American Hospital Directory - CommonSpirit - Bob Wilson Memorial Hospital (170110)

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Financial data for hospital cost report period ending 06/30/2023 (HCRIS 757121 - 2010).
Medicare IPPS claims data are for federal fiscal year ending 09/30/2022 (Final rule MedPAR).
Medicare OPPS claims data are for calendar year ending 12/31/2022 (Final rule OPPS).
Data from other sources and their effective periods are identified within report headers.
Errata: Please notify us by email of any corrections or updates.

Ulysses, KS 67880

CMS Certification Number: 170110

Name and Address:	CommonSpirit - Bob Wilson Memorial Hospital 415 North Main Street Ulysses, KS 67880
Telephone Number:	(620) 356-1266
Hospital Website:	www.mountain.commonspirit.org/...
CMS Certification Number:	170110

Type of Facility:	Short Term Acute Care
Type of Control:	Governmental, County
Total Staffed Beds:	26

Total Patient Revenue:	$25,034,028
Total Discharges:	156
Total Patient Days:	1,043
TPS Quality Score:	0.00
Patient Experience Rating:	Not Available

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Centura Health is being dissolved by AdventHealth and CommonSpirit

Source: CommonSpirit Website Publication: Press Release
February 14, 2023.

This map is for general reference and should not be used in seeking medical care.

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Emergency Services: Emergency Department
Radiology / Nuclear Medicine / Imaging: Computed Tomography (CT); Computed Tomography-Angiography (CTA); Magnetic Resonance Imaging (MRI)

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	Number Medicare Inpatients	Average Length of Stay	Average Charges	Medicare Case Mix Index (CMI)
Cardiology	11	2.91	$19,471	1.0323
Medicine	24	3.50	$23,929	1.1009
Pulmonology	33	4.18	$30,091	1.2626
Urology	11	4.18	$22,662	1.0326
Total	88	3.80	$25,290	1.1375

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Medicare Hospital Market Service Area File for calendar year ending 12/31/2022 / Definitions

ZIP Code of Residence	Discharges	Days of Care	Charges	Discharges Inc/(Dec)	Market Share
67880	86	350	$2,276,810	-11.3%	56.6%

APC Number	APC Description	Number Patient Claims	Average Charge	Average Cost
8011	Comprehensive Observation Services	38	$2,408	$794
5025	Level 5 Type A ED Visits	134	$3,068	$1,013
5024	Level 4 Type A ED Visits	139	$2,021	$668
5693	Level 3 Drug Administration	230	$308	$100
5522	Level 2 Imaging without Contrast	321	$1,197	$295
5523	Level 3 Imaging without Contrast	133	$2,506	$406
5521	Level 1 Imaging without Contrast	356	$246	$132
5023	Level 3 Type A ED Visits	122	$1,384	$457
5524	Level 4 Imaging without Contrast	45	$2,746	$846
8006	CT and CTA with Contrast Composite	38	$6,139	$260
5572	Level 2 Imaging with Contrast	37	$4,109	$249
5691	Level 1 Drug Administration	129	$224	$73
8005	CT and CTA without Contrast Composite	25	$5,268	$223
5571	Level 1 Imaging with Contrast	26	$2,172	$92
5012	Clinic Visits and Related Services	16	$181	$56
5733	Level 3 Minor Procedures	40	$98	$4
5692	Level 2 Drug Administration	19	$143	$45
5021	Level 1 Type A ED Visits	12	$429	$142

	Available Beds	Inpatient Days
HOSPITAL (including swing beds)
Routine Services	26	575
Special Care	0	0
Nursery		0
Total Hospital	26	1,043

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