▸ Hospital · MD · CCN 210062

MedStar Southern Maryland Hospital Center

7503 SURRATTS ROAD, CLINTON, MD, 20735

190 bedsAcute Care Hospitals2

Compliance grade

86/100

Rates published

1,096

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/2026/460726303_medstar_southern_maryland_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	0	$649.68	$636.69	—	—	—
emergency
ED visit level 1	CPT	99281	0	$335.51	$328.8	—	—	—
ED visit level 2	CPT	99282	0	$144.45	$141.56	—	—	—
ED visit level 3	CPT	99283	0	$288.91	$283.13	—	—	—
ED visit level 4	CPT	99284	0	$577.78	$566.22	—	—	—
ED visit level 5	CPT	99285	0	$1,011.23	$991.01	—	—	—
imaging
CT head without contrast	CPT	70450	0	$88.37	$86.6	—	—	—
CT head with contrast	CPT	70460	0	$126.24	$123.72	—	—	—
CT head with and without contrast	CPT	70470	0	$151.49	$148.46	—	—	—
CT neck with contrast	CPT	70491	0	$197.78	$193.82	—	—	—
MRI brain without contrast	CPT	70551	0	$470.77	$461.35	—	—	—
MRI brain with contrast	CPT	70552	0	$695.46	$681.55	—	—	—
MRI brain with and without contrast	CPT	70553	0	$791.75	$775.92	—	—	—
Chest X-ray single view	CPT	71045	0	$97.57	$95.62	—	—	—
Chest X-ray 2 views	CPT	71046	0	$162.61	$159.36	—	—	—
Chest X-ray 3 views	CPT	71047	0	$227.65	$223.1	—	—	—
CT chest without contrast	CPT	71250	0	$151.49	$148.46	—	—	—
CT chest with contrast	CPT	71260	0	$197.78	$193.82	—	—	—
CT chest with and without contrast	CPT	71270	0	$244.07	$239.19	—	—	—
MRI chest without contrast	CPT	71550	0	$1,027.14	$1,006.6	—	—	—
MRI chest with contrast	CPT	71551	0	$1,123.43	$1,100.96	—	—	—
MRI chest with and without contrast	CPT	71552	0	$1,401.62	$1,373.59	—	—	—
Lumbosacral spine X-ray	CPT	72100	0	$227.65	$223.1	—	—	—
CT cervical spine without contrast	CPT	72125	0	$155.7	$152.59	—	—	—
CT thoracic spine without contrast	CPT	72128	0	$151.49	$148.46	—	—	—
CT lumbar spine without contrast	CPT	72131	0	$151.49	$148.46	—	—	—
MRI cervical spine without contrast	CPT	72141	0	$449.37	$440.38	—	—	—
MRI thoracic spine without contrast	CPT	72146	0	$449.37	$440.38	—	—	—
MRI lumbar spine without contrast	CPT	72148	0	$449.37	$440.38	—	—	—
MRI lumbar spine with and without contrast	CPT	72149	0	$695.46	$681.55	—	—	—
MRI cervical spine with and without contrast	CPT	72156	0	$791.75	$775.92	—	—	—
MRI lumbar spine with contrast	CPT	72158	0	$791.75	$775.92	—	—	—
CT pelvis without contrast	CPT	72192	0	$109.41	$107.22	—	—	—
CT pelvis with contrast	CPT	72193	0	$197.78	$193.82	—	—	—
Shoulder X-ray	CPT	73030	0	$325.22	$318.72	—	—	—
Humerus X-ray	CPT	73060	0	$195.13	$191.23	—	—	—
Hand X-ray 3 views	CPT	73130	0	$390.26	$382.45	—	—	—
MRI upper extremity joint without contrast	CPT	73221	0	$1,005.74	$985.63	—	—	—
MRI upper extremity joint with and without contrast	CPT	73223	0	$2,182.67	$2,139.02	—	—	—
Knee X-ray 1-2 views	CPT	73560	0	$390.26	$382.45	—	—	—
Ankle X-ray 3 views	CPT	73610	0	$390.26	$382.45	—	—	—
MRI lower extremity joint without contrast	CPT	73721	0	$1,005.74	$985.63	—	—	—
MRI lower extremity joint with and without contrast	CPT	73723	0	$2,182.67	$2,139.02	—	—	—
CT abdomen without contrast	CPT	74150	0	$105.2	$103.1	—	—	—
CT abdomen with contrast	CPT	74160	0	$197.78	$193.82	—	—	—
CT abdomen with and without contrast	CPT	74170	0	$227.24	$222.7	—	—	—
CT abdomen and pelvis without contrast	CPT	74176	0	$134.66	$131.97	—	—	—
CT abdomen and pelvis with contrast	CPT	74177	0	$260.9	$255.68	—	—	—
CT abdomen and pelvis with and without contrast	CPT	74178	0	$298.78	$292.8	—	—	—
MRI abdomen without contrast	CPT	74181	0	$781.05	$765.43	—	—	—
MRI abdomen with and without contrast	CPT	74183	0	$1,187.63	$1,163.88	—	—	—
Abdominal ultrasound complete	CPT	76700	0	$748	$733.04	—	—	—
Abdominal ultrasound limited	CPT	76705	0	$585.39	$573.68	—	—	—
Retroperitoneal ultrasound complete	CPT	76770	0	$715.48	$701.17	—	—	—
Obstetric ultrasound first trimester	CPT	76801	0	$682.95	$669.29	—	—	—
Obstetric ultrasound after first trimester	CPT	76805	0	$845.56	$828.65	—	—	—
Obstetric ultrasound with fetal anatomy	CPT	76811	0	$780.52	$764.91	—	—	—
Transvaginal ultrasound	CPT	76830	0	$813.04	$796.78	—	—	—
Pelvic ultrasound complete	CPT	76856	0	$682.95	$669.29	—	—	—
Scrotal ultrasound	CPT	76870	0	$325.22	$318.72	—	—	—
Diagnostic mammography unilateral	CPT	77065	0	$845.56	$828.65	—	—	—
Diagnostic mammography bilateral	CPT	77066	0	$1,105.74	$1,083.63	—	—	—
Screening mammography bilateral	CPT	77067	0	$910.61	$892.4	—	—	—
EKG tracing only	CPT	93005	0	$48.75	$47.78	—	—	—
Transthoracic echocardiogram complete	CPT	93306	0	$243.75	$238.88	—	—	—
Stress echocardiogram	CPT	93350	0	$243.75	$238.88	—	—	—
lab
Basic metabolic panel (BMP)	CPT	80048	0	$32.26	$31.61	—	—	—
Electrolyte panel	CPT	80051	0	$23.46	$22.99	—	—	—
Comprehensive metabolic panel	CPT	80053	0	$44	$43.12	—	—	—
Lipid panel	CPT	80061	0	$55.73	$54.62	—	—	—
Renal function panel	CPT	80069	0	$35.2	$34.5	—	—	—
Hepatic function panel	CPT	80076	0	$32.26	$31.61	—	—	—
Urinalysis automated	CPT	81003	0	$11.73	$11.5	—	—	—
Glucose quantitative	CPT	82947	0	$11.73	$11.5	—	—	—
Hemoglobin A1c	CPT	83036	0	$58.66	$57.49	—	—	—
Thyroid stimulating hormone (TSH)	CPT	84443	0	$44	$43.12	—	—	—
Complete blood count with automated differential	CPT	85025	0	$29.33	$28.74	—	—	—
Complete blood count without differential	CPT	85027	0	$23.46	$22.99	—	—	—
Urine culture bacterial	CPT	87086	0	$58.66	$57.49	—	—	—
Urine culture identification	CPT	87088	0	$29.33	$28.74	—	—	—
Tissue exam by pathologist level IV	CPT	88305	0	$175.98	$172.46	—	—	—
maternity
Fetal non-stress test	CPT	59025	0	$1,677.53	$1,643.98	—	—	—
Vaginal delivery only	CPT	59409	0	$20,801	$20,385	—	—	—
C-section delivery only	CPT	59514	0	$15,769	$15,453	—	—	—
office
Office visit, new patient, 15-29 min	CPT	99202	0	$162.44	$159.19	—	—	—
Office visit, new patient, 30-44 minutes	CPT	99203	0	$216.53	$212.2	—	—	—
Office visit, new patient, 45-59 min	CPT	99204	0	$270.72	$265.31	—	—	—
Office visit, new patient, 60-74 min	CPT	99205	0	$324.79	$318.29	—	—	—
Office visit, established patient, 5 min	CPT	99211	0	$108.33	$106.16	—	—	—
Office visit, established patient, 10-19 min	CPT	99212	0	$162.44	$159.19	—	—	—
Office visit, established patient, 20-29 minutes	CPT	99213	0	$216.53	$212.2	—	—	—
Office visit, established patient, 30-39 minutes	CPT	99214	0	$270.72	$265.31	—	—	—
Office visit, established patient, 40-54 min	CPT	99215	0	$324.79	$318.29	—	—	—

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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