Procedures & surgery prices at Bob Wilson Memorial Hospital

Ulysses, KS · every code in this section with a posted price and a Medicare benchmark.

124 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $497.74 $1,244.35 0.6×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $968.19 $2,420.47 1.2×
Analyze infusn pump+reprogram (62368) $238.44 $596.10 0.8×
Appl Cranial Tong/Strtctc Frame W/Removal Spx (20660) $704.60 $1,761.48 0.5×
Application Finger Splint Dynamic (29131) $169.93 $424.81 3.1×
Application finger splint static (29130) $169.93 $424.81 1.4×
Application long arm splint shoulder hand (29105) $283.57 $708.92 1.9×
Application long leg splint thigh ankle/toes (29505) $235.57 $588.92 1.6×
Application Short Arm Splint Dynamic (29126) $169.93 $424.81 1.4×
Application short arm splint forearm-hand static (29125) $210.20 $525.49 1.7×
Apply/remove halo cranial (20661) $797.32 $1,993.29 0.5×
Arterial puncture (36600) $116.45 $291.12 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $271 $677.48 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $336.20 $840.49 0.5×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $300.91 $752.27 1.1×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $218.03 $545.07 0.8×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $196.38 $490.94 0.7×
Biopsy of uterus lining (58100) $504.49 $1,261.21 2.7×
Bladder Instillation Anticarcinogenic Agent (51720) $400.49 $1,001.21 0.6×
Bladder Irrigation Simple (51700) $167.40 $418.50 0.7×
Bladder Scan (51798) $62.94 $157.33 1.2×
Blood patch (62273) $437.40 $1,093.50 0.7×
Blood transfusion service (36430) $426.17 $1,065.42 1.1×
Brnchsc Brushing/Protected Brushings (31623) $1,198.47 $2,996.16 0.7×
Bronchosc dx w/w/o fluor&wash (31622) $1,198.47 $2,996.16 0.7×
Bronchoscopy needle bx trachea main stem&/bron (31629) $2,294.66 $5,736.64 0.7×
Bronchoscopy W/Biopsy(S) (31625) $1,198.47 $2,996.16 0.7×
Bronchoscopy W/Removal Foreign Body (31635) $1,198.47 $2,996.16 0.7×
Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) $1,276.72 $3,191.79 0.8×
Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) $464 $1,160 1.3×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $2,294.66 $5,736.64 0.7×
Bronchoscopy,Diagnostic W Lavage (31624) $1,198.47 $2,996.16 0.7×
Bx/exc lymph node needle superficial (38505) $871.14 $2,177.83 0.6×
Chemodenerv Musc Neck Dyston (64616) $218.03 $545.07 0.8×
Chest tube placement (32551) $1,287.23 $3,218.08 0.9×
Chg Collect Blood From Catheter Venous Nos (36592) $68.14 $170.34 0.6×
Closed tx patellar dislocation w/o anesthesia (27560) $1,174.22 $2,935.54 5.2×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $1,562.64 $3,906.59 6.9×
Complete replacement picc rs&i (36584) $1,338.80 $3,347 0.9×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,242.54 $3,106.33 0.8×
Declot vascular device (36593) $196.08 $490.20 0.6×
Destroy cerv/thor facet jnt (64633) $2,951.20 $7,378 1.6×
Destruction by neurolytic agent, intercostal nerve (64620) $603.04 $1,507.59 0.7×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $753.80 $1,884.49 0.9×
Destruction neurolytic agt genicular nerve w/img (64624) $1,360.48 $3,401.19 0.8×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $798.55 $1,996.37 1.2×
Drain/inj small joint/bursa w/us (20604) $217.68 $544.21 0.8×
Draw blood off venous device (36591) $117.16 $292.90 1.0×
Dressing change under anesthesia (15852) $206.67 $516.67 0.3×
Dry Needling 3+ Muscles (20561) $24.37 $60.92 0.9×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $238.44 $596.10 0.8×
Electronic analysis reprogramming refill of spinal canal drug infusion (62369) $238.44 $596.10 0.8×
Fetal non-stress test (59025) $506.80 $1,266.98 2.7×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $652.53 $1,631.32 1.0×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $626.63 $1,566.57 1.0×
Fna bx w/fluor gdn 1st les (10007) $472.62 $1,181.55 0.7×
Image Cath Fluid Colxn Visc (49405) $1,332.28 $3,330.68 0.9×
Incision of lingual frenum (41010) $2,370.05 $5,925.12 1.7×
Inj paravert f jnt c/t 1 lev (64490) $1,700.60 $4,251.49 2.1×
Inj tendon sheath/ligament (20550) $214.20 $535.50 0.8×
Inj,Anes Agent,Brachial Plexus,Single (64415) $429.42 $1,073.54 0.5×
Inj,Anes Agent,Femoral Nerve,Single (64447) $598.38 $1,495.92 0.9×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $753.80 $1,884.49 0.9×
Inject Anes/Steroid Plantar Common Digital Nerve (64455) $211.12 $527.78 0.7×
Inject Nerv Blck,Axillary Nerv (64417) $603.04 $1,507.59 0.7×
Inject Nerv Blck,Celiac Plexus (64530) $507.14 $1,267.83 0.6×
Inject Nerv Blck,Intercost,Multpl (64421) $540.87 $1,352.16 0.7×
Inject Nerv Blck,Intercostal,One (64420) $478.70 $1,196.73 0.7×
Inject Nerv Blck,Paravert Sympath (64520) $680.24 $1,700.59 0.8×
Inject Nerv Blck,Pudendal (64430) $942.48 $2,356.18 1.2×
Inject Rx Celiac Plexus Nerve (64680) $603.04 $1,507.59 0.7×
Inject Tendon Origin/Insert (20551) $218.03 $545.07 0.8×
Injection aa&/strd genicular nrv branches w/img (64454) $844.56 $2,111.38 1.3×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $844.56 $2,111.38 1.3×
Injection aa&/strd sciatic nerve w/img gdn (64445) $478.70 $1,196.73 0.7×
Injection aa&/strd suprascapular nerve (64418) $967.33 $2,418.32 1.5×
Injection aa&/strd trigeminal nerve each branch (64400) $218.31 $545.76 0.8×
Injection anes other peripheral nerve/branch (64450) $556.38 $1,390.95 0.9×
Injection of agent to destroy presacral nerve bundle (64681) $603.04 $1,507.59 0.7×
Injection single/mlt trigger point 1/2 muscles (20552) $201.09 $502.72 0.7×
Injection single/mlt trigger point 3/> muscles (20553) $218.03 $545.07 0.8×
Injection therapeutic carpal tunnel (20526) $436.06 $1,090.14 1.5×
Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) $603.04 $1,507.59 0.7×
Injection, anesthetic agent; greater occipital nerve (64405) $492.46 $1,231.15 1.7×
Injection, anesthetic agent; sphenopalatine ganglion (64505) $564.21 $1,410.52 2.0×
Injection, anesthetic agent; vagus nerve (64408) $218.03 $545.07 0.8×
Insert and remove bone pin (20650) $1,532.11 $3,830.26 0.5×
Insert Bladder Cath Complex (51703) $99.68 $249.18 0.8×
Insert Temp Bladder Cath (51702) $65.72 $164.30 0.5×
Insert tun ip cath perc (49418) $1,910.96 $4,777.38 0.6×
Insert,Non-Indwelling Bladder Catheter (51701) $58.10 $145.24 0.5×
Insertion Phrenic Nerve Stimulator System (33276) $27,142.46 $67,856.15 0.7×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,274.48 $3,186.20 0.9×
Insertion picc w/rs&i < 5 yr (36572) $809.52 $2,023.78 1.4×
Intubation endotracheal emergency procedure (31500) $239.76 $599.40 1.1×
Irrigate corpora cavernosa for priapism (54220) $747.32 $1,868.30 3.3×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $235.16 $587.88 1.0×
Needle insertion w/o injection 1 or 2 muscles (20560) $16.25 $40.61 0.6×
Njx anes stellate ganglion crv sympathetic (64510) $418.40 $1,045.98 0.5×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $994.04 $2,485.09 1.2×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $602.93 $1,507.31 0.9×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) $490.84 $1,227.10 0.8×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) $603.04 $1,507.59 0.7×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) $603.04 $1,507.59 0.7×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $602.93 $1,507.31 0.9×
Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) $603.04 $1,507.59 0.7×
Placement of needle for intraosseous infusion (36680) $219.81 $549.52 0.5×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,206.08 $3,015.18 0.7×
Removal phrenic nerve stimulator system (33278) $6,041.31 $15,103.27 1.9×
Repositioning phrenic nrv stimulator transvns ld (33281) $3,020.66 $7,551.64 0.9×
Rmvl phrenic nrv stimulator pulse generator only (33280) $3,020.66 $7,551.64 0.9×
Rmvl phrnc nrv stimulator transvns stimj/snsg ld (33279) $3,020.66 $7,551.64 0.9×
Rmvl&rplcmt phrenic nrv stimulator pls generator (33287) $27,142.46 $67,856.15 1.0×
Rmvl&rplcmt phrnc nrv stim trnsvns stimj/snsg ld (33288) $10,367.64 $25,919.09 1.0×
Spinal puncture lumbar diagnostic (62270) $663.72 $1,659.30 1.0×
Strapping ankle (29540) $169.93 $424.81 1.1×
Strapping knee (29530) $169.93 $424.81 1.4×
Strapping shoulder (29240) $169.93 $424.81 1.4×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $753.85 $1,884.62 1.3×
Thrombolytic Therapy, Stroke (37195) $217.53 $543.82 0.7×
Thyroid biopsy (60100) $994.82 $2,487.04 1.5×
Tracheobrnchsc Thru Est Trachs Inc (31615) $464 $1,160 0.9×
Unlisted Procedure Nervous System (64999) $248.80 $622 0.9×
Venipuncture (36415) $11.71 $29.26 1.3×