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 09/30/2023 (Final rule MedPAR).
Medicare OPPS claims data are for calendar year ending 12/31/2023 (Proposed 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	14	2.71	$19,382	1.0938
Medicine	33	3.76	$22,996	1.0888
Orthopedics	11	4.00	$22,705	0.9874
Pulmonology	36	3.94	$25,713	1.0874
Total	106	3.65	$23,018	1.0727

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Medicare Hospital Market Service Area File for calendar year ending 12/31/2023 / Definitions

ZIP Code of Residence	Discharges	Days of Care	Charges	Discharges Inc/(Dec)	Market Share
67880	78	265	$1,766,574	-9.3%	38.0%

APC Number	APC Description	Number Patient Claims	Average Charge	Average Cost
5025	Level 5 Type A ED Visits	135	$3,278	$1,300
5693	Level 3 Drug Administration	235	$349	$118
8011	Comprehensive Observation Services	21	$2,872	$1,139
5024	Level 4 Type A ED Visits	99	$2,147	$852
5521	Level 1 Imaging without Contrast	339	$263	$131
5023	Level 3 Type A ED Visits	118	$1,471	$583
5522	Level 2 Imaging without Contrast	266	$1,379	$245
5523	Level 3 Imaging without Contrast	94	$3,065	$362
5572	Level 2 Imaging with Contrast	53	$4,447	$268
5041	Critical Care	24	$5,148	$2,042
8006	CT and CTA with Contrast Composite	40	$6,718	$273
5524	Level 4 Imaging without Contrast	32	$2,918	$789
5691	Level 1 Drug Administration	137	$233	$92
8005	CT and CTA without Contrast Composite	35	$5,794	$236
5571	Level 1 Imaging with Contrast	27	$2,279	$93
5022	Level 2 Type A ED Visits	28	$809	$321
5012	Clinic Visits and Related Services	15	$193	$52
5021	Level 1 Type A ED Visits	25	$456	$181
5733	Level 3 Minor Procedures	26	$124	$7
5692	Level 2 Drug Administration	21	$165	$56

	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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