Visits & medical services prices at Mary Washington Hospital

Fredericksburg, VA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
1St psychiatric collab care mgmt 1st 70 mins (99492) $333 $666 3.2×
Ablate Heart Dysrhythm Focus (93650)
unusually low: confirm this is the full procedure
$2,960 $5,920 0.4×
Airway Inhalation Treatment (94640) $94.50 $189 0.4×
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) $242 $484 1.8×
Analyze neurostim complex (95972) $138.50 $277 1.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $62 $124 4.3×
Arrhythmia Induction (93618) $1,393 $2,786 1.1×
Assessment of aphasia per hr (96105) $467.50 $935 4.8×
Assmt & care planning pt w/cognitive impairment (99483) $99 $198 0.9×
Behavral qualit analys voice (92524) $216.50 $433 2.0×
Brief Emotional/Behav Assmt (96127) $58 $116 1.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $612 $1,224 1.6×
Bundle of his recording (93600) $5,381.50 $10,763 0.7×
C motor evoked uppr limbs (95928) $184 $368 0.2×
C motor evoked upr&lwr limbs (95939) $788 $1,576 0.9×
Canalith repositioning proc (95992) $68 $136 1.7×
Cardiac Stress Tst,Tracing Only (93017) $904 $1,808 4.0×
Cardiopulmonary resuscitation (92950) $487 $974 2.2×
Cardioversion (92960) $1,675.50 $3,351 2.5×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $7,083.50 $14,167 2.1×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $7,083.50 $14,167 2.1×
Cbt 1st hour (94644) $91.50 $183 0.7×
Chemo Anti-Neopl Sq/Im (96401) $204.50 $409 2.7×
Chemo Hormon Antineopl Sq/Im (96402) $103 $206 1.4×
Chemo Ia Push (96420) $411 $822 1.2×
Chemo IV infusion addl hr (96415) $152.50 $305 2.0×
Chemo IV push addl drug (96411) $253.50 $507 3.4×
Chemotherapy Into Cns (96450) $690 $1,380 2.0×
Chemotherapy Unspecified (96549) $59 $118 1.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $222.50 $445 3.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $690 $1,380 2.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $322.50 $645 0.9×
Chest Wall Manipulation (94668) $68 $136 0.5×
Color/duplex Doppler, complete (93975) $574 $1,148 2.3×
Color/duplex Doppler, limited (93976) $205.50 $411 1.9×
Cont gluc mntr physician/qhp provided equiptment (95250) $195.50 $391 1.4×
Cont Gluc Mntr Pt Prov Eqp (95249) $95 $190 1.6×
Continuous Pulse Ox (94762) $296 $592 2.2×
Coronary Art/Grft Angio S&I (93455) $5,047.50 $10,095 1.5×
Coronary Artery Angio S&I (93454) $5,714 $11,428 1.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $437.50 $875 1.9×
Cpt initial (94667) $97.50 $195 0.7×
Critical care first hour (99291) $1,240.50 $2,481 1.5×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $184 $368 0.5×
Debridement Open Wound 20 Sq Cm< (97597) $152.50 $305 0.7×
Dialysis One Evaluation (90945) $600.50 $1,201 1.4×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $316 $632 1.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $214 $428 2.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $361.50 $723 1.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $251.50 $503 2.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $478 $956 1.9×
Dup-scan xtr veins unilateral/limited study (93971) $314 $628 2.9×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $393 $786 1.6×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $189.50 $379 1.8×
Duplex Scan Hemodialysis Access (93990) $232 $464 2.1×
Duplex up extrem art unilat/ltd (93931) $212 $424 2.0×
Echo Congenital Complete (93303) $379 $758 0.7×
Echo Heart Xthoracic,Limited (93308) $429.50 $859 1.7×
Echo transesophageal (93312) $1,224 $2,448 2.2×
Eeg 41-60 Minutes (95812) $356.50 $713 1.6×
EEG awake and asleep (95819) $378.50 $757 1.7×
EEG awake drowsy (95816) $843.50 $1,687 3.8×
EEG cerebral death evaluation (95824) $698 $1,396 1.8×
EEG cont rec w/video by tech min 8 channels (95700) $390 $780 1.7×
EEG extended monitoring 61-119 minutes (95813) $511.50 $1,023 2.3×
Eeg Sleep Only (95822) $423 $846 1.9×
EEG wo vid ea 12-26hr unmntr (95708) $748 $1,496 1.9×
Electrical Stimulation Ea 15 Min (97032) $49 $98 3.3×
Electrocardiogram Tracing (93005) $68.50 $137 1.1×
Electrophysiology Evaluation (93642) $795.50 $1,591 0.6×
Emergency Dept Visit Level 2 (99282) $288 $576 1.8×
Emergency Dept Visit Level 3 (99283) $378 $756 1.3×
Emergency Dept Visit Level 4 (99284) $666 $1,332 1.5×
Ep & ablate supravent arrhyt (93653) $15,576 $31,152 0.6×
Ep & ablate ventric tachy (93654) $15,576 $31,152 0.6×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $5,944 $11,888 0.7×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $6,900.50 $13,801 0.9×
Er level 1 (99281) $187 $374 2.1×
Er level v (99285) $990 $1,980 1.6×
Esophageal Capsule Endoscopy (91111) $1,372.50 $2,745 1.5×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $899 $1,798 2.3×
Evaluate pt use of inhaler (94664) $113.50 $227 0.5×
Evaluate Speech Production (92522) $148.50 $297 1.3×
Evaluate Swallowing Function (92610) $211 $422 2.5×
Evaluation of speech fluency (92521) $182.50 $365 1.4×
Exercise test for bronchospasm (94617) $178.50 $357 1.3×
External ECG rec>48hr<7d recording (93242) $62.50 $125 1.6×
External ECG rec>7d<15d recording (93246) $102 $204 2.6×
Extracranial Bilat Study (93880) $348.50 $697 1.4×
Extracranial Uni/Ltd Study (93882) $146.50 $293 1.4×
F-up/limited tthrc echo congenital car anomaly (93304) $301.50 $603 0.5×
Flexible endoscopic eval swallow c/v rec (92612) $199.50 $399 1.0×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $899 $1,798 2.3×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $899 $1,798 1.0×
Gi tract capsule endoscopy (91110) $1,372.50 $2,745 1.5×
Gi wireless capsule measure (91112) $1,372.50 $2,745 1.5×
Group Therapeutic Procedures (97150) $62 $124 3.4×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $5,559.50 $11,119 1.7×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $634.50 $1,269 0.9×
Icd Device Interrogate (93289) $59 $118 1.5×
Icd device progr eval dual (93283) $62 $124 1.6×
Icd Device Progr Eval Mult (93284) $71.50 $143 1.9×
Icm Device Eval (93290) $59 $118 1.5×
Ilr Device Eval Progr (93285) $53.50 $107 1.4×
Ilr Device Interrogate (93291) $42 $84 1.4×
Immunization administration (90471) $69 $138 0.9×
Insert/Place Heart Catheter (93503) $2,237 $4,474 1.4×
Intra-atrial pacing (93610) $4,638.50 $9,277 0.6×
Intra-atrial recording (93602)
likely a partial charge, not the full procedure
$1,279.50 $2,559 0.2×
Intraventricular pacing (93612)
likely a partial charge, not the full procedure
$2,369.50 $4,739 0.3×
Iontophoresis 15 min (97033) $70.50 $141 3.7×
Irrig Drug Delivery Device (96523) $81 $162 1.3×
IV infusion hydration each additional hour (96361) $87 $174 1.8×
IV infusion hydration initial 31 min-1 hour (96360) $285.50 $571 1.3×
IV infusion ther proph addl sequential to 1 hr (96367) $140 $280 1.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $112 $224 2.3×
IV push initial (96374) $194 $388 0.9×
L Hrt Art/Grft Angio (93459) $7,083.50 $14,167 2.1×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $4,234.50 $8,469 1.3×
Liver Elastography W/O Imag W/I&R (91200) $175 $350 1.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $22.50 $45 0.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $22.50 $45 0.6×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $19.50 $39 1.1×
Motility study esophagus (91010) $899 $1,798 2.3×
Motion Fluoroscopy/Swallow (92611) $215 $430 2.3×
Multiple Sleep Latency Test (95805) $2,502.50 $5,005 2.8×
Muscle Test 2 Limbs (95861) $318.50 $637 2.3×
Muscle Test Nonparaspinal (95870) $131.50 $263 1.0×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $156 $312 0.7×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $179 $358 0.8×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $496 $992 1.2×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $496 $992 1.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $224 $448 1.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $238 $476 0.6×
Nerve Conduction Studies 1-2 Studies (95907) $154 $308 0.7×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $147.50 $295 1.1×
Neuromuscular Reeducation (97112) $68 $136 2.1×
Newborn resuscitation (99465) $228 $456 0.3×
Oral Function Therapy (92526) $106.50 $213 1.3×
Oral Speech Device Eval (92597) $124.50 $249 1.8×
Orthc/Prostc Mgmt Sbsq Enc (97763) $99 $198 2.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $73.50 $147 1.6×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $45.50 $91 2.0×
Osteopathic manipulative tx 3-4 body regions (98926) $45.50 $91 2.0×
Osteopathic manipulative tx 5-6 body regions (98927) $45.50 $91 2.0×
Osteopathic manipulative tx 7-8 body regions (98928) $45.50 $91 2.0×
Osteopathic manipulative tx 9-10 body regions (98929) $45.50 $91 2.0×
Ot Contrast Bath Ea 15 Min (97034) $71 $142 5.1×
Ot eval high complexity (97167) $121 $242 1.2×
Ot Eval Low Complex (97165) $121 $242 1.2×
Ot Eval Moderate Complexity (97166) $121 $242 1.2×
Ot manual therapy 15 min (97140) $76.50 $153 2.8×
Ot paraffin bath (97018) $72 $144 12.0×
Ot Prosthetic Training, Each 15 Min (97761) $54 $108 1.3×
Ot Re-Eval Est Plan Care (97168) $80 $160 1.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $147.50 $295 1.1×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $140.50 $281 1.1×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $62.50 $125 0.3×
Peripheral arterial disease rehab per session (93668) $75 $150 1.2×
Perq transcath closure pda (93582) $22,129 $44,258 1.2×
Perq Transcath Cls Aortic (93591) $21,861.50 $43,723 1.2×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $5,596.50 $11,193 1.0×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $8,139.50 $16,279 0.7×
Phlebotomy therapeutic (99195) $126 $252 0.9×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $96.50 $193 1.6×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $96.50 $193 1.6×
Plethysmography (94726) $157 $314 0.4×
Pm device eval in person (93288) $62 $124 1.6×
Pm device progr eval dual (93280) $56.50 $113 1.5×
Pm device progr eval multi (93281) $61.50 $123 1.6×
Pm Device Progr Eval Sngl (93279) $56.50 $113 1.5×
Pm/Icd Remote Tech Serv (93296) $76.50 $153 2.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,616 $5,232 2.9×
Polysom <6 yrs 4/> paramtrs (95782) $2,502.50 $5,005 2.8×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $56.50 $113 1.5×
Prq Card Angio/Athrect 1 Art (92924) $10,218.50 $20,437 0.9×
Prq Card Stent W/Angio 1 Vsl (92928) $8,567.50 $17,135 0.7×
Prq Card Stent/Ath/Angio (92933)
unusually low: confirm this is the full procedure
$8,139.50 $16,279 0.4×
Prq Revasc Byp Graft 1 Vsl (92937) $8,139.50 $16,279 0.7×
Psych diag eval w/med srvcs (90792) $200 $400 1.1×
Psychiatric diagnostic evaluation (90791) $200 $400 1.1×
Psytx Crisis Initial 60 Min (90839) $200 $400 1.1×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $62 $124 1.6×
Pt Eval High Complex (97163) $125 $250 1.3×
Pt eval low complex 20 min (97161) $125 $250 1.3×
Pt Eval Mod Complex (97162) $125 $250 1.3×
Pt gait training 15 min (97116) $57 $114 2.0×
Pt mechanical traction (97012) $59.50 $119 4.1×
Pt Re-Eval Est Plan Care (97164) $85 $170 1.3×
Pulm function test by gas (94727) $95 $190 0.4×
Pulmonary service/procedure (94799) $187 $374 1.4×
Pulmonary Stress Testing (94618) $211.50 $423 1.5×
R Hrt Art/Grft Angio (93457) $5,047.50 $10,095 1.5×
R hrt coronary artery angio (93456) $5,047.50 $10,095 1.5×
R&L Hrt Cath W/Ventriclgrphy (93453) $7,083.50 $14,167 2.1×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $211.50 $423 5.5×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $206.50 $413 1.5×
Respiratory flow volume loop (94375) $424 $848 1.9×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $53.50 $107 0.9×
Right Heart Cath (93451) $5,047.50 $10,095 1.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $114 $228 0.5×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $224 $448 1.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $84 $168 1.8×
Sbsq Psyc Collab Care Mgmt (99493) $266 $532 2.5×
Self Care Mngment Training (97535) $52.50 $105 1.6×
Sensory Integration Ea 15 Min (97533) $42.50 $85 0.7×
Short-latency somatosens ep std upr limbs (95925) $491.50 $983 2.2×
Sleep study attended (95807) $665.50 $1,331 1.7×
Sleep study unattended (95806) $277 $554 1.2×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $290 $580 1.3×
Somatosensory Testing (95938) $570.50 $1,141 0.6×
Speech sound lang comprehen (92523) $432 $864 1.9×
Spirometry (94010) $164 $328 0.7×
Ssep lower limbs (95926) $491.50 $983 2.2×
Standardized Cognitive Performance Testing (96125) $695.50 $1,391 6.8×
Stress Tte Only (93350) $400 $800 0.7×
Surfactant Admin Thru Tube (94610) $104.50 $209 0.5×
Temp transcutaneous pacing (92953) $799.50 $1,599 1.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $91.50 $183 4.1×
Ther Ivntj Ea Addl 15 Min (97130) $65 $130 3.1×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $23 $46 0.8×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $178 $356 1.7×
Ther/Proph/Diag Inj Sc/Im (96372) $91.50 $183 1.2×
Ther/Proph/Diag Iv Inf Init (96365) $347 $694 1.6×
Therapeutic Activities (97530) $49 $98 1.4×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,183 $2,366 3.1×
Tobacco Use Cessation Intensive >10 Minutes (99407) $48 $96 1.2×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $41.50 $83 1.1×
Trans Care Mgmt 14 Day Disch (99495) $168 $336 1.2×
Trans Care Mgmt 7 Day Disch (99496) $168 $336 1.2×
Transcath Closure of Asd (93580) $17,132.50 $34,265 0.9×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $101 $202 2.6×
Tte w/doppler, complete (93306) $1,193.50 $2,387 2.1×
Tx atrial fib pulm vein isol (93656) $15,576 $31,152 0.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $176.50 $353 2.3×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $58 $116 2.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $90 $180 1.9×
Unlisted cardiovascular service/procedure (93799) $208.50 $417 1.6×
Unlisted noninvasive vascular diagnostic study (93998) $21.50 $43 0.7×
Upr/L Xtremity Art 2 Levels (93922) $177 $354 1.3×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $311.50 $623 1.4×
Valvuloplasty aortic valve (92986) $5,826 $11,652 1.0×
Vasopneumatic device (97016) $84 $168 7.0×
Veeg 2-12 hr intmt mntr (95712) $390 $780 1.0×
Veeg Ea 12-26 Hr Unmntr (95714) $748 $1,496 1.9×
Vent Mgmt Inpat Init Day (94002) $2,110 $4,220 3.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,175 $4,350 3.4×
Vital capacity, total (94150) $95 $190 0.7×
Wheelchair Mgmt Ea 15 Min (97542) $26.50 $53 0.9×
Whirlpool Therapy (97022) $90 $180 5.7×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $184 $368 3.0×