Visits & medical services prices at Dayton General Hospital

Dayton, WA · every code in this section with a posted price and a Medicare benchmark.

149 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Acupunct W/Stimul 15 Min (97813) $145.80 $162 4.5×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $136.80 $152 4.2×
Advncd Care Plan 30 Min (99497) $107.10 $119 0.9×
Airway Inhalation Treatment (94640)
range across 4 matching MRF lines
$150.30–$251.10 $167–$279 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $132.30 $147 9.2×
Application Modality 1/> Areas Diathermy (97024) $40.50 $45 5.5×
Application Modality 1/> Areas Infrared (97026) $35.10 $39 5.3×
Assessment of aphasia per hr (96105) $413.10 $459 4.3×
Behavral qualit analys voice (92524) $520.20 $578 4.7×
Brief Emotional/Behav Assmt (96127) $9.90 $11 0.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $660.60 $734 1.6×
Canalith repositioning proc (95992) $128.70 $143 3.2×
Car seat/bed test 60 min (94780) $660.60 $734 15.9×
Cardiac Stress Tst,Tracing Only (93017) $611.10 $679 2.5×
Cardiopulmonary resuscitation (92950)
range across 4 matching MRF lines
$290.70–$1,919.70 $323–$2,133 varies
Cardioversion (92960)
range across 2 matching MRF lines
$374.40–$465.30 $416–$517 varies
Cbt 1st hour (94644) $432 $480 2.9×
Chemo IV infusion addl hr (96415) $104.40 $116 1.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $474.30 $527 1.3×
Chest Wall Manipulation (94668) $162 $180 1.1×
Chron Care Mgmt Srvc 20 Min (99490) $158.40 $176 1.4×
Color/duplex Doppler, complete (93975) $2,158.20 $2,398 8.1×
Community/Work Reintegration Trainj Ea 15 Min (97537) $493.20 $548 15.4×
Continuous Pulse Ox (94762) $491.40 $546 3.4×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $162 $180 0.7×
Cpt initial (94667) $507.60 $564 3.4×
Critical care first hour (99291)
range across 4 matching MRF lines
$652.50–$1,330.20 $725–$1,478 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 5 matching MRF lines
$83.70–$411.30 $93–$457 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,461.60 $1,624 5.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,009.80 $1,122 8.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,563.30 $1,737 5.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,043.10 $1,159 9.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,412.10 $1,569 5.3×
Dup-scan xtr veins unilateral/limited study (93971) $1,055.70 $1,173 9.1×
Duplex up extrem art bilat (93930) $1,563.30 $1,737 5.9×
Duplex up extrem art unilat/ltd (93931) $1,043.10 $1,159 9.0×
Echo Congenital Complete (93303) $1,809 $2,010 3.0×
Echo Heart Xthoracic,Limited (93308) $1,037.70 $1,153 3.9×
Echo r-t 2d w/probe placement only (93313) $635.40 $706 1.0×
Echo transesophageal (93312) $745.20 $828 1.2×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,070 $2,300 3.4×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines
$66.60–$70.20 $74–$78 varies
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$55.80–$228.60 $62–$254 varies
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$455.40–$617.40 $506–$686 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$690.30–$1,124.10 $767–$1,249 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$1,104.30–$1,798.20 $1,227–$1,998 varies
Er level 1 (99281)
range across 2 matching MRF lines
$317.70–$443.70 $353–$493 varies
Er level v (99285)
range across 2 matching MRF lines
$1,157.40–$3,689.10 $1,286–$4,099 varies
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$135.90–$671.40 $151–$746 varies
Evaluate Speech Production (92522) $520.20 $578 4.6×
Evaluate Swallowing Function (92610) $531 $590 6.3×
Evaluation of speech fluency (92521) $516.60 $574 3.9×
External ECG rec>48hr<7d recording (93242) $289.80 $322 7.0×
External ECG rec>7d<15d recording (93246) $315.90 $351 7.6×
Extracranial Bilat Study (93880) $1,551.60 $1,724 5.8×
F-up/limited tthrc echo congenital car anomaly (93304) $1,188 $1,320 2.0×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614)
range across 2 matching MRF lines
$372.60–$495.90 $414–$551 varies
Flexible endoscopic eval swallow c/v rec (92612)
range across 2 matching MRF lines
$482.40–$644.40 $536–$716 varies
Flexible ndsc eval swlng&laryn sens c/v rec (92616)
range across 2 matching MRF lines
$541.80–$707.40 $602–$786 varies
Group Therapeutic Procedures (97150)
range across 2 matching MRF lines
$65.70–$79.20 $73–$88 varies
Holter monitor recording (93225) $207.90 $231 1.4×
Im Adm Intransl/Oral 1 Vaccine (90473) $36.90 $41 0.5×
Immunization administration (90471)
range across 7 matching MRF lines
$27.90–$67.50 $31–$75 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $721.80 $802 1.7×
Iontophoresis 15 min (97033)
range across 2 matching MRF lines
$72.90–$96.30 $81–$107 varies
Irrig Drug Delivery Device (96523) $121.50 $135 1.8×
IV infusion hydration each additional hour (96361)
range across 3 matching MRF lines
$109.80–$262.80 $122–$292 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 4 matching MRF lines
$323.10–$679.50 $359–$755 varies
IV infusion ther proph addl sequential to 1 hr (96367) $309.60 $344 3.9×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$109.80–$306.90 $122–$341 varies
IV push initial (96374) $474.30 $527 2.0×
Low frequency non-thermal us (97610) $270.90 $301 1.2×
Lung Function Test (Mbc/Mvv) (94200) $150.30 $167 2.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $66.60 $74 2.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $108.90 $121 3.0×
Methacholine challenge (94070) $419.40 $466 1.0×
Motion Fluoroscopy/Swallow (92611)
range across 2 matching MRF lines
$268.20–$356.40 $298–$396 varies
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 4 matching MRF lines
$305.10–$785.70 $339–$873 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $785.70 $873 1.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$179.10–$411.30 $199–$457 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$96.30–$785.70 $107–$873 varies
Neuromuscular Reeducation (97112) $201.60 $224 6.2×
Nonphysician Telephone Assessment 11-20 Min (98967) $96.30 $107 3.8×
Nonphysician Telephone Assessment 21-30 Min (98968) $137.70 $153 4.0×
Nonphysician Telephone Assessment 5-10 Min (98966) $54 $60 3.9×
Oral Function Therapy (92526) $423.90 $471 5.0×
Orthc/Prostc Mgmt Sbsq Enc (97763) $174.60 $194 3.5×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $202.50 $225 4.4×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $153.90 $171 6.4×
Ot Contrast Bath Ea 15 Min (97034) $59.40 $66 4.2×
Ot eval high complexity (97167) $493.20 $548 4.9×
Ot Eval Low Complex (97165) $348.30 $387 3.5×
Ot Eval Moderate Complexity (97166) $415.80 $462 4.1×
Ot manual therapy 15 min (97140) $178.20 $198 6.4×
Ot paraffin bath (97018) $50.40 $56 8.4×
Ot Re-Eval Est Plan Care (97168) $211.50 $235 3.1×
Phlebotomy therapeutic (99195) $260.10 $289 1.8×
Physical Performance Test (97750) $128.70 $143 3.8×
Plethysmography (94726) $410.40 $456 1.0×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $42.30 $47 0.8×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $47.70 $53 0.9×
Psych diag eval w/med srvcs (90792) $299.70 $333 1.5×
Psychiatric diagnostic evaluation (90791) $268.20 $298 1.4×
Psychoanalysis (90845) $187.20 $208 0.9×
Psychological tst eval svc phys/qhp first hour (96130) $230.40 $256 1.0×
Psytx Crisis Initial 60 Min (90839) $504.90 $561 2.6×
Pt Eval High Complex (97163) $437.40 $486 4.5×
Pt eval low complex 20 min (97161) $313.20 $348 3.2×
Pt Eval Mod Complex (97162) $382.50 $425 3.9×
Pt gait training 15 min (97116) $153.90 $171 5.3×
Pt mechanical traction (97012) $150.30 $167 10.5×
Pt Re-Eval Est Plan Care (97164) $171.90 $191 2.5×
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$196.20–$585.90 $218–$651 varies
Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) $52.20 $58 2.3×
Remote 30 Day Ecg Rev/Report (93270) $1,445.40 $1,606 34.8×
Respiratory flow volume loop (94375) $425.70 $473 1.8×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $466.20 $518 7.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$78.30–$411.30 $87–$457 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $425.70 $473 3.5×
Self Care Mngment Training (97535) $164.70 $183 5.1×
Sensory Integration Ea 15 Min (97533) $122.40 $136 2.0×
Slp caregiver training 1st 30 min (97550) $64.80 $72 1.2×
Speech sound lang comprehen (92523) $520.20 $578 2.3×
Spirometry (94010) $321.30 $357 1.3×
Standardized Cognitive Performance Testing (96125) $447.30 $497 4.3×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $72 $80 3.2×
Ther Ivntj Ea Addl 15 Min (97130) $70.20 $78 3.3×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $146.70 $163 4.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 4 matching MRF lines
$30.60–$36 $34–$40 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $354.60 $394 3.5×
Ther/Proph/Diag Inj Ia (96373)
range across 2 matching MRF lines
$185.40–$323.10 $206–$359 varies
Ther/Proph/Diag Inj Sc/Im (96372)
range across 5 matching MRF lines
$67.50–$217.80 $75–$242 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$109.80–$723.60 $122–$804 varies
Therapeutic Activities (97530) $194.40 $216 5.5×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 3 matching MRF lines
$102.60–$125.10 $114–$139 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $54.90 $61 1.3×
Trans Care Mgmt 14 Day Disch (99495) $327.60 $364 2.2×
Trans Care Mgmt 7 Day Disch (99496) $487.80 $542 3.3×
Tte w/doppler, complete (93306) $1,744.20 $1,938 2.9×
Tte W/O Doppler Complete (93307) $1,587.60 $1,764 6.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $558 $620 7.3×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$304.20–$315 $338–$350 varies
Unlisted noninvasive vascular diagnostic study (93998) $71.10 $79 2.2×
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines
$45.90–$522 $51–$580 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$79.20–$514.80 $88–$572 varies
Vent Mgmt Inpat Init Day (94002) $954.90 $1,061 1.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $215.10 $239 0.3×
Wheelchair Mgmt Ea 15 Min (97542)
range across 2 matching MRF lines
$153–$390.60 $170–$434 varies
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $555.30 $617 8.4×

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.