▸ Hospital · MD · CCN 210018

MedStar Montgomery Medical Center

Olney, MD, 20832-1512

100 bedsAcute Care Hospitals2

Compliance grade

86/100

Rates published

1,208

last crawl 2026-05-23

Procedures tracked

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All MD hospitals JSON

Source MRF: https://www.medstarhealth.org/-/media/project/mho/medstar/billing-and-insurance/2026/520646893_medstar_montgomery_medical_center_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychiatric diagnostic evaluation	CPT	90791	0	$978.92	$959.34	—	—	—
Psychotherapy 30 minutes	CPT	90832	0	$407.92	$399.76	—	—	—
Psychotherapy 45 minutes	CPT	90834	0	$489.4	$479.61	—	—	—
emergency
ED visit level 1	CPT	99281	0	$225.29	$220.78	—	—	—
ED visit level 2	CPT	99282	0	$167.21	$163.87	—	—	—
ED visit level 3	CPT	99283	0	$334.41	$327.72	—	—	—
ED visit level 4	CPT	99284	0	$668.82	$655.44	—	—	—
ED visit level 5	CPT	99285	0	$1,170.44	$1,147.03	—	—	—
imaging
CT head without contrast	CPT	70450	0	$71.25	$69.83	—	—	—
CT head with contrast	CPT	70460	0	$101.79	$99.75	—	—	—
CT head with and without contrast	CPT	70470	0	$122.15	$119.71	—	—	—
CT neck with contrast	CPT	70491	0	$159.47	$156.28	—	—	—
MRI brain without contrast	CPT	70551	0	$1,534.36	$1,503.67	—	—	—
MRI brain with contrast	CPT	70552	0	$2,266.66	$2,221.33	—	—	—
MRI brain with and without contrast	CPT	70553	0	$2,580.51	$2,528.9	—	—	—
Chest X-ray single view	CPT	71045	0	$139.41	$136.62	—	—	—
Chest X-ray 2 views	CPT	71046	0	$232.35	$227.7	—	—	—
Chest X-ray 3 views	CPT	71047	0	$325.29	$318.78	—	—	—
CT chest without contrast	CPT	71250	0	$122.15	$119.71	—	—	—
CT chest with contrast	CPT	71260	0	$159.47	$156.28	—	—	—
CT chest with and without contrast	CPT	71270	0	$196.8	$192.86	—	—	—
MRI chest without contrast	CPT	71550	0	$3,347.69	$3,280.74	—	—	—
MRI chest with contrast	CPT	71551	0	$3,661.53	$3,588.3	—	—	—
MRI chest with and without contrast	CPT	71552	0	$4,568.2	$4,476.84	—	—	—
Lumbosacral spine X-ray	CPT	72100	0	$325.29	$318.78	—	—	—
CT cervical spine without contrast	CPT	72125	0	$125.54	$123.03	—	—	—
CT thoracic spine without contrast	CPT	72128	0	$122.15	$119.71	—	—	—
CT lumbar spine without contrast	CPT	72131	0	$122.15	$119.71	—	—	—
MRI cervical spine without contrast	CPT	72141	0	$1,464.61	$1,435.32	—	—	—
MRI thoracic spine without contrast	CPT	72146	0	$1,464.61	$1,435.32	—	—	—
MRI lumbar spine without contrast	CPT	72148	0	$1,464.61	$1,435.32	—	—	—
MRI lumbar spine with and without contrast	CPT	72149	0	$2,266.66	$2,221.33	—	—	—
MRI cervical spine with and without contrast	CPT	72156	0	$2,580.51	$2,528.9	—	—	—
MRI lumbar spine with contrast	CPT	72158	0	$2,580.51	$2,528.9	—	—	—
CT pelvis without contrast	CPT	72192	0	$88.22	$86.46	—	—	—
CT pelvis with contrast	CPT	72193	0	$159.47	$156.28	—	—	—
Shoulder X-ray	CPT	73030	0	$464.7	$455.41	—	—	—
Humerus X-ray	CPT	73060	0	$278.82	$273.24	—	—	—
Hand X-ray 3 views	CPT	73130	0	$557.64	$546.49	—	—	—
MRI upper extremity joint without contrast	CPT	73221	0	$3,277.94	$3,212.38	—	—	—
MRI upper extremity joint with and without contrast	CPT	73223	0	$7,113.83	$6,971.55	—	—	—
Knee X-ray 1-2 views	CPT	73560	0	$557.64	$546.49	—	—	—
Ankle X-ray 3 views	CPT	73610	0	$557.64	$546.49	—	—	—
MRI lower extremity joint without contrast	CPT	73721	0	$3,277.94	$3,212.38	—	—	—
MRI lower extremity joint with and without contrast	CPT	73723	0	$7,113.83	$6,971.55	—	—	—
CT abdomen without contrast	CPT	74150	0	$84.83	$83.13	—	—	—
CT abdomen with contrast	CPT	74160	0	$159.47	$156.28	—	—	—
CT abdomen with and without contrast	CPT	74170	0	$183.22	$179.56	—	—	—
CT abdomen and pelvis without contrast	CPT	74176	0	$108.58	$106.41	—	—	—
CT abdomen and pelvis with contrast	CPT	74177	0	$210.37	$206.16	—	—	—
CT abdomen and pelvis with and without contrast	CPT	74178	0	$240.91	$236.09	—	—	—
MRI abdomen without contrast	CPT	74181	0	$2,545.64	$2,494.73	—	—	—
MRI abdomen with and without contrast	CPT	74183	0	$3,870.76	$3,793.34	—	—	—
Abdominal ultrasound complete	CPT	76700	0	$1,068.82	$1,047.44	—	—	—
Abdominal ultrasound limited	CPT	76705	0	$836.46	$819.73	—	—	—
Retroperitoneal ultrasound complete	CPT	76770	0	$1,022.35	$1,001.9	—	—	—
Obstetric ultrasound first trimester	CPT	76801	0	$975.88	$956.36	—	—	—
Obstetric ultrasound after first trimester	CPT	76805	0	$1,208.23	$1,184.07	—	—	—
Obstetric ultrasound with fetal anatomy	CPT	76811	0	$1,115.29	$1,092.98	—	—	—
Transvaginal ultrasound	CPT	76830	0	$1,161.76	$1,138.52	—	—	—
Pelvic ultrasound complete	CPT	76856	0	$975.88	$956.36	—	—	—
Scrotal ultrasound	CPT	76870	0	$464.7	$455.41	—	—	—
Diagnostic mammography unilateral	CPT	77065	0	$1,208.23	$1,184.07	—	—	—
Diagnostic mammography bilateral	CPT	77066	0	$1,579.99	$1,548.39	—	—	—
Screening mammography bilateral	CPT	77067	0	$1,301.17	$1,275.15	—	—	—
EKG tracing only	CPT	93005	0	$48.7	$47.73	—	—	—
Transthoracic echocardiogram complete	CPT	93306	0	$243.49	$238.62	—	—	—
Stress echocardiogram	CPT	93350	0	$243.49	$238.62	—	—	—
lab
Basic metabolic panel (BMP)	CPT	80048	0	$29.69	$29.1	—	—	—
Electrolyte panel	CPT	80051	0	$21.59	$21.16	—	—	—
Comprehensive metabolic panel	CPT	80053	0	$40.49	$39.68	—	—	—
Lipid panel	CPT	80061	0	$51.29	$50.26	—	—	—
Renal function panel	CPT	80069	0	$32.39	$31.74	—	—	—
Hepatic function panel	CPT	80076	0	$29.69	$29.1	—	—	—
Urinalysis automated	CPT	81003	0	$10.8	$10.58	—	—	—
Glucose quantitative	CPT	82947	0	$10.8	$10.58	—	—	—
Hemoglobin A1c	CPT	83036	0	$53.98	$52.9	—	—	—
Thyroid stimulating hormone (TSH)	CPT	84443	0	$40.49	$39.68	—	—	—
Complete blood count with automated differential	CPT	85025	0	$26.99	$26.45	—	—	—
Complete blood count without differential	CPT	85027	0	$21.59	$21.16	—	—	—
Urine culture bacterial	CPT	87086	0	$53.98	$52.9	—	—	—
Urine culture identification	CPT	87088	0	$26.99	$26.45	—	—	—
Tissue exam by pathologist level IV	CPT	88305	0	$161.95	$158.71	—	—	—
maternity
Fetal non-stress test	CPT	59025	0	$1,126.46	$1,103.93	—	—	—
Vaginal delivery only	CPT	59409	0	$13,968	$13,689	—	—	—
C-section delivery only	CPT	59514	0	$10,589	$10,377	—	—	—
office
Office visit, new patient, 15-29 min	CPT	99202	0	$244.74	$239.85	—	—	—
Office visit, new patient, 30-44 minutes	CPT	99203	0	$326.3	$319.77	—	—	—
Office visit, new patient, 45-59 min	CPT	99204	0	$407.9	$399.74	—	—	—
Office visit, new patient, 60-74 min	CPT	99205	0	$489.52	$479.73	—	—	—
Office visit, established patient, 5 min	CPT	99211	0	$163.19	$159.93	—	—	—
Office visit, established patient, 10-19 min	CPT	99212	0	$244.74	$239.85	—	—	—
Office visit, established patient, 20-29 minutes	CPT	99213	0	$326.3	$319.77	—	—	—
Office visit, established patient, 30-39 minutes	CPT	99214	0	$407.9	$399.74	—	—	—
Office visit, established patient, 40-54 min	CPT	99215	0	$489.52	$479.73	—	—	—

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

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