Visits & medical services prices at Mason General Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $465.23 $620.30 1.9×
Bedside Swallowing Eval (92610) $402.15 $536.20 4.7×
Behavioral and qualitative analysis of voice and resonance (92524) $295.05 $393.40 2.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $614.93 $819.90 1.5×
Cardiac Stress Tst,Tracing Only (93017) $1,210.50 $1,614 5.0×
Cardiopulmonary resuscitation (92950) $3,799.95 $5,066.60 15.8×
Cardioversion (92960) $2,008.95 $2,678.60 2.7×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $58.20 $77.60 2.2×
Chemother, IV infusion, 1 hr (96413) $785.63 $1,047.50 2.1×
Chemother, IV infusion, ea add hr (96415) $427.95 $570.60 5.3×
Cont Gluc Monitoring Patient Provided Equipment (95249) $248.40 $331.20 3.8×
Continuous Glucose Monitoring (95250) $701.03 $934.70 4.7×
Cpap/bipap (94660) $1,389.30 $1,852.40 5.7×
Cptrized oph dx img pst segment uni/bi retina (92134) $194.03 $258.70 3.0×
Critical care (99291) $708 $944 0.8×
Debridement Open Wound 20 Sq Cm< (97597) $495.04 $660.05 2.2×
Developmental tst admin phys/qhp 1st hour (96112) $479.10 $638.80 3.3×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $241.43 $321.90 1.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,913.70 $2,551.60 7.2×
Dup-scan xtr veins unilateral/limited study (93971) $1,066.58 $1,422.10 9.2×
Duplex scan extracranial art compl bi study (93880) $1,435.50 $1,914 5.4×
Echo Heart Xthoracic,Limited (93308) $2,484.53 $3,312.70 9.3×
EEG awake drowsy (95816) $1,387.50 $1,850 5.8×
EEG greater than 1 hour (95813) $1,350 $1,800 5.6×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $1,162.50 $1,550 4.8×
Electrocardiogram Tracing (93005) $285.75 $381 4.3×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $1,312.50 $1,750 5.5×
Er level 1 (99281) $295.50 $394 3.1×
Er level ii (99282) $222.75 $297 1.3×
Er level iii (99283) $377.25 $503 1.2×
Er level IV (99284) $612.75 $817 1.3×
Er level v (99285) $899.25 $1,199 1.4×
Eval speech sound production (92522) $192.15 $256.20 1.7×
Evaluation of speech fluency (92521) $236.63 $315.50 1.8×
External ECG rec>48hr<7d recording (93242) $155.25 $207 3.7×
External ECG rec>48hr<7d scanning alys w/report (93243) $346.88 $462.50 2.3×
External ECG rec>7d<15d recording (93246) $191.03 $254.70 4.6×
External ECG rec>7d<15d scanning alys w/report (93247) $346.88 $462.50 2.3×
External Ecg Scanning Analysis Report (93226) $417.68 $556.90 6.4×
Eye exam, new patient,comprehesv (92004) $291.45 $388.60 2.0×
Holter Monitor (93225) $287.25 $383 1.9×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $11.33 $15.10 0.3×
Imm admn sarscov2 vaccine single dose (90480) $70.50 $94 1.6×
Immunization Admin (90471) $56.29 $75.05 0.7×
Irrig drug delivery device (96523) $259.58 $346.10 3.9×
IV infusion hydration each additional hour (96361) $222.75 $297 4.3×
IV infusion hydration initial 31 min-1 hour (96360) $773.25 $1,031 3.3×
IV infusion ther proph addl sequential to 1 hr (96367) $364.13 $485.50 4.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $864.75 $1,153 3.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $291 $388 5.6×
IV push ea addl new drug (96375) $249.75 $333 4.8×
IV push initial (96374) $471.75 $629 2.0×
Manual therapy 15 min (97140) $181.65 $242.20 6.6×
Massage 15 min (97124) $113.85 $151.80 3.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $81.60 $108.80 2.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $86.40 $115.20 2.4×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $66.75 $89 3.9×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $678.23 $904.30 7.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $731.25 $975 1.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $398.06 $530.75 1.8×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $600.23 $800.30 4.0×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $217.05 $289.40 1.5×
Ophth medical xm&eval intermediate estab pt (92012) $147.75 $197 1.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $159.75 $213 3.5×
Ot eval high complex 60 min (97167) $546.23 $728.30 5.4×
Ot eval low complex 30 min (97165) $314.40 $419.20 3.1×
Ot eval mod complex 45 min (97166) $409.65 $546.20 4.1×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $136.73 $182.30 2.7×
Ot Prosthetic Training, Each 15 Min (97761) $227.33 $303.10 5.6×
Ot re-evaluation (97168) $161.48 $215.30 2.4×
Ot therapeutic activity 15 min (97530) $159.75 $213 4.6×
Paraffin bath pt (97018) $91.05 $121.40 15.1×
Psych diag eval w/med srvcs (90792) $364.80 $486.40 1.8×
Pt eval high complex 45 min (97163) $330 $440 3.4×
Pt eval low complex 20 min (97161) $312.08 $416.10 3.2×
Pt eval mod complex 30 min (97162) $279.60 $372.80 2.9×
Pt gait training 15 min (97116) $132.08 $176.10 4.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $159.75 $213 4.9×
Pt re-evaluation (97164) $166.13 $221.50 2.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $127.58 $170.10 3.9×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $598.35 $797.80 14.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $309.68 $412.90 1.4×
Rt Chest Wall Manipulation,Subsequent (94668) $272.44 $363.25 1.8×
Sensory Integration Ea 15 Min (97533) $163.50 $218 2.7×
Slp caregiver training 1st 30 min (97550) $121.88 $162.50 2.3×
Smoking cessation > 10 min (99407) $65.48 $87.30 1.6×
Speech sound lang comprehen (92523) $427.35 $569.80 1.9×
Spirometry (94010) $345.60 $460.80 1.4×
Therapeutic prophylactic/dx injection subq/im (96372) $213.08 $284.10 2.7×
Trans Care Mgmt 14 Day Disch (99495) $238.20 $317.60 1.6×
Trans Care Mgmt 7 Day Disch (99496) $316.58 $422.10 2.1×
Tte w/doppler, complete (93306) $351.60 $468.80 0.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $326.93 $435.90 4.3×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $322.35 $429.80 3.8×
Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann… (92083) $180.90 $241.20 1.2×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $2,211.75 $2,949 20.9×