MedStar Southern Hospital Center
MedStar Southern Hospital Center in Clinton, MD publishes cash prices for 255 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Maryland median for 156 of 252 procedures and above it for 65. By typical cash price it ranks #7 of 16 Maryland hospitals and #5 of 19 hospitals in the Washington, DC area, cheapest first. Click a procedure to compare it with other hospitals nearby.
7503 Surratts Rd, Clinton, MD 20735 Collected Sep 29, 2026 Source price file (301) 868-8000
Acute care hospital Emergency department CMS star rating 2 of 5 CCN 210062 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Maryland | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE, 3 VIEWS | $191.23 | $195.13 | $191.23–$195.13 | at median | 2% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 NON-INV, SINGLE LVL, BILAT | $669.29 | $682.95 | $669.29–$682.95 | — | 2% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ANKLE BRACHIAL INDEX | $669.29 | $682.95 | $669.29–$682.95 | at median | 2% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 BARIUM ESOPH W/ SCT CHEST | $573.68 | $585.39 | $573.68–$585.39 | at median | 2% |
| Bone scan, whole body (nuclear medicine) CPT 78306 SCANNING, BONE, BODY PROFILE | $1,228.77 | $1,253.85 | $1,228.77–$1,253.85 | at median | 2% |
| Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BRST COMPLETE UNI | $637.42 | $650.43 | $637.42–$650.43 | at median | 2% |
| Breast ultrasound, complete, one breast CPT 76641 GRANT ULTRASOUND BRST COMP UNI | $637.42 | $650.43 | $637.42–$650.43 | at median | 2% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 GRANT ULTRASOUND BRST LMTD UNI | $478.06 | $487.82 | $478.06–$487.82 | at median | 2% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BRST LIMITED UNI | $478.06 | $487.82 | $478.06–$487.82 | at median | 2% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 BC-CT ANGIO PULMONARY | $243.31 | $248.28 | $243.31–$248.28 | 18% below | 2% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST NON-COR | $243.31 | $248.28 | $243.31–$248.28 | 18% below | 2% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 BC-CT ANGIOGRAPHY CHEST NONCOR | $243.31 | $248.28 | $243.31–$248.28 | 18% below | 2% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HEART CORONARY ART 3D | $350.54 | $357.69 | $350.54–$357.69 | 14% below | 2% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART CALCIUM SCORING WO C | $82.48 | $84.16 | $82.48–$84.16 | at median | 2% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 BC-NM PET CT ABD PEL WO CONT | $131.97 | $134.66 | $131.97–$134.66 | 18% below | 2% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD + PELVIS WO CONTRAST | $131.97 | $134.66 | $131.97–$134.66 | 18% below | 2% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 BC-CT ABD PELVIS WO CONTRAST | $131.97 | $134.66 | $131.97–$134.66 | 18% below | 2% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN PELVIS WO CONTRAST | $131.97 | $134.66 | $131.97–$134.66 | 18% below | 2% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 BC-NM PET CT ABD PEL W CONT | $255.68 | $260.90 | $255.68–$260.90 | 18% below | 2% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 BC-CT ABD PELVIS W CONTRAST | $255.68 | $260.90 | $255.68–$260.90 | 18% below | 2% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD + PELV WITH CONTRAST | $255.68 | $260.90 | $255.68–$260.90 | 18% below | 2% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 BC-NM CT ABDOMEN PELV WO W CON | $292.80 | $298.78 | $292.80–$298.78 | 18% below | 2% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN PELVIS WO W CONT | $292.80 | $298.78 | $292.80–$298.78 | 18% below | 2% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 BC-CT ABD PELVIS WO W CONT | $292.80 | $298.78 | $292.80–$298.78 | 18% below | 2% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 NM CT ABDOMEN PELVIS WO W CONT | $292.80 | $298.78 | $292.80–$298.78 | 18% below | 2% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST | $193.82 | $197.78 | $193.82–$197.78 | 18% below | 2% |
| CT scan of the abdomen with contrast CPT 74160 BC-CT ABDOMEN W CONTRAST | $193.82 | $197.78 | $193.82–$197.78 | 18% below | 2% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CONTRAST | $103.10 | $105.20 | $103.10–$105.20 | 18% below | 2% |
| CT scan of the abdomen without contrast CPT 74150 BC-CT ABDOMEN WO CONTRAST | $103.10 | $105.20 | $103.10–$105.20 | 18% below | 2% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 BC-CT MAXILLOFACIAL WO CONT | $111.35 | $113.62 | $111.35–$113.62 | 18% below | 2% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO CONTRAST | $111.35 | $113.62 | $111.35–$113.62 | 18% below | 2% |
| CT scan of the head or brain, no contrast dye CPT 70450 BC-CT HEAD OR BRAIN WO CONT | $86.60 | $88.37 | $86.60–$88.37 | 18% below | 2% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT OR BRAIN WITHOUT CONTRAST | $86.60 | $88.37 | $86.60–$88.37 | 18% below | 2% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WITHOUT CONTRAST | $86.60 | $88.37 | $86.60–$88.37 | 18% below | 2% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD OR BRAIN WO CONTRAST | $86.60 | $88.37 | $86.60–$88.37 | 18% below | 2% |
| CT scan of the head with contrast CPT 70460 BC-CT HEAD OR BRAIN W CONTRAST | $123.72 | $126.24 | $123.72–$126.24 | 18% below | 2% |
| CT scan of the head with contrast CPT 70460 CT HEAD W CONTRAST | $123.72 | $126.24 | $123.72–$126.24 | 18% below | 2% |
| CT scan of the head with contrast CPT 70460 CT HEAD WITH CONTRAST | $123.72 | $126.24 | $123.72–$126.24 | 18% below | 2% |
| CT scan of the head without and with contrast CPT 70470 BC-CT HEAD OR BRAIN WO W CONT | $148.46 | $151.49 | $148.46–$151.49 | 18% below | 2% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD WO W CONTRAST | $148.46 | $151.49 | $148.46–$151.49 | 18% below | 2% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR WO CONTRAST | $148.46 | $151.49 | $148.46–$151.49 | 18% below | 2% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 BC-CT SPINE LUMBAR WO CONTRAST | $148.46 | $151.49 | $148.46–$151.49 | 18% below | 2% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT OR LUMBAR SPINE WO CONTRAST | $148.46 | $151.49 | $148.46–$151.49 | 18% below | 2% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT OR CERVICAL SPINE W/O CONT | $152.59 | $155.70 | $152.59–$155.70 | 18% below | 2% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 BC-CT SPINE CERVICAL WO CONT | $152.59 | $155.70 | $152.59–$155.70 | 18% below | 2% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL WO CONTRAST | $152.59 | $155.70 | $152.59–$155.70 | 18% below | 2% |
| CT scan of the pelvis, with contrast dye CPT 72193 BC-CT PELVIS W CONTRAST | $193.82 | $197.78 | $193.82–$197.78 | 18% below | 2% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST | $193.82 | $197.78 | $193.82–$197.78 | 18% below | 2% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US DOPP EXTRACRAN ARTS COMP | $1,466.08 | $1,496.00 | $1,466.08–$1,496.00 | at median | 2% |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS | $159.36 | $162.61 | $159.36–$162.61 | 10% below | 2% |
| Chest X-ray, 2 views CPT 71046 BC-CHEST 2 VIEWS | $159.36 | $162.61 | $159.36–$162.61 | 10% below | 2% |
| Chest X-ray, single view CPT 71045 CHEST SINGLE VIEW | $95.62 | $97.57 | $95.62–$97.57 | 14% below | 2% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 BC-ECHO, RETROPERITONEAL COMP. | $701.17 | $715.48 | $701.17–$715.48 | at median | 2% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE | $701.17 | $715.48 | $701.17–$715.48 | at median | 2% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BC-DXA BONE DENSITY AXIAL | $286.84 | $292.69 | $286.84–$292.69 | 2% below | 2% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA HIP SPN PELV | $286.84 | $292.69 | $286.84–$292.69 | 2% below | 2% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BC-DXA BONE DENSITY/PERIPHERAL | $159.36 | $162.61 | $159.36–$162.61 | 12% below | 2% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA RAD WRST HEEL | $159.36 | $162.61 | $159.36–$162.61 | 12% below | 2% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB W/FETAL ANATOMY,SINGLE | $764.91 | $780.52 | $764.91–$780.52 | at median | 2% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 BC-NM PET CT CHEST WO CONT | $148.46 | $151.49 | $148.46–$151.49 | 18% below | 2% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CONTRAST DIAG | $148.46 | $151.49 | $148.46–$151.49 | 18% below | 2% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 BC-CT CHEST WO CONTRAST DIAG | $148.46 | $151.49 | $148.46–$151.49 | 18% below | 2% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WITHOUT CONTRAST DIAG | $148.46 | $151.49 | $148.46–$151.49 | 18% below | 2% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 BC-CT CHEST W CONTRAST DIAG | $193.82 | $197.78 | $193.82–$197.78 | 18% below | 2% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST ENHANCED DIAG | $193.82 | $197.78 | $193.82–$197.78 | 18% below | 2% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST WITH CONTRAST DIAG | $193.82 | $197.78 | $193.82–$197.78 | 18% below | 2% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 BC-NM PET CT CHEST W CONT | $193.82 | $197.78 | $193.82–$197.78 | 18% below | 2% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DIGITAL DIAG MAMMO, BILAT | $1,083.63 | $1,105.74 | $1,083.63–$1,105.74 | — | 2% |
| Diagnostic mammogram, both breasts both sides CPT 77066 BC-DIGITAL 4V DIAG MAMMO BILAT | $1,083.63 | $1,105.74 | $1,083.63–$1,105.74 | — | 2% |
| Diagnostic mammogram, both breasts both sides CPT 77066 GRANT-MAMMOGRAPHY BILAT | $1,083.63 | $1,105.74 | $1,083.63–$1,105.74 | — | 2% |
| Diagnostic mammogram, one breast one side CPT 77065 GRANT-MAMMO UNILAT | $828.65 | $845.56 | $828.65–$845.56 | at median | 2% |
| Diagnostic mammogram, one breast one side CPT 77065 DIGITAL DIAG MAMMO, UNILAT | $828.65 | $845.56 | $828.65–$845.56 | at median | 2% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUPLEX SCAN LOWER EXT ARTERIAL | $1,976.01 | $2,016.34 | $1,976.01–$2,016.34 | at median | 2% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VEN DUPLEX UPR/LWR,BILAT | $1,466.08 | $1,496.00 | $1,466.08–$1,496.00 | — | 2% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO TTE 2D W DOPP/CF | $238.88 | $243.75 | $238.88–$243.75 | 14% below | 2% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBIL SCAN W GB | $1,732.37 | $1,767.72 | $1,732.37–$1,767.72 | 15% above | 2% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HOME SLEEP TEST TYPE III | $517.31 | $527.87 | $517.31–$527.87 | 5% below | 2% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY W/CPAP AGE 6+ | $2,552.10 | $2,604.18 | $2,552.10–$2,604.18 | 1% above | 2% |
| Knee X-ray, 3 views CPT 73562 KNEE 3 VWS | $223.10 | $227.65 | $223.10–$227.65 | at median | 2% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND-ABD/LIMITED | $573.68 | $585.39 | $573.68–$585.39 | at median | 2% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL LIMITED | $573.68 | $585.39 | $573.68–$585.39 | at median | 2% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREENING | $148.46 | $151.49 | $148.46–$151.49 | 9% below | 2% |
| MRI of both breasts, without and then with contrast dye CPT 77049 MRI BREAST W/O W INCL CAD BIL | $849.32 | $866.65 | $849.32–$866.65 | 16% below | 2% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT JOINT WO CONT | $492.81 | $502.87 | $492.81–$502.87 | 11% below | 2% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXT JOINT WO W CONT | $1,069.51 | $1,091.34 | $1,069.51–$1,091.34 | 11% below | 2% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CONTRAST | $765.43 | $781.05 | $765.43–$781.05 | 16% below | 2% |
| MRI of the abdomen without contrast CPT 74181 BC-MRI ABDOMEN WO CONT | $765.43 | $781.05 | $765.43–$781.05 | 16% below | 2% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WO W CONTRAST | $1,163.88 | $1,187.63 | $1,163.88–$1,187.63 | 16% below | 2% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 BC-MRI ABDOMEN WO W CONT | $1,163.88 | $1,187.63 | $1,163.88–$1,187.63 | 16% below | 2% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST | $461.35 | $470.77 | $461.35–$470.77 | 17% below | 2% |
| MRI of the brain, no contrast dye CPT 70551 BC-MRI BRAIN WO CONTRAST | $461.35 | $470.77 | $461.35–$470.77 | 17% below | 2% |
| MRI of the brain, with and without contrast dye CPT 70553 BC-MRI BRAIN WO W CONTRAST | $775.92 | $791.75 | $775.92–$791.75 | 16% below | 2% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO W CONTRAST | $775.92 | $791.75 | $775.92–$791.75 | 16% below | 2% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR WO CONTRAST | $440.38 | $449.37 | $440.38–$449.37 | 16% below | 2% |
| MRI of the lower back, no contrast dye CPT 72148 BC-MRI SPINE LUMBAR WO CONT | $440.38 | $449.37 | $440.38–$449.37 | 16% below | 2% |
| MRI of the lower back, without and then with contrast dye CPT 72158 BC-MRI SPINE LUMBAR WO W CON | $775.92 | $791.75 | $775.92–$791.75 | 16% below | 2% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINE LUMBAR WO W CONTRAST | $775.92 | $791.75 | $775.92–$791.75 | 16% below | 2% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 BC-MRI SPINE THORACIC WO CONT | $440.38 | $449.37 | $440.38–$449.37 | 16% below | 2% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THORACIC WO CONTRAST | $440.38 | $449.37 | $440.38–$449.37 | 16% below | 2% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINE CERVICAL WO W CONT | $775.92 | $791.75 | $775.92–$791.75 | 16% below | 2% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 BC-MRI SPINE CERVICAL WO W CON | $775.92 | $791.75 | $775.92–$791.75 | 16% below | 2% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERVICAL WO CONTRAST | $440.38 | $449.37 | $440.38–$449.37 | 16% below | 2% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 BC-MRI SPINE CERVICAL WO CONT | $440.38 | $449.37 | $440.38–$449.37 | 16% below | 2% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WO W CONTRAST | $1,153.39 | $1,176.93 | $1,153.39–$1,176.93 | 16% below | 2% |
| MRI of the pelvis without and with contrast CPT 72197 BC-MRI PELVIS WO W CONT | $1,153.39 | $1,176.93 | $1,153.39–$1,176.93 | 16% below | 2% |
| MRI of the pelvis, no contrast dye CPT 72195 BC-MRI PELVIS WO CONT | $891.26 | $909.45 | $891.26–$909.45 | 16% below | 2% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST | $891.26 | $909.45 | $891.26–$909.45 | 16% below | 2% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXT JOINT WO CONT | $492.81 | $502.87 | $492.81–$502.87 | 11% below | 2% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 CARDIAC PERFUS IMG SPECT MULTI | $2,316.53 | $2,363.81 | $2,316.53–$2,363.81 | 1% below | 2% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET-CT EYES TO THIGHS | $8,762.55 | $8,941.38 | $8,762.55–$8,941.38 | 15% above | 2% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ECHOGRAPHY,PELVIC F/U(NON-OB) | $223.10 | $227.65 | $223.10–$227.65 | 4% below | 2% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 BC-ECHOGRAPHY PELVIC NONOB LTD | $223.10 | $227.65 | $223.10–$227.65 | 4% below | 2% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 BC-ECHOGRAPHY, PELVIC (NON-OB) | $669.29 | $682.95 | $669.29–$682.95 | at median | 2% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 ECHOGRAPHY, PELVIC (NON-OB) | $669.29 | $682.95 | $669.29–$682.95 | at median | 2% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB COMPL,SINGLE,AFTER1STTRI | $828.65 | $845.56 | $828.65–$845.56 | at median | 2% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 BC-ECHOGRAPHY, PREGNANCY COMP | $828.65 | $845.56 | $828.65–$845.56 | at median | 2% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 BC-FET+MAT EVAL 1ST TRI<14 WKS | $669.29 | $682.95 | $669.29–$682.95 | at median | 2% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB COMPL,SINGLE,1ST TRI | $669.29 | $682.95 | $669.29–$682.95 | at median | 2% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US O.B. LIMITED | $478.06 | $487.82 | $478.06–$487.82 | at median | 2% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 BC-ECHOGRAPHY, PREGNANCY LTD | $478.06 | $487.82 | $478.06–$487.82 | at median | 2% |
| Screening mammogram, both breasts both sides CPT 77067 BC-DIGITAL 4V SCRN MAMMO BILAT | $892.40 | $910.61 | $892.40–$910.61 | — | 2% |
| Screening mammogram, both breasts both sides CPT 77067 BC-GRANT-MAMMO,SCREENING BILAT | $892.40 | $910.61 | $892.40–$910.61 | — | 2% |
| Screening mammogram, both breasts both sides CPT 77067 DIGITAL 4V SCRN MAMMO, BILAT | $892.40 | $910.61 | $892.40–$910.61 | — | 2% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER COMPLETE | $159.36 | $162.61 | $159.36–$162.61 | at median | 2% |
| Sleep study in a lab (polysomnography) CPT 95810 COMP POLYSOMNOGRAM AGE 6+ | $2,414.15 | $2,463.42 | $2,414.15–$2,463.42 | 1% above | 2% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLW FUNCT W CINE/VID CON | $892.40 | $910.61 | $892.40–$910.61 | at median | 2% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB | $796.78 | $813.04 | $796.78–$813.04 | at median | 2% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL | $541.81 | $552.87 | $541.81–$552.87 | at median | 2% |
| Transvaginal ultrasound during pregnancy CPT 76817 BC-TV PREG UTERUS W/IMAGDOC | $541.81 | $552.87 | $541.81–$552.87 | at median | 2% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLETE | $733.04 | $748.00 | $733.04–$748.00 | at median | 2% |
| Ultrasound of the abdomen, complete CPT 76700 BC-ECHOGRAPHY, ABDOMEN COMP. | $733.04 | $748.00 | $733.04–$748.00 | at median | 2% |
| Ultrasound of the scrotum and testicles CPT 76870 BC-ECHOGRAPHY, SCROTAL | $318.72 | $325.22 | $318.72–$325.22 | 4% below | 2% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM | $318.72 | $325.22 | $318.72–$325.22 | 4% below | 2% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ECHO, SOFT TISSUE - HEAD + NEC | $796.78 | $813.04 | $796.78–$813.04 | at median | 2% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 GI TRAC W/ SCT W/ CONT | $701.17 | $715.48 | $701.17–$715.48 | at median | 2% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 BC-XR UPPER GI SNGL CON W SBFT | $701.17 | $715.48 | $701.17–$715.48 | at median | 2% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX EXTR VENOUS LTD OR UNI | $892.40 | $910.61 | $892.40–$910.61 | 4% below | 2% |
| Wrist X-ray, complete, 3 or more views CPT 73110 WRIST, 3VWS | $223.10 | $227.65 | $223.10–$227.65 | at median | 2% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP, 2-3 VIEWS | $254.97 | $260.17 | $254.97–$260.17 | at median | 2% |
| X-ray of the abdomen, 1 view CPT 74018 BC-ABDOMEN SINGLE VIEW | $159.36 | $162.61 | $159.36–$162.61 | 2% below | 2% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN SINGLE VIEW | $159.36 | $162.61 | $159.36–$162.61 | 2% below | 2% |
| X-ray of the ankle, 2 views CPT 73600 ANKLE, 2 VIEWS | $191.23 | $195.13 | $191.23–$195.13 | 4% below | 2% |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGERS, MIN 2 VWS | $223.10 | $227.65 | $223.10–$227.65 | at median | 2% |
| X-ray of the foot, 2 views CPT 73620 FOOT, 2 VWS | $159.36 | $162.61 | $159.36–$162.61 | at median | 2% |
| X-ray of the foot, complete, 3 or more views CPT 73630 FOOT, 3 VWS | $191.23 | $195.13 | $191.23–$195.13 | at median | 2% |
| X-ray of the hand, 3 or more views CPT 73130 HAND, MINIMUM OF 3 VIEWS | $191.23 | $195.13 | $191.23–$195.13 | at median | 2% |
| X-ray of the knee, 1 or 2 views CPT 73560 KNEE 1 OR 2 VWS | $191.23 | $195.13 | $191.23–$195.13 | at median | 2% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE, LUMBAR AP + LAT | $223.10 | $227.65 | $223.10–$227.65 | at median | 2% |
| X-ray of the lower back, 4 or more views CPT 72110 SPINE, LUMBAR W OBL | $286.84 | $292.69 | $286.84–$292.69 | at median | 2% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THORACIC 2 VIEW | $191.23 | $195.13 | $191.23–$195.13 | 7% below | 2% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 BC-SPINE THORACIC 2 VIEW | $191.23 | $195.13 | $191.23–$195.13 | 7% below | 2% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES | $223.10 | $227.65 | $223.10–$227.65 | at median | 2% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 BC-SPINE CERVICAL 3 VWS OR LES | $191.23 | $195.13 | $191.23–$195.13 | at median | 2% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 3 VWS OR LES | $191.23 | $195.13 | $191.23–$195.13 | at median | 2% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 BC-SPINE CERVICAL 3 OR LESS VW | $191.23 | $195.13 | $191.23–$195.13 | at median | 2% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VWS | $191.23 | $195.13 | $191.23–$195.13 | at median | 2% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM + COCCYX | $159.36 | $162.61 | $159.36–$162.61 | 7% below | 2% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Maryland | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANS ;ALAN AMINO(ALT/SGPT) | $5.75 | $5.87 | $5.75–$5.87 | 1% below | 2% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE ALANINE AMINO | $5.75 | $5.87 | $5.75–$5.87 | 1% below | 2% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANS ;ASPAR AMINO(AST/SGOT) | $5.75 | $5.87 | $5.75–$5.87 | 1% below | 2% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE ASPARTAT(AST) | $5.75 | $5.87 | $5.75–$5.87 | 1% below | 2% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $258.69 | $263.97 | $258.69–$263.97 | 1% below | 2% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE SINGLE ALLERGIN | $43.12 | $44.00 | $43.12–$44.00 | 5% above | 2% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE | $43.12 | $44.00 | $43.12–$44.00 | 5% above | 2% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $71.86 | $73.33 | $71.86–$73.33 | at median | 2% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP, ANTIBODY | $71.86 | $73.33 | $71.86–$73.33 | at median | 2% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES (ANA) | $43.12 | $44.00 | $43.12–$44.00 | 1% below | 2% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI-NUCLEAR ANTIBODIES | $43.12 | $44.00 | $43.12–$44.00 | 1% below | 2% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BRAIN NATURIURETIC PEPTIDE | $86.23 | $87.99 | $86.23–$87.99 | 1% below | 2% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BRAIN NATRIUERTIC PEPTIDE | $86.23 | $87.99 | $86.23–$87.99 | 1% below | 2% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL (TOT CA) | $31.61 | $32.26 | $31.61–$32.26 | 1% below | 2% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 PROSTATE BX | $172.46 | $175.98 | $172.46–$175.98 | at median | 2% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH - LEVEL IV | $172.46 | $175.98 | $172.46–$175.98 | at median | 2% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEV IV-SURG PATH GROSS EXAM | $172.46 | $175.98 | $172.46–$175.98 | at median | 2% |
| Blood culture for bacteria CPT 87040 CULT, BACTERIAL DEF, BLOOD | $114.97 | $117.32 | $114.97–$117.32 | 2% above | 2% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPECIMEN COLLECT, VENIPUNCTURE | $22.99 | $23.46 | $22.99–$23.46 | 2% below | 2% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLCT VENOUS BLD VENIPUNCTURE | $22.99 | $23.46 | $22.99–$23.46 | 2% below | 2% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE, QUANTITATIVE | $11.50 | $11.73 | $11.50–$11.73 | 1% below | 2% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE, QUANTITATIVE, POC | $11.50 | $11.73 | $11.50–$11.73 | 1% below | 2% |
| Blood lead test CPT 83655 LEAD | $71.86 | $73.33 | $71.86–$73.33 | 1% below | 2% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADO, CHORION (HCG), QUAL | $28.74 | $29.33 | $28.74–$29.33 | at median | 2% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING, ABO | $11.50 | $11.73 | $11.50–$11.73 | 1% below | 2% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $43.12 | $44.00 | $43.12–$44.00 | at median | 2% |
| C. difficile toxin gene test (stool PCR) CPT 87493 INF AGT DET BY NUC ACID C.DIFF | $344.92 | $351.96 | $344.92–$351.96 | 5% above | 2% |
| C. difficile toxin gene test (stool PCR) CPT 87493 INF AGT NUC ACID;C DIFF TOX | $344.92 | $351.96 | $344.92–$351.96 | 5% above | 2% |
| CA 19-9 blood test (tumor marker) CPT 86301 TUMOR AG, QNT; CA19-9 | $94.85 | $96.79 | $94.85–$96.79 | 1% below | 2% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR, QNT CA19-9 | $94.85 | $96.79 | $94.85–$96.79 | 1% below | 2% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNO TUMOR AG,QUANT; CA125 | $94.85 | $96.79 | $94.85–$96.79 | at median | 2% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 TUMOR ANTIGEN, QUANT CA125 | $94.85 | $96.79 | $94.85–$96.79 | at median | 2% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $344.92 | $351.96 | $344.92–$351.96 | 34% above | 2% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS | $129.35 | $131.99 | $129.35–$131.99 | 1% below | 2% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 INFEC AGNT BY NUC ACID,CHLAM | $129.35 | $131.99 | $129.35–$131.99 | 1% below | 2% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPIP PANEL | $54.62 | $55.73 | $54.62–$55.73 | 1% below | 2% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $54.62 | $55.73 | $54.62–$55.73 | 1% below | 2% |
| Complete blood count (CBC) with differential CPT 85025 HEM + PLATE CT AUTO + AUTO CBC | $28.74 | $29.33 | $28.74–$29.33 | 1% below | 2% |
| Complete blood count (CBC) with differential CPT 85025 HEMOGRAM PLT AUTO COMPLETE DIF | $28.74 | $29.33 | $28.74–$29.33 | 1% below | 2% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM + PLT COUNT | $22.99 | $23.46 | $22.99–$23.46 | at median | 2% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $43.12 | $44.00 | $43.12–$44.00 | 1% below | 2% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER,QUANTITATIVE | $43.12 | $44.00 | $43.12–$44.00 | 1% below | 2% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA - SULFATE | $43.12 | $44.00 | $43.12–$44.00 | 1% below | 2% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEAS | $43.12 | $44.00 | $43.12–$44.00 | 1% below | 2% |
| Estradiol blood test CPT 82670 ESTRADIO 17 BETA | $43.12 | $44.00 | $43.12–$44.00 | 1% below | 2% |
| Estradiol blood test CPT 82670 ESTRADIOL | $43.12 | $44.00 | $43.12–$44.00 | 1% below | 2% |
| FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FSH | $43.12 | $44.00 | $43.12–$44.00 | 1% below | 2% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL | $235.70 | $240.51 | $235.70–$240.51 | 9% above | 2% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $43.12 | $44.00 | $43.12–$44.00 | 1% below | 2% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM | $43.12 | $44.00 | $43.12–$44.00 | at median | 2% |
| Free T3 thyroid hormone test CPT 84481 T-3 FREE | $43.12 | $44.00 | $43.12–$44.00 | at median | 2% |
| Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE T3 FREE | $43.12 | $44.00 | $43.12–$44.00 | at median | 2% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE | $43.12 | $44.00 | $43.12–$44.00 | 1% below | 2% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE,FREE | $43.12 | $44.00 | $43.12–$44.00 | 1% below | 2% |
| Free testosterone test CPT 84402 TESTOSTERONE UR FREE | $43.12 | $44.00 | $43.12–$44.00 | at median | 2% |
| Free testosterone test CPT 84402 TESTOSTERONE, FREE | $43.12 | $44.00 | $43.12–$44.00 | at median | 2% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE, POST GLUCOSE DOSE | $11.50 | $11.73 | $11.50–$11.73 | 2% above | 2% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST | $43.12 | $44.00 | $43.12–$44.00 | at median | 2% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE DNA PCR | $129.35 | $131.99 | $129.35–$131.99 | 1% below | 2% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE,AMP PR | $129.35 | $131.99 | $129.35–$131.99 | 1% below | 2% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYL IGA | $71.86 | $73.33 | $71.86–$73.33 | 1% below | 2% |
| H. pylori antibody blood test CPT 86677 ANTIBODY,HELICOBACTER PYLORI | $71.86 | $73.33 | $71.86–$73.33 | 1% below | 2% |
| H. pylori stool antigen test CPT 87338 INFEC, AGNT; H. PYLORI | $86.23 | $87.99 | $86.23–$87.99 | 1% below | 2% |
| H. pylori stool antigen test CPT 87338 INF AGT AG DET IMMUNO H.PYLORI | $86.23 | $87.99 | $86.23–$87.99 | 1% below | 2% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA PCR QUANT | $459.89 | $469.28 | $459.89–$469.28 | at median | 2% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV1 AND HIV2 SINGLE RESULT | $71.86 | $73.33 | $71.86–$73.33 | 1% below | 2% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/2 ANTIBODY SCREEN | $71.86 | $73.33 | $71.86–$73.33 | 1% below | 2% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 INF AGT AG EIA MULTI HIV 1/2 | $71.86 | $73.33 | $71.86–$73.33 | at median | 2% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH-RISK TYPES | $344.92 | $351.96 | $344.92–$351.96 | 2% above | 2% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 INF AGT NUC ACD;HPV HIGH RISK | $344.92 | $351.96 | $344.92–$351.96 | 2% above | 2% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN; GLYCOSYLATED(A1C) | $57.49 | $58.66 | $57.49–$58.66 | 1% below | 2% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C B | $57.49 | $58.66 | $57.49–$58.66 | 1% below | 2% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN, GLYCOSYLATE (A1C) | $57.49 | $58.66 | $57.49–$58.66 | 1% below | 2% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURF AB (HBSAB) | $57.49 | $58.66 | $57.49–$58.66 | 1% below | 2% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURF AG, (HBSAG) | $71.86 | $73.33 | $71.86–$73.33 | 1% below | 2% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $71.86 | $73.33 | $71.86–$73.33 | 1% below | 2% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT | $459.89 | $469.28 | $459.89–$469.28 | 2% above | 2% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX I | $71.86 | $73.33 | $71.86–$73.33 | at median | 2% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX, TYPE 2 | $71.86 | $73.33 | $71.86–$73.33 | at median | 2% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 | $71.86 | $73.33 | $71.86–$73.33 | at median | 2% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN,HIGH SENS | $45.99 | $46.93 | $45.99–$46.93 | 1% below | 2% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN; HIGH SENS | $45.99 | $46.93 | $45.99–$46.93 | 1% below | 2% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $86.23 | $87.99 | $86.23–$87.99 | at median | 2% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE PLASMA | $86.23 | $87.99 | $86.23–$87.99 | at median | 2% |
| Insulin blood test CPT 83525 INSULIN | $43.12 | $44.00 | $43.12–$44.00 | 1% below | 2% |
| Iron blood test (serum iron) CPT 83540 IRON LIVER TISSUE | $17.25 | $17.60 | $17.25–$17.60 | 1% below | 2% |
| Iron blood test (serum iron) CPT 83540 IRON | $17.25 | $17.60 | $17.25–$17.60 | 1% below | 2% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING | $34.50 | $35.20 | $34.50–$35.20 | 1% below | 2% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $34.50 | $35.20 | $34.50–$35.20 | 1% below | 2% |
| LH (luteinizing hormone) test CPT 83002 GONADATROPIN; LH | $71.86 | $73.33 | $71.86–$73.33 | 1% below | 2% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $22.99 | $23.46 | $22.99–$23.46 | 1% below | 2% |
| Liver function blood test panel CPT 80076 HEPATIC PANEL (LIVER PANEL) | $31.61 | $32.26 | $31.61–$32.26 | 1% below | 2% |
| Lyme disease antibody test CPT 86618 ATBY-BORRELIA | $71.86 | $73.33 | $71.86–$73.33 | at median | 2% |
| Lyme disease antibody test CPT 86618 LYME DISEASE, IGM ANTIBODY | $71.86 | $73.33 | $71.86–$73.33 | at median | 2% |
| Magnesium blood test CPT 83735 MAGNESIUM | $17.25 | $17.60 | $17.25–$17.60 | 1% below | 2% |
| Measles (rubeola) antibody test CPT 86765 ANTIBODY, RUBEOLA | $57.49 | $58.66 | $57.49–$58.66 | 1% below | 2% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES SCRNG | $22.99 | $23.46 | $22.99–$23.46 | 1% below | 2% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $224.20 | $228.78 | $224.20–$228.78 | 7% above | 2% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE | $71.86 | $73.33 | $71.86–$73.33 | at median | 2% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $71.86 | $73.33 | $71.86–$73.33 | at median | 2% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN(PSA) | $57.49 | $58.66 | $57.49–$58.66 | 5% above | 2% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA UROCOR TOTAL | $57.49 | $58.66 | $57.49–$58.66 | 5% above | 2% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TEST,MCR SCREEN,TOTAL | $57.49 | $58.66 | $57.49–$58.66 | 5% above | 2% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 SCRN THINPREP PAP | $114.97 | $117.32 | $114.97–$117.32 | 9% above | 2% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE (PTH) | $43.12 | $44.00 | $43.12–$44.00 | 1% below | 2% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE | $43.12 | $44.00 | $43.12–$44.00 | 1% below | 2% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME, PARTIAL | $22.99 | $23.46 | $22.99–$23.46 | 1% below | 2% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL PTT PLASMA OR WHOLE BL | $22.99 | $23.46 | $22.99–$23.46 | 1% below | 2% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FET CHROM ANEUPL13,18,21 | $388.04 | $395.96 | $388.04–$395.96 | 1% below | 2% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FET CHROM ANEUPL13,18,22 | $388.04 | $395.96 | $388.04–$395.96 | 1% below | 2% |
| Progesterone blood test CPT 84144 PROGESTERONE | $43.12 | $44.00 | $43.12–$44.00 | 1% below | 2% |
| Prolactin blood test CPT 84146 PROLACTIN | $57.49 | $58.66 | $57.49–$58.66 | 1% below | 2% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $22.99 | $23.46 | $22.99–$23.46 | 1% below | 2% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A-B. RAPID ID | $71.86 | $73.33 | $71.86–$73.33 | at median | 2% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 INF AGT AG STREP GROUP A | $71.86 | $73.33 | $71.86–$73.33 | 1% below | 2% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP,GROUP A SCREEN THROAT | $71.86 | $73.33 | $71.86–$73.33 | 1% below | 2% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP. GR A, IMMUNO W/ OPTICAL | $71.86 | $73.33 | $71.86–$73.33 | 1% below | 2% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $28.74 | $29.33 | $28.74–$29.33 | at median | 2% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QNT | $28.74 | $29.33 | $28.74–$29.33 | at median | 2% |
| Rubella antibody test (immunity check) CPT 86762 ANTIBODY, RUBELLA | $43.12 | $44.00 | $43.12–$44.00 | 1% below | 2% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE, RBC, AUTOMATED | $14.38 | $14.67 | $14.38–$14.67 | 5% above | 2% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS, COMPLETE | $83.36 | $85.06 | $83.36–$85.06 | 2% above | 2% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS,VOL,CT,MOT, DIF | $83.36 | $85.06 | $83.36–$85.06 | 2% above | 2% |
| Stool ova and parasites exam CPT 87177 OVA/PARASITE,DIR SMR ID | $114.97 | $117.32 | $114.97–$117.32 | at median | 2% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 BLD OCCLT QL STOOL SINGLE | $14.38 | $14.67 | $14.38–$14.67 | at median | 2% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 BLOOD OCCULT,FECES,CONSECUTIVE | $14.38 | $14.67 | $14.38–$14.67 | at median | 2% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLOOD OCC BLD, IMMUNOASSAY 1-3 | $71.86 | $73.33 | $71.86–$73.33 | at median | 2% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST, QUALITATIVE | $22.99 | $23.46 | $22.99–$23.46 | 1% below | 2% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB MSURMENT GMMA INT AG RESPSE | $100.61 | $102.66 | $100.61–$102.66 | at median | 2% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB MSURMENT GMMA INT AG | $100.61 | $102.66 | $100.61–$102.66 | at median | 2% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTER PLASMA TOT | $43.12 | $44.00 | $43.12–$44.00 | 1% below | 2% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL | $43.12 | $44.00 | $43.12–$44.00 | 1% below | 2% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY (THYROID) | $63.24 | $64.53 | $63.24–$64.53 | 2% above | 2% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $43.12 | $44.00 | $43.12–$44.00 | 1% below | 2% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM HORMONE (TSH) | $43.12 | $44.00 | $43.12–$44.00 | 1% below | 2% |
| Trichomonas test (NAAT) CPT 87661 INF AGT NUC AC T.VAG AMP | $129.35 | $131.99 | $129.35–$131.99 | at median | 2% |
| Uric acid blood test CPT 84550 URIC ACID, BLOOD | $5.75 | $5.87 | $5.75–$5.87 | 1% below | 2% |
| Urinalysis with microscope exam, automated CPT 81001 URINE DIP/TABLET, AUTO/MICRO | $25.87 | $26.40 | $25.87–$26.40 | 1% below | 2% |
| Urinalysis with microscope exam, automated CPT 81001 UA AUTOMATED W/ MICROSCOPY | $25.87 | $26.40 | $25.87–$26.40 | 1% below | 2% |
| Urinalysis without microscope exam, automated CPT 81003 UR INALYSIS,AUTOMATED WO MICRO | $11.50 | $11.73 | $11.50–$11.73 | 1% below | 2% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS,BY DIP AUTO | $11.50 | $11.73 | $11.50–$11.73 | 1% below | 2% |
| Urinalysis without microscope exam, automated CPT 81003 URINE DIP/TAB,AUTO/NONMICRO | $11.50 | $11.73 | $11.50–$11.73 | 1% below | 2% |
| Urine culture for bacteria, with colony count CPT 87086 CULT,BACT URINE QUANT COLONY | $57.49 | $58.66 | $57.49–$58.66 | at median | 2% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $28.74 | $29.33 | $28.74–$29.33 | 1% below | 2% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST, URINE | $28.74 | $29.33 | $28.74–$29.33 | 1% below | 2% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN(VITAMIN B-12) | $43.12 | $44.00 | $43.12–$44.00 | 1% below | 2% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-25 DYDROXY | $43.12 | $44.00 | $43.12–$44.00 | at median | 2% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D (25-HYDROXY) | $43.12 | $44.00 | $43.12–$44.00 | at median | 2% |
| Zinc blood test CPT 84630 ZINC | $71.86 | $73.33 | $71.86–$73.33 | 1% below | 2% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADO, CHORION (HCG), QUANT | $68.98 | $70.39 | $68.98–$70.39 | 1% below | 2% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROP, CHORION QUANT | $68.98 | $70.39 | $68.98–$70.39 | 1% below | 2% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Maryland | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BRST 1ST LESION STRTCTC | $1,923.49 | $1,962.74 | $1,923.49–$1,962.74 | 43% above | 2% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION WITH TEE | $19.90 | $20.31 | $19.90–$20.31 | 25% below | 2% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT | $179.15 | $182.81 | $179.15–$182.81 | 575% above | 2% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRC,CLAMP/DEVICE W/BLOCK,NB | $986.39 | $1,006.52 | $986.39–$1,006.52 | 97% above | 2% |
| Circumcision, surgical, older than a newborn CPT 54160 CIRC,NOT CLAMP/DEVICE,<=28DAYS | $986.39 | $1,006.52 | $986.39–$1,006.52 | 49% above | 2% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $2,630.37 | $2,684.05 | $2,630.37–$2,684.05 | 77% above | 2% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY ,EXTRCORP SHOCKWAV | $4,970.98 | $5,072.43 | $4,970.98–$5,072.43 | 13% above | 2% |
| Short arm splint (forearm and hand) CPT 29125 APPLY SHORT ARM SPLINT STATIC | $248.48 | $253.55 | $248.48–$253.55 | 6% below | 2% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BIOPSY BREAST 1ST LESION | $3,205.81 | $3,271.23 | $3,205.81–$3,271.23 | 138% 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 BLOOD TRANSFUSION 0-90MIN | $583.61 | $595.52 | $583.61–$595.52 | 11% above | 2% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION 91-150MIN | $848.87 | $866.19 | $848.87–$866.19 | 62% above | 2% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION 151-210MIN | $1,114.11 | $1,136.85 | $1,114.11–$1,136.85 | 113% above | 2% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION 211-270MIN | $1,379.43 | $1,407.58 | $1,379.43–$1,407.58 | 163% above | 2% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION 271-330MIN | $1,644.64 | $1,678.20 | $1,644.64–$1,678.20 | 214% above | 2% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION 331-390MIN | $1,909.97 | $1,948.95 | $1,909.97–$1,948.95 | 264% above | 2% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION 391-450MIN | $2,175.20 | $2,219.59 | $2,175.20–$2,219.59 | 315% above | 2% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION 451-510MIN | $2,440.48 | $2,490.29 | $2,440.48–$2,490.29 | 366% above | 2% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION 511-570MIN | $2,705.74 | $2,760.96 | $2,705.74–$2,760.96 | 416% above | 2% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION 571-630MIN | $2,971.00 | $3,031.63 | $2,971.00–$3,031.63 | 467% above | 2% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT-OP | $137.36 | $140.16 | $137.36–$140.16 | 9% below | 2% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 *AIRWAY INHALATION TRTMENT-IP | $1,648.30 | $1,681.94 | $1,648.30–$1,681.94 | 989% above | 2% |
| Chemotherapy IV infusion, first hour CPT 96413 IV CHEMO INFUSION INIT HR | $954.99 | $974.48 | $954.99–$974.48 | 11% above | 2% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE/DROWSY | $1,465.74 | $1,495.65 | $1,465.74–$1,495.65 | 12% above | 2% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $47.78 | $48.75 | $47.78–$48.75 | 14% below | 2% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 A CATEGORY MSE ADD-ON | $141.56 | $144.45 | $141.56–$144.45 | 5% above | 2% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 A CATEGORY LEVEL 1 | $141.56 | $144.45 | $141.56–$144.45 | 5% above | 2% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY EVALUATION | $328.80 | $335.51 | $328.80–$335.51 | 145% above | 2% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY EVAL, ANTEPARTUM | $328.80 | $335.51 | $328.80–$335.51 | 145% above | 2% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 A CATEGORY LEVEL 2 | $141.56 | $144.45 | $141.56–$144.45 | 5% above | 2% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 A CATEGORY LEVEL 3 | $283.13 | $288.91 | $283.13–$288.91 | 2% above | 2% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 A CATEGORY LEVEL 4 | $566.22 | $577.78 | $566.22–$577.78 | 6% above | 2% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EXTENDED CARE PER 2 HRS | $141.56 | $144.45 | $141.56–$144.45 | 11% below | 2% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 A CATEGORY LEVEL 5 | $991.01 | $1,011.23 | $991.01–$1,011.23 | 521% above | 2% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS TEST | $119.43 | $121.87 | $119.43–$121.87 | 12% below | 2% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATE INFUSION,IST HR>30M | $424.45 | $433.11 | $424.45–$433.11 | 5% above | 2% |
| IV infusion of a medicine, first hour CPT 96365 IV NON-CHEMO INFUSION INIT HR | $954.95 | $974.44 | $954.95–$974.44 | 54% above | 2% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION, SUBQ/IM | $106.16 | $108.33 | $106.16–$108.33 | 39% above | 2% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ NON-CHEMO SC/ IM | $106.16 | $108.33 | $106.16–$108.33 | 39% above | 2% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION ANTEPARTUM | $106.16 | $108.33 | $106.16–$108.33 | 39% above | 2% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION | $636.69 | $649.68 | $636.69–$649.68 | 82% above | 2% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSC RE-ED IND, EACH 15 | $88.74 | $90.55 | $88.74–$90.55 | 6% below | 2% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-ED EACH 15 | $139.65 | $142.50 | $139.65–$142.50 | 48% above | 2% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-ED, EACH 15 | $161.52 | $164.82 | $161.52–$164.82 | 71% above | 2% |
| New patient office visit, about 30 minutes CPT 99203 INF VISIT NEW L3 | $212.20 | $216.53 | $212.20–$216.53 | 24% above | 2% |
| New patient office visit, about 45 minutes CPT 99204 INF VISIT NEW L4 | $265.31 | $270.72 | $265.31–$270.72 | 17% above | 2% |
| New patient office visit, about 60 minutes CPT 99205 INF VISIT NEW L5 | $318.29 | $324.79 | $318.29–$324.79 | 17% above | 2% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 SLEEP LAB OP NEW LVL 2 | $159.19 | $162.44 | $159.19–$162.44 | 37% above | 2% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 INF VISIT NEW L2 | $159.19 | $162.44 | $159.19–$162.44 | 37% above | 2% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MED NUT THER IND INITIAL 15 MI | $265.31 | $270.72 | $265.31–$270.72 | 54% above | 2% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 08-22 MIN | $141.99 | $144.89 | $141.99–$144.89 | 7% below | 2% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 23-37 MIN | $283.97 | $289.77 | $283.97–$289.77 | 85% above | 2% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 38-52 MIN | $425.97 | $434.66 | $425.97–$434.66 | 178% above | 2% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 53-67 MIN | $567.95 | $579.54 | $567.95–$579.54 | 271% above | 2% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 68-82 MIN | $709.94 | $724.43 | $709.94–$724.43 | 363% above | 2% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 83-97 MIN | $851.93 | $869.32 | $851.93–$869.32 | 456% above | 2% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 08-22 MIN | $258.44 | $263.71 | $258.44–$263.71 | 32% above | 2% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 23-37 MIN | $516.88 | $527.43 | $516.88–$527.43 | 163% above | 2% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 38-52 MIN | $775.32 | $791.14 | $775.32–$791.14 | 295% above | 2% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 53-67 MIN | $1,033.76 | $1,054.86 | $1,033.76–$1,054.86 | 426% above | 2% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 68-82 MIN | $1,292.20 | $1,318.57 | $1,292.20–$1,318.57 | 558% above | 2% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 83-97 MIN | $1,550.63 | $1,582.28 | $1,550.63–$1,582.28 | 689% above | 2% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 08-22 MIN | $258.44 | $263.71 | $258.44–$263.71 | 32% above | 2% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 23-37 MIN | $516.88 | $527.43 | $516.88–$527.43 | 163% above | 2% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 38-52 MIN | $775.32 | $791.14 | $775.32–$791.14 | 295% above | 2% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 53-67 MIN | $1,033.76 | $1,054.86 | $1,033.76–$1,054.86 | 426% above | 2% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 68-82 MIN | $1,292.20 | $1,318.57 | $1,292.20–$1,318.57 | 558% above | 2% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 83-97 MIN | $1,550.63 | $1,582.28 | $1,550.63–$1,582.28 | 689% above | 2% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 08-22 MIN | $258.44 | $263.71 | $258.44–$263.71 | 32% above | 2% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 23-37 MIN | $516.88 | $527.43 | $516.88–$527.43 | 163% above | 2% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 38-52 MIN | $775.32 | $791.14 | $775.32–$791.14 | 295% above | 2% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 53-67 MIN | $1,033.76 | $1,054.86 | $1,033.76–$1,054.86 | 426% above | 2% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 68-82 MIN | $1,292.20 | $1,318.57 | $1,292.20–$1,318.57 | 558% above | 2% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 83-97 MIN | $1,550.63 | $1,582.28 | $1,550.63–$1,582.28 | 689% above | 2% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY, EACH 15 MIN | $70.99 | $72.44 | $70.99–$72.44 | 18% below | 2% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY TECH, EACH 15 | $129.22 | $131.86 | $129.22–$131.86 | 48% above | 2% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EX, EACH 15 MINS | $70.99 | $72.44 | $70.99–$72.44 | 6% below | 2% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXER EACH 15 MINS | $111.72 | $114.00 | $111.72–$114.00 | 48% above | 2% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EX, EACH 15 MIN | $129.22 | $131.86 | $129.22–$131.86 | 71% above | 2% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $34.34 | $35.04 | $34.34–$35.04 | 9% below | 2% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 INF VISIT EST L5 | $318.29 | $324.79 | $318.29–$324.79 | 27% above | 2% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 INF VISIT EST L3 | $212.20 | $216.53 | $212.20–$216.53 | 27% above | 2% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 INF VISIT EST L4 | $265.31 | $270.72 | $265.31–$270.72 | 27% above | 2% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 INF VISIT EST L2 | $159.19 | $162.44 | $159.19–$162.44 | 27% above | 2% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 SLEEP LAB OP EST LVL 2 | $159.19 | $162.44 | $159.19–$162.44 | 27% above | 2% |
| Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN | $809.95 | $826.48 | $809.95–$826.48 | 28% above | 2% |
| Speech therapy session, individual CPT 92507 SPEECH/LANGUAGE TX INDIVID | $251.36 | $256.49 | $251.36–$256.49 | 17% above | 2% |
| Spirometry (breathing test) CPT 94010 SPROMETRY BREATHING CAP TST | $189.24 | $193.10 | $189.24–$193.10 | 25% below | 2% |
| Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY WITH BRONCHODILATOR | $280.06 | $285.78 | $280.06–$285.78 | 46% below | 2% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACT, EACH 15 MINS | $124.24 | $126.78 | $124.24–$126.78 | 4% below | 2% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACT EACH 15 MINS | $195.50 | $199.49 | $195.50–$199.49 | 51% above | 2% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACT, EACH 15 MIN | $226.14 | $230.75 | $226.14–$230.75 | 75% above | 2% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY | $143.72 | $146.65 | $143.72–$146.65 | 1% below | 2% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Maryland | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID(2025-26 12Y+)SPIKEVAX | $245.74 | $250.75 | $245.74–$250.75 | 18% above | 2% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID (2024-25 12+)MODERNA VAC | $370.69 | $378.26 | $370.69–$378.26 | 78% above | 2% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VAC INJ EA | $375.06 | $382.71 | $375.06–$382.71 | 15% above | 2% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUTRIPFLF0.5ML FLULAVAL | $51.58 | $52.63 | $51.58–$52.63 | 2% above | 2% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMN PAPILLOMAVIR-9 VAC 0.5ML | $615.83 | $628.40 | $615.83–$628.40 | 41% above | 2% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 TWINRIX 20 MCG-720UNIT/ML EA | $274.13 | $279.72 | $274.13–$279.72 | 43% above | 2% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A 50 UNITS VACC | $128.00 | $130.61 | $128.00–$130.61 | 2% above | 2% |
| Hepatitis A vaccine, adult dose CPT 90632 HEP-A ADULT VAC 1440UNIT/ML PF | $179.92 | $183.59 | $179.92–$183.59 | 44% above | 2% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACRECOMB 10MCG/ML 1ML | $85.25 | $86.99 | $85.25–$86.99 | 20% below | 2% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VAC-RECOM 20MCG/ML 1ML | $150.89 | $153.97 | $150.89–$153.97 | 42% above | 2% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUTRIPFLF0.5ML FLUZONEHD | $172.87 | $176.40 | $172.87–$176.40 | 43% above | 2% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II VIRUS VAC INJ 1 EA | $191.46 | $195.37 | $191.46–$195.37 | at median | 2% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO A/C/Y/W-135 VACC | $341.52 | $348.49 | $341.52–$348.49 | 18% above | 2% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCCA GRPBVAC 0.5MLINJ | $509.13 | $519.52 | $509.13–$519.52 | 37% above | 2% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL VACC 0.5ML | $594.16 | $606.29 | $594.16–$606.29 | 43% above | 2% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL23-VAL VAC0.5ML | $261.35 | $266.68 | $261.35–$266.68 | at median | 2% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50MG/0.5ML INJ | $1,251.98 | $1,277.53 | $1,251.98–$1,277.53 | 2% below | 2% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VACCINE 120MCG/0.5ML INJ | $722.07 | $736.81 | $722.07–$736.81 | 18% above | 2% |
| Rabies vaccine, one dose CPT 90675 RABIES PUR/CHCKEMBR 2.5 IU VAC | $857.75 | $875.26 | $857.75–$875.26 | 22% above | 2% |
| Rabies vaccine, one dose CPT 90675 RABIES 2.5 INTUNITS VACCINE | $967.02 | $986.75 | $967.02–$986.75 | 37% above | 2% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICEL-ZOS50MCG/0.5MLSHINGRIX | $395.19 | $403.25 | $395.19–$403.25 | 18% above | 2% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICEL-ZOS(SHINGRIX)0.5ML SYR | $613.77 | $626.30 | $613.77–$626.30 | 83% above | 2% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIP TOX 2-2U 0.5ML INJ | $63.13 | $64.42 | $63.13–$64.42 | 20% below | 2% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIP TOX ADLT 0.5ML INJ | $77.67 | $79.26 | $77.67–$79.26 | 1% below | 2% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL 0.5ML INJ | $122.19 | $124.68 | $122.19–$124.68 | 13% above | 2% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX TIP LOK INJ 0.5ML | $123.49 | $126.01 | $123.49–$126.01 | 14% above | 2% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN VACCINE 1ST | $159.19 | $162.44 | $159.19–$162.44 | 121% above | 2% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATION INITIAL | $159.19 | $162.44 | $159.19–$162.44 | 121% above | 2% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INFLUENZA VACCINE ADM 1ST | $159.19 | $162.44 | $159.19–$162.44 | 121% above | 2% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PNEUMOCOCC VACCINE ADM 1ST | $159.19 | $162.44 | $159.19–$162.44 | 121% above | 2% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN HEPATITIS B VACCINE 1ST | $159.19 | $162.44 | $159.19–$162.44 | 121% above | 2% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN HEPATITIS B VACCINE ADDL | $106.16 | $108.33 | $106.16–$108.33 | 54% above | 2% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 PNEUMOCOCC VACCINE ADM ADDL | $106.16 | $108.33 | $106.16–$108.33 | 54% above | 2% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE EA ADDL INJ | $106.16 | $108.33 | $106.16–$108.33 | 54% above | 2% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 INFLUENZA VACCINE ADM ADDL | $106.16 | $108.33 | $106.16–$108.33 | 54% above | 2% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN VACCINE ADDL | $106.16 | $108.33 | $106.16–$108.33 | 54% above | 2% |