Visits & medical services prices at Mason District Hospital

Havana, IL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $96 $120 0.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 4 matching MRF lines
$250–$291.20 $312.50–$364 varies
Application Modality 1/> Areas Diathermy (97024) $209.60 $262 28.5×
Assessment of aphasia per hr (96105) $406.80 $508.50 4.2×
Behavral qualit analys voice (92524)
range across 3 matching MRF lines
$199.20–$417.20 $249–$521.50 varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$42–$52.40 $52.50–$65.50 varies
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$70.80–$320 $88.50–$400 varies
Cardioversion (92960)
range across 2 matching MRF lines
$122.80–$142.40 $153.50–$178 varies
Cbt 1st hour (94644)
range across 2 matching MRF lines
$346.40–$566.40 $433–$708 varies
Chemo Anti-Neopl Sq/Im (96401) $28 $35 0.4×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $28 $35 0.1×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $28 $35 0.1×
Chest Wall Manipulation (94668)
range across 2 matching MRF lines
$28.40–$95.20 $35.50–$119 varies
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 2 matching MRF lines
$435.60–$457.60 $544.50–$572 varies
Cont gluc mntr physician/qhp provided equiptment (95250) $398.80 $498.50 2.8×
Cont Gluc Mntr Pt Prov Eqp (95249) $148 $185 2.3×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$233.60–$542.40 $292–$678 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$126.80–$298.40 $158.50–$373 varies
Cpt initial (94667)
range across 2 matching MRF lines
$48.40–$149.60 $60.50–$187 varies
Critical care first hour (99291)
range across 5 matching MRF lines
$734.80–$2,190.80 $918.50–$2,738.50 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$287.60–$719.20 $359.50–$899 varies
Developmental tst admin phys/qhp 1st hour (96112) $472 $590 3.4×
Duplex Scan Hemodialysis Access (93990) $1,471.60 $1,839.50 13.1×
EEG awake drowsy (95816) $1,248.40 $1,560.50 5.4×
Electrical Stimulation Ea 15 Min (97032) $282 $352.50 19.2×
Electrocardiogram Tracing (93005) $195.20 $244 3.1×
Emergency Dept Visit Level 2 (99282)
range across 3 matching MRF lines
$253.60–$453.20 $317–$566.50 varies
Emergency Dept Visit Level 3 (99283)
range across 3 matching MRF lines
$537.20–$950 $671.50–$1,187.50 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$980.80–$1,196.40 $1,226–$1,495.50 varies
Er level 1 (99281) $495.60 $619.50 5.5×
Er level v (99285)
range across 4 matching MRF lines
$457.60–$1,695.20 $572–$2,119 varies
Evaluate pt use of inhaler (94664) $48.40 $60.50 0.2×
Evaluate Swallowing Function (92610) $76.80 $96 0.9×
Evaluation of speech fluency (92521)
range across 3 matching MRF lines
$198.80–$417.20 $248.50–$521.50 varies
External ECG rec>48hr<7d recording (93242) $27.20 $34 0.7×
External ECG rec>48hr<7d scanning alys w/report (93243) $543.20 $679 3.8×
External ECG rec>7d<15d recording (93246) $33.60 $42 0.8×
External ECG rec>7d<15d scanning alys w/report (93247) $564 $705 4.0×
External Ecg Scanning Analysis Report (93226) $80 $100 1.3×
Group Therapeutic Procedures (97150)
range across 2 matching MRF lines
$158.80–$213.60 $198.50–$267 varies
Holter monitor recording (93225) $42 $52.50 0.3×
Iontophoresis 15 min (97033) $299.20 $374 15.7×
Irrig Drug Delivery Device (96523) $82.40 $103 1.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $103.20 $129 2.8×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $41.20 $51.50 2.4×
Methacholine challenge (94070) $596 $745 1.5×
Motion Fluoroscopy/Swallow (92611) $455.60 $569.50 5.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$116.80–$327.20 $146–$409 varies
Neuromuscular Reeducation (97112) $257.60 $322 7.9×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $138.40 $173 1.0×
Oral Speech Device Eval (92597) $276.80 $346 3.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 4 matching MRF lines
$83.20–$198.80 $104–$248.50 varies
Ot Contrast Bath Ea 15 Min (97034)
range across 2 matching MRF lines
$184–$208.40 $230–$260.50 varies
Ot paraffin bath (97018) $209.60 $262 34.9×
Ot Prosthetic Training, Each 15 Min (97761)
range across 3 matching MRF lines
$83.20–$198.80 $104–$248.50 varies
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 4 matching MRF lines
$218–$357.60 $272.50–$447 varies
Patient-initiated spirometric phys/qhp r&i only (94016) $202.80 $253.50 8.2×
Percutaneous tests w/allergenic extracts (95004) $4 $5 0.0×
Peripheral arterial disease rehab per session (93668) $232 $290 3.7×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625)
range across 2 matching MRF lines
$288.80–$357.60 $361–$447 varies
Physical Performance Test (97750)
range across 2 matching MRF lines
$220.40–$1,558.40 $275.50–$1,948 varies
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,209.60 $6,512 5.7×
Prepj& allergen immunotherapy 1/mlt antigen (95165)
range across 3 matching MRF lines
$1,920–$3,200 $2,400–$4,000 varies
Pt gait training 15 min (97116) $242.40 $303 8.3×
Pulm function test by gas (94727) $48.40 $60.50 0.2×
Pulmonary service/procedure (94799)
range across 6 matching MRF lines
$14.40–$89.60 $18–$112 varies
Pulmonary Stress Testing (94618) $179.20 $224 1.3×
Remote 30 Day Ecg Rev/Report (93270)
range across 3 matching MRF lines
$19.20–$352 $24–$440 varies
Respiratory flow volume loop (94375) $28.40 $35.50 0.1×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041)
range across 5 matching MRF lines
$34.40–$355.20 $43–$444 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $480 $600 3.9×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $182.40 $228 3.8×
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$198.80–$201.60 $248.50–$252 varies
Sensory Integration Ea 15 Min (97533)
range across 2 matching MRF lines
$116–$257.60 $145–$322 varies
Speech sound lang comprehen (92523)
range across 3 matching MRF lines
$199.20–$417.20 $249–$521.50 varies
Spin/Brain Pump Refil & Main (95991) $293.20 $366.50 0.9×
Spirometry (94010)
range across 4 matching MRF lines
$45.20–$244.80 $56.50–$306 varies
Standardized Cognitive Performance Testing (96125) $399.60 $499.50 3.9×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 3 matching MRF lines
$83.20–$198.80 $104–$248.50 varies
Ther Ivntj Ea Addl 15 Min (97130)
range across 3 matching MRF lines
$83.20–$198.80 $104–$248.50 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $190 $237.50 6.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $390.80 $488.50 3.8×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$84.80–$89.20 $106–$111.50 varies
Therapeutic Activities (97530)
range across 3 matching MRF lines
$198.80–$213.60 $248.50–$267 varies
Tte W/O Doppler Complete (93307) $1,633.60 $2,042 6.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 5 matching MRF lines
$139.20–$683.20 $174–$854 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $152.80 $191 6.4×
Unlisted cardiovascular service/procedure (93799) $180 $225 1.3×
Vent Mgmt Inpat Init Day (94002) $434 $542.50 0.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $325.20 $406.50 0.5×
Wheelchair Mgmt Ea 15 Min (97542) $198.80 $248.50 6.4×
Whirlpool Therapy (97022)
range across 5 matching MRF lines
$184–$396.40 $230–$495.50 varies

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.