HCPCS A6222 at Mason General Hospital & Family of Clinics

Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing

Mason General Hospital & Family of Clinics, Shelton

Description from CMS's HCPCS Level II code file.

What Mason General Hospital & Family of Clinics publishes for this code: as an outpatient

Mason General Hospital & Family of Clinics’s prices for HCPCS A6222, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Medicare AdvantageInsurer rates	$15.79 – $53.002 plans	—
Cash pricePaying yourself, without insurance	$39.75	—
List priceBefore any discount; few people pay it	$53.00	—

Lowest and highest amounts Mason General Hospital & Family of Clinics lists for this code as an outpatient, including lines it lists for both settings or without saying which. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for HCPCS A6222 at Mason General Hospital & Family of Clinics
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The service	—	The price above

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare HCPCS A6222 at every Washington hospital, with Medicare’s reference amounts.