▸ Hospital · MD · CCN 210005

Frederick Health Hospital

400 WEST SEVENTH STREET, FREDERICK, MD, 21701

276 bedsAcute Care Hospitals2

Compliance grade

86/100

Procedures tracked

of 209 target codes

Payers

with negotiated rates

Rates published

756

last crawl 2026-05-23

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

Source MRF: https://www.frederickhealth.org/documents/billing%20and%20finance/52-0591612_FrederickHealthHospital_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychiatric diagnostic evaluation	CPT	90791	0	$313.58	$307.31	—	—	—
Psychotherapy 30 minutes	CPT	90832	0	$141.81	$138.97	—	—	—
Psychotherapy 45 minutes	CPT	90834	0	$212.68	$208.43	—	—	—
Psychotherapy 60 minutes	CPT	90837	0	$283.58	$277.91	—	—	—
emergency
ED visit level 1	CPT	99281	0	$125.71	$123.2	—	—	—
ED visit level 2	CPT	99282	0	$125.71	$123.2	—	—	—
ED visit level 3	CPT	99283	0	$251.43	$246.4	—	—	—
ED visit level 4	CPT	99284	0	$502.86	$492.8	—	—	—
ED visit level 5	CPT	99285	0	$880	$862.4	—	—	—
imaging
CT head without contrast	CPT	70450	0	$107.41	$105.26	—	—	—
CT head with contrast	CPT	70460	0	$153.44	$150.37	—	—	—
CT head with and without contrast	CPT	70470	0	$184.13	$180.45	—	—	—
CT neck with contrast	CPT	70491	0	$240.39	$235.58	—	—	—
MRI brain without contrast	CPT	70551	0	$428.43	$419.86	—	—	—
MRI brain with contrast	CPT	70552	0	$632.91	$620.25	—	—	—
MRI brain with and without contrast	CPT	70553	0	$720.54	$706.13	—	—	—
Chest X-ray single view	CPT	71045	0	$59.48	$58.29	—	—	—
Chest X-ray 2 views	CPT	71046	0	$99.14	$97.16	—	—	—
Chest X-ray 3 views	CPT	71047	0	$138.79	$136.01	—	—	—
CT chest without contrast	CPT	71250	0	$184.13	$180.45	—	—	—
CT chest with contrast	CPT	71260	0	$240.39	$235.58	—	—	—
CT chest with and without contrast	CPT	71270	0	$296.65	$290.72	—	—	—
MRI chest without contrast	CPT	71550	0	$934.75	$916.06	—	—	—
MRI chest with contrast	CPT	71551	0	$1,022.39	$1,001.94	—	—	—
MRI chest with and without contrast	CPT	71552	0	$1,275.55	$1,250.04	—	—	—
Lumbosacral spine X-ray	CPT	72100	0	$138.79	$136.01	—	—	—
CT cervical spine without contrast	CPT	72125	0	$189.24	$185.46	—	—	—
CT thoracic spine without contrast	CPT	72128	0	$184.13	$180.45	—	—	—
CT lumbar spine without contrast	CPT	72131	0	$184.13	$180.45	—	—	—
MRI cervical spine without contrast	CPT	72141	0	$408.95	$400.77	—	—	—
MRI thoracic spine without contrast	CPT	72146	0	$408.95	$400.77	—	—	—
MRI lumbar spine without contrast	CPT	72148	0	$408.95	$400.77	—	—	—
MRI lumbar spine with and without contrast	CPT	72149	0	$632.91	$620.25	—	—	—
MRI cervical spine with and without contrast	CPT	72156	0	$720.54	$706.13	—	—	—
MRI lumbar spine with contrast	CPT	72158	0	$720.54	$706.13	—	—	—
CT pelvis without contrast	CPT	72192	0	$132.98	$130.32	—	—	—
CT pelvis with contrast	CPT	72193	0	$240.39	$235.58	—	—	—
Shoulder X-ray	CPT	73030	0	$99.14	$97.16	—	—	—
Humerus X-ray	CPT	73060	0	$118.96	$116.58	—	—	—
Hand X-ray 3 views	CPT	73130	0	$118.96	$116.58	—	—	—
MRI upper extremity joint without contrast	CPT	73221	0	$457.64	$448.49	—	—	—
MRI upper extremity joint with and without contrast	CPT	73223	0	$993.17	$973.31	—	—	—
Knee X-ray 1-2 views	CPT	73560	0	$118.96	$116.58	—	—	—
Ankle X-ray 3 views	CPT	73610	0	$118.96	$116.58	—	—	—
MRI lower extremity joint without contrast	CPT	73721	0	$457.64	$448.49	—	—	—
MRI lower extremity joint with and without contrast	CPT	73723	0	$993.17	$973.31	—	—	—
CT abdomen without contrast	CPT	74150	0	$127.87	$125.31	—	—	—
CT abdomen with contrast	CPT	74160	0	$240.39	$235.58	—	—	—
CT abdomen with and without contrast	CPT	74170	0	$276.19	$270.67	—	—	—
CT abdomen and pelvis without contrast	CPT	74176	0	$163.67	$160.4	—	—	—
CT abdomen and pelvis with contrast	CPT	74177	0	$317.11	$310.77	—	—	—
CT abdomen and pelvis with and without contrast	CPT	74178	0	$363.14	$355.88	—	—	—
MRI abdomen without contrast	CPT	74181	0	$710.8	$696.58	—	—	—
MRI abdomen with and without contrast	CPT	74183	0	$1,080.81	$1,059.19	—	—	—
Abdominal ultrasound complete	CPT	76700	0	$456.02	$446.9	—	—	—
Abdominal ultrasound limited	CPT	76705	0	$356.89	$349.75	—	—	—
Retroperitoneal ultrasound complete	CPT	76770	0	$436.2	$427.48	—	—	—
Obstetric ultrasound first trimester	CPT	76801	0	$416.37	$408.04	—	—	—
Obstetric ultrasound after first trimester	CPT	76805	0	$515.5	$505.19	—	—	—
Transvaginal ultrasound	CPT	76830	0	$495.68	$485.77	—	—	—
Pelvic ultrasound complete	CPT	76856	0	$416.37	$408.04	—	—	—
Scrotal ultrasound	CPT	76870	0	$198.27	$194.3	—	—	—
EKG tracing only	CPT	93005	0	$41.6	$40.77	—	—	—
Transthoracic echocardiogram complete	CPT	93306	0	$208.01	$203.85	—	—	—
lab
Basic metabolic panel (BMP)	CPT	80048	0	$22.48	$22.03	—	—	—
General health panel	CPT	80050	0	$81.75	$80.12	—	—	—
Electrolyte panel	CPT	80051	0	$16.35	$16.02	—	—	—
Comprehensive metabolic panel	CPT	80053	0	$30.66	$30.05	—	—	—
Lipid panel	CPT	80061	0	$38.83	$38.05	—	—	—
Renal function panel	CPT	80069	0	$24.52	$24.03	—	—	—
Hepatic function panel	CPT	80076	0	$22.48	$22.03	—	—	—
Urinalysis non-automated	CPT	81002	0	$8.17	$8.01	—	—	—
Urinalysis automated	CPT	81003	0	$8.17	$8.01	—	—	—
Glucose quantitative	CPT	82947	0	$8.17	$8.01	—	—	—
Hemoglobin A1c	CPT	83036	0	$40.87	$40.05	—	—	—
Thyroid stimulating hormone (TSH)	CPT	84443	0	$30.66	$30.05	—	—	—
Complete blood count with automated differential	CPT	85025	0	$20.44	$20.03	—	—	—
Complete blood count without differential	CPT	85027	0	$16.35	$16.02	—	—	—
Urine culture bacterial	CPT	87086	0	$40.87	$40.05	—	—	—
Tissue exam by pathologist level IV	CPT	88305	0	$122.62	$120.17	—	—	—
office
Office visit, established patient, 5 min	CPT	99211	0	$69.94	$68.54	—	—	—
Office visit, established patient, 10-19 min	CPT	99212	0	$104.9	$102.8	—	—	—
Office visit, established patient, 20-29 minutes	CPT	99213	0	$139.87	$137.07	—	—	—
Office visit, established patient, 30-39 minutes	CPT	99214	0	$174.84	$171.34	—	—	—
Office visit, established patient, 40-54 min	CPT	99215	0	$209.81	$205.61	—	—	—

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.