Atlantic General Hospital
Atlantic General Hospital in Berlin, MD publishes cash prices for 62 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
9733 Healthway Dr, Berlin, MD 21811 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Computed tomography, abdomen and pelvis; with contrast material(s) | $374.49 | $374.49 | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Computed tomography, head or brain; without contrast material | $126.84 | $126.84 | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Computed tomography, pelvis; with contrast material(s) | $283.89 | $283.89 | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral | $1,159.49 | $1,159.49 | — |
| Diagnostic mammogram, one breast one side CPT 77065 Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral | $886.67 | $886.67 | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material | $607.27 | $607.27 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences | $1,317.87 | $1,317.87 | — |
| MRI of the brain, no contrast dye CPT 70551 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material | $568.51 | $568.51 | — |
| MRI of the brain, with and without contrast dye CPT 70553 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences | $956.12 | $956.12 | — |
| MRI of the lower back, no contrast dye CPT 72148 Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material | $542.67 | $542.67 | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation | $886.67 | $886.67 | — |
| Screening mammogram, both breasts both sides CPT 77067 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed | $954.87 | $954.87 | — |
| Sleep study in a lab (polysomnography) CPT 95810 Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist | $2,272.17 | $2,272.17 | — |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound, transvaginal | $852.57 | $852.57 | — |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound, abdominal, real time with image documentation; complete | $784.37 | $784.37 | — |
| X-ray of the lower back, 4 or more views CPT 72110 Radiologic examination, spine, lumbosacral; minimum of 4 views | $306.92 | $306.92 | — |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520) | $34.43 | $34.43 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) | $59.47 | $59.47 | — |
| Complete blood count (CBC) with differential CPT 85025 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | $31.30 | $31.30 | — |
| Complete blood count (CBC), no differential CPT 85027 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) | $25.04 | $25.04 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium | $46.95 | $46.95 | — |
| Kidney function blood test panel CPT 80069 Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520) | $37.56 | $37.56 | — |
| Liver function blood test panel CPT 80076 Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) | $34.43 | $34.43 | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate specific antigen (PSA); free | $78.25 | $78.25 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate specific antigen (PSA); total | $62.60 | $62.60 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin time, partial (PTT); plasma or whole blood | $25.04 | $25.04 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin time | $25.04 | $25.04 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid stimulating hormone (TSH) | $46.95 | $46.95 | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy | $28.17 | $28.17 | — |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy | $12.00 | $12.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy | $12.00 | $12.52 | 4% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy | $12.52 | $12.52 | — |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with endoscopic ultrasound CPT 45391 Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures | $766.00 | $766.00 | — |
| Colonoscopy with polyp removal CPT 45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique | $3,063.14 | $3,063.14 | — |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy, flexible; with biopsy, single or multiple | $2,709.58 | $2,709.59 | — |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) | $2,639.92 | $2,639.92 | — |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopy, surgical; cholecystectomy | $7,643.04 | $7,643.04 | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair initial inguinal hernia, age 5 years or older; reducible | $6,087.76 | $6,087.76 | — |
| Knee arthroscopy with meniscus trim CPT 29881 Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed | $6,142.95 | $6,142.95 | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); with imaging guidance (ie, fluorosc | $2,964.92 | $2,964.92 | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance | $232.00 | $232.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level | $294.00 | $294.00 | — |
| Prostate biopsy CPT 55700 Biopsy, prostate; needle or punch, single or multiple, any approach | $1,254.31 | $1,254.31 | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure) | $4,134.57 | $4,134.57 | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 Tonsillectomy and adenoidectomy; younger than age 12 | $5,285.26 | $5,285.26 | — |
| Total knee replacement CPT 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) | $17,953.96 | $17,953.96 | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | $2,099.19 | $2,099.19 | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) | $1,962.00 | $1,962.00 | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report | $75.00 | $75.00 | — |
| Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes | $280.00 | $280.00 | — |
| Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy (without the patient present), 50 minutes | $280.00 | $280.00 | — |
| New patient office visit, about 30 minutes CPT 99203 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded. | $277.00 | $277.00 | — |
| New patient office visit, about 45 minutes CPT 99204 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or excee | $474.00 | $474.00 | — |
| New patient office visit, about 60 minutes CPT 99205 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded. | $528.00 | $528.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility | $107.42 | $107.42 | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 18-39 years | $307.00 | $307.00 | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 40-64 years | $358.00 | $358.00 | — |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 minutes with patient | $163.00 | $163.00 | — |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 minutes with patient | $217.00 | $217.00 | — |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 60 minutes with patient | $325.00 | $325.00 | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded. | $325.00 | $325.00 | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded. | $227.00 | $227.00 | — |
Source file: https://www.tidalhealth.org/sites/default/files/2026-05/521656507_atlantic-general-hospital_standardcharges.csv