Visits & medical services prices at Bob Wilson Memorial Hospital

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

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

Compare against other hospitals interactively →

ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $107.58 $268.93 0.5×
Appl on-body injector for timed subq injection (96377) $29.01 $72.51 0.7×
Assessment of aphasia (96105) $128.02 $320.05 1.3×
Behavioral and qualitative analysis of voice and resonance (92524) $112.85 $282.12 1.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $365.11 $912.76 1.1×
Cardiac Stress Tst,Tracing Only (93017) $262.88 $657.19 1.3×
Cardiopulmonary resuscitation (92950) $260.70 $651.75 1.3×
Caregiver training 1st 30 min (97550) $42.41 $106.02 0.8×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $19.72 $49.30 0.8×
Cbt 1st hour (94644) $80.84 $202.10 0.7×
Chemo IV push addl drug (96411) $66.20 $165.49 1.0×
Chemo Iv Push Sngl Drug (96409) $132.47 $331.16 0.4×
Chemother, IV infusion, 1 hr (96413) $259.94 $649.85 0.9×
Chemother, IV infusion, ea add hr (96415) $193.18 $482.93 2.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $33.69 $84.22 0.5×
Color/duplex Doppler, complete (93975) $473.98 $1,184.93 2.2×
Color/duplex Doppler, limited (93976) $420.18 $1,050.45 4.4×
Cpap initiation and management (94660) $346.62 $866.55 1.7×
Cpt initial (94667) $115.94 $289.83 0.9×
Critical care (99291) $2,325.43 $5,813.56 3.1×
Debridement Open Wound 20 Sq Cm< (97597) $99.07 $247.67 0.5×
Demo &/or eval,pt use,aerosol device (94664) $179.24 $448.08 0.9×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $461.37 $1,153.42 2.1×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $520.44 $1,301.08 2.4×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $520.44 $1,301.08 5.4×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $420.18 $1,050.45 1.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $520.44 $1,301.08 5.4×
Dup-scan xtr veins unilateral/limited study (93971) $520.44 $1,301.08 5.4×
Duplex scan extracranial art compl bi study (93880) $590.14 $1,475.35 2.7×
Echo Heart Xthoracic,Limited (93308) $495.28 $1,238.19 2.3×
EKG (93005) $55.92 $139.78 1.0×
Er level 1 (99281) $205.97 $514.91 2.7×
Er level ii (99282) $365.42 $913.55 2.6×
Er level iii (99283) $664.42 $1,661.05 2.6×
Er level IV (99284) $970.04 $2,425.08 2.5×
Er level v (99285) $1,480.89 $3,702.22 2.7×
Evaluation of speech fluency (92521) $169.48 $423.70 1.3×
Evaluation of speech sound production (92522) $191.18 $477.95 1.7×
Evaluation of swallowing function (92610) $150.65 $376.62 1.8×
Exercise tst brncspsm (94617) $87.34 $218.34 0.7×
External ECG rec>48hr<7d recording (93242) $26.02 $65.05 0.8×
External ECG rec>48hr<7d scanning alys w/report (93243) $55.94 $139.83 0.5×
External ECG rec>7d<15d recording (93246) $55.94 $139.83 1.6×
External ECG rec>7d<15d scanning alys w/report (93247) $69.79 $174.47 0.6×
External Ecg Scanning Analysis Report (93226) $106.52 $266.29 2.0×
Group Therapeutic Procedures (97150) $23.91 $59.76 1.3×
Holter Monitor Recording (93225) $203.79 $509.47 1.7×
Immunization Admin (90471) $31.18 $77.93 0.5×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $70.28 $175.69 1.3×
IV infusion hydration each additional hour (96361) $130.32 $325.78 3.0×
IV infusion hydration initial 31 min-1 hour (96360) $202.60 $506.50 1.0×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $130.32 $325.78 2.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $202.60 $506.50 1.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $130.95 $327.36 3.0×
IV push initial (96374) $111.58 $278.94 0.6×
Maintenance of spinal canal or brain drug infusion pump (95990) $173.83 $434.56 0.6×
Manual therapy 15 min (97140) $49.01 $122.52 1.8×
Massage 15 min (97124) $29.31 $73.26 1.0×
Mechanical traction (97012) $31.28 $78.20 2.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $13.91 $34.76 0.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $13.91 $34.76 0.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $233.41 $583.52 1.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $360.85 $902.11 1.0×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $420.18 $1,050.45 3.4×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $440.78 $1,101.94 3.7×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $426.48 $1,066.20 1.2×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $40.61 $101.52 0.9×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $33.56 $83.88 1.0×
Ot Contrast Bath Ea 15 Min (97034) $33.10 $82.75 2.4×
Ot eval high complex 60 min (97167) $112.83 $282.06 1.1×
Ot eval low complex 30 min (97165) $92.30 $230.75 0.9×
Ot eval mod complex 45 min (97166) $105.58 $263.94 1.1×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $29.30 $73.23 0.6×
Ot Prosthetic Training, Each 15 Min (97761) $34.36 $85.90 0.9×
Ot Range Motion Measure,Each Extrem (95851) $50.06 $125.12 1.9×
Ot re-eval est plan care (97168) $76.50 $191.23 1.1×
Paraffin bath (97018) $22.55 $56.37 3.8×
Pt Aquatic Therapy/Exercises (97113) $57.38 $143.43 1.5×
Pt Electric Current Therapy (97033) $33.02 $82.54 1.7×
Pt Electrical Stimulation (97032) $29.55 $73.86 2.0×
Pt eval high complex 45 min (97163) $112.83 $282.06 1.2×
Pt eval low complex 20 min (97161) $92.30 $230.75 0.9×
Pt Gait Training Therapy (97116) $39.97 $99.92 1.4×
Pt group caregiver training (97552) $17.40 $43.48 0.8×
Pt Infrared Therapy (97026) $13.80 $34.48 2.1×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $83.57 $208.91 2.6×
Pt Physical Performance Test (97750) $65.72 $164.30 1.9×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $105.58 $263.94 1.1×
Pt re-evaluation (97164) $76.50 $191.23 1.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $54.92 $137.30 1.7×
Pt Ultrasound Therapy (97035) $28.43 $71.07 2.0×
Pt Whirlpool Therapy (97022) $28.68 $71.69 1.8×
Pulmonary stress testing (94618) $98.52 $246.30 0.8×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $118.16 $295.40 3.4×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $218.03 $545.07 0.8×
Rom meas&reprt hand w/wo comparison normal sid (95852) $49.17 $122.91 2.3×
Rt Chest Wall Manipulation,Subsequent (94668) $59.79 $149.46 0.5×
Sensory Integration Ea 15 Min (97533) $62.47 $156.18 1.0×
Speech sound lang comprehen (92523) $169.48 $423.70 0.7×
Spirometry (94010) $292.08 $730.20 1.5×
Standardized Cognitive Performance Testing (96125) $79.86 $199.65 0.8×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $189.78 $474.43 4.4×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $204.22 $510.55 1.0×
Surfactant Admin Thru Tube (94610) $121.41 $303.51 0.6×
Temp transcutaneous pacing (92953) $333.44 $833.60 0.5×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $43.38 $108.45 1.9×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $43.38 $108.45 2.1×
Ther/Proph/Diag Inj Sc/Im (96372) $42.76 $106.89 0.6×
Therapeutic Activities (97530) $57.16 $142.88 1.6×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,318.14 $3,295.33 2.6×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $495.28 $1,238.19 2.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $81.22 $203.03 1.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $97.69 $244.21 1.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $80.91 $202.26 1.9×
Unlisted pulmonary service/procedure (94799) $243.30 $608.24 2.1×
Vasc Duplex Extrem Venous,Bilat (93970) $461.37 $1,153.42 2.1×
Vasopneumatic device (97016) $35.86 $89.65 3.0×
Ventilation assist & mgmt inpatient 1st day (94002) $1,238.18 $3,095.43 2.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $885.67 $2,214.16 1.6×
Vital capacity total (94150) $76.33 $190.81 0.6×
Wheelchair Mgmt Ea 15 Min (97542) $33.92 $84.80 1.1×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $165.66 $414.15 3.1×