Supplies, drugs & other prices at Bob Wilson Memorial Hospital
Ulysses, KS · every code in this section with a posted price and a Medicare benchmark.
28 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $33.16 | $82.88 | 0.8× |
| Admin influenza virus vac (G0008) | $21.40 | $53.50 | 0.5× |
| Admin pneumococcal vaccine (G0009) | $33.16 | $82.88 | 0.8× |
| Catheterize for urine spec (P9612) | $65.34 | $163.33 | 7.0× |
| Covid-19 lab test non-cdc (U0002) | $39.05 | $97.62 | 0.8× |
| CT breast w/3d rendering bi with contrast (0637T) | $1,832.33 | $4,580.81 | 5.7× |
| CT breast w/3d rendering bi without contrast (0636T) | $1,183.48 | $2,958.69 | 5.4× |
| CT breast w/3d rendering uni with contrast (0634T) | $902.48 | $2,256.18 | 5.6× |
| CT breast w/3d rendering uni without contrast (0633T) | $532.78 | $1,331.93 | 5.5× |
| CT brst w/3d rendering bi wo cntrst flwd cntrst (0638T) | $1,832.33 | $4,580.81 | 5.7× |
| CT brst w/3d rendering uni wo cntrst flwd cntrst (0635T) | $902.48 | $2,256.18 | 5.6× |
| Direct refer hospital observ (G0379) | $360.04 | $900.10 | 0.7× |
| Drug test def 1-7 classes (G0480) | $61.33 | $153.32 | 0.5× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) likely a partial charge, not the full procedure |
$11,932.33 | $29,830.81 | 0.3× |
| Hospital outpt clinic visit (G0463) range across 10 matching MRF lines |
$85.56–$220.68 | $213.89–$551.69 | varies |
| Inj for sacroiliac jt anesth (G0260) | $730.87 | $1,827.17 | 1.1× |
| Mra w/cont, lwr ext (C8912) range across 2 matching MRF lines |
$1,491.61–$2,983.23 | $3,729.02–$7,458.06 | varies |
| Mra w/o cont, lwr ext (C8913) range across 2 matching MRF lines |
$1,196.39–$2,392.78 | $2,990.96–$5,981.95 | varies |
| Mra w/o fol w/cont, abd (C8902) | $1,448.26 | $3,620.65 | 4.5× |
| Mra w/o fol w/cont, lwr ext (C8914) range across 2 matching MRF lines |
$1,448.26–$2,896.52 | $3,620.65–$7,241.30 | varies |
| Mra, w/dye, upper extremity (C8934) range across 2 matching MRF lines |
$1,322.34–$2,644.66 | $3,305.83–$6,611.65 | varies |
| Mra, w/o dye, upper extr (C8935) range across 2 matching MRF lines |
$1,196.39–$2,392.78 | $2,990.96–$5,981.94 | varies |
| Mra, w/o&w/dye, upper extr (C8936) range across 2 matching MRF lines |
$1,106.94–$1,196.39 | $2,767.33–$2,990.96 | varies |
| Pathogen test for platelets (P9100) | $65.28 | $163.20 | 1.2× |
| Psa screening (G0103) | $67.92 | $169.80 | 3.5× |
| Screen cerv/vag thin layer (G0123) range across 2 matching MRF lines |
$28.06–$31.66 | $70.15–$79.13 | varies |
| Screen pap by tech w md supv (P3000) | $27.50 | $68.74 | 1.5× |
| Tte w or wo fol wcon,doppler (C8929) | $1,318.14 | $3,295.33 | 1.8× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.