Bob Wilson Memorial Hospital
Ulysses, KS · Critical Access Hospital
Posts prices for 31 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Transforaminal epidural injection, lumbar/sacral (64483) | $1,700.60 | $4,251.49 | 2.1× |
| CT head/brain without contrast (70450) | $1,005.69 | $2,514.21 | 10.5× |
| MRI brain without contrast (70551) | $1,349.55 | $3,373.87 | 6.2× |
| MRI brain with contrast (70552) | $1,322.34 | $3,305.83 | 4.1× |
| MRI brain without and with contrast (70553) | $1,633.67 | $4,084.17 | 5.1× |
| X-ray lower spine, 4+ views (72110) | $231.68 | $579.20 | 2.4× |
| MRI lumbar spine without contrast (72148) | $1,298.44 | $3,246.09 | 5.9× |
| CT pelvis with contrast (72193) | $1,049.27 | $2,623.17 | 6.5× |
| MRI lower-extremity joint without contrast (73721) | $1,947.66 | $4,869.14 | 8.9× |
| CT abdomen and pelvis with contrast (74177) | $2,043.80 | $5,109.50 | 6.4× |
| Ultrasound, abdomen complete (76700) | $472.64 | $1,181.59 | 4.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $339.88 | $849.69 | 3.5× |
| Ultrasound, transvaginal (76830) | $255.58 | $638.94 | 2.7× |
| Mammography, one breast (diagnostic) (77065) | $112.89 | $282.21 | 1.3× |
| Mammography, both breasts (diagnostic) (77066) | $112.31 | $280.76 | 1.0× |
| Mammography, screening (bilateral) (77067) | $112.89 | $282.21 | 1.2× |
| Basic metabolic panel (80048) | $44.03 | $110.06 | 5.2× |
| Comprehensive metabolic panel (80053) | $83.64 | $209.10 | 7.9× |
| Obstetric panel (80055) | $86.75 | $216.86 | 1.8× |
| Lipid panel (80061) | $58.16 | $145.39 | 4.3× |
| Renal function panel (80069) | $39.97 | $99.92 | 4.6× |
| Hepatic function panel (80076) | $38.56 | $96.39 | 4.7× |
| Urinalysis, non-automated, with microscopy (81000) | $14.49 | $36.21 | 3.6× |
| Urinalysis, non-automated, without microscopy (81002) | $20.28 | $50.68 | 5.8× |
| PSA, total (84153) | $73.70 | $184.25 | 4.0× |
| Thyroid stimulating hormone (TSH) (84443) | $72.92 | $182.30 | 4.3× |
| CBC with automated differential (85025) | $49.66 | $124.14 | 6.4× |
| CBC, automated (85027) | $35.33 | $88.32 | 5.5× |
| Prothrombin time (PT) (85610) | $30.70 | $76.75 | 7.2× |
| Partial thromboplastin time (PTT) (85730) | $33.61 | $84.01 | 5.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $48.03 | $120.07 | 1.7× |
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 213 codes with posted prices and Medicare benchmarks
- Lab & pathology: 746 codes with posted prices and Medicare benchmarks
- Visits & medical services: 122 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 124 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 28 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 200.4 MB) ↓ — captured 2026-07-29
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