Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp

Wellsville, NY

Addresses

191 North Main Street, Wellsville, NY 14895

Filing revisions

1 known revision on file.

Revision date	Added	Payer-specific rates
Jan 1, 2026	Oct 26, 2026	Yes

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Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp’s price for it.

Most-sampled procedures

The codes Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp has the most pricing samples for.

Procedure
Sepsis or severe blood infection treated without ventilator support over 96 hours, with major complicationMS-DRG 871	$21.6k	$20.1k	$3.5k	17%	65–155	$10.1k	$21.6k
Outpatient office visit, established patientCPT 99213	$64	$73	$29	40%	72	$30	$221
Heart failure or shock hospital stay with major complicationMS-DRG 291	$14.4k	$13.4k	$2.4k	18%	23–86	$6.7k	$14.4k
Simple pneumonia or pleurisy hospital stay with a major complication or comorbidityMS-DRG 193	$14.7k	$13.7k	$2.4k	18%	9–90	$6.8k	$14.7k
Blood infection (sepsis) treatment without prolonged ventilator support or major complicationsMS-DRG 872	$11.6k	$10.8k	$1.9k	18%	5–50	$5.3k	$11.6k
Nutrition, metabolism, or fluid/electrolyte disorder hospital stay with a major complicationMS-DRG 640	$15.0k	$13.9k	$2.5k	18%	5–50	$6.9k	$15.0k
Hospital stay for a respiratory infection or inflammation with a major complicationMS-DRG 177	$17.4k	$16.2k	$2.9k	18%	5–50	$8.1k	$17.4k
Factors influencing health statusMS-DRG 951	$6.5k	$6.0k	$1.1k	18%	5–50	$2.9k	$6.5k
Simple pneumonia or pleurisy hospital stay with a complicating conditionMS-DRG 194	$9.2k	$8.5k	$1.5k	18%	5–50	$4.2k	$9.2k
Emergency department visitCPT 99284	$142	$316	$314	99%	27	$41	$1.4k

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Map

EIN: 222807681

Last updated: Jan 1, 2026

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Hospital ID: a84fd09d4839a478893d0886ae2187d08b6156f0b1746af190b0f10ff53e0a33