Baltimore, MD, 21205
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vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | vs nat'l | Neg max |
|---|---|---|---|---|---|---|---|---|---|
| behavioral | |||||||||
| Psychiatric diagnostic evaluation | CPT | 90791 | 4 | $2,100 | $1,680 | $100.25 | $200.25 | 1.1× | $400 |
| Psychiatric eval with medical services | CPT | 90792 | 4 | $1,900 | $1,520 | $40.75 | $97.2 | 0.56× | $162 |
| Psychotherapy 30 minutes | CPT | 90832 | 4 | $350 | $280 | $61 | $97.6 | 0.66× | $122 |
| Psychotherapy 45 minutes | CPT | 90834 | 4 | $549 | $439.2 | $82 | $147.6 | 0.92× | $205.5 |
| Psychotherapy 60 minutes | CPT | 90837 | 4 | $700 | $560 | $105.5 | $189.8 | 1.00× | $263.5 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 0 | $1,020 | $816 | — | — | — | — |
| imaging | |||||||||
| MRI brain with contrast | CPT | 70552 | 0 | $3,752 | $3,001.6 | — | — | — | — |
| Chest X-ray single view | CPT | 71045 | 0 | $440 | $352 | — | — | — | — |
| Chest X-ray 2 views | CPT | 71046 | 0 | $440 | $352 | — | — | — | — |
| Chest X-ray 3 views | CPT | 71047 | 0 | $569 | $455.2 | — | — | — | — |
| Lumbosacral spine X-ray | CPT | 72100 | 0 | $511 | $408.8 | — | — | — | — |
| Shoulder X-ray | CPT | 73030 | 0 | $637 | $509.6 | — | — | — | — |
| Humerus X-ray | CPT | 73060 | 0 | $465 | $372 | — | — | — | — |
| Hand X-ray 3 views | CPT | 73130 | 0 | $716 | $572.8 | — | — | — | — |
| Knee X-ray 1-2 views | CPT | 73560 | 0 | $637 | $509.6 | — | — | — | — |
| Ankle X-ray 3 views | CPT | 73610 | 0 | $548 | $438.4 | — | — | — | — |
| Retroperitoneal ultrasound complete | CPT | 76770 | 0 | $766 | $612.8 | — | — | — | — |
| EKG complete | CPT | 93000 | 0 | $244 | $195.2 | — | — | — | — |
| EKG tracing only | CPT | 93005 | 0 | $119 | $95.2 | — | — | — | — |
| EKG interpretation only | CPT | 93010 | 0 | $127 | $101.6 | — | — | — | — |
| Transthoracic echocardiogram complete | CPT | 93306 | 4 | $1,747 | $1,397.6 | $136.25 | $218 | 0.36× | $272.5 |
| Transthoracic echocardiogram | CPT | 93307 | 0 | $1,166 | $932.8 | — | — | — | — |
| inpatient | |||||||||
| Initial hospital care, low complexity | CPT | 99221 | 6 | $700 | $560 | $105 | $210 | 2.3× | $350 |
| Initial hospital care, moderate complexity | CPT | 99222 | 6 | $901 | $720.8 | $135.15 | $257.68 | 1.5× | $450.5 |
| Initial hospital care, high complexity | CPT | 99223 | 6 | $1,071 | $856.8 | $160.65 | $297.43 | 1.3× | $535.5 |
| Hospital discharge, <30 min | CPT | 99238 | 5 | $536 | $428.8 | $76.55 | $187.6 | 2.2× | $214.4 |
| Hospital discharge, >30 min | CPT | 99239 | 6 | $704 | $563.2 | $78.83 | $179.07 | 1.5× | $281.6 |
| lab | |||||||||
| Glucose quantitative | CPT | 82947 | 0 | $47 | $37.6 | — | — | — | — |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 0 | $66 | $52.8 | — | — | — | — |
| Tissue exam by pathologist level IV | CPT | 88305 | 0 | $305 | $244 | — | — | — | — |
| office | |||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 4 | $430 | $344 | $47.2 | $49.42 | 0.57× | $59 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 4 | $650 | $520 | $63.6 | $79.5 | 0.65× | $85.7 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 4 | $900 | $720 | $102 | $121.5 | 0.70× | $139.28 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 4 | $1,275 | $1,020 | $138.62 | $165.08 | 0.75× | $204.98 |
| Office visit, established patient, 5 min | CPT | 99211 | 4 | $240 | $192 | $9.05 | $16.4 | 0.25× | $20.5 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 4 | $270 | $216 | $27.16 | $36.79 | 0.46× | $48.5 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 4 | $420 | $336 | $42.87 | $50.27 | 0.44× | $89.79 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 4 | $650 | $520 | $63.31 | $77.29 | 0.51× | $101.07 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 4 | $925 | $740 | $107.5 | $109.46 | 0.58× | $150.22 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 20 | $164 |
| Blue Cross Blue Shield | 20 | $131.2 |
| Cigna | 20 | $131.2 |
| Humana | 19 | $100.66 |
| medstar family | 5 | $111.73 |
| UnitedHealthcare | 5 | $138.91 |
