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Hospital Profile Critical Access Hospitals Voluntary non-profit - Church

Bob Wilson Memorial Hospital

415 N MAIN ST, Ulysses, KS 67880

CMS Overall Rating No CMS Rating
Factual Overview

Bob Wilson Memorial Hospital is a Critical Access Hospitals (Voluntary non-profit - Church) operating in Ulysses, KS. Mapped commercial insurance prices across 98 procedures average 6.48x the Medicare baseline. CMS has not published a quality star rating for this facility.

Facility Overview

Setting: N/A Bed Count: N/A Teaching Status: N/A Annual Discharges: N/A

Patient Experience

Recommendation Rate: N/A High Patient Rating: N/A ER Wait Time (Med): 80 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 98 codes Avg Markup vs Medicare: 6.48x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Breast lump removal
CPT Code: 19120
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Total hip replacement
CPT Code: 27130
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Total knee replacement
CPT Code: 27447
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Bunion correction surgery
CPT Code: 28296
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Knee arthroscopy with meniscus repair
CPT Code: 29881
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Heart stent placement (inpatient stay)
MS-DRG Code: 322
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Blood transfusion
CPT Code: 36430
 $426 Calc
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
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Upper endoscopy with biopsy
CPT Code: 43239
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Colonoscopy (diagnostic)
CPT Code: 45378
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Colonoscopy with biopsy
CPT Code: 45380
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Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
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Gallbladder removal (laparoscopic)
CPT Code: 47562
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Inguinal hernia repair
CPT Code: 49505
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Cataract surgery with lens implant
CPT Code: 66984
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CT scan, head (no contrast)
CPT Code: 70450
 $1,006 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $924 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $1,192 Calc
CT scan, sinuses
CPT Code: 70486
 $974 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $1,350 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $1,634 Calc
X-ray, chest (single view)
CPT Code: 71045
 $123 Calc
X-ray, chest (two views)
CPT Code: 71046
 $120 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $995 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $170 Calc
X-ray, lower back
CPT Code: 72110
 $232 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $1,093 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $1,093 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $1,298 Calc
X-ray, pelvis
CPT Code: 72170
 $112 Calc
CT scan, pelvis
CPT Code: 72192
 $958 Calc
X-ray, shoulder
CPT Code: 73030
 $92 Calc
X-ray, hand
CPT Code: 73130
 $138 Calc
X-ray, hip
CPT Code: 73502
 $102 Calc
X-ray, ankle
CPT Code: 73610
 $96 Calc
X-ray, foot
CPT Code: 73630
 $101 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $2,597 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $1,818 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $2,044 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $498 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $473 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $367 Calc
Ultrasound, pelvis
CPT Code: 76856
 $414 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $112 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $113 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $44 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $84 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $58 Calc
Blood test, liver function panel
CPT Code: 80076
 $39 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $17 Calc
Blood test, amylase
CPT Code: 82150
 $24 Calc
Blood test, vitamin D
CPT Code: 82306
 $212 Calc
Blood test, calcium
CPT Code: 82310
 $23 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $23 Calc
Blood test, vitamin B12
CPT Code: 82607
 $74 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $60 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $17 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $50 Calc
Blood test, lipase
CPT Code: 83690
 $41 Calc
Blood test, magnesium
CPT Code: 83735
 $30 Calc
Blood test, potassium
CPT Code: 84132
 $17 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $74 Calc
Blood test, sodium
CPT Code: 84295
 $17 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $73 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $19 Calc
Blood test, hemoglobin
CPT Code: 85018
 $12 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $50 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $31 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $34 Calc
Hepatitis C antibody test
CPT Code: 86803
 $51 Calc
Blood antibody screen
CPT Code: 86850
 $42 Calc
Culture, blood
CPT Code: 87040
 $67 Calc
Culture, bacterial
CPT Code: 87070
 $35 Calc
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
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Psychiatric evaluation (first visit)
CPT Code: 90791
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Psychotherapy session (45 minutes)
CPT Code: 90834
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Psychotherapy session (60 minutes)
CPT Code: 90837
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Family therapy session
CPT Code: 90847
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Group therapy session
CPT Code: 90853
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Speech therapy (language evaluation)
CPT Code: 92507
 $81 Calc
Speech therapy (group session)
CPT Code: 92508
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Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $56 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $1,318 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $461 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $108 Calc
Sleep study (overnight, in lab)
CPT Code: 95810
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Physical therapy (therapeutic exercise)
CPT Code: 97110
 $48 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $84 Calc
Physical therapy (gait training)
CPT Code: 97116
 $40 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $49 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $57 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $55 Calc
Physical therapy (functional capacity test)
CPT Code: 97750
 $66 Calc
Orthotic fitting and training
CPT Code: 97760
 $41 Calc
Prosthetic fitting and training
CPT Code: 97761
 $34 Calc
New patient office visit (30-44 min)
CPT Code: 99203
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Office visit, established patient (20-29 min)
CPT Code: 99213
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Office visit, established patient (30-39 min)
CPT Code: 99214
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