▸ Hospital · · CCN 099800

Medstar Washington Hospital Center

Compliance grade

92/100

Procedures tracked

101

of 209 target codes

Payers

with negotiated rates

Rates published

11,388

last crawl 2026-05-22

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Source MRF: https://www.medstarhealth.org/-/media/project/mho/medstar/billing-and-insurance/2026/521272129_medstar_washington_hospital_center_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychiatric diagnostic evaluation	CPT	90791	15	—	—	$63.73	$224.61	$702.57
Psychiatric eval with medical services	CPT	90792	15	—	—	$63.73	$224.61	$702.57
Psychotherapy 30 minutes	CPT	90832	15	—	—	$32.45	$114.38	$357.78
Psychotherapy 45 minutes	CPT	90834	15	—	—	$42.02	$148.11	$463.28
Psychotherapy 60 minutes	CPT	90837	15	—	—	$38.53	$135.8	$425.09
Crisis psychotherapy 60 minutes	CPT	90839	15	—	—	$52.66	$185.6	$580.54
emergency
ED visit level 1	CPT	99281	14	—	—	$80.23	$152.63	$493.32
ED visit level 2	CPT	99282	14	—	—	$153.7	$244.2	$791.98
ED visit level 3	CPT	99283	14	—	—	$277.29	$405.91	$1,269.68
ED visit level 4	CPT	99284	14	—	—	$361.34	$656.29	$2,052.85
ED visit level 5	CPT	99285	14	—	—	$719.74	$1,154.26	$3,246.35
Critical care, first hour	CPT	99291	14	—	—	$931.35	$1,493.64	$4,200.85
imaging
CT head without contrast	CPT	70450	14	—	—	$297.79	$477.57	$1,343.17
CT head with contrast	CPT	70460	14	—	—	$379	$546.52	$1,709.49
CT head with and without contrast	CPT	70470	14	—	—	$460.22	$738.06	$2,075.81
CT neck with contrast	CPT	70491	14	—	—	$2.84	$630.85	$1,663.98
MRI brain without contrast	CPT	70551	14	—	—	$442.48	$769.11	$2,405.74
MRI brain with contrast	CPT	70552	14	—	—	$601.37	$965.36	$3,019.6
MRI brain with and without contrast	CPT	70553	14	—	—	$464.09	$1,097.5	$3,432.92
Chest X-ray single view	CPT	71045	14	—	—	$92.94	$149.04	$419.18
Chest X-ray 2 views	CPT	71046	14	—	—	$98.44	$141.95	$444.01
Chest X-ray 3 views	CPT	71047	14	—	—	$148.85	$238.71	$671.37
CT chest without contrast	CPT	71250	14	—	—	$339	$852.45	$1,992.56
CT chest with contrast	CPT	71260	14	—	—	$349.9	$925.85	$2,896.03
CT chest with and without contrast	CPT	71270	14	—	—	$714.62	$1,030.47	$3,223.27
MRI chest without contrast	CPT	71550	14	—	—	$50.83	$1,034.78	$3,236.73
MRI chest with contrast	CPT	71551	14	—	—	$791.48	$1,205.31	$3,569.94
MRI chest with and without contrast	CPT	71552	14	—	—	$33.79	$1,346.13	$4,304.01
Lumbosacral spine X-ray	CPT	72100	14	—	—	$77.69	$152.52	$543.15
CT cervical spine without contrast	CPT	72125	14	—	—	$516.05	$744.14	$2,327.64
CT thoracic spine without contrast	CPT	72128	14	—	—	$420.89	$656.29	$1,898.41
CT lumbar spine without contrast	CPT	72131	14	—	—	$535.88	$859.4	$2,417.08
MRI cervical spine without contrast	CPT	72141	14	—	—	$681.16	$902.36	$3,258.54
MRI thoracic spine without contrast	CPT	72146	14	—	—	$722.44	$876.49	$3,258.54
MRI lumbar spine without contrast	CPT	72148	14	—	—	$578.92	$915.05	$3,258.54
MRI lumbar spine with and without contrast	CPT	72149	14	—	—	$830.62	$1,039.79	$3,746.5
MRI cervical spine with and without contrast	CPT	72156	14	—	—	$1,162.16	$1,675.82	$5,241.9
MRI lumbar spine with contrast	CPT	72158	14	—	—	$1,162.16	$1,675.82	$5,241.9
CT pelvis without contrast	CPT	72192	14	—	—	$240.22	$578.14	$2,058.8
CT pelvis with contrast	CPT	72193	14	—	—	$633.98	$914.2	$2,859.56
Shoulder X-ray	CPT	73030	14	—	—	$44.88	$97.96	$306.42
Humerus X-ray	CPT	73060	14	—	—	$51.92	$118.78	$371.54
Hand X-ray 3 views	CPT	73130	14	—	—	$72.5	$139.96	$437.79
MRI upper extremity joint without contrast	CPT	73221	14	—	—	$73.89	$959.59	$3,001.55
MRI upper extremity joint with and without contrast	CPT	73223	14	—	—	$822.51	$1,252.57	$3,709.93
Knee X-ray 1-2 views	CPT	73560	14	—	—	$49.14	$82.63	$258.46
Ankle X-ray 3 views	CPT	73610	14	—	—	$74	$128.34	$401.45
MRI lower extremity joint without contrast	CPT	73721	14	—	—	$55.22	$604.86	$2,153.93
MRI lower extremity joint with and without contrast	CPT	73723	14	—	—	$23.61	$1,146.4	$3,585.89
CT abdomen without contrast	CPT	74150	14	—	—	$358.16	$516.47	$1,615.49
CT abdomen with contrast	CPT	74160	14	—	—	$379.01	$645.58	$2,019.36
CT abdomen with and without contrast	CPT	74170	14	—	—	$564.11	$832.67	$2,544.42
CT abdomen and pelvis without contrast	CPT	74176	14	—	—	$372.47	$738.28	$2,309.3
CT abdomen and pelvis with contrast	CPT	74177	14	—	—	$615.46	$1,008.8	$3,155.47
CT abdomen and pelvis with and without contrast	CPT	74178	14	—	—	$783.14	$1,129.28	$3,532.35
MRI abdomen without contrast	CPT	74181	14	—	—	$507.39	$805.2	$2,288.57
MRI abdomen with and without contrast	CPT	74183	14	—	—	$381.63	$1,183.56	$3,702.12
Abdominal ultrasound complete	CPT	76700	14	—	—	$94.92	$235.29	$735.97
Abdominal ultrasound limited	CPT	76705	14	—	—	$95.67	$156.29	$488.86
Retroperitoneal ultrasound complete	CPT	76770	14	—	—	$161.18	$232.42	$726.99
Obstetric ultrasound first trimester	CPT	76801	14	—	—	$25.54	$274.04	$857.19
Obstetric ultrasound after first trimester	CPT	76805	14	—	—	$191.98	$276.83	$865.93
Obstetric ultrasound with fetal anatomy	CPT	76811	14	—	—	$190.04	$304.78	$857.19
Transvaginal ultrasound	CPT	76830	14	—	—	$153.52	$246.2	$692.43
Pelvic ultrasound complete	CPT	76856	14	—	—	$190.04	$274.04	$857.19
Scrotal ultrasound	CPT	76870	14	—	—	$159.22	$229.59	$718.15
Diagnostic mammography unilateral	CPT	77065	14	—	—	$115.74	$178.54	$558.46
Diagnostic mammography bilateral	CPT	77066	14	—	—	$39.21	$200.61	$714.39
Screening mammography bilateral	CPT	77067	14	—	—	$2.01	$167.43	$649.24
EKG tracing only	CPT	93005	14	—	—	$61.54	$98.7	$277.59
Transthoracic echocardiogram complete	CPT	93306	14	—	—	$397.16	$636.94	$1,791.41
Transthoracic echocardiogram	CPT	93307	14	—	—	$187.38	$353.45	$1,258.64
Stress echocardiogram	CPT	93350	14	—	—	$336.52	$519.43	$1,517.86
lab
Basic metabolic panel (BMP)	CPT	80048	15	—	—	$15.8	$55.69	$174.19
Electrolyte panel	CPT	80051	14	—	—	$9.35	$19.42	$69.16
Comprehensive metabolic panel	CPT	80053	15	—	—	$17.62	$62.09	$194.21
Lipid panel	CPT	80061	15	—	—	$9.06	$31.93	$99.89
Renal function panel	CPT	80069	14	—	—	$41.66	$60.07	$187.9
Hepatic function panel	CPT	80076	15	—	—	$21.25	$74.89	$234.24
Urinalysis non-automated	CPT	81002	15	—	—	$2.35	$7.66	$25.93
Urinalysis automated	CPT	81003	14	—	—	$9.98	$19.09	$67.82
Glucose quantitative	CPT	82947	15	—	—	$3.89	$13.71	$42.88
Hemoglobin A1c	CPT	83036	15	—	—	$14.54	$51.25	$160.3
Thyroid stimulating hormone (TSH)	CPT	84443	15	—	—	$16.47	$58.06	$181.61
Complete blood count with automated differential	CPT	85025	15	—	—	$8.03	$28.32	$88.57
Complete blood count without differential	CPT	85027	15	—	—	$9.32	$32.86	$102.8
Urine culture bacterial	CPT	87086	15	—	—	$8.66	$30.51	$95.44
Tissue exam by pathologist level IV	CPT	88305	14	—	—	$62.25	$140.14	$523.59
maternity
Fetal non-stress test	CPT	59025	14	—	—	$145.12	$209.26	$654.56
office
Office visit, new patient, 15-29 min	CPT	99202	15	—	—	$20.01	$63.43	$233.08
Office visit, new patient, 30-44 minutes	CPT	99203	15	—	—	$22.8	$70.59	$251.36
Office visit, new patient, 45-59 min	CPT	99204	15	—	—	$27.32	$82.41	$301.19
Office visit, new patient, 60-74 min	CPT	99205	15	—	—	$29.73	$100.63	$358.36
Office visit, established patient, 5 min	CPT	99211	15	—	—	$8.23	$105.72	$462.95
Office visit, established patient, 10-19 min	CPT	99212	15	—	—	$15.97	$49.45	$177.89
Office visit, established patient, 20-29 minutes	CPT	99213	15	—	—	$19.9	$61.62	$219.43
Office visit, established patient, 30-39 minutes	CPT	99214	15	—	—	$24.3	$75.22	$267.86
Office visit, established patient, 40-54 min	CPT	99215	15	—	—	$27.62	$85.52	$304.54
preventive
Sigmoidoscopy diagnostic	CPT	45330	14	—	—	$662.16	$1,025.3	$3,221.87
Sigmoidoscopy with biopsy	CPT	45331	14	—	—	$662.16	$954.83	$3,221.84
surgery
Intravitreal injection	CPT	67028	14	—	—	$266.48	$476.95	$1,413.84

Payer mix (top 15)

Payer	Codes covered	Median rate
Aetna	101	$319.4
amerihealth negotiated charge	101	$195.78
Blue Cross Blue Shield	101	$190.04
choicecare negotiated charge	101	$731.48
Cigna	101	$386.22
hscsn negotiated charge	101	$609.57
Kaiser Permanente	101	$297.26
VA Health	101	$162.17
medstar family choice district of columbia negotiated charge	101	$195.78
medstar family choice maryland negotiated charge	101	$233.85
Multiplan	101	$650.2
pfc negotiated charge	101	$528.29
TRICARE	101	$609.57
UnitedHealthcare	101	$264.04
magellan behavioral health negotiated charge**	26	$20.49