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 →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) | $107.58 | $268.93 | 0.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $28.43 | $71.07 | 2.0× |
| Application Modality 1/> Areas Infrared (97026) | $13.80 | $34.48 | 2.1× |
| Application on-body injector (96377) | $29.01 | $72.51 | 0.7× |
| Assessment of aphasia per hr (96105) | $128.02 | $320.05 | 1.3× |
| Behavral qualit analys voice (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 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 infusion addl hr (96415) | $193.18 | $482.93 | 2.9× |
| Chemo IV push addl drug (96411) | $66.20 | $165.49 | 1.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $33.69 | $84.22 | 0.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $259.94 | $649.85 | 0.9× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $132.47 | $331.16 | 0.4× |
| Chest Wall Manipulation (94668) | $59.79 | $149.46 | 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× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $33.56 | $83.88 | 1.0× |
| Continuous Pulse Ox (94762) | $440.78 | $1,101.94 | 3.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $346.62 | $866.55 | 1.7× |
| Cpt initial (94667) | $115.94 | $289.83 | 0.9× |
| Critical care first hour (99291) | $2,325.43 | $5,813.56 | 3.1× |
| Debridement Open Wound 20 Sq Cm< (97597) | $99.07 | $247.67 | 0.5× |
| 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 Xtr Veins Complete Bilateral Study (93970) | $461.37 | $1,153.42 | 2.1× |
| Dup-scan xtr veins unilateral/limited study (93971) | $520.44 | $1,301.08 | 5.4× |
| Duplex up extrem art bilat (93930) | $420.18 | $1,050.45 | 1.9× |
| Duplex up extrem art unilat/ltd (93931) | $520.44 | $1,301.08 | 5.4× |
| Echo Heart Xthoracic,Limited (93308) | $495.28 | $1,238.19 | 2.3× |
| Electrical Stimulation Ea 15 Min (97032) | $29.55 | $73.86 | 2.0× |
| Electrocardiogram Tracing (93005) | $55.92 | $139.78 | 1.0× |
| Emergency Dept Visit Level 2 (99282) | $365.42 | $913.55 | 2.6× |
| Emergency Dept Visit Level 3 (99283) | $664.42 | $1,661.05 | 2.6× |
| Emergency Dept Visit Level 4 (99284) | $970.04 | $2,425.08 | 2.5× |
| Er level 1 (99281) | $205.97 | $514.91 | 2.7× |
| Er level v (99285) | $1,480.89 | $3,702.22 | 2.7× |
| Evaluate pt use of inhaler (94664) | $179.24 | $448.08 | 0.9× |
| Evaluate Speech Production (92522) | $191.18 | $477.95 | 1.7× |
| Evaluate Swallowing Function (92610) | $150.65 | $376.62 | 1.8× |
| Evaluation of speech fluency (92521) | $169.48 | $423.70 | 1.3× |
| Exercise test for bronchospasm (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× |
| Extracranial Bilat Study (93880) | $590.14 | $1,475.35 | 2.7× |
| Group Therapeutic Procedures (97150) | $23.91 | $59.76 | 1.3× |
| Holter monitor recording (93225) | $203.79 | $509.47 | 1.7× |
| Immunization administration (90471) | $31.18 | $77.93 | 0.5× |
| Iontophoresis 15 min (97033) | $33.02 | $82.54 | 1.7× |
| Irrig Drug Delivery Device (96523) | $70.28 | $175.69 | 1.3× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$129.38–$131.26 | $323.44–$328.13 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$201.14–$204.06 | $502.85–$510.14 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$129.38–$131.26 | $323.44–$328.13 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$130.64–$131.26 | $326.60–$328.13 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$106.80–$116.37 | $266.98–$290.91 | varies |
| 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× |
| Neuromuscular Reeducation (97112) | $83.57 | $208.91 | 2.6× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) range across 2 matching MRF lines |
$309.55–$543.42 | $773.86–$1,358.53 | varies |
| Oral Function Therapy (92526) | $97.69 | $244.21 | 1.2× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $29.30 | $73.23 | 0.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $40.61 | $101.52 | 0.9× |
| Ot Contrast Bath Ea 15 Min (97034) | $33.10 | $82.75 | 2.4× |
| Ot eval high complexity (97167) | $112.83 | $282.06 | 1.1× |
| Ot Eval Low Complex (97165) | $92.30 | $230.75 | 0.9× |
| Ot Eval Moderate Complexity (97166) | $105.58 | $263.94 | 1.1× |
| Ot manual therapy 15 min (97140) | $49.01 | $122.52 | 1.8× |
| Ot paraffin bath (97018) | $22.55 | $56.37 | 3.8× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$32.28–$36.45 | $80.68–$91.11 | varies |
| Ot Re-Eval Est Plan Care (97168) | $76.50 | $191.23 | 1.1× |
| Ot rom hand (95852) | $49.17 | $122.91 | 2.3× |
| Physical Performance Test (97750) | $65.72 | $164.30 | 1.9× |
| Pt Eval High Complex (97163) | $112.83 | $282.06 | 1.2× |
| Pt eval low complex 20 min (97161) | $92.30 | $230.75 | 0.9× |
| Pt Eval Mod Complex (97162) | $105.58 | $263.94 | 1.1× |
| Pt gait training 15 min (97116) | $39.97 | $99.92 | 1.4× |
| Pt group caregiver training (97552) | $17.40 | $43.48 | 0.8× |
| Pt mechanical traction (97012) | $31.28 | $78.20 | 2.2× |
| Pt Re-Eval Est Plan Care (97164) | $76.50 | $191.23 | 1.1× |
| Pulmonary service/procedure (94799) | $243.30 | $608.24 | 2.1× |
| Pulmonary Stress Testing (94618) | $98.52 | $246.30 | 0.8× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $173.83 | $434.56 | 0.6× |
| Remote 30 Day Ecg Rev/Report (93270) | $118.16 | $295.40 | 3.4× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) range across 2 matching MRF lines |
$49.17–$50.94 | $122.91–$127.33 | varies |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$38.69–$71.15 | $96.72–$177.87 | varies |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$49.10–$75.84 | $122.75–$189.60 | varies |
| Slp caregiver training 1st 30 min (97550) | $42.41 | $106.02 | 0.8× |
| Speech sound lang comprehen (92523) | $169.48 | $423.70 | 0.7× |
| Spin/Brain Pump Refil & Main (95991) | $218.03 | $545.07 | 0.8× |
| Spirometry (94010) | $292.08 | $730.20 | 1.5× |
| Standardized Cognitive Performance Testing (96125) | $79.86 | $199.65 | 0.8× |
| Subcutaneous Infusion Each Additional Hour (96370) | $189.78 | $474.43 | 4.4× |
| Subcutaneous infusion initial 1 hr w/pump set-up (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 Ea Addl 15 Min (97130) | $43.38 | $108.45 | 2.1× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $57.38 | $143.43 | 1.5× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $29.31 | $73.26 | 1.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$42.16–$78.27 | $105.38–$195.66 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$201.14–$204.06 | $502.85–$510.14 | varies |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$48.85–$65.46 | $122.12–$163.64 | varies |
| Tte w/doppler, complete (93306) | $1,318.14 | $3,295.33 | 2.6× |
| Tte W/O Doppler Complete (93307) | $495.28 | $1,238.19 | 2.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $81.22 | $203.03 | 1.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$80.33–$81.49 | $200.81–$203.72 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $420.18 | $1,050.45 | 3.4× |
| Vasopneumatic device (97016) | $35.86 | $89.65 | 3.0× |
| Vent Mgmt Inpat Init 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× |
| Whirlpool Therapy (97022) | $28.68 | $71.69 | 1.8× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $165.66 | $414.15 | 3.1× |
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.