▸ Hospital · · CCN 099802

Medstar Georgetown University Hospital

Compliance grade

92/100

Procedures tracked

of 209 target codes

Payers

with negotiated rates

Rates published

4,600

last crawl 2026-05-22

▸ Compare with other hospitals JSON Full cost report on HCRIS.io →

Source MRF: https://www.medstarhealth.org/-/media/project/mho/medstar/billing-and-insurance/2026/522218584_medstar_georgetown_university_hospital_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
emergency
ED visit level 1	CPT	99281	15	—	—	$60.42	$181.24	$515
ED visit level 2	CPT	99282	15	—	—	$148.68	$289.98	$763.85
ED visit level 3	CPT	99283	15	—	—	$228.53	$445.73	$1,174.09
ED visit level 4	CPT	99284	15	—	—	$357.65	$697.55	$1,837.41
ED visit level 5	CPT	99285	15	—	—	$532.72	$1,072.35	$2,736.86
Critical care, first hour	CPT	99291	15	—	—	$459.64	$925.25	$2,423.29
imaging
CT head without contrast	CPT	70450	15	—	—	$315.48	$635.05	$1,620.77
CT head with contrast	CPT	70460	15	—	—	$419.65	$774.18	$2,356.92
CT head with and without contrast	CPT	70470	15	—	—	$380.78	$889.35	$2,585.09
CT neck with contrast	CPT	70491	15	—	—	$358.87	$689.02	$1,843.7
MRI brain without contrast	CPT	70551	15	—	—	$435.24	$1,093.38	$2,888.91
MRI brain with contrast	CPT	70552	15	—	—	$359.57	$1,393.94	$3,686.87
MRI brain with and without contrast	CPT	70553	15	—	—	$654.58	$1,860.42	$4,900.53
Chest X-ray single view	CPT	71045	15	—	—	$101.89	$202.53	$523.46
Chest X-ray 2 views	CPT	71046	15	—	—	$101.89	$198.72	$523.46
Chest X-ray 3 views	CPT	71047	15	—	—	$117.19	$235.9	$668.96
CT chest without contrast	CPT	71250	15	—	—	$279.38	$713.52	$2,032.37
CT chest with contrast	CPT	71260	15	—	—	$305.65	$884.15	$2,569.97
CT chest with and without contrast	CPT	71270	15	—	—	$609.18	$1,188.14	$3,129.68
MRI chest without contrast	CPT	71550	15	—	—	$558.95	$1,090.17	$3,190.68
MRI chest with and without contrast	CPT	71552	15	—	—	$93.81	$1,632.11	$5,271.23
Lumbosacral spine X-ray	CPT	72100	15	—	—	$84.2	$150.56	$432.58
CT cervical spine without contrast	CPT	72125	15	—	—	$328.59	$640.89	$1,688.16
CT thoracic spine without contrast	CPT	72128	15	—	—	$315.77	$569.71	$1,622.29
CT lumbar spine without contrast	CPT	72131	15	—	—	$343.12	$669.21	$1,762.77
MRI cervical spine without contrast	CPT	72141	15	—	—	$241.88	$870.34	$2,422.52
MRI thoracic spine without contrast	CPT	72146	15	—	—	$450.87	$884.78	$2,433.77
MRI lumbar spine without contrast	CPT	72148	15	—	—	$400.76	$933.68	$2,459.4
MRI lumbar spine with and without contrast	CPT	72149	15	—	—	$590.2	$1,188.06	$3,032.17
MRI cervical spine with and without contrast	CPT	72156	15	—	—	$736.49	$1,539.73	$4,100.95
MRI lumbar spine with contrast	CPT	72158	15	—	—	$813.67	$1,585.24	$4,180.28
CT pelvis without contrast	CPT	72192	15	—	—	$260.31	$556.6	$1,644.31
CT pelvis with contrast	CPT	72193	15	—	—	$414.43	$826.41	$2,297.5
Shoulder X-ray	CPT	73030	15	—	—	$25.04	$118.39	$344.12
Humerus X-ray	CPT	73060	15	—	—	$64.29	$129.42	$330.3
Hand X-ray 3 views	CPT	73130	15	—	—	$80.45	$191.45	$543.98
MRI upper extremity joint without contrast	CPT	73221	15	—	—	$490.97	$957.58	$2,772.14
MRI upper extremity joint with and without contrast	CPT	73223	15	—	—	$227.32	$1,290.05	$3,619.94
Knee X-ray 1-2 views	CPT	73560	15	—	—	$60.46	$117.92	$331.59
Ankle X-ray 3 views	CPT	73610	15	—	—	$56.96	$156.01	$453.47
MRI lower extremity joint without contrast	CPT	73721	15	—	—	$508.87	$992.49	$2,885.41
MRI lower extremity joint with and without contrast	CPT	73723	15	—	—	$742.98	$1,449.1	$4,010.15
CT abdomen without contrast	CPT	74150	15	—	—	$43.14	$547.5	$1,853.79
CT abdomen with contrast	CPT	74160	15	—	—	$141.36	$909.64	$2,723.25
CT abdomen with and without contrast	CPT	74170	15	—	—	$645.14	$1,140.26	$3,651.68
CT abdomen and pelvis without contrast	CPT	74176	15	—	—	$531.47	$1,036.57	$2,730.42
CT abdomen and pelvis with contrast	CPT	74177	15	—	—	$936.16	$1,754.57	$5,099.53
CT abdomen and pelvis with and without contrast	CPT	74178	15	—	—	$1,023.37	$1,821.18	$5,623.39
MRI abdomen without contrast	CPT	74181	15	—	—	$591.48	$1,014.84	$3,304.91
MRI abdomen with and without contrast	CPT	74183	15	—	—	$235.51	$1,765.39	$5,412.79
Abdominal ultrasound complete	CPT	76700	15	—	—	$94.26	$246.85	$701.47
Abdominal ultrasound limited	CPT	76705	15	—	—	$119.62	$233.31	$614.57
Retroperitoneal ultrasound complete	CPT	76770	15	—	—	$130.04	$253.64	$713.03
Obstetric ultrasound first trimester	CPT	76801	15	—	—	$103.94	$204.78	$582.11
Obstetric ultrasound after first trimester	CPT	76805	15	—	—	$131	$255.5	$747.8
Obstetric ultrasound with fetal anatomy	CPT	76811	15	—	—	$128.19	$379.39	$1,166.71
Transvaginal ultrasound	CPT	76830	15	—	—	$136.15	$265.55	$738.35
Pelvic ultrasound complete	CPT	76856	15	—	—	$138.75	$274.32	$804.43
Scrotal ultrasound	CPT	76870	15	—	—	$75.91	$148.05	$389.99
Diagnostic mammography unilateral	CPT	77065	15	—	—	$13.42	$194.09	$579.59
Diagnostic mammography bilateral	CPT	77066	15	—	—	$6.79	$248.28	$801.25
Screening mammography bilateral	CPT	77067	15	—	—	$109	$254.92	$709.77
EKG tracing only	CPT	93005	16	—	—	$22.12	$82.14	$216.37
Transthoracic echocardiogram complete	CPT	93306	15	—	—	$544.29	$1,061.58	$2,796.32
Transthoracic echocardiogram	CPT	93307	15	—	—	$351.11	$684.81	$1,803.86
Stress echocardiogram	CPT	93350	15	—	—	$438.16	$854.57	$2,477.95
lab
Basic metabolic panel (BMP)	CPT	80048	16	—	—	$25.65	$95.25	$250.9
Electrolyte panel	CPT	80051	16	—	—	$8.99	$30.26	$97.74
Comprehensive metabolic panel	CPT	80053	16	—	—	$34.2	$127	$334.54
Lipid panel	CPT	80061	16	—	—	$11.03	$40.98	$107.94
Renal function panel	CPT	80069	16	—	—	$11.13	$40.52	$108.83
Hepatic function panel	CPT	80076	16	—	—	$26.99	$100.23	$264.01
Urinalysis non-automated	CPT	81002	15	—	—	$6.3	$12.3	$35.99
Urinalysis automated	CPT	81003	16	—	—	$2.46	$9.14	$24.07
Glucose quantitative	CPT	82947	16	—	—	$5.11	$17.84	$49.94
Hemoglobin A1c	CPT	83036	16	—	—	$9.16	$35.09	$122.31
Thyroid stimulating hormone (TSH)	CPT	84443	16	—	—	$18.42	$68.41	$180.19
Complete blood count with automated differential	CPT	85025	16	—	—	$14.72	$54.65	$143.96
Complete blood count without differential	CPT	85027	16	—	—	$9.9	$36.75	$96.8
Urine culture bacterial	CPT	87086	16	—	—	$8.56	$31.8	$83.75
Tissue exam by pathologist level IV	CPT	88305	15	—	—	$84.91	$178.08	$727.22
maternity
Fetal non-stress test	CPT	59025	15	—	—	$112.01	$208.87	$575.43
office
Office visit, new patient, 15-29 min	CPT	99202	16	—	—	$19.32	$78.5	$228.19
Office visit, new patient, 30-44 minutes	CPT	99203	16	—	—	$25.96	$80.15	$282.14
Office visit, new patient, 45-59 min	CPT	99204	16	—	—	$7.03	$88.75	$333.15
Office visit, new patient, 60-74 min	CPT	99205	16	—	—	$18.85	$105.59	$402.23
Office visit, established patient, 5 min	CPT	99211	16	—	—	$4.21	$58.71	$171.83
Office visit, established patient, 10-19 min	CPT	99212	16	—	—	$18.19	$61.21	$186.42
Office visit, established patient, 20-29 minutes	CPT	99213	16	—	—	$8.52	$84.15	$221.66
Office visit, established patient, 30-39 minutes	CPT	99214	16	—	—	$5.9	$81	$270.59
Office visit, established patient, 40-54 min	CPT	99215	16	—	—	$31.45	$94.89	$341.84

Payer mix (top 16)

Payer	Codes covered	Median rate
Aetna	91	$305.05
amerihealth negotiated charge	91	$192.3
Anthem BCBS	91	$265.55
Blue Cross Blue Shield	91	$179.35
choicecare negotiated charge	91	$699.49
Cigna	91	$341.55
hscsn negotiated charge	91	$582.91
Kaiser Permanente	91	$343.43
VA Health	91	$136.15
medstar family choice district of columbia negotiated charge	91	$192.3
medstar family choice maryland negotiated charge	91	$215.74
Multiplan	91	$621.77
pfc negotiated charge	91	$505.19
TRICARE	91	$582.91
UnitedHealthcare	91	$261.44
magellan behavioral health negotiated charge**	23	$28.53