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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ProcedurePosted cashPosted gross× 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×
Anal Sp Inf Pmp W/Reprg&Fill (62369) $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 Halo Cranial Including Removal (20661) $797.32 $1,993.29 0.5×
Application long arm splint shoulder hand (29105) $283.57 $708.92 1.9×
Application Long Leg Splint (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×
Arterial puncture (36600)
range across 2 matching MRF lines
$58.22–$174.68 $145.55–$436.70 varies
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)
range across 3 matching MRF lines
$217.34–$326.02 $543.35–$815.04 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $196.38 $490.94 0.7×
Aspirate pleura w/ imaging (32555) $753.85 $1,884.62 1.3×
Bladder instillation anticarcinogenic agent (51720) $400.49 $1,001.21 0.6×
Bladder Irrigation (51700)
range across 2 matching MRF lines
$162.41–$172.40 $406.01–$430.99 varies
Bladder Scan (51798)
range across 2 matching MRF lines
$59.15–$66.72 $147.87–$166.79 varies
Blood Transfusion Service (36430) $426.17 $1,065.42 1.1×
Brnchsc Brushing/Protected Brushings (31623) $1,198.47 $2,996.16 0.7×
Bronchoscopy Clear Airways (31645) $1,276.72 $3,191.79 0.8×
Bronchoscopy Reclear Airway (31646) $464 $1,160 1.3×
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/transbronchial lung bx 1 lobe (31628) $2,294.66 $5,736.64 0.7×
Bronchoscopy/Needle Bx Each (31629) $2,294.66 $5,736.64 0.7×
Chemodenerv musc neck dyston (64616) $218.03 $545.07 0.8×
Chest tube placement (32551)
range across 2 matching MRF lines
$1,029.78–$1,544.68 $2,574.45–$3,861.70 varies
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×
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines
$67.22–$69.06 $168.05–$172.63 varies
Collection of venous blood by venipuncture (36415) $11.71 $29.26 1.3×
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×
Destr W Neurolytic; Celiac Plexus (64680) $603.04 $1,507.59 0.7×
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 neurolytic agt genicular nerve w/img (64624) $1,360.48 $3,401.19 0.8×
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines
$217.34–$218.03 $543.35–$545.07 varies
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines
$69.06–$165.27 $172.63–$413.17 varies
Dressing Change Under Anesthesia (15852)
range across 2 matching MRF lines
$144–$269.34 $360–$673.34 varies
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines
$603.04–$904.56 $1,507.59–$2,261.39 varies
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $603.04 $1,507.59 0.7×
Dx Bronchoscope/Lavage (31624) $1,198.47 $2,996.16 0.7×
Dx Bronchoscope/Wash (31622) $1,198.47 $2,996.16 0.7×
Dx lmbr spi pnxr w/fluor/CT (62328) $798.55 $1,996.37 1.2×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $238.44 $596.10 0.8×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $238.44 $596.10 0.8×
Endometrial Biopsy (58100) $504.49 $1,261.21 2.7×
Epidural Blood Patch (62273) $437.40 $1,093.50 0.7×
Fetal non-stress test (59025)
range across 2 matching MRF lines
$114.19–$899.41 $285.46–$2,248.51 varies
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $652.53 $1,631.32 1.0×
Fna Bx W/Fluor Gdn 1St Les (10007) $472.62 $1,181.55 0.7×
Fna bx w/us gdn 1st les (10005) $626.63 $1,566.57 1.0×
Image Cath Fluid Colxn Visc (49405) $1,332.28 $3,330.68 0.9×
Incision of lingual frenum (frenotomy) (41010) $2,370.05 $5,925.12 1.7×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines
$1,360.48–$2,040.72 $3,401.19–$5,101.79 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines
$603.04–$904.56 $1,507.59–$2,261.39 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines
$210.38–$218.03 $525.93–$545.07 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $603.04 $1,507.59 0.7×
Injection aa&/strd genicular nrv branches w/img (64454) $844.56 $2,111.38 1.3×
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines
$478.70–$603.04 $1,196.73–$1,507.59 varies
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 Anes Agent Sphenopalatine Ganglion (64505) $564.21 $1,410.52 2.0×
Injection anesthetic agent suprascapular nerve (64418) $967.33 $2,418.32 1.5×
Injection single tendon origin/insertion (20551) $218.03 $545.07 0.8×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines
$156.24–$245.94 $390.60–$614.85 varies
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, anesthetic agent; brachial plexus, single (64415) $429.42 $1,073.54 0.5×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines
$478.70–$718.05 $1,196.73–$1,795.11 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450) $556.38 $1,390.95 0.9×
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)
range across 3 matching MRF lines
$57.57–$66.67 $143.91–$166.67 varies
Insert tun ip cath perc (49418) $1,910.96 $4,777.38 0.6×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines
$57.68–$58.51 $144.20–$146.27 varies
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×
Insj Picc Rs&I <5 Yr (36572) $809.52 $2,023.78 1.4×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines
$223.63–$255.90 $559.06–$639.74 varies
Irrigation of corpora cavernosa for priapism (54220) $747.32 $1,868.30 3.3×
N Block Inj Celiac Pelus (64530) $507.14 $1,267.83 0.6×
N block inj intercost sng (64420) $478.70 $1,196.73 0.7×
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines
$155.47–$266.76 $388.66–$666.89 varies
N Block Inj Pudendal (64430) $942.48 $2,356.18 1.2×
N Block Lumbar/Thoracic (64520) $680.24 $1,700.59 0.8×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $235.16 $587.88 1.0×
Needle Biopsy Lymph Nodes (38505) $871.14 $2,177.83 0.6×
Needle insertion w/o injection 1 or 2 muscles (20560) $16.25 $40.61 0.6×
Needle insertion w/o injection 3 or more muscles (20561) $24.37 $60.92 0.9×
Njx anes stellate ganglion crv sympathetic (64510) $418.40 $1,045.98 0.5×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $218.31 $545.76 0.8×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines
$795.23–$1,192.85 $1,988.07–$2,982.11 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $603.04 $1,507.59 0.7×
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×
Occipital Nerve Block (64405) $492.46 $1,231.15 1.7×
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×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,338.80 $3,347 0.9×
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×
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)
range across 5 matching MRF lines
$169.38–$603.04 $423.43–$1,507.59 varies

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.