1.4× |
| MRI, lower back (no contrast) CPT Code: 72148 | $640 | 1.9× |
| MRI, brain (no contrast) CPT Code: 70551 | $640 | 1.9× |
| MRI, knee or other leg joint CPT Code: 73721 | $640 | 1.7× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $640 | 1.3× |
| CT scan, head (no contrast) CPT Code: 70450 | $489 | 3.1× |
| CT scan, pelvis CPT Code: 72192 | $489 | 3.0× |
Audit a Bill or Quote at Bob Wilson Memorial Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $47,761
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (68.9% of gross = $47,761).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Bob Wilson Memorial Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)
Your bill ($69,319) is $49,887 above the denoised Fair BaseRate ($19,432) and 4.9× the $14,044 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (68.9% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Bob Wilson Memorial Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.