Meritus Medical Center
Meritus Medical Center in Hagerstown, MD publishes cash prices for 249 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Maryland median for 32 of 53 procedures and below it for 16. By typical cash price it ranks #12 of 16 Maryland hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
11116 Medical Campus Road Hagerstown, MD 21742 Collected Sep 27, 2026 Source price file (240) 313-9500
Acute care hospital Emergency department CMS star rating 3 of 5 CCN 210001 · CMS hospital register NPI 1942281266
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 4 actions for a hospital named Meritus Medical Center in Hagerstown, MD:
- Aug 25, 2025 Warning notice
- Nov 25, 2025 Corrective action plan requested
- Jan 12, 2026 Case closed
- Jun 9, 2026 Warning notice
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Maryland | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC X-Ray Ankle Complete Minimum 3 Views | $186.93 | $190.74 | $186.93–$190.74 | — | 2% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HC Limited Bilateral Noninvasive Physiologic Studies of Upper and Lower Extremity Arteries | $654.24 | $667.59 | $654.24–$667.59 | — | 2% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC X-Ray Esophagus | $560.78 | $572.22 | $560.78–$572.22 | — | 2% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC Bone and or Joint Imaging Whole Body | $1,247.61 | $1,273.07 | $1,247.61–$1,273.07 | 2% above | 2% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC Ultrasound Breast Unilateral Including Axilla Complete | $623.08 | $635.80 | $623.08–$635.80 | — | 2% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC Ultrasound Breast Unilateral Including Axilla Limited | $467.31 | $476.85 | $467.31–$476.85 | — | 2% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC Cta Chest With Contrast | $174.04 | $177.59 | $174.04–$177.59 | — | 2% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT Heart With Contrast With 3d Imaging Postprocessing Cardiac Function | $250.73 | $255.85 | $250.73–$255.85 | — | 2% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT Heart Without Contrast With Quanititative Eval of Coronary Calcium | $59.00 | $60.20 | $59.00–$60.20 | — | 2% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT Abdomen and Pelvis Without Contrast | $94.39 | $96.32 | $94.39–$96.32 | — | 2% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abdomen and Pelvis With Contrast | $182.89 | $186.62 | $182.89–$186.62 | — | 2% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT Abdomen and Pelvis With Contrast Followed by Contrast Further Sections | $209.44 | $213.71 | $209.44–$213.71 | — | 2% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT Abdomen With Contrast | $138.64 | $141.47 | $138.64–$141.47 | — | 2% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT Abdomen Without Contrast | $73.75 | $75.25 | $73.75–$75.25 | — | 2% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT Facial Sinus Without Contrast | $79.64 | $81.27 | $79.64–$81.27 | — | 2% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Head or Brain Without Contrast | $61.95 | $63.21 | $61.95–$63.21 | — | 2% |
| CT scan of the head with contrast inpatient CPT 70460 HC CT Head or Brain With Contrast | $88.49 | $90.30 | $88.49–$90.30 | — | 2% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT Head or Brain Without Contrast Followed by Contrast for Further Sections | $106.19 | $108.36 | $106.19–$108.36 | — | 2% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT Lumbar Spine Without Contrast | $106.19 | $108.36 | $106.19–$108.36 | — | 2% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT Cervical Spine Without Contrast | $109.14 | $111.37 | $109.14–$111.37 | — | 2% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Pelvis With Contrast | $138.64 | $141.47 | $138.64–$141.47 | — | 2% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC Carotid Duplex Bilateral | $1,433.09 | $1,462.34 | $1,433.09–$1,462.34 | — | 2% |
| Chest X-ray, 2 views inpatient CPT 71046 HC X-Ray Chest 2 Views | $155.77 | $158.95 | $155.77–$158.95 | — | 2% |
| Chest X-ray, single view inpatient CPT 71045 HC X-Ray Chest Single View | $124.62 | $127.16 | $124.62–$127.16 | — | 2% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC Ultrasound Retroperitoneal Complete | $685.39 | $699.38 | $685.39–$699.38 | — | 2% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC Ultrasound OB Detailed Single or First Gestation | $747.70 | $762.96 | $747.70–$762.96 | — | 2% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT Thorax Diagnostic Without Contrast | $106.19 | $108.36 | $106.19–$108.36 | — | 2% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT Thorax Diagnostic With Contrast | $138.64 | $141.47 | $138.64–$141.47 | — | 2% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC Duplex Lower Scan Extremity Arteries Bilateral Study | $1,931.56 | $1,970.98 | $1,931.56–$1,970.98 | — | 2% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC Duplex Extremity Veins Bilateral Study | $1,433.09 | $1,462.34 | $1,433.09–$1,462.34 | — | 2% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC Echo Doppler Color With Interpretation | $166.99 | $170.40 | $166.99–$170.40 | — | 2% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC Hepatobiliary System Imaging Including Gallbladder When Present | $1,758.92 | $1,794.82 | $1,758.92–$1,794.82 | 16% above | 2% |
| Knee X-ray, 3 views inpatient CPT 73562 HC X-Ray Knee 3 Views | $218.08 | $222.53 | $218.08–$222.53 | — | 2% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC Ultrasound Abdomen Limited | $560.78 | $572.22 | $560.78–$572.22 | — | 2% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI Any Joint Lower Extremity Without Contrast | $580.82 | $592.67 | $580.82–$592.67 | — | 2% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI Any Joint Lower Extremity Without Contrast Followed by Contrast Further Sequences | $1,260.50 | $1,286.22 | $1,260.50–$1,286.22 | — | 2% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI Abdomen Without Contrast | $902.12 | $920.53 | $902.12–$920.53 | — | 2% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI Abdomen Without Contrast Followed With Contrast Further Sequences | $1,371.72 | $1,399.71 | $1,371.72–$1,399.71 | — | 2% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain and Stem Without Contrast | $543.74 | $554.84 | $543.74–$554.84 | — | 2% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI Brain and Stem Without Contrast Followed by Contrast and Further Sequences | $914.48 | $933.14 | $914.48–$933.14 | — | 2% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI Spinal Canal and Content Lumbar Without Contrast | $519.03 | $529.62 | $519.03–$529.62 | — | 2% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI Spinal Canal and Content Lumbar Without Contrast Followed by Contrast and Further Sequences | $914.48 | $933.14 | $914.48–$933.14 | — | 2% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI Spinal Canal and Content Thoracic Without Contrast | $519.03 | $529.62 | $519.03–$529.62 | — | 2% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI Spinal Canal and Content Cervical Without Contrast Followed by Contrast and Further Sequences | $914.48 | $933.14 | $914.48–$933.14 | — | 2% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI Spinal Canal and Contents Cervical Without Contrast | $519.03 | $529.62 | $519.03–$529.62 | — | 2% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI Pelvis Without Contrast Followed by Contrast Further Sequences | $1,359.36 | $1,387.10 | $1,359.36–$1,387.10 | — | 2% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI Pelvis Without Contrast | $1,050.41 | $1,071.85 | $1,050.41–$1,071.85 | — | 2% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI Any Joint Upper Extremity Without Contrast | $580.82 | $592.67 | $580.82–$592.67 | — | 2% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC Myocardial Perfusion Imaging Multiple Studies at Rest and or Stress | $2,352.05 | $2,400.05 | $2,352.05–$2,400.05 | 1% above | 2% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC Pet With Concurrently Acquired CT Skull Base to Mid Thigh | $8,896.88 | $9,078.45 | $8,896.88–$9,078.45 | 16% above | 2% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC Ultrasound Pelvic Limited or Follow Up | $218.08 | $222.53 | $218.08–$222.53 | — | 2% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC Ultrasound Pelvic Complete | $654.24 | $667.59 | $654.24–$667.59 | — | 2% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC Ultrasound OB >14wks Fetal and Maternal Evaluation After First Trimester | $810.01 | $826.54 | $810.01–$826.54 | — | 2% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC Ultrasound OB 1st Trimester <14 Week 0 Day | $654.24 | $667.59 | $654.24–$667.59 | — | 2% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC Ultrasound OB Limited 1 or More Fetuses | $467.31 | $476.85 | $467.31–$476.85 | — | 2% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC X-Ray Shoulder Complete Minimum 2 Views | $155.77 | $158.95 | $155.77–$158.95 | — | 2% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC Swallowing Function With Cineradiography Videoradiography | $872.32 | $890.12 | $872.32–$890.12 | — | 2% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC Ultrasound Transvaginal | $778.86 | $794.75 | $778.86–$794.75 | — | 2% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC Ultrasound OB Transvaginal | $529.62 | $540.43 | $529.62–$540.43 | — | 2% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC Ultrasound Abdomen Complete | $716.55 | $731.17 | $716.55–$731.17 | — | 2% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC Ultrasound Scrotum and Contents | $311.54 | $317.90 | $311.54–$317.90 | — | 2% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC Ultrasound Soft Tissue of Head and Neck | $778.86 | $794.75 | $778.86–$794.75 | — | 2% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC X-Ray GI Tract Upper With or Without Delayed Images W/O Kub | $685.39 | $699.38 | $685.39–$699.38 | — | 2% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC Duplex Extremity Veins Unilateral Study | $872.32 | $890.12 | $872.32–$890.12 | — | 2% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC X-Ray Wrist Complete Minimum 3 Views | $218.08 | $222.53 | $218.08–$222.53 | — | 2% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-Ray Hip Unilaterial With Pelvis When Performed 2 to 3 Views | $249.23 | $254.32 | $249.23–$254.32 | — | 2% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC X-Ray Abdomen 1 View | $124.62 | $127.16 | $124.62–$127.16 | — | 2% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC X-Ray Ankle 2 Views | $186.93 | $190.74 | $186.93–$190.74 | — | 2% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC X-Ray Finger or Fingers Minimum 2 Views | $218.08 | $222.53 | $218.08–$222.53 | — | 2% |
| X-ray of the foot, 2 views inpatient CPT 73620 HC X-Ray of Foot 2 Views | $155.77 | $158.95 | $155.77–$158.95 | — | 2% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC X-Ray Foot Complete Minimum 3 Views | $186.93 | $190.74 | $186.93–$190.74 | — | 2% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC X-Ray Hand Minimum 3 Views | $186.93 | $190.74 | $186.93–$190.74 | — | 2% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC X-Ray Knee 1 or 2 Views | $186.93 | $190.74 | $186.93–$190.74 | — | 2% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC X-Ray Spine Lumbosacral 2 or 3 Views | $218.08 | $222.53 | $218.08–$222.53 | — | 2% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC X-Ray Spine Lumbosacral Minimum 4 Views | $280.39 | $286.11 | $280.39–$286.11 | — | 2% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC X-Ray Spine Thoracic 2 Views | $186.93 | $190.74 | $186.93–$190.74 | — | 2% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC X-Ray Nasal Bones Complete Minimum of 3 Views | $218.08 | $222.53 | $218.08–$222.53 | — | 2% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC X-Ray Spine Cervical 2 or 3 Views | $186.93 | $190.74 | $186.93–$190.74 | — | 2% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC X-Ray Pelvis 1 or 2 Views | $186.93 | $190.74 | $186.93–$190.74 | — | 2% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC CT Sacrum and Coccyx Minimum of 2 Views | $155.77 | $158.95 | $155.77–$158.95 | — | 2% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Maryland | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT (GPT) | $6.53 | $6.66 | $6.53–$6.66 | — | 2% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST (GOT) | $6.53 | $6.66 | $6.53–$6.66 | — | 2% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC ACUTE HEPATITIS PANEL | $293.71 | $299.70 | $293.71–$299.70 | — | 2% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE QUANTITATIVE OR SEMIQUANTITATIVE EACH ALLERGEN | $48.95 | $49.95 | $48.95–$49.95 | — | 2% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CCP ANTIBODY | $81.59 | $83.25 | $81.59–$83.25 | — | 2% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES | $48.95 | $49.95 | $48.95–$49.95 | — | 2% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC B-NATRIURETIC PEPTIDE (BNP) | $97.90 | $99.90 | $97.90–$99.90 | — | 2% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL | $35.90 | $36.63 | $35.90–$36.63 | — | 2% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURGICAL PATH LEVEL IV | $195.80 | $199.80 | $195.80–$199.80 | — | 2% |
| Blood culture for bacteria inpatient CPT 87040 HC CULTURE BLOOD | $130.54 | $133.20 | $130.54–$133.20 | — | 2% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE | $26.11 | $26.64 | $26.11–$26.64 | — | 2% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE BLOOD | $13.05 | $13.32 | $13.05–$13.32 | — | 2% |
| Blood lead test inpatient CPT 83655 HC LEAD BLOOD | $81.59 | $83.25 | $81.59–$83.25 | — | 2% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG QUALITATIVE | $32.63 | $33.30 | $32.63–$33.30 | — | 2% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING ABO | $13.05 | $13.32 | $13.05–$13.32 | — | 2% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN | $48.95 | $49.95 | $48.95–$49.95 | — | 2% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C DIFFICILE AMPLIFIED PROBE TECHNIQUE | $391.61 | $399.60 | $391.61–$399.60 | — | 2% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9 | $107.69 | $109.89 | $107.69–$109.89 | — | 2% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA-125 TUMOR ANTIGEN | $107.69 | $109.89 | $107.69–$109.89 | — | 2% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 COVID-19 AMP PRB | $52.21 | $53.28 | $52.21–$53.28 | — | 2% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC AG-D/RNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TECHNIQUE | $146.85 | $149.85 | $146.85–$149.85 | — | 2% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE | $62.00 | $63.27 | $62.00–$63.27 | — | 2% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC WITH AUTO DIFFERENTIAL | $32.63 | $33.30 | $32.63–$33.30 | — | 2% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC HEMOGRAM WITH PLATELET COUNT | $26.11 | $26.64 | $26.11–$26.64 | — | 2% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $48.95 | $49.95 | $48.95–$49.95 | — | 2% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC FIBRIN DEGRADATION D-DIMER QUANTITATIVE | $48.95 | $49.95 | $48.95–$49.95 | — | 2% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE | $48.95 | $49.95 | $48.95–$49.95 | — | 2% |
| Estradiol blood test inpatient CPT 82670 HC ESTRADIOL TOTAL | $48.95 | $49.95 | $48.95–$49.95 | — | 2% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH | $48.95 | $49.95 | $48.95–$49.95 | — | 2% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN FECAL | $58.74 | $59.94 | $58.74–$59.94 | — | 2% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN | $48.95 | $49.95 | $48.95–$49.95 | — | 2% |
| Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID SERUM | $48.95 | $49.95 | $48.95–$49.95 | — | 2% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC TRIIODOTHYRONINE (T3) FREE | $48.95 | $49.95 | $48.95–$49.95 | — | 2% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC THYROXINE FREE | $48.95 | $49.95 | $48.95–$49.95 | — | 2% |
| Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE | $48.95 | $49.95 | $48.95–$49.95 | — | 2% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC GENERAL HEALTH PANEL | $130.54 | $133.20 | $130.54–$133.20 | — | 2% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE TEST | $13.05 | $13.32 | $13.05–$13.32 | — | 2% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLARANCE TEST | $48.95 | $49.95 | $48.95–$49.95 | — | 2% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC AG-D/RNA NEISSER GONORRHOEAE AMPLIFIED PROBE TECHNIQUE | $146.85 | $149.85 | $146.85–$149.85 | — | 2% |
| H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI ANTIGEN EACH | $81.59 | $83.25 | $81.59–$83.25 | — | 2% |
| H. pylori stool antigen test inpatient CPT 87338 HC INFECTIOUS AGENT MULTIPLE STEP METHOD HELICOBACTER PYLORI FECES | $97.90 | $99.90 | $97.90–$99.90 | — | 2% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC AGT-DNA/RNA HIV 1 QUANTIFICATION | $522.14 | $532.80 | $522.14–$532.80 | — | 2% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC ANTIBODY HIV-1 AND HIV-2 SINGLE ASSAY | $81.59 | $83.25 | $81.59–$83.25 | — | 2% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 ANTIGENS WITH HIV-1 & HIV-2 ANTIBODIES, SINGLE RESULT | $81.59 | $83.25 | $81.59–$83.25 | — | 2% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV HIGH-RISK TYPES | $391.61 | $399.60 | $391.61–$399.60 | — | 2% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HEMOGLOBIN | $65.27 | $66.60 | $65.27–$66.60 | — | 2% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY | $65.27 | $66.60 | $65.27–$66.60 | — | 2% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEP B SURFACE ANTIGEN | $81.59 | $83.25 | $81.59–$83.25 | — | 2% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY | $81.59 | $83.25 | $81.59–$83.25 | — | 2% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC AGT-DNA/RNA HEP C QUANTIFICATION | $522.14 | $532.80 | $522.14–$532.80 | — | 2% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC ANTIBODY HERPES SIMPLEX TYPE I | $81.59 | $83.25 | $81.59–$83.25 | — | 2% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC ANTIBODY HERPES SIMPLEX TYPE 2 | $81.59 | $83.25 | $81.59–$83.25 | — | 2% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN HIGH SENSITIVITY | $52.21 | $53.28 | $52.21–$53.28 | — | 2% |
| Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE | $97.90 | $99.90 | $97.90–$99.90 | — | 2% |
| Insulin blood test inpatient CPT 83525 HC INSULIN, TOTAL | $48.95 | $49.95 | $48.95–$49.95 | — | 2% |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON | $19.58 | $19.98 | $19.58–$19.98 | — | 2% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY | $39.16 | $39.96 | $39.16–$39.96 | — | 2% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $39.16 | $39.96 | $39.16–$39.96 | — | 2% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC LUTENIZING HORMONE | $81.59 | $83.25 | $81.59–$83.25 | — | 2% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE | $26.11 | $26.64 | $26.11–$26.64 | — | 2% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL | $35.90 | $36.63 | $35.90–$36.63 | — | 2% |
| Lyme disease antibody test inpatient CPT 86618 HC ANTIBODY BORRELIA BURGDORFERI | $81.59 | $83.25 | $81.59–$83.25 | — | 2% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM | $19.58 | $19.98 | $19.58–$19.98 | — | 2% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC ANTIBODY RUBEOLA | $65.27 | $66.60 | $65.27–$66.60 | — | 2% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONOSPOT | $26.11 | $26.64 | $26.11–$26.64 | — | 2% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATE SPECIFIC ANTIGEN FREE | $81.59 | $83.25 | $81.59–$83.25 | — | 2% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN TOTAL | $65.27 | $66.60 | $65.27–$66.60 | — | 2% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC CYTOLOGY C/V AUTO FLUID WITH SCREENING | $130.54 | $133.20 | $130.54–$133.20 | — | 2% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC PAP SMEAR THIN PREP SCREENING | $130.54 | $133.20 | $130.54–$133.20 | — | 2% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHYROID HORMONE (PTH) | $48.95 | $49.95 | $48.95–$49.95 | — | 2% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLAST TIME PARTIAL | $26.11 | $26.64 | $26.11–$26.64 | — | 2% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC FETAL CHROMOSOME ANEUPLOIDY | $2,662.93 | $2,717.28 | $2,662.93–$2,717.28 | — | 2% |
| Progesterone blood test inpatient CPT 84144 HC PROGESTERONE | $48.95 | $49.95 | $48.95–$49.95 | — | 2% |
| Prolactin blood test inpatient CPT 84146 HC PROLACTIN | $65.27 | $66.60 | $65.27–$66.60 | — | 2% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $26.11 | $26.64 | $26.11–$26.64 | — | 2% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG SCREENING PRESUMPTIVE ANY NUMBER OF DRUG CLASSES | $26.11 | $26.64 | $26.11–$26.64 | — | 2% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC RAPID INFLUENZA A AND B ANTIGEN | $81.59 | $83.25 | $81.59–$83.25 | — | 2% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC RAPID STREP GRP A | $81.59 | $83.25 | $81.59–$83.25 | — | 2% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANTITATIVE | $32.63 | $33.30 | $32.63–$33.30 | — | 2% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC ANTIBODY RUBELLA | $48.95 | $49.95 | $48.95–$49.95 | — | 2% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SEDIMENTATION RATE, ERYTHROCYTE AUTOMATED | $16.32 | $16.65 | $16.32–$16.65 | — | 2% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN ANALYSIS VOLUME/COUNT/MOTILITY AND DIFFERENTIAL | $94.64 | $96.57 | $94.64–$96.57 | — | 2% |
| Stool ova and parasites exam inpatient CPT 87177 HC OVA & PARASITES DIRECT SMEARS | $130.54 | $133.20 | $130.54–$133.20 | — | 2% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD FECES | $16.32 | $16.65 | $16.32–$16.65 | — | 2% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC HEMOGLOBIN FECAL IMMUNOASSAY QUALITATIVE | $81.59 | $83.25 | $81.59–$83.25 | — | 2% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST QUALITATIVE | $26.11 | $26.64 | $26.11–$26.64 | — | 2% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST CELL MEDIATED IMMUNITY | $114.22 | $116.55 | $114.22–$116.55 | — | 2% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL | $48.95 | $49.95 | $48.95–$49.95 | — | 2% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODIES EACH | $71.79 | $73.26 | $71.79–$73.26 | — | 2% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROTROPIN (TSH) | $48.95 | $49.95 | $48.95–$49.95 | — | 2% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH | $146.85 | $149.85 | $146.85–$149.85 | — | 2% |
| Uric acid blood test inpatient CPT 84550 HC URIC ACID SERUM | $6.53 | $6.66 | $6.53–$6.66 | — | 2% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTOMATED WITH MICROSCOPY | $29.37 | $29.97 | $29.37–$29.97 | — | 2% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTOMATED WITHOUT MICROSCOPY | $13.05 | $13.32 | $13.05–$13.32 | — | 2% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NON AUTOMATED WITHOUT MICROSCROPY | $13.05 | $13.32 | $13.05–$13.32 | — | 2% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE BACTERIAL QUANTITATIVE COLONY COUNT URINE | $65.27 | $66.60 | $65.27–$66.60 | — | 2% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST BY VISUAL COLOR COMPARISON | $32.63 | $33.30 | $32.63–$33.30 | — | 2% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B12 | $48.95 | $49.95 | $48.95–$49.95 | — | 2% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25 HYDROXY | $48.95 | $49.95 | $48.95–$49.95 | — | 2% |
| Zinc blood test inpatient CPT 84630 HC ZINC | $81.59 | $83.25 | $81.59–$83.25 | — | 2% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG, QUANTITATIVE | $78.32 | $79.92 | $78.32–$79.92 | — | 2% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Maryland | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC Cardioversion With Tee | $13.92 | $14.20 | $13.92–$14.20 | — | 2% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC Cardioversion | $125.24 | $127.80 | $125.24–$127.80 | — | 2% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC Cystourethroscopy | $1,586.28 | $1,618.65 | $1,586.28–$1,618.65 | 7% above | 2% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HC Hemorrhoidectomy Internal by Rubber Band Ligations | $846.01 | $863.28 | $846.01–$863.28 | 21% above | 2% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC Incision and Drainage Abscess Simple or Single | $1,586.28 | $1,618.65 | $1,586.28–$1,618.65 | 105% above | 2% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthrocentesis Aspriation and or Injection Major Joint or Bursa Without Ultrasound | $1,057.52 | $1,079.10 | $1,057.52–$1,079.10 | 340% above | 2% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Arthrocentesis Aspiration or Injection Intermediate Joint or Bursa Without Ultrasound | $528.76 | $539.55 | $528.76–$539.55 | 149% above | 2% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Repair Int Wound of Scalp Axillae Trunk or Extremity Inc Hand and Feet 2.6-7.5 Cm | $1,586.28 | $1,618.65 | $1,586.28–$1,618.65 | 106% above | 2% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC Excision Benign Lesion Inc Margins Except Skin Tag Trunk Arms or Legs Diameter <=0.5 Cm | $881.27 | $899.25 | $881.27–$899.25 | 172% above | 2% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC Excise Benign Lesion Inc Margin Exc Skin Tag Face Ear Eyelid Nose Lip Muc Mem Excise Dia <=0.5 Cm | $1,057.52 | $1,079.10 | $1,057.52–$1,079.10 | 204% above | 2% |
| Nail removal (partial or complete), one nail CPT 11730 HC Avulsion of Nail Plate Partial or Complete Simple Single | $1,057.52 | $1,079.10 | $1,057.52–$1,079.10 | 19% above | 2% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Excision of Nail and Nail Matrix Partial or Complete for Permanent Removal | $1,233.77 | $1,258.95 | $1,233.77–$1,258.95 | 98% above | 2% |
| Removal of a breast lump, open surgery CPT 19120 HC Removal of Breast Lesion Open Male or Female 1 or More Lesions | $1,938.78 | $1,978.35 | $1,938.78–$1,978.35 | 68% above | 2% |
| Removal of a foreign object under the skin, simple CPT 10120 HC Incision and Removal of Foreighn Body Subcutaneous Tissus Simple | $528.76 | $539.55 | $528.76–$539.55 | 21% above | 2% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC Lithotripsy | $4,382.19 | $4,471.62 | $4,382.19–$4,471.62 | at median | 2% |
| Short leg cast (below the knee) CPT 29405 HC Application of Short Leg Cast | $1,057.52 | $1,079.10 | $1,057.52–$1,079.10 | 243% above | 2% |
| Short leg splint (calf to foot) CPT 29515 HC Application of Short Leg Splint | $352.51 | $359.70 | $352.51–$359.70 | 25% above | 2% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Simple Repair Sup Wound of Scalp Neck Axillae Genitals Trunk or Extrem Inc Hand & Feet <=2.5 Cm | $1,057.52 | $1,079.10 | $1,057.52–$1,079.10 | 130% above | 2% |
| Skin biopsy, punch, one lesion CPT 11104 HC Punch Biopsy of Skin, Single Lesion | $1,057.52 | $1,079.10 | $1,057.52–$1,079.10 | 112% above | 2% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC Excision Malignant Lesion Including Margins Trunk Arms or Legs Excised Diameter 0.5 Cm or Less | $1,233.77 | $1,258.95 | $1,233.77–$1,258.95 | 149% above | 2% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Simple Repair Sup Wound of Scalp Neck Axillae Genitals Trunk or Ext Inc Hand and Feet 2.6-7.5 Cm | $1,057.52 | $1,079.10 | $1,057.52–$1,079.10 | 83% above | 2% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Sim Repair of Supwound of Scalp Neck Axillae Genital Trunk or Ext Inc Hand and Feet 12.6-20.0 Cm | $1,057.52 | $1,079.10 | $1,057.52–$1,079.10 | 78% above | 2% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangential Biopsy of Skin, Single Lesion | $1,057.52 | $1,079.10 | $1,057.52–$1,079.10 | 82% above | 2% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debridement Subcutaneous Tissue First 20 Sq Cm or Less | $1,304.27 | $1,330.89 | $1,304.27–$1,330.89 | 36% above | 2% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Maryland | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion 0-90 Minutes | $514.15 | $524.64 | $514.15–$524.64 | 2% below | 2% |
| Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion 91-150 Minutes | $771.22 | $786.96 | $771.22–$786.96 | 47% above | 2% |
| Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion 151-210 Minutes | $1,028.29 | $1,049.28 | $1,028.29–$1,049.28 | 96% above | 2% |
| Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion 211-270 Minutes | $1,285.37 | $1,311.60 | $1,285.37–$1,311.60 | 145% above | 2% |
| Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion 271-330 Minutes | $1,542.44 | $1,573.92 | $1,542.44–$1,573.92 | 194% above | 2% |
| Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion 331-390 Minutes | $1,799.52 | $1,836.24 | $1,799.52–$1,836.24 | 243% above | 2% |
| Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion 391-450 Minutes | $2,056.59 | $2,098.56 | $2,056.59–$2,098.56 | 292% above | 2% |
| Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion 451-510 Minutes | $2,313.66 | $2,360.88 | $2,313.66–$2,360.88 | 341% above | 2% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Aerosol Med Delivery | $1,180.70 | $1,204.80 | $1,180.70–$1,204.80 | 680% above | 2% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC Aerosol Med Delivery | $98.39 | $100.40 | $98.39–$100.40 | — | 2% |
| Chemotherapy IV infusion, first hour CPT 96413 HC Chemotherapy IV Infusion 1 Hour | $771.22 | $786.96 | $771.22–$786.96 | 10% below | 2% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC Eeg Including Recording Awake and Drowsy | $780.52 | $796.45 | $780.52–$796.45 | — | 2% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC Electrocardiogram Upto 12 Leads Tracing Only Without Interpretation and Report | $33.40 | $34.08 | $33.40–$34.08 | — | 2% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC Emergency Visit Category I - Brief/Mse | $118.93 | $121.36 | $118.93–$121.36 | 11% below | 2% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC Emergency Visit Category II - Intermediate | $118.93 | $121.36 | $118.93–$121.36 | 11% below | 2% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC Emergency Visit Category III - Extended | $237.87 | $242.72 | $237.87–$242.72 | 14% below | 2% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC Emergency Visit Category IV - Intensive | $475.73 | $485.44 | $475.73–$485.44 | 11% below | 2% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC Emergency Visit Category V - Comprehensive | $832.53 | $849.52 | $832.53–$849.52 | 15% below | 2% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Exercise Stress Test Tracing Only Withouth Interpretation and Report | $83.50 | $85.20 | $83.50–$85.20 | — | 2% |
| Family therapy with the patient, 50 minutes CPT 90847 HC Family Psychothrpy With Pt | $245.00 | $250.00 | $245.00–$250.00 | 77% above | 2% |
| Family therapy without the patient, 50 minutes CPT 90846 HC Family Psychotherapy W/O Pt | $245.00 | $250.00 | $245.00–$250.00 | 77% above | 2% |
| Group psychotherapy session CPT 90853 HC Group Psychotherapy (Not Multi Family) | $73.50 | $75.00 | $73.50–$75.00 | 6% below | 2% |
| Group psychotherapy session CPT 90853 HC Intensive Outpatient (Iop) per 3 Hours | $350.33 | $357.48 | $350.33–$357.48 | 347% above | 2% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV Infusion Hydration Initial 31 Minutes to 1 Hour | $514.15 | $524.64 | $514.15–$524.64 | 28% above | 2% |
| IV infusion of a medicine, first hour CPT 96365 HC IV Infusion for Therapy Initial Up to 1 Hour | $514.15 | $524.64 | $514.15–$524.64 | 17% below | 2% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Therapeutic Prophylactic or Diagnostic Injection Subcutaneous or Intramuscular | $128.54 | $131.16 | $128.54–$131.16 | 69% above | 2% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC Psych Diagnostic Evaluation | $294.00 | $300.00 | $294.00–$300.00 | 24% below | 2% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC Nerve Conduction Studies 7 to 8 Studies | $229.57 | $234.25 | $229.57–$234.25 | — | 2% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC O/T NEUROMUSCULAR ED 15 MIN | $75.61 | $77.15 | $75.61–$77.15 | — | 2% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC P/T NEUROMUSCULAR ED 15 MIN | $124.26 | $126.80 | $124.26–$126.80 | — | 2% |
| New patient office visit, about 30 minutes CPT 99203 HC New Patient Visit Low Mdm 30 Minutes | $171.38 | $174.88 | $171.38–$174.88 | 10% below | 2% |
| New patient office visit, about 45 minutes CPT 99204 HC New Patient Visit Mod Mdm 45 Minutes | $214.23 | $218.60 | $214.23–$218.60 | 15% below | 2% |
| New patient office visit, about 60 minutes CPT 99205 HC New Patient Visit High Mdm 60 Minutes | $257.07 | $262.32 | $257.07–$262.32 | 15% below | 2% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC New Patient Visit Sf Mdm 15 Minutes (Facility fee) | $73.50 | $75.00 | $73.50–$75.00 | 45% below | 2% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC New Patient Visit Sf Mdm 15 Minutes | $128.54 | $131.16 | $128.54–$131.16 | 4% below | 2% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC O/T EVAL LOW COMPLEX 15 MIN | $120.97 | $123.44 | $120.97–$123.44 | — | 2% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC O/T EVAL LOW COMPLEX 30 MIN | $241.94 | $246.88 | $241.94–$246.88 | — | 2% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC O/T EVAL LOW COMPLEX 45 MIN | $362.91 | $370.32 | $362.91–$370.32 | — | 2% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC O/T EVAL LOW COMPLEX 60 MIN | $483.88 | $493.76 | $483.88–$493.76 | — | 2% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC P/T EVAL HIGH COMPLEX 15 MIN | $198.82 | $202.88 | $198.82–$202.88 | — | 2% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC P/T EVAL HIGH COMPLEX 30 MIN | $397.64 | $405.76 | $397.64–$405.76 | — | 2% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC P/T EVAL HIGH COMPLEX 45 MIN | $596.47 | $608.64 | $596.47–$608.64 | — | 2% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC P/T EVAL HIGH COMPLEX 60 MIN | $795.29 | $811.52 | $795.29–$811.52 | — | 2% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC P/T EVAL LOW COMPLEX 15 MIN | $198.82 | $202.88 | $198.82–$202.88 | — | 2% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC P/T EVAL LOW COMPLEX 30 MIN | $397.64 | $405.76 | $397.64–$405.76 | — | 2% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC P/T EVAL LOW COMPLEX 45 MIN | $596.47 | $608.64 | $596.47–$608.64 | — | 2% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC P/T EVAL LOW COMPLEX 60 MIN | $795.29 | $811.52 | $795.29–$811.52 | — | 2% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC P/T EVAL MOD COMPLEX 15 MIN | $198.82 | $202.88 | $198.82–$202.88 | — | 2% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC P/T EVAL MOD COMPLEX 30 MIN | $397.64 | $405.76 | $397.64–$405.76 | — | 2% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC P/T EVAL MOD COMPLEX 45 MIN | $596.47 | $608.64 | $596.47–$608.64 | — | 2% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC P/T EVAL MOD COMPLEX 60 MIN | $795.29 | $811.52 | $795.29–$811.52 | — | 2% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC O/T MANUAL THERAPY 15 MIN | $60.49 | $61.72 | $60.49–$61.72 | — | 2% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC P/T MANUAL THERAPY 15 MIN | $99.41 | $101.44 | $99.41–$101.44 | — | 2% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC O/T THERAPEUTIC EXERCISE 15 MIN | $60.49 | $61.72 | $60.49–$61.72 | — | 2% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC P/T THERAPEUTIC EXERCISE 15 MIN | $99.41 | $101.44 | $99.41–$101.44 | — | 2% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 HC Psychotherapy Crisis Initial 60 Min | $294.00 | $300.00 | $294.00–$300.00 | 5% above | 2% |
| Psychotherapy session, 30 minutes CPT 90832 HC Psychotherapy Pt/Family 30 Min | $147.00 | $150.00 | $147.00–$150.00 | 10% below | 2% |
| Psychotherapy session, 45 minutes CPT 90834 HC Psychotherapy 45 Minutes With Patient | $220.50 | $225.00 | $220.50–$225.00 | 8% below | 2% |
| Psychotherapy session, 60 minutes CPT 90837 HC Ind Psychotherapy 60 Min | $392.00 | $400.00 | $392.00–$400.00 | 12% above | 2% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC Tobacco Use Cessation Intermediate 3-10 Minutes | $24.60 | $25.10 | $24.60–$25.10 | — | 2% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Established Patient Visit High Mdm 40 Min | $257.07 | $262.32 | $257.07–$262.32 | at median | 2% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Established Patient Visit Low Mdm 20 Min | $171.38 | $174.88 | $171.38–$174.88 | at median | 2% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Established Patient Visit Mod Mdm 30 Min | $214.23 | $218.60 | $214.23–$218.60 | at median | 2% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Established Patient Visit Sf Mdm 10 Min | $128.54 | $131.16 | $128.54–$131.16 | at median | 2% |
| Speech and language evaluation inpatient CPT 92523 HC EVAL SPEECH/LANGUAGE COMPREHENSION 60 MIN | $587.16 | $599.14 | $587.16–$599.14 | — | 2% |
| Speech and language evaluation inpatient CPT 92523 HC EVAL SPEECH/LANGUAGE COMPREHENSION 15 MIN | $587.16 | $599.14 | $587.16–$599.14 | — | 2% |
| Speech and language evaluation inpatient CPT 92523 HC EVAL SPEECH/LANGUAGE COMPREHENSION 30 MIN | $587.16 | $599.14 | $587.16–$599.14 | — | 2% |
| Speech and language evaluation inpatient CPT 92523 HC EVAL SPEECH/LANGUAGE COMPREHENSION 45 MIN | $587.16 | $599.14 | $587.16–$599.14 | — | 2% |
| Speech therapy session, individual inpatient CPT 92507 HC SPEECH THERAPY INDIV 38-52 MIN | $182.22 | $185.94 | $182.22–$185.94 | — | 2% |
| Speech therapy session, individual inpatient CPT 92507 HC SPEECH THERAPY INDIV 1-22 MIN | $182.22 | $185.94 | $182.22–$185.94 | — | 2% |
| Speech therapy session, individual inpatient CPT 92507 HC SPEECH THERAPY INDIV 23-37 MIN | $182.22 | $185.94 | $182.22–$185.94 | — | 2% |
| Speech therapy session, individual inpatient CPT 92507 HC SPEECH THERAPY INDIV 53-67 MIN | $182.22 | $185.94 | $182.22–$185.94 | — | 2% |
| Spirometry (breathing test) inpatient CPT 94010 HC Spirometry | $332.71 | $339.50 | $332.71–$339.50 | — | 2% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC Bronchospasm Eval | $492.41 | $502.46 | $492.41–$502.46 | — | 2% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC O/T THERAPEUTIC ACTIVITIES 15 MIN | $105.85 | $108.01 | $105.85–$108.01 | — | 2% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC P/T THERAPEUTIC ACTIVITIES 15 MIN | $173.97 | $177.52 | $173.97–$177.52 | — | 2% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC O/T THERAPEUTIC ACTIVITIES 45 MIN | $317.55 | $324.03 | $317.55–$324.03 | — | 2% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC O/T THERAPEUTIC ACTIVITIES 60 MIN | $423.40 | $432.04 | $423.40–$432.04 | — | 2% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC | $163.17 | $166.50 | $163.17–$166.50 | — | 2% |
Source file: https://www.meritushealth.com/price-transparency/52-0607949-MeritusMedicalCenter-standardcharges-06102026.csv