The Kennedy Krieger Institute
The Kennedy Krieger Institute in Baltimore, MD publishes cash prices for 132 common procedures listed here, from its own machine-readable price file updated Aug 27, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Maryland median for 87 of 124 procedures and below it for 37. By typical cash price it ranks #16 of 17 Maryland hospitals and #8 of 8 hospitals in the Baltimore, MD area, cheapest first. Select a procedure to compare it with other hospitals nearby.
707 North Broadway, Baltimore, MD 21205 Collected Sep 22, 2026 Source price file Check a bill from this hospital (443) 923-9301
Children's hospital Nonprofit hospital Emergency department CCN 213301 · CMS hospital register NPI 1619075926
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
The Kennedy Krieger Institute is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
State law
This state limits hospital bills for lower-income patients
Maryland law (Health-General §19-214.1) requires hospitals to give free medically necessary care to patients with family income at or below 200% of the federal poverty level and to cut the bill by 75% up to 250% and 60% up to 300%. With medical debt above 25% of family income in a year, discounts reach up to 500%. Immigration status does not count. Ask the hospital for its financial assistance application. Other states' laws.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Maryland | Off list |
|---|---|---|---|---|---|
| Abdominal X-ray, 2 views CPT 74019 HC RADIOLOGIC EXAM, ABDOMEN, 2 VIEWS | $377.60 | $472.00 | $38.59–$472.00 | 73% above | 20% |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC RADIOLOGIC EXAM, ABDOMEN, 2 VIEWS | $377.60 | $472.00 | $38.59–$472.00 | — | 20% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HC RADIOLOGIC EXAM,ANKLE 3+ VIEWS LT | $444.80 | $556.00 | $39.76–$556.00 | 132% above | 20% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HC RADIOLOGIC EXAM,ANKLE 3+ VIEWS RT | $444.80 | $556.00 | $39.76–$556.00 | 132% above | 20% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC RADIOLOGIC EXAM,ANKLE 3+ VIEWS LT | $444.80 | $556.00 | $39.76–$556.00 | — | 20% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC RADIOLOGIC EXAM,ANKLE 3+ VIEWS RT | $444.80 | $556.00 | $39.76–$556.00 | — | 20% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE DENSITY STUDY; WHOLE BODY | $964.00 | $1,205.00 | $278.33–$1,205.00 | 22% below | 20% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE DENSITY STUDY; WHOLE BODY | $964.00 | $1,205.00 | $278.33–$1,205.00 | — | 20% |
| Chest X-ray, 2 views CPT 71046 HC RADIOLOGIC EXAM, CHEST; TWO VIEWS | $357.60 | $447.00 | $35.37–$447.00 | 106% above | 20% |
| Chest X-ray, 2 views inpatient CPT 71046 HC RADIOLOGIC EXAM, CHEST; TWO VIEWS | $357.60 | $447.00 | $35.37–$447.00 | — | 20% |
| Chest X-ray, single view CPT 71045 HC RADIOLOGIC EXAM, CHEST; SINGLE VIEW | $357.60 | $447.00 | $27.14–$447.00 | 227% above | 20% |
| Chest X-ray, single view inpatient CPT 71045 HC RADIOLOGIC EXAM, CHEST; SINGLE VIEW | $357.60 | $447.00 | $27.14–$447.00 | — | 20% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 HC CLAVICLE | $264.00 | $330.00 | $35.82–$330.00 | 60% above | 20% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 HC CLAVICLE | $264.00 | $330.00 | $35.82–$330.00 | 60% above | 20% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HC CLAVICLE | $264.00 | $330.00 | $35.82–$330.00 | — | 20% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HC CLAVICLE | $264.00 | $330.00 | $35.82–$330.00 | — | 20% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC ULTRASOUND, RENAL, COMPLETE | $621.60 | $777.00 | $113.43–$777.00 | 9% below | 20% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC ULTRASOUND, RENAL, COMPLETE | $621.60 | $777.00 | $113.43–$777.00 | — | 20% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXA SCAN BONE DENSITY;AXIAL SKELET | $470.40 | $588.00 | $42.23–$588.00 | 63% above | 20% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DEXA SCAN BONE DENSITY;AXIAL SKELET | $470.40 | $588.00 | $42.23–$588.00 | — | 20% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DEXA SCAN BONE DENSITY;APPENDICULAR | $366.40 | $458.00 | $33.94–$458.00 | 114% above | 20% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DEXA SCAN BONE DENSITY;APPENDICULAR | $366.40 | $458.00 | $33.94–$458.00 | — | 20% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO TTE/DOPPLER/COLOR FLOW | $1,418.40 | $1,773.00 | $209.87–$1,773.00 | 416% above | 20% |
| Elbow X-ray, 2 views one side CPT 73070 HC ELBOW; 2 VIEWS | $368.80 | $461.00 | $31.50–$461.00 | 131% above | 20% |
| Elbow X-ray, 2 views one side CPT 73070 HC ELBOW; 2 VIEWS | $368.80 | $461.00 | $31.50–$461.00 | 131% above | 20% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 HC ELBOW; 2 VIEWS | $368.80 | $461.00 | $31.50–$461.00 | — | 20% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 HC ELBOW; 2 VIEWS | $368.80 | $461.00 | $31.50–$461.00 | — | 20% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 HC RADIOLOGIC EXAM, ELBOW; 3+ VIEWS RT | $377.60 | $472.00 | $35.44–$472.00 | 97% above | 20% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 HC RADIOLOGIC EXAM, ELBOW; 3+ VIEWS LT | $377.60 | $472.00 | $35.44–$472.00 | 97% above | 20% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 HC RADIOLOGIC EXAM, ELBOW; 3+ VIEWS LT | $377.60 | $472.00 | $35.44–$472.00 | — | 20% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 HC RADIOLOGIC EXAM, ELBOW; 3+ VIEWS RT | $377.60 | $472.00 | $35.44–$472.00 | — | 20% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC RADIOLOGIC EXAM, FOREARM; TWO VIEWS RT | $264.00 | $330.00 | $31.14–$330.00 | 60% above | 20% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC RADIOLOGIC EXAM, FOREARM; TWO VIEWS LT | $264.00 | $330.00 | $31.14–$330.00 | 60% above | 20% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HC RADIOLOGIC EXAM, FOREARM; TWO VIEWS RT | $264.00 | $330.00 | $31.14–$330.00 | — | 20% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HC RADIOLOGIC EXAM, FOREARM; TWO VIEWS LT | $264.00 | $330.00 | $31.14–$330.00 | — | 20% |
| Hand X-ray, 2 views one side CPT 73120 HC HAND; 2 VIEWS | $264.00 | $330.00 | $33.66–$330.00 | 60% above | 20% |
| Hand X-ray, 2 views one side CPT 73120 HC HAND; 2 VIEWS | $264.00 | $330.00 | $33.66–$330.00 | 60% above | 20% |
| Hand X-ray, 2 views inpatient one side CPT 73120 HC HAND; 2 VIEWS | $264.00 | $330.00 | $33.66–$330.00 | — | 20% |
| Hand X-ray, 2 views inpatient one side CPT 73120 HC HAND; 2 VIEWS | $264.00 | $330.00 | $33.66–$330.00 | — | 20% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HC HEEL, 2 VIEWS | $377.60 | $472.00 | $30.42–$472.00 | 136% above | 20% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HC HEEL, 2 VIEWS | $377.60 | $472.00 | $30.42–$472.00 | 136% above | 20% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HC HEEL, 2 VIEWS | $377.60 | $472.00 | $30.42–$472.00 | — | 20% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HC HEEL, 2 VIEWS | $377.60 | $472.00 | $30.42–$472.00 | — | 20% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOMNOGRAM 4+ PARMS CPAP; 6 + | $5,367.20 | $6,709.00 | $759.90–$6,709.00 | 118% above | 20% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOMNOGRAM 4+ PARMS CPAP; 6 + | $5,367.20 | $6,709.00 | $759.90–$6,709.00 | — | 20% |
| Knee X-ray, 3 views one side CPT 73562 HC KNEE - 3 VIEWS | $472.00 | $590.00 | $45.51–$590.00 | 112% above | 20% |
| Knee X-ray, 3 views one side CPT 73562 HC KNEE - 3 VIEWS | $472.00 | $590.00 | $45.51–$590.00 | 112% above | 20% |
| Knee X-ray, 3 views inpatient one side CPT 73562 HC KNEE - 3 VIEWS | $472.00 | $590.00 | $45.51–$590.00 | — | 20% |
| Knee X-ray, 3 views inpatient one side CPT 73562 HC KNEE - 3 VIEWS | $472.00 | $590.00 | $45.51–$590.00 | — | 20% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC ULTRASOUND LIMITED ANATOMIC SPCIFIC | $158.40 | $198.00 | $68.15–$198.00 | 60% above | 20% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC ULTRASOUND LIMITED ANATOMIC SPCIFIC | $158.40 | $198.00 | $68.15–$198.00 | — | 20% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HC TIBIA & FIBULA, 2 VIEWS | $264.00 | $330.00 | $33.66–$330.00 | 38% above | 20% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HC TIBIA & FIBULA, 2 VIEWS | $264.00 | $330.00 | $33.66–$330.00 | 38% above | 20% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HC TIBIA & FIBULA, 2 VIEWS | $264.00 | $330.00 | $33.66–$330.00 | — | 20% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HC TIBIA & FIBULA, 2 VIEWS | $264.00 | $330.00 | $33.66–$330.00 | — | 20% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC CERVICAL SPINE, MINIMUM 4 VIEWS | $415.20 | $519.00 | $59.10–$519.00 | 63% above | 20% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC CERVICAL SPINE, MINIMUM 4 VIEWS | $415.20 | $519.00 | $59.10–$519.00 | — | 20% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC RIBS UNILATERAL, 2 VIEWS | $377.60 | $472.00 | $44.69–$472.00 | 90% above | 20% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC RIBS UNILATERAL, 2 VIEWS | $377.60 | $472.00 | $44.69–$472.00 | 90% above | 20% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC RIBS UNILATERAL, 2 VIEWS | $377.60 | $472.00 | $44.69–$472.00 | — | 20% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC RIBS UNILATERAL, 2 VIEWS | $377.60 | $472.00 | $44.69–$472.00 | — | 20% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC SHOULDER; COMPLETE MINIMUM 2 VIEWS | $377.60 | $472.00 | $38.30–$472.00 | 137% above | 20% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC SHOULDER; COMPLETE MINIMUM 2 VIEWS | $377.60 | $472.00 | $38.30–$472.00 | 137% above | 20% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC SHOULDER; COMPLETE MINIMUM 2 VIEWS | $377.60 | $472.00 | $38.30–$472.00 | — | 20% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC SHOULDER; COMPLETE MINIMUM 2 VIEWS | $377.60 | $472.00 | $38.30–$472.00 | — | 20% |
| Skull X-ray, fewer than 4 views CPT 70250 HC SKULL X-RAY | $256.00 | $320.00 | $38.30–$320.00 | 15% above | 20% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC SKULL X-RAY | $256.00 | $320.00 | $38.30–$320.00 | — | 20% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAM 4+ PARMS;6 + | $4,963.20 | $6,204.00 | $723.24–$6,204.00 | 113% above | 20% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAM 4+ PARMS;6 + | $4,963.20 | $6,204.00 | $723.24–$6,204.00 | — | 20% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HC FEMUR - 2 VIEWS | $452.00 | $565.00 | $38.30–$565.00 | 128% above | 20% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HC FEMUR - 2 VIEWS | $452.00 | $565.00 | $38.30–$565.00 | 128% above | 20% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HC FEMUR - 2 VIEWS | $452.00 | $565.00 | $38.30–$565.00 | — | 20% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HC FEMUR - 2 VIEWS | $452.00 | $565.00 | $38.30–$565.00 | — | 20% |
| Toe X-ray, 2 or more views CPT 73660 HC TOE(S) MINIMUM OF 2 VIEWS | $377.60 | $472.00 | $30.84–$472.00 | 97% above | 20% |
| Toe X-ray, 2 or more views inpatient CPT 73660 HC TOE(S) MINIMUM OF 2 VIEWS | $377.60 | $472.00 | $30.84–$472.00 | — | 20% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HC RADIOLOGIC EXAM, HUMERUS; TWO VIEWS LT | $377.60 | $472.00 | $34.38–$472.00 | 97% above | 20% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HC RADIOLOGIC EXAM, HUMERUS; TWO VIEWS RT | $377.60 | $472.00 | $34.38–$472.00 | 97% above | 20% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HC RADIOLOGIC EXAM, HUMERUS; TWO VIEWS RT | $377.60 | $472.00 | $34.38–$472.00 | — | 20% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HC RADIOLOGIC EXAM, HUMERUS; TWO VIEWS LT | $377.60 | $472.00 | $34.38–$472.00 | — | 20% |
| Wrist X-ray, 2 views one side CPT 73100 HC WRIST; 2 VIEWS | $377.60 | $472.00 | $36.90–$472.00 | 97% above | 20% |
| Wrist X-ray, 2 views one side CPT 73100 HC WRIST; 2 VIEWS | $377.60 | $472.00 | $36.90–$472.00 | 97% above | 20% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 HC WRIST; 2 VIEWS | $377.60 | $472.00 | $36.90–$472.00 | — | 20% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 HC WRIST; 2 VIEWS | $377.60 | $472.00 | $36.90–$472.00 | — | 20% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC RADIOLOGIC EXAM, WRIST 3+ VIEWS RT | $444.80 | $556.00 | $45.89–$556.00 | 99% above | 20% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC RADIOLOGIC EXAM, WRIST 3+ VIEWS LT | $444.80 | $556.00 | $45.89–$556.00 | 99% above | 20% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC RADIOLOGIC EXAM, WRIST 3+ VIEWS LT | $444.80 | $556.00 | $45.89–$556.00 | — | 20% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC RADIOLOGIC EXAM, WRIST 3+ VIEWS RT | $444.80 | $556.00 | $45.89–$556.00 | — | 20% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC HIP W/PELVIS 2-3 VIEWS | $444.80 | $556.00 | $52.29–$556.00 | 74% above | 20% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC HIP W/PELVIS 2-3 VIEWS | $444.80 | $556.00 | $52.29–$556.00 | 74% above | 20% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC HIP W/PELVIS 2-3 VIEWS | $444.80 | $556.00 | $52.29–$556.00 | — | 20% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC HIP W/PELVIS 2-3 VIEWS | $444.80 | $556.00 | $52.29–$556.00 | — | 20% |
| X-ray of the abdomen, 1 view CPT 74018 HC RADIOLOGIC EXAM, ABDOMEN, 1 VIEW | $357.60 | $447.00 | $31.82–$447.00 | 124% above | 20% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC RADIOLOGIC EXAM, ABDOMEN, 1 VIEW | $357.60 | $447.00 | $31.82–$447.00 | — | 20% |
| X-ray of the ankle, 2 views CPT 73600 HC ANKLE, 1 VIEW | $222.40 | $278.00 | $34.74–$278.00 | 16% above | 20% |
| X-ray of the ankle, 2 views one side CPT 73600 HC ANKLE, 2 VIEWS | $377.60 | $472.00 | $34.74–$472.00 | 97% above | 20% |
| X-ray of the ankle, 2 views one side CPT 73600 HC ANKLE, 2 VIEWS | $377.60 | $472.00 | $34.74–$472.00 | 97% above | 20% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC ANKLE, 1 VIEW | $222.40 | $278.00 | $34.74–$278.00 | — | 20% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 HC ANKLE, 2 VIEWS | $377.60 | $472.00 | $34.74–$472.00 | — | 20% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 HC ANKLE, 2 VIEWS | $377.60 | $472.00 | $34.74–$472.00 | — | 20% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HC RADIOLOGIC EXAM,FINGER(S);2 VIEWS LT | $264.00 | $330.00 | $42.36–$330.00 | 18% above | 20% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HC RADIOLOGIC EXAM,FINGER(S);2 VIEWS RT | $264.00 | $330.00 | $42.36–$330.00 | 18% above | 20% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC RADIOLOGIC EXAM,FINGER(S);2 VIEWS LT | $264.00 | $330.00 | $42.36–$330.00 | — | 20% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC RADIOLOGIC EXAM,FINGER(S);2 VIEWS RT | $264.00 | $330.00 | $42.36–$330.00 | — | 20% |
| X-ray of the foot, 2 views one side CPT 73620 HC FOOT, 2 VIEWS | $377.60 | $472.00 | $30.78–$472.00 | 137% above | 20% |
| X-ray of the foot, 2 views one side CPT 73620 HC FOOT, 2 VIEWS | $377.60 | $472.00 | $30.78–$472.00 | 137% above | 20% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 HC FOOT, 2 VIEWS | $377.60 | $472.00 | $30.78–$472.00 | — | 20% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 HC FOOT, 2 VIEWS | $377.60 | $472.00 | $30.78–$472.00 | — | 20% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 HC FOOT, COMPLETE, MINIMUM 3 VIEWS | $264.00 | $330.00 | $36.52–$330.00 | 38% above | 20% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 HC FOOT, COMPLETE, MINIMUM 3 VIEWS | $264.00 | $330.00 | $36.52–$330.00 | 38% above | 20% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HC FOOT, COMPLETE, MINIMUM 3 VIEWS | $264.00 | $330.00 | $36.52–$330.00 | — | 20% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HC FOOT, COMPLETE, MINIMUM 3 VIEWS | $264.00 | $330.00 | $36.52–$330.00 | — | 20% |
| X-ray of the hand, 3 or more views one side CPT 73130 HC HAND 3+ VIEWS LT | $444.80 | $556.00 | $40.85–$556.00 | 132% above | 20% |
| X-ray of the hand, 3 or more views one side CPT 73130 HC HAND 3+ VIEWS RT | $444.80 | $556.00 | $40.85–$556.00 | 132% above | 20% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HC HAND 3+ VIEWS LT | $444.80 | $556.00 | $40.85–$556.00 | — | 20% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HC HAND 3+ VIEWS RT | $444.80 | $556.00 | $40.85–$556.00 | — | 20% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 HC RADIOLOGIC EXAM,KNEE; 1 OR 2 VIEWS BILATERAL | $517.60 | $647.00 | $36.90–$647.00 | — | 20% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HC RADIOLOGIC EXAM,KNEE; 1 OR 2 VIEWS RT | $377.60 | $472.00 | $36.90–$472.00 | 97% above | 20% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HC RADIOLOGIC EXAM,KNEE; 1 OR 2 VIEWS LT | $377.60 | $472.00 | $36.90–$472.00 | 97% above | 20% |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 HC RADIOLOGIC EXAM,KNEE; 1 OR 2 VIEWS BILATERAL | $517.60 | $647.00 | $36.90–$647.00 | — | 20% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HC RADIOLOGIC EXAM,KNEE; 1 OR 2 VIEWS RT | $377.60 | $472.00 | $36.90–$472.00 | — | 20% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HC RADIOLOGIC EXAM,KNEE; 1 OR 2 VIEWS LT | $377.60 | $472.00 | $36.90–$472.00 | — | 20% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC LUMBAR SPINE, 2-3 VIEWS | $415.20 | $519.00 | $43.29–$519.00 | 86% above | 20% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC LUMBAR SPINE, 2-3 VIEWS | $415.20 | $519.00 | $43.29–$519.00 | — | 20% |
| X-ray of the lower back, 4 or more views CPT 72110 HC LUMBAR SPINE, 4 VIEW MINIMUM | $711.20 | $889.00 | $57.32–$889.00 | 147% above | 20% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC LUMBAR SPINE, 4 VIEW MINIMUM | $711.20 | $889.00 | $57.32–$889.00 | — | 20% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC RADIOLOGIC EXAM, T-SPINE;2 VIEWS | $424.80 | $531.00 | $35.39–$531.00 | 114% above | 20% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC RADIOLOGIC EXAM, T-SPINE;2 VIEWS | $424.80 | $531.00 | $35.39–$531.00 | — | 20% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC NASAL | $276.80 | $346.00 | $40.12–$346.00 | 24% above | 20% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NASAL | $276.80 | $346.00 | $40.12–$346.00 | — | 20% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC RADIOLOGIC EXAM, PELVIS 1-2 VIEWS | $415.20 | $519.00 | $30.04–$519.00 | 117% above | 20% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC RADIOLOGIC EXAM, PELVIS 1-2 VIEWS | $415.20 | $519.00 | $30.04–$519.00 | — | 20% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUM AND COCCYX; TWO VIEWS | $415.20 | $519.00 | $34.36–$519.00 | 151% above | 20% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUM AND COCCYX; TWO VIEWS | $415.20 | $519.00 | $34.36–$519.00 | — | 20% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Maryland | Off list |
|---|---|---|---|---|---|
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGAN SPECIFIC IGE; RAST TEST | $30.40 | $38.00 | $24.24–$38.00 | 25% below | 20% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN; TOTAL | $31.20 | $39.00 | $24.88–$39.00 | 80% above | 20% |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN; TOTAL | $31.20 | $39.00 | $24.88–$39.00 | — | 20% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LEVEL IV SURGICAL PATHOLOGY | $244.00 | $305.00 | $74.35–$305.00 | 41% above | 20% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LEVEL IV SURGICAL PATHOLOGY | $244.00 | $305.00 | $74.35–$305.00 | — | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE | $96.00 | $120.00 | $2.39–$120.00 | 312% above | 20% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE; QUANTITATIVE, BLOOD | $29.60 | $37.00 | $23.61–$37.00 | 157% above | 20% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE; QUANTITATIVE, BLOOD | $29.60 | $37.00 | $23.61–$37.00 | — | 20% |
| Cortisol blood test, total CPT 82533 HC CORTISOL; TOTAL | $28.00 | $35.00 | $22.33–$35.00 | 34% below | 20% |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL; TOTAL | $28.00 | $35.00 | $22.33–$35.00 | — | 20% |
| Creatinine blood test CPT 82565 HC CREATININE; BLOOD | $32.80 | $41.00 | $26.16–$41.00 | 466% above | 20% |
| Creatinine blood test inpatient CPT 82565 HC CREATININE; BLOOD | $32.80 | $41.00 | $26.16–$41.00 | — | 20% |
| Folate (folic acid) blood test CPT 82746 HC FOLIC ACID; SERUM | $29.60 | $37.00 | $23.61–$37.00 | 30% below | 20% |
| Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID; SERUM | $29.60 | $37.00 | $23.61–$37.00 | — | 20% |
| Lactate (lactic acid) blood test CPT 83605 HC LACTATE (LACTIC ACID) | $29.60 | $37.00 | $23.61–$37.00 | 44% below | 20% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTATE (LACTIC ACID) | $29.60 | $37.00 | $23.61–$37.00 | — | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE (TSH) | $52.80 | $66.00 | $42.11–$66.00 | 22% above | 20% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE (TSH) | $52.80 | $66.00 | $42.11–$66.00 | — | 20% |
| Total cholesterol blood test CPT 82465 HC CHOLESTEROL, SERUM OR WHOLE BLOOD, TOTAL | $31.20 | $39.00 | $24.88–$39.00 | 169% above | 20% |
| Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL, SERUM OR WHOLE BLOOD, TOTAL | $31.20 | $39.00 | $24.88–$39.00 | — | 20% |
| Total triiodothyronine (T3) blood test CPT 84480 HC TRIIDOTHYRONINE T3; TOTAL TT-3 | $30.40 | $38.00 | $24.24–$38.00 | 28% below | 20% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC TRIIDOTHYRONINE T3; TOTAL TT-3 | $30.40 | $38.00 | $24.24–$38.00 | — | 20% |
| Uric acid blood test CPT 84550 HC URIC ACID; BLOOD | $25.60 | $32.00 | $20.42–$32.00 | 342% above | 20% |
| Uric acid blood test inpatient CPT 84550 HC URIC ACID; BLOOD | $25.60 | $32.00 | $20.42–$32.00 | — | 20% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC CALCIFEDIOL (25-OH VITAMIN D-3) | $33.60 | $42.00 | $26.80–$42.00 | 20% below | 20% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC CALCIFEDIOL (25-OH VITAMIN D-3) | $33.60 | $42.00 | $26.80–$42.00 | — | 20% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Maryland | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine both sides CPT 64615 HC BOTULINUM TOXIN PROC TRIGEM BILAT | $697.60 | $872.00 | $117.75–$872.00 | — | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC INCISION & DRAINAGE OF ABSCESS | $275.20 | $344.00 | $106.85–$344.00 | 65% below | 20% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJECTION;SINGLE TENDON OR LIGAMENT | $307.20 | $384.00 | $35.12–$384.00 | 23% above | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS MAJOR JOINT OR BURSA | $324.00 | $405.00 | $42.10–$405.00 | 35% above | 20% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS INTERMED JOINT/BURSA | $232.80 | $291.00 | $33.75–$291.00 | 10% above | 20% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENTESIS SMALL JOINT OR BURSA | $132.00 | $165.00 | $33.07–$165.00 | 22% below | 20% |
| Occipital nerve block (injection for headaches) CPT 64405 HC INJECTION, ANESTHETIC; GREATER OCCIPITAL NV | $784.00 | $980.00 | $49.10–$980.00 | 40% above | 20% |
| Short arm cast (elbow to hand) one side CPT 29075 HC CAST- SHORT ARM- 15 MIN | $183.20 | $229.00 | $62.73–$229.00 | 19% below | 20% |
| Short arm cast (elbow to hand) one side CPT 29075 HC CAST- SHORT ARM- 15 MIN | $183.20 | $229.00 | $62.73–$229.00 | 19% below | 20% |
| Short arm splint (forearm and hand) one side CPT 29125 HC SPLINT- SHORT ARM- 15 MIN | $183.20 | $229.00 | $43.86–$229.00 | 27% below | 20% |
| Short arm splint (forearm and hand) one side CPT 29125 HC SPLINT- SHORT ARM- 15 MIN | $183.20 | $229.00 | $43.86–$229.00 | 27% below | 20% |
| Short arm splint (forearm and hand) one side CPT 29125 HC OT SPLINTING - SHORT ARM | $183.20 | $229.00 | $43.86–$229.00 | 27% below | 20% |
| Short arm splint (forearm and hand) one side CPT 29125 HC OT SPLINTING - SHORT ARM | $183.20 | $229.00 | $43.86–$229.00 | 27% below | 20% |
| Short leg cast (below the knee) CPT 29405 HC CAST/ SHORT LEG FIBERGLASS | $424.80 | $531.00 | $59.37–$531.00 | 142% above | 20% |
| Short leg cast (below the knee) one side CPT 29405 HC SHORT LEG CAST 15 MIN | $148.00 | $185.00 | $59.37–$185.00 | 16% below | 20% |
| Short leg cast (below the knee) one side CPT 29405 HC OT- SHORT LEG CAST | $148.00 | $185.00 | $59.37–$185.00 | 16% below | 20% |
| Short leg cast (below the knee) one side CPT 29405 HC OT- SHORT LEG CAST | $148.00 | $185.00 | $59.37–$185.00 | 16% below | 20% |
| Short leg cast (below the knee) one side CPT 29405 HC SHORT LEG CAST 15 MIN | $148.00 | $185.00 | $59.37–$185.00 | 16% below | 20% |
| Short leg splint (calf to foot) one side CPT 29515 HC SPLINTING SHORT LEG 15 MIN | $134.40 | $168.00 | $52.97–$168.00 | 49% below | 20% |
| Short leg splint (calf to foot) one side CPT 29515 HC SPLINTING SHORT LEG 15 MIN | $134.40 | $168.00 | $52.97–$168.00 | 49% below | 20% |
| Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY OF SKIN; SINGLE LESION | $274.40 | $343.00 | $40.01–$343.00 | 55% below | 20% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC LUMBAR PUNCTURE, DIAGNOSTIC | $669.60 | $837.00 | $62.71–$837.00 | 16% above | 20% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJECTION- 1-2 MUSCLES | $333.60 | $417.00 | $37.70–$417.00 | 133% above | 20% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Maryland | Off list |
|---|---|---|---|---|---|
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC PRESSURIZED OR NONPRESSURIZED INHALATION TREATMENT FOR ACUTE AIRWAY OBSTRUCTION | $72.00 | $90.00 | $9.42–$90.00 | 52% below | 20% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC AUDIOLOGY EVAL | $691.20 | $864.00 | $26.64–$864.00 | — | 20% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG RECORDING - AWAKE & DROWSY | $1,314.40 | $1,643.00 | $444.44–$1,643.00 | 3% above | 20% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG RECORDING - AWAKE & DROWSY | $1,314.40 | $1,643.00 | $444.44–$1,643.00 | — | 20% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC ELECTROCARDIOGRAM, ROUTINE ECG W/ AT LEAST 12 LDS; W/INTERPRETATION & REPORT | $198.40 | $248.00 | $16.35–$248.00 | — | 20% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM, ROUTINE ECG W/ AT LEAST 12 LEADS; TRACING ONLY, W/O INTERPRETATION & REPORT | $96.80 | $121.00 | $7.62–$121.00 | 76% above | 20% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY THERAPY W/PT 50 MIN | $568.00 | $710.00 | $105.57–$710.00 | 273% above | 20% |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY THERAPY W/O PT 50 MIN | $568.00 | $710.00 | $83.09–$710.00 | 280% above | 20% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY, EA 30 MIN | $186.40 | $233.00 | $25.07–$233.00 | 124% above | 20% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 HC EXTERNAL ECG UP TO 48 HR BY CONTINUOUS RECORDING & STORAGE; INCL RECORDING, SCANNING ANALYSIS W/RPT & INTERP | $748.00 | $935.00 | $75.44–$935.00 | — | 20% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION, HYDRATION, INITIAL, 31-60 MIN | $181.60 | $227.00 | $35.75–$227.00 | 52% below | 20% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION, HYDRATION, INITIAL, 31-60 MIN | $181.60 | $227.00 | $35.75–$227.00 | — | 20% |
| IV infusion of a medicine, first hour CPT 96365 HC INFUSION ADMINISTRATION 1ST HR | $396.80 | $496.00 | $72.21–$496.00 | 33% below | 20% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC INFUSION ADMINISTRATION 1ST HR | $396.80 | $496.00 | $72.21–$496.00 | — | 20% |
| IV push of a medicine, first drug CPT 96374 HC IV PUSH, SINGLE OR INITIAL DRUG | $172.00 | $215.00 | $40.47–$215.00 | 45% below | 20% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION;THERAPEUTIC IM OR SUBQ | $48.80 | $61.00 | $16.30–$61.00 | 29% below | 20% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC DIAGNOSTIC EVALUATION EA 30 MIN | $424.00 | $530.00 | $131.44–$530.00 | 21% above | 20% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NERVE CONDUCTION STUDIES; 7-8 | $326.40 | $408.00 | $195.89–$408.00 | 28% below | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSCULAR REEDUCATION 15 MIN | $138.40 | $173.00 | $34.40–$173.00 | 48% above | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSCULAR REEDUCATION 15 MIN | $138.40 | $173.00 | $34.40–$173.00 | 48% above | 20% |
| New patient office visit, about 30 minutes CPT 99203 HC NEW PATIENT LEVEL 3 | $528.00 | $660.00 | $84.27–$660.00 | 177% above | 20% |
| New patient office visit, about 45 minutes CPT 99204 HC NEW PATIENT LEVEL 4 | $730.40 | $913.00 | $129.30–$913.00 | 190% above | 20% |
| New patient office visit, about 60 minutes CPT 99205 HC NEW PATIENT LEVEL 5 | $1,035.20 | $1,294.00 | $129.30–$1,294.00 | 243% above | 20% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC NEW PATIENT LEVEL 2 | $348.80 | $436.00 | $48.59–$436.00 | 160% above | 20% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC NUTRITION EVALUATION (15 MINUTES) | $182.40 | $228.00 | $27.50–$228.00 | 6% above | 20% |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL; LOW COMPLEXITY | $482.40 | $603.00 | $105.52–$603.00 | 217% above | 20% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL; HIGH COMPLEXITY | $1,296.00 | $1,620.00 | $102.64–$1,620.00 | 567% above | 20% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL; LOW COMPLEXITY | $482.40 | $603.00 | $102.64–$603.00 | 148% above | 20% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL; MOD COMPLEXITY | $896.00 | $1,120.00 | $102.64–$1,120.00 | 361% above | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THERAPY, 15 MIN | $138.40 | $173.00 | $29.13–$173.00 | 69% above | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THERAPY, 15 MIN | $138.40 | $173.00 | $29.13–$173.00 | 69% above | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT- THERAPEUTIC PROCEDURE, 15 MIN | $138.40 | $173.00 | $30.53–$173.00 | 85% above | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT- THERAPEUTIC PROCEDURE, 15 MIN | $138.40 | $173.00 | $30.53–$173.00 | 85% above | 20% |
| Psychiatric evaluation with medical services CPT 90792 HC DIAGNOSTIC EVALUATION WITH MEDICAL SERVICES, EA 30 MIN | $385.60 | $482.00 | $164.78–$482.00 | 205% above | 20% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC PSYCHOLOGICAL TESTING EVAL; 1ST HOUR | $556.00 | $695.00 | $102.93–$695.00 | — | 20% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 HC PSYCHOTHERAPY FOR CRISIS 1ST 60 MIN | $828.00 | $1,035.00 | $133.06–$1,035.00 | 197% above | 20% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY 30 MINUTES | $284.00 | $355.00 | $71.26–$355.00 | 76% above | 20% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY 45 MINUTES | $445.60 | $557.00 | $94.26–$557.00 | 93% above | 20% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY 60 MINUTES | $568.00 | $710.00 | $138.75–$710.00 | 75% above | 20% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC ESTABLISHED LEVEL 5 | $751.20 | $939.00 | $129.30–$939.00 | 196% above | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC ESTABLISHED LEVEL 3 | $340.80 | $426.00 | $67.45–$426.00 | 102% above | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC ESTABLISHED LEVEL 4 | $528.00 | $660.00 | $99.39–$660.00 | 150% above | 20% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC ESTABLISHED LEVEL 2 | $219.20 | $274.00 | $36.18–$274.00 | 73% above | 20% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 HC O/P CONSULT- LEVEL 3 | $531.20 | $664.00 | $300.00–$664.00 | — | 20% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC O/P CONSULT- LEVEL 4 | $764.80 | $956.00 | $345.00–$956.00 | — | 20% |
| Speech and language evaluation CPT 92523 HC SPEECH PRODUCTION W/LANG EVAL 15MIN | $248.00 | $310.00 | $197.78–$310.00 | 60% below | 20% |
| Speech therapy session, individual CPT 92507 HC TREATMENT OF AUDITORY PROCESSING | $138.40 | $173.00 | $79.69–$173.00 | 32% below | 20% |
| Speech therapy session, individual CPT 92507 HC SPEECH & LANGUAGE TREATMENT- 15 MIN | $138.40 | $173.00 | $79.69–$173.00 | 32% below | 20% |
| Spirometry (breathing test) CPT 94010 HC SPIROMETRY | $261.60 | $327.00 | $31.84–$327.00 | 7% above | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAPEUTIC ACTIVITIES 15 MIN | $138.40 | $173.00 | $37.03–$173.00 | 9% above | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUTIC ACTIVITIES, 15 MIN | $138.40 | $173.00 | $37.03–$173.00 | 9% above | 20% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Maryland | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HC SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE | $377.60 | $472.00 | $168.37–$472.00 | 22% above | 20% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 HC SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE | $377.60 | $472.00 | $168.37–$472.00 | — | 20% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC VARICELLA VIRUS VACCINE (VAR), LIVE, FOR SUBCUTANEOUS USE | $280.00 | $350.00 | $223.30–$350.00 | 14% below | 20% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 HC VARICELLA VIRUS VACCINE (VAR), LIVE, FOR SUBCUTANEOUS USE | $280.00 | $350.00 | $223.30–$350.00 | — | 20% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC INFLUENZA VIRUS VACCINE, TRIVALENT (IIV3), SPLIT VIRUS, PRESERVATIVE FREE, 0.5ML DOSAGE, IM | $36.80 | $46.00 | $23.22–$46.00 | 28% below | 20% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC INFLUENZA VIRUS VACCINE, TRIVALENT (IIV3), SPLIT VIRUS, PRESERVATIVE FREE, 0.5ML DOSAGE, IM | $36.80 | $46.00 | $23.22–$46.00 | — | 20% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HC HPV VACCINE TYPES 6, 11, 16, 18, 31, 33, 45, 52, 58, NONAVALENT (9VHPV), 2 OR 3 DOSE SCHEDULE, IM | $443.20 | $554.00 | $353.45–$554.00 | 2% above | 20% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HC HPV VACCINE TYPES 6, 11, 16, 18, 31, 33, 45, 52, 58, NONAVALENT (9VHPV), 2 OR 3 DOSE SCHEDULE, IM | $443.20 | $554.00 | $353.45–$554.00 | — | 20% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HC HEPATITIS A AND HEPATITIS B VACCINE (HEPA-HEPB), ADULT DOSAGE, IM | $186.40 | $233.00 | $148.65–$233.00 | 3% below | 20% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HC HEPATITIS A AND HEPATITIS B VACCINE (HEPA-HEPB), ADULT DOSAGE, IM | $186.40 | $233.00 | $148.65–$233.00 | — | 20% |
| Hepatitis A vaccine, adult dose CPT 90632 HC HEPATITIS A VACCINE (HEPA), ADULT DOSAGE, FOR INTRAMUSCULAR USE | $121.60 | $152.00 | $75.74–$152.00 | 3% below | 20% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HC HEPATITIS A VACCINE (HEPA), ADULT DOSAGE, FOR INTRAMUSCULAR USE | $121.60 | $152.00 | $75.74–$152.00 | — | 20% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HC HEPATITIS A VACCINE (HEPA), PEDIATRIC/ADOLESCENT DOSAGE-2 DOSE SCHEDULE, IM | $46.40 | $58.00 | $37.00–$58.00 | 25% below | 20% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HC HEPATITIS A VACCINE (HEPA), PEDIATRIC/ADOLESCENT DOSAGE-2 DOSE SCHEDULE, IM | $46.40 | $58.00 | $37.00–$58.00 | — | 20% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HC HEPATITIS B VACCINE (HEPB), PEDIATRIC/ADOLESCENT DOSAGE, 3 DOSE SCHEDULE, IM | $84.00 | $105.00 | $33.22–$105.00 | at median | 20% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HC HEPATITIS B VACCINE (HEPB), PEDIATRIC/ADOLESCENT DOSAGE, 3 DOSE SCHEDULE, IM | $84.00 | $105.00 | $33.22–$105.00 | — | 20% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC INFLUENZA VIRUS VACCINE (IIV), SPLIT VIRUS, PRESERVATIVE FREE, ENHANCED IMMUNOGENICITY VIA INCREASED ANTIGEN CONTENT, IM | $76.00 | $95.00 | $60.61–$95.00 | 37% below | 20% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC INFLUENZA VIRUS VACCINE (IIV), SPLIT VIRUS, PRESERVATIVE FREE, ENHANCED IMMUNOGENICITY VIA INCREASED ANTIGEN CONTENT, IM | $76.00 | $95.00 | $60.61–$95.00 | — | 20% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 HC MEASLES, MUMPS AND RUBELLA VIRUS VACCINE (MMR), LIVE, SUBCUTANEOUS | $87.20 | $109.00 | $69.54–$109.00 | 54% below | 20% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 HC MEASLES, MUMPS AND RUBELLA VIRUS VACCINE (MMR), LIVE, SUBCUTANEOUS | $87.20 | $109.00 | $69.54–$109.00 | — | 20% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC MENINGOCOCCAL CONJUGATE VACCINE, SEROGROUPS A, C, Y AND W-135 QUAD (MCV4 OR MENACWY), FOR INTRAMUSCULAR USE | $200.00 | $250.00 | $159.50–$250.00 | 31% below | 20% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HC MENINGOCOCCAL CONJUGATE VACCINE, SEROGROUPS A, C, Y AND W-135 QUAD (MCV4 OR MENACWY), FOR INTRAMUSCULAR USE | $200.00 | $250.00 | $159.50–$250.00 | — | 20% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HC MENINGOCOCCAL RECOMBINANT PROTEIN AND OUTER MEMBRANE VESICLE VACCINE, IM | $298.40 | $373.00 | $237.97–$373.00 | 20% below | 20% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 HC MENINGOCOCCAL RECOMBINANT PROTEIN AND OUTER MEMBRANE VESICLE VACCINE, IM | $298.40 | $373.00 | $237.97–$373.00 | — | 20% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 HC PNEUMOCOCCAL VACCINE, 13 VALENTS | $120.00 | $150.00 | $95.70–$150.00 | — | 20% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 HC PNEUMOCOCCAL VACCINE, 13 VALENTS | $120.00 | $150.00 | $95.70–$150.00 | — | 20% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC PNEUMOCOCCAL CONJUGATE VACCINE, 20 VALENT (PCV20), FOR INTRAMUSCULAR USE | $184.00 | $230.00 | $95.70–$230.00 | 56% below | 20% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HC PNEUMOCOCCAL CONJUGATE VACCINE, 20 VALENT (PCV20), FOR INTRAMUSCULAR USE | $184.00 | $230.00 | $95.70–$230.00 | — | 20% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC PNEUMOCOCCAL VACCINE, 23 VALENTS | $120.00 | $150.00 | $95.70–$150.00 | 54% below | 20% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC PNEUMOCOCCAL VACCINE, 23 VALENTS | $120.00 | $150.00 | $95.70–$150.00 | — | 20% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC DTAP, PT OVER 7, IM | $80.00 | $100.00 | $40.29–$100.00 | 26% below | 20% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC DTAP, PT OVER 7, IM | $80.00 | $100.00 | $40.29–$100.00 | — | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADMIN, 1 VACCINE | $30.40 | $38.00 | $18.28–$38.00 | 58% below | 20% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZATION ADMIN, EA ADDITIONAL | $20.00 | $25.00 | $12.03–$25.00 | 71% below | 20% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.