▸ Hospital · MD · CCN 212002

WESTERN MARYLAND HOSPITAL CENTER

1500 PENNSYLVANIA AVENUE, HAGERSTOWN, MD, 21740

60 beds10

Compliance grade

93/100

Rates published

1,780

last crawl 2026-05-23

Procedures tracked

100

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All MD hospitals JSON

Source MRF: https://dam.upmc.com/-/media/upmc/locations/hospitals/western-maryland/patients-visitors/520591531_upmcwesternmaryland_standardcharges.csv? · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychiatric diagnostic evaluation	CPT	90791	1	$586	$351.6	$586	$586	$586
Psychotherapy 30 minutes	CPT	90832	1	$244	$146.4	$244	$244	$244
Psychotherapy 45 minutes	CPT	90834	1	$293	$175.8	$293	$293	$293
Psychotherapy 60 minutes	CPT	90837	1	$439	$263.4	$439	$439	$439
Crisis psychotherapy 60 minutes	CPT	90839	1	$439	$263.4	$439	$439	$439
emergency
ED visit level 1	CPT	99281	1	$163	$97.8	$163	$163	$163
ED visit level 2	CPT	99282	1	$326	$195.6	$163	$244.5	$326
ED visit level 3	CPT	99283	1	$489	$293.4	$326	$407.5	$489
ED visit level 4	CPT	99284	1	$816	$489.6	$653	$734.5	$816
ED visit level 5	CPT	99285	1	$1,306	$783.6	$1,142	$1,224	$1,306
imaging
CT head without contrast	CPT	70450	1	$104	$62.4	$104	$104	$104
CT head with contrast	CPT	70460	1	$149	$89.4	$149	$149	$149
CT head with and without contrast	CPT	70470	1	$179	$107.4	$179	$179	$179
CT neck with contrast	CPT	70491	1	$234	$140.4	$234	$234	$234
MRI brain without contrast	CPT	70551	1	$432	$259.2	$432	$432	$432
MRI brain with contrast	CPT	70552	1	$638	$382.8	$638	$638	$638
MRI brain with and without contrast	CPT	70553	1	$727	$436.2	$727	$727	$727
Chest X-ray single view	CPT	71045	1	$119	$71.4	$119	$119	$119
Chest X-ray 2 views	CPT	71046	1	$149	$89.4	$49	$99	$149
Chest X-ray 3 views	CPT	71047	1	$208	$124.8	$178	$193	$208
CT chest without contrast	CPT	71250	1	$179	$107.4	$179	$179	$179
CT chest with contrast	CPT	71260	1	$234	$140.4	$234	$234	$234
CT chest with and without contrast	CPT	71270	1	$288	$172.8	$164	$226	$288
MRI chest without contrast	CPT	71550	1	$943	$565.8	$943	$943	$943
MRI chest with and without contrast	CPT	71552	1	$1,287	$772.2	$1,287	$1,287	$1,287
Lumbosacral spine X-ray	CPT	72100	1	$208	$124.8	$49	$128.5	$208
CT cervical spine without contrast	CPT	72125	1	$184	$110.4	$99	$141.5	$184
CT thoracic spine without contrast	CPT	72128	1	$179	$107.4	$99	$139	$179
CT lumbar spine without contrast	CPT	72131	1	$179	$107.4	$179	$179	$179
MRI cervical spine without contrast	CPT	72141	1	$412	$247.2	$412	$412	$412
MRI thoracic spine without contrast	CPT	72146	1	$412	$247.2	$412	$412	$412
MRI lumbar spine without contrast	CPT	72148	1	$412	$247.2	$412	$412	$412
MRI lumbar spine with and without contrast	CPT	72149	1	$638	$382.8	$638	$638	$638
MRI cervical spine with and without contrast	CPT	72156	1	$727	$436.2	$727	$727	$727
MRI lumbar spine with contrast	CPT	72158	1	$727	$436.2	$727	$727	$727
CT pelvis without contrast	CPT	72192	1	$129	$77.4	$129	$129	$129
CT pelvis with contrast	CPT	72193	1	$234	$140.4	$234	$234	$234
Shoulder X-ray	CPT	73030	1	$149	$89.4	$49	$99	$149
Humerus X-ray	CPT	73060	1	$178	$106.8	$49	$113.5	$178
Hand X-ray 3 views	CPT	73130	1	$178	$106.8	$49	$113.5	$178
MRI upper extremity joint without contrast	CPT	73221	1	$461	$276.6	$461	$461	$461
MRI upper extremity joint with and without contrast	CPT	73223	1	$1,002	$601.2	$1,002	$1,002	$1,002
Knee X-ray 1-2 views	CPT	73560	1	$178	$106.8	$32	$105	$178
Ankle X-ray 3 views	CPT	73610	1	$178	$106.8	$49	$113.5	$178
MRI lower extremity joint without contrast	CPT	73721	1	$461	$276.6	$461	$461	$461
MRI lower extremity joint with and without contrast	CPT	73723	1	$1,002	$601.2	$1,002	$1,002	$1,002
CT abdomen without contrast	CPT	74150	1	$124	$74.4	$124	$124	$124
CT abdomen with contrast	CPT	74160	1	$234	$140.4	$234	$234	$234
CT abdomen with and without contrast	CPT	74170	1	$268	$160.8	$268	$268	$268
CT abdomen and pelvis without contrast	CPT	74176	1	$159	$95.4	$159	$159	$159
CT abdomen and pelvis with contrast	CPT	74177	1	$308	$184.8	$308	$308	$308
CT abdomen and pelvis with and without contrast	CPT	74178	1	$353	$211.8	$353	$353	$353
MRI abdomen without contrast	CPT	74181	1	$717	$430.2	$717	$717	$717
MRI abdomen with and without contrast	CPT	74183	1	$1,090	$654	$1,090	$1,090	$1,090
Abdominal ultrasound complete	CPT	76700	1	$685	$411	$685	$685	$685
Abdominal ultrasound limited	CPT	76705	1	$536	$321.6	$536	$536	$536
Retroperitoneal ultrasound complete	CPT	76770	1	$655	$393	$655	$655	$655
Obstetric ultrasound first trimester	CPT	76801	1	$625	$375	$625	$625	$625
Obstetric ultrasound after first trimester	CPT	76805	1	$774	$464.4	$774	$774	$774
Obstetric ultrasound with fetal anatomy	CPT	76811	1	$715	$429	$715	$715	$715
Transvaginal ultrasound	CPT	76830	1	$745	$447	$745	$745	$745
Pelvic ultrasound complete	CPT	76856	1	$625	$375	$625	$625	$625
Scrotal ultrasound	CPT	76870	1	$298	$178.8	$298	$298	$298
EKG tracing only	CPT	93005	1	$132	$79.2	$132	$132	$132
Transthoracic echocardiogram complete	CPT	93306	1	$675	$405	$664	$669.5	$675
Transthoracic echocardiogram	CPT	93307	1	$498	$298.8	$498	$498	$498
Stress echocardiogram	CPT	93350	1	$664	$398.4	$664	$664	$664
lab
Basic metabolic panel (BMP)	CPT	80048	1	$29	$17.4	$29	$29	$29
Electrolyte panel	CPT	80051	1	$21	$12.6	$21	$21	$21
Comprehensive metabolic panel	CPT	80053	1	$40	$24	$40	$40	$40
Lipid panel	CPT	80061	1	$51	$30.6	$51	$51	$51
Renal function panel	CPT	80069	1	$32	$19.2	$32	$32	$32
Hepatic function panel	CPT	80076	1	$29	$17.4	$29	$29	$29
Urinalysis non-automated	CPT	81002	1	$10	$6	$10	$10	$10
Urinalysis automated	CPT	81003	1	$10	$6	$10	$10	$10
Glucose quantitative	CPT	82947	1	$10	$6	$10	$10	$10
Hemoglobin A1c	CPT	83036	1	$54	$32.4	$54	$54	$54
Thyroid stimulating hormone (TSH)	CPT	84443	1	$40	$24	$40	$40	$40
Complete blood count with automated differential	CPT	85025	1	$27	$16.2	$27	$27	$27
Complete blood count without differential	CPT	85027	1	$21	$12.6	$21	$21	$21
Urine culture bacterial	CPT	87086	1	$54	$32.4	$54	$54	$54
Tissue exam by pathologist level IV	CPT	88305	1	$162	$97.2	$162	$162	$162
maternity
Fetal non-stress test	CPT	59025	1	$1,204	$722.4	$1,204	$1,204	$1,204
Routine obstetric care including vaginal delivery	CPT	59400	1	$7,707	$4,624.2	$5,780	$6,743.5	$7,707
Routine obstetric care with C-section	CPT	59510	1	$8,911	$5,346.6	$4,335	$6,623	$8,911
office
Office visit, new patient, 15-29 min	CPT	99202	1	$146	$87.6	$146	$146	$146
Office visit, new patient, 30-44 minutes	CPT	99203	1	$195	$117	$195	$195	$195
Office visit, new patient, 45-59 min	CPT	99204	1	$244	$146.4	$244	$244	$244
Office visit, new patient, 60-74 min	CPT	99205	1	$293	$175.8	$293	$293	$293
Office visit, established patient, 5 min	CPT	99211	1	$97	$58.2	$97	$97	$97
Office visit, established patient, 10-19 min	CPT	99212	1	$146	$87.6	$146	$146	$146
Office visit, established patient, 20-29 minutes	CPT	99213	1	$195	$117	$195	$195	$195
Office visit, established patient, 30-39 minutes	CPT	99214	1	$244	$146.4	$244	$244	$244
Office visit, established patient, 40-54 min	CPT	99215	1	$293	$175.8	$293	$293	$293
surgery
PCI single major coronary artery	CPT	92920	1	$1	—	$1	$1	$1
PCI with drug-eluting stent	CPT	92928	1	$1	—	$1	$1	$1
PCI bypass graft	CPT	92937	1	$1	—	$1	$1	$1
Left heart catheterization	CPT	93452	1	$1	—	$1	$1	$1
Coronary angiography with cath	CPT	93455	1	$1	—	$1	$1	$1
Coronary angiography with bypass cath	CPT	93458	1	$1	—	$1	$1	$1

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

Payer mix (top 1)

Payer	Codes covered	Median rate
all payer - maryland	100	$234

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