Ulysses, KS
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Feb 3, 2026 | Aug 16, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see Commonspirit Kansas, Inc.’s price for it.
The codes Commonspirit Kansas, Inc. has the most pricing samples for.
| Procedure | |||||||
|---|---|---|---|---|---|---|---|
| Flumazenil IV injectionHCPCS J3490 | $57 | $98 | $335 | 342% | 1,052–10,520 | $1 | $9.2k |
| Iodixanol contrast injection, 320 mg/mLHCPCS Q9967 | $99 | $158 | $166 | 106% | 156–1,560 | $7 | $1.0k |
| Blood draw from a veinCPT 36415 | $21 | $18 | $8 | 46% | 241–313 | $4 | $28 |
| Lactated Ringer's solution infusionHCPCS J7120 | $72 | $62 | $34 | 56% | 39–390 | $3 | $128 |
| Magnesium sulfate injection 50%HCPCS J3475 | $81 | $92 | $75 | 81% | 36–360 | $1 | $436 |
| Complete blood count with automated differentialCPT 85025 | $68 | $68 | $42 | 62% | 90–198 | $8 | $118 |
| Normal saline IV solution 0.9%HCPCS J7030 | $72 | $70 | $48 | 68% | 24–240 | $3 | $185 |
| Dexamethasone sodium phosphate injection, 4 mg per mLHCPCS J1100 | $75 | $89 | $93 | 104% | 20–200 | $0 | $580 |
| Dexamethasone 4 mg tabletHCPCS J8540 | $6 | $42 | $66 | 159% | 20–200 | $0 | $303 |
| Intravenous push injection of therapeutic or diagnostic drugCPT 96374 | $241 | $241 | $138 | 57% | 37–181 | $53 | $638 |
EIN: 480543721
Last updated: Feb 3, 2026
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Hospital ID: ad0e61d53cd1b1e28cc447981fa51febe3c0cd0bf4bbaa3a76c77bd34482912e