Does Greater Baltimore Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Greater Baltimore Medical Center. In a medical emergency, call 911.

Where is Greater Baltimore Medical Center?

6701 North Charles Street, Baltimore, MD 21204, in Baltimore County, Maryland.

What is the phone number of Greater Baltimore Medical Center?

(443) 849-2000, as listed by Medicare (CMS).

What is the Medicare star rating of Greater Baltimore Medical Center?

5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Greater Baltimore Medical Center

Quick answers

Does Greater Baltimore Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Greater Baltimore Medical Center. In a medical emergency, call 911.
Where is Greater Baltimore Medical Center?: 6701 North Charles Street, Baltimore, MD 21204, in Baltimore County, Maryland.
What is the phone number of Greater Baltimore Medical Center?: (443) 849-2000, as listed by Medicare (CMS).
What is the Medicare star rating of Greater Baltimore Medical Center?: 5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[4][5][6][12][13]}

Cancer care
Pediatrics
Pediatric emergency medicine
Neonatal intensive care
Oncology
Head and neck surgery
Thoracic surgery
Breast surgery
Hematology
Gastroenterology
Genetics
Ophthalmology
Otolaryngology
Obstetrics
Labor and delivery

Conditions treated^[5]

Cancer

Treatments^[5][8][13]

Medical oncology and hematology
Radiation oncology
Surgical oncology
Infusion therapy
Clinical trials
Mind body medicine
Massage therapy
Acupuncture (by referral)
Moderate and deep sedation for children

Procedures^[13][14]

Hernia repair
Appendix removal
Tonsil and adenoid removal
Repair of broken bones
Correction of birth defects
Laceration repair

Programs and centers^{[4][5][8][10][12][13][14]}

Sandra and Malcolm Berman Cancer Institute
Survivorship Program
Integrative Wellness Palliative Medicine
Pediatric Emergency and Inpatient Unit
Johns Hopkins Pediatric Surgery at GBMC
Child Protection Program
Child Life Program
Randolph B. Capone Cleft Lip and Palate Program
Eye Center at GBMC
Pediatric Speech, Swallowing & Voice
Women's Center

Emergency care (hospital website)^[6][12][13]

Emergency room	Yes

Visiting and practical information

Visiting	Visiting hours vary by unit; call main line 443-849-2000 or check unit directory listings^[11]
Parking	Campus garages and lots (Berman, Lily, Tulip, Iris, Bluebell); hourly rates; valet and shuttle Mon-Fri. Check current closures^[6][9]

Doctors and clinicians (705)

705 doctors and other clinicians list Greater Baltimore Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (705)

Aaron Charniak, MDHospitalist
Aaron Crowell, CNACertified Registered Nurse Anesthetist (CRNA)
Aaron D. Goldberg, MDInternal Medicine
Aaron H. Magat, MDObstetrics/Gynecology
Aaron H. Wood, MDOtolaryngology
Abimbola A. Ayoola, MDDiagnostic Radiology
Abimbola A. Ibironke, PAPhysician Assistant
Adam A. Morgan, MDDiagnostic Radiology
Adam D. Silverman, DPMPodiatry
Adam M. Scherr, MDDiagnostic Radiology
Adam R. Berliner, MDNephrology
Adam Zviman, MDCardiovascular Disease (Cardiology)
Ademayowa O. Ademiluyi, MDInternal Medicine
Adena Magloire, NPNurse Practitioner
Aderinsola O. Ademiluyi, MDHospitalist
Adithya V. Peruri, MDCardiovascular Disease (Cardiology)
Ahmed R. Ibrahim, MDInternal Medicine
Aimee L. Maceda, MDDiagnostic Radiology
Akshay N. Amin, MDNephrology
Alan L. Kimmel, MDInternal Medicine
Alan Mo, DODiagnostic Radiology
Albert Digerolamo, MDFamily Practice
Alexa R. Bartley, PAPhysician Assistant
Alexander Dao, MDAnesthesiology

And 681 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

University of MD St Joseph Medical Center0.8 mi · Towson, MD · Acute Care Hospital
MedStar Good Samaritan Hospital3.0 mi · Baltimore, MD · Acute Care Hospital
Sinai Hospital of Baltimore3.0 mi · Baltimore, MD · Acute Care Hospital
MedStar Union Memorial Hospital4.2 mi · Baltimore, MD · Acute Care Hospital
University of MD Medical Center Midtown Campus6.2 mi · Baltimore, MD · Acute Care Hospital

Other hospitals nearby

The Sheppard and Enoch Pratt Hospital0.2 mi · Baltimore, MD · Psychiatric Hospital
Mount Washington Pediatric Hospital2.4 mi · Baltimore, MD · Children's Hospital
Levindale Hebrew Geriatric Center and Hospital3.1 mi · Baltimore, MD · Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Autumn Lake Healthcare at Ruxton1.1 mi · Towson, MD · 1 of 5 stars
Pickersgill Retirement Community1.1 mi · Towson, MD · 5 of 5 stars
Complete Care at Multi Medical Center LLC1.2 mi · Towson, MD · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Stella Maris Inc3.4 mi · Timonium, MD · 3 of 5 stars
Adoration Hospice4.2 mi · Baltimore, MD
Gilchrist Hospice Care, Inc6.9 mi · Hunt Valley, MD · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Community Home Health of Maryland1.1 mi · Towson, MD · 4 of 5 stars
Kidscare Home Health of Maryland, LLC1.1 mi · Towson, MD
Bayada Home Health Care, Inc.3.3 mi · Towson, MD

All home health agencies in the state →

Dialysis facilities

DaVita Dulaney Towson Dialysis Center1.1 mi · Towson, MD · 2 of 5 stars
Fresenius Medical Care Towson1.1 mi · Towson, MD · 2 of 5 stars
DaVita Bertha Sirk Dialysis Center1.7 mi · Baltimore, MD · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Dulaney Eye Institute1.1 mi · Towson, MD
Kenilworth Surgery Center1.1 mi · Towson, MD
Maryland Aesthetic & Reconstructive Asc1.1 mi · Baltimore, MD

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Park West Medical Center - Belvedere3.9 mi · Baltimore, MD · Community health center
Park West Men & Family Hlth Ctr4.1 mi · Baltimore, MD · Community health center
Total Health Care Inc4.2 mi · Baltimore, MD · Community health center

Clinics and urgent care

Harcart Health Holdings LLC1.1 mi · Towson, MD · Urgent care center
MedStar Urgent Care LLC1.1 mi · Towson, MD · Urgent care center
Belvedere Medispa1.7 mi · Baltimore, MD · Urgent care center

Pharmacies

BTCN, LLC1.1 mi · Towson, MD · Community/retail pharmacy
Greater Baltimore Medical Center, Inc.1.1 mi · Baltimore, MD · Community/retail pharmacy
Koulward Health LLC Population Health Pharmacy1.1 mi · Towson, MD · Community/retail pharmacy

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

Arden Courts of Towson1.1 mi · Towson, MD
Blakehurst Retirement Community1.1 mi · Towson, MD
Grand Oasis ALF1.1 mi · Towson, MD
Pickersgill Retirement Community1.1 mi · Towson, MD

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Greater Baltimore Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	72%National average: 72%
Would definitely recommend the hospital	77%National average: 71%
Nurses “always” communicated well	80%National average: 80%
Doctors “always” communicated well	80%National average: 80%
Staff “always” explained medicines before giving them	59%National average: 62%
Were given information about recovery at home	87%National average: 86%
Room and bathroom “always” clean	69%National average: 74%
Area around the room “always” quiet at night	57%National average: 60%
Completed surveys	775Response rate: 23%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	0.627No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.263No different from the national benchmark
Surgical site infections after colon surgery	1.911No different from the national benchmark
Surgical site infections after abdominal hysterectomy	0.918No different from the national benchmark
MRSA bloodstream infections	0.231No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.405Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	12.5%
Deaths within 30 days: heart failure patients	10.7%
Deaths within 30 days: pneumonia patients	13.6%
Deaths within 30 days: COPD patients	6.4%
Deaths within 30 days: stroke patients	10.4%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	1.6Worse than the national rate
Complications after hip or knee replacement	4.3%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	21.1%
Readmitted within 30 days: pneumonia	15.3%
Readmitted within 30 days: COPD	19.4%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	5.7%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	228 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	4%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	47%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Baltimore Best hospitals in Baltimore

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 72 common services exactly as Greater Baltimore Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office/Outpatient New Low Mdm 30 Minutes	$248	$248	$146.85 – $248
New patient office visit (about 30–44 minutes): 10 of 36 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $123.30 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $101.26 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $122.30 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $124.75 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $118.35 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $146.85 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $146.85 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $146.85 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $118.35 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $118.35
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: Office/Outpatient New Low Mdm 30 Minutes	$248	$248	$146.36 – $248
New patient office visit (about 30–44 minutes): 10 of 36 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $123.30 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $101.26 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $122.30 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $124.75 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $118.35 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $146.36 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $146.36 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $139.04 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $118.35 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $118.35
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Office/Outpatient New Low Mdm 30 Minutes	$248	$248	$108.19 – $248
New patient office visit (about 30–44 minutes): 10 of 33 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $86.72 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $71.35 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $90.06 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $91.86 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $85.70 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $108.19 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $108.19 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $108.19 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $85.70 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $85.70
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office/Outpatient New Moderate Mdm 45 Minutes	$374	$374	$218.84 – $374
New patient office visit (about 45–59 minutes): 10 of 36 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $186.80 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $154.17 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $181.53 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $185.16 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $176.96 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $218.84 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $218.84 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $218.84 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $176.96 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $176.96
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: Office/Outpatient New Moderate Mdm 45 Minutes	$374	$374	$176.96 – $374
New patient office visit (about 45–59 minutes): 10 of 36 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $186.80 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $154.17 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $181.53 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $185.16 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $176.96 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $218.84 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $218.84 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $218.84 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $176.96 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $176.96
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Office/Outpatient New Moderate Mdm 45 Minutes	$374	$374	$119.10 – $374
New patient office visit (about 45–59 minutes): 10 of 33 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $146.47 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $120.91 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $145.50 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $148.41 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $139.28 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $119.10 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $119.10 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $113.14 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $139.28 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $139.28
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office/Outpatient New High Mdm 60 Minutes	$499	$499	$288.79 – $499
New patient office visit (about 60–74 minutes): 10 of 36 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $234.42 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $191.03 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $239.94 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $244.74 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $233.33 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $288.79 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $288.79 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $288.79 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $233.33 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $233.33
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: Office/Outpatient New High Mdm 60 Minutes	$499	$499	$233.33 – $499
New patient office visit (about 60–74 minutes): 10 of 36 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $234.42 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $191.03 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $239.94 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $244.74 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $233.33 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $288.79 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $288.79 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $288.79 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $233.33 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $233.33
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Office/Outpatient New High Mdm 60 Minutes	$499	$499	$151.95 – $499
New patient office visit (about 60–74 minutes): 10 of 33 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $190.35 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $154.74 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $197.47 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $201.42 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $189.55 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $151.95 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $151.95 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $144.35 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $189.55 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $189.55
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office/Outpatient Established Low Mdm 20 Min	$201	$201	$119.18 – $201
Established patient office visit (about 20–29 minutes): 10 of 36 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $82.29 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $67.72 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $98.58 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $100.55 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $96.22 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $119.18 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $119.18 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $119.18 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $96.22 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $96.22
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: Office/Outpatient Established Low Mdm 20 Min	$201	$201	$82.29 – $201
Established patient office visit (about 20–29 minutes): 10 of 36 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $82.29 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $67.72 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $98.58 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $100.55 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $96.22 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $100.91 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $100.91 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $95.86 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $96.22 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $96.22
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Office/Outpatient Established Low Mdm 20 Min	$201	$201	$86.97 – $201
Established patient office visit (about 20–29 minutes): 10 of 33 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $56.92 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $47.22 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $71.65 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $73.08 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $68.59 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $86.97 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $86.97 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $86.97 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $68.59 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $68.59
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office/Outpatient Established Mod Mdm 30 Min	$286	$286	$168.87 – $286
Established patient office visit (about 30–39 minutes): 10 of 36 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $122.09 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $99.95 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $138.61 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $141.38 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $135.52 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $168.87 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $168.87 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $168.87 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $135.52 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $135.52
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: Office/Outpatient Established Mod Mdm 30 Min	$286	$286	$147.79 – $286
Established patient office visit (about 30–39 minutes): 10 of 36 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $122.09 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $99.95 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $138.61 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $141.38 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $135.52 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $147.79 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $147.79 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $140.40 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $135.52 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $135.52
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Office/Outpatient Established Mod Mdm 30 Min	$286	$286	$128.35 – $286
Established patient office visit (about 30–39 minutes): 10 of 33 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $87.99 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $72.39 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $104.86 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $106.96 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $101.07 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $128.35 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $128.35 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $128.35 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $101.07 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $101.07
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee In the file: Office/OP Consltj New/Est Pt Low Mdm 30 Minutes	$265	$265	$183.91 – $265
Office consultation with a specialist (moderate): 10 of 16 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $114.86 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $114.86 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $129.98 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $132.58 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $183.91 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $183.91 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $183.91 CIGNA [210] — PB CIGNA COMMERCIAL: $161.53 CIGNA HMO [256] — PB CIGNA COMMERCIAL: $161.53 JAI MEDICAL SERVICES [236] — PB JAI MEDICAL SYSTEMS: $136.48
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Office/OP Consltj New/Est Pt Low Mdm 30 Minutes	$265	$265	$114.86 – $265
Office consultation with a specialist (moderate): rates for 1 insurance plan AETNA [204] — PB Aetna Commercial Reimbursement Contract: $114.86
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee In the file: Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes	$395	$395	$169.01 – $395
Office consultation with a specialist (moderate to high): 10 of 16 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $169.01 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $169.01 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $193.14 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $197 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $268.65 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $268.65 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $268.65 CIGNA [210] — PB CIGNA COMMERCIAL: $229.42 CIGNA HMO [256] — PB CIGNA COMMERCIAL: $229.42 JAI MEDICAL SERVICES [236] — PB JAI MEDICAL SYSTEMS: $202.80
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes	$395	$395	$268.65 – $395
Office consultation with a specialist (moderate to high): rates for 3 insurance plans CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $268.65 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $268.65 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $268.65
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes	$395	$395	$185.69 – $395
Office consultation with a specialist (moderate to high): rates for 3 insurance plans CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $185.69 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $185.69 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $176.40
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee In the file: Preventive Visit,New,18-39	$384	$384	$113.89 – $384
Preventive checkup, new patient, age 18–39: 10 of 17 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $123.01 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $123.01 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $142.40 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $145.25 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $113.89 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $113.89 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $108.21 CIGNA [210] — PB CIGNA COMMERCIAL: $240.05 CIGNA HMO [256] — PB CIGNA COMMERCIAL: $240.05 JAI MEDICAL SERVICES [236] — PB JAI MEDICAL SYSTEMS: $149.52
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Preventive Visit,New,18-39	$384	$384	$151.71 – $384
Preventive checkup, new patient, age 18–39: 10 of 17 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $123.01 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $123.01 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $142.40 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $145.25 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $151.71 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $151.71 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $144.12 CIGNA [210] — PB CIGNA COMMERCIAL: $240.05 CIGNA HMO [256] — PB CIGNA COMMERCIAL: $240.05 JAI MEDICAL SERVICES [236] — PB JAI MEDICAL SYSTEMS: $149.52
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Preventive Visit,New,18-39	$384	$384	$113.89 – $384
Preventive checkup, new patient, age 18–39: 10 of 15 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $123.01 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $90.41 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $104.09 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $106.17 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $113.89 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $113.89 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $108.21 CIGNA [210] — PB CIGNA COMMERCIAL: $171.01 CIGNA HMO [256] — PB CIGNA COMMERCIAL: $171.01 JAI MEDICAL SERVICES [236] — PB JAI MEDICAL SYSTEMS: $109.29
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee In the file: Preventive Visit,New,40-64	$331	$331	$177.02 – $331
Preventive checkup, new patient, age 40–64: 10 of 17 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $142.36 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $142.36 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $164.42 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $167.71 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $177.02 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $177.02 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $177.02 CIGNA [210] — PB CIGNA COMMERCIAL: $214.64 CIGNA HMO [256] — PB CIGNA COMMERCIAL: $214.64 JAI MEDICAL SERVICES [236] — PB JAI MEDICAL SYSTEMS: $172.64
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Preventive Visit,New,40-64	$331	$331	$175.23 – $331
Preventive checkup, new patient, age 40–64: 10 of 17 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $142.36 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $142.36 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $164.42 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $167.71 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $175.23 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $175.23 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $166.47 CIGNA [210] — PB CIGNA COMMERCIAL: $214.64 CIGNA HMO [256] — PB CIGNA COMMERCIAL: $214.64 JAI MEDICAL SERVICES [236] — PB JAI MEDICAL SYSTEMS: $172.64
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Preventive Visit,New,40-64	$331	$331	$177.02 – $331
Preventive checkup, new patient, age 40–64: 10 of 15 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $142.36 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $109.43 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $126.11 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $128.63 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $177.02 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $177.02 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $177.02 CIGNA [210] — PB CIGNA COMMERCIAL: $160.94 CIGNA HMO [256] — PB CIGNA COMMERCIAL: $160.94 JAI MEDICAL SERVICES [236] — PB JAI MEDICAL SYSTEMS: $132.42
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: Emergency Department Visit Low Mdm	$146	$146	$73.93 – $146
Emergency room visit (moderate): 10 of 28 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $75.93 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $56.94 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $73.93 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $122.26 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $122.26 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $116.16 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $73.93 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $73.93 CIGNA [210] — PB CIGNA COMMERCIAL: $129.18 CIGNA [210] — PB CIGNA HEALTHSPRING-MEDICARE: $73.93
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Emergency Department Visit Low Mdm	$146	$146	$84.86 – $146
Emergency room visit (moderate): 10 of 13 insurance plan rates AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $77.62 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $79.17 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $84.86 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $84.86 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $80.63 JAI MEDICAL SERVICES [236] — PB JAI MEDICAL SYSTEMS: $81.50 KEYCARE ADVANTAGE [299] — PB KEYCARE ADVANTAGE: $62.84 MD PHYSICIAN CARE [237] — PB MARYLAND PHYSICIANS CARE: $77.62 MEDICAID [243] — PB MEDICAID FACILITY AND NON FACILITY: $77.62 MULTIPLAN/PHCS [296] — PB MULTIPLAN INSURANCES: $73.93
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Emergency Department Visit Low Mdm	$146	$146	$122.26 – $146
Emergency room visit (moderate): rates for 10 insurance plans AETNA [204] — PB Aetna Commercial Reimbursement Contract: $75.93 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $122.26 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $122.26 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $116.16 CIGNA [210] — PB CIGNA COMMERCIAL: $129.18 CIGNA HMO [256] — PB CIGNA COMMERCIAL: $129.18 KEYCARE ADVANTAGE [299] — PB KEYCARE ADVANTAGE: $73.93 MULTIPLAN/PHCS [296] — PB MULTIPLAN INSURANCES: $85.02 UNITED HEALTHCARE [221] — PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON : $68.15 UNITED HEALTHCARE HMO [254] — PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON : $68.15
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: Emergency Department Visit Moderate Mdm	$248	$248	$125.76 – $248
Emergency room visit (moderately high): 10 of 28 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $144.49 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $108.49 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $125.76 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $205.82 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $205.82 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $195.53 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $125.76 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $125.76 CIGNA [210] — PB CIGNA COMMERCIAL: $220.60 CIGNA [210] — PB CIGNA HEALTHSPRING-MEDICARE: $125.76
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Emergency Department Visit Moderate Mdm	$248	$248	$142.86 – $248
Emergency room visit (moderately high): 10 of 12 insurance plan rates AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $130.68 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $133.29 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $142.86 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $142.86 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $135.72 JAI MEDICAL SERVICES [236] — PB JAI MEDICAL SYSTEMS: $137.21 MD PHYSICIAN CARE [237] — PB MARYLAND PHYSICIANS CARE: $130.68 MEDICAID [243] — PB MEDICAID FACILITY AND NON FACILITY: $130.68 MULTIPLAN/PHCS [296] — PB MULTIPLAN INSURANCES: $125.76 PRIORITY PARTNERS [241] — PB Johns Hopkins Priority Partners: $130.68
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Emergency Department Visit Moderate Mdm	$248	$248	$205.82 – $248
Emergency room visit (moderately high): rates for 10 insurance plans AETNA [204] — PB Aetna Commercial Reimbursement Contract: $144.49 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $205.82 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $205.82 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $195.53 CIGNA [210] — PB CIGNA COMMERCIAL: $220.60 CIGNA HMO [256] — PB CIGNA COMMERCIAL: $220.60 KEYCARE ADVANTAGE [299] — PB KEYCARE ADVANTAGE: $125.76 MULTIPLAN/PHCS [296] — PB MULTIPLAN INSURANCES: $144.62 UNITED HEALTHCARE [221] — PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON : $130.05 UNITED HEALTHCARE HMO [254] — PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON : $130.05
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: Emergency Department Visit High Mdm	$358	$358	$182.10 – $358
Emergency room visit (high): 10 of 28 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $213.97 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $158.86 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $182.10 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $298.75 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $298.75 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $283.80 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $182.10 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $182.10 CIGNA [210] — PB CIGNA COMMERCIAL: $248.82 CIGNA [210] — PB CIGNA HEALTHSPRING-MEDICARE: $182.10
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Emergency Department Visit High Mdm	$358	$358	$207.36 – $358
Emergency room visit (high): 10 of 12 insurance plan rates AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $189.83 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $193.63 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $207.36 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $207.36 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $196.99 JAI MEDICAL SERVICES [236] — PB JAI MEDICAL SYSTEMS: $199.32 MD PHYSICIAN CARE [237] — PB MARYLAND PHYSICIANS CARE: $189.83 MEDICAID [243] — PB MEDICAID FACILITY AND NON FACILITY: $189.83 MULTIPLAN/PHCS [296] — PB MULTIPLAN INSURANCES: $182.10 PRIORITY PARTNERS [241] — PB Johns Hopkins Priority Partners: $189.83
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Emergency Department Visit High Mdm	$358	$358	$298.75 – $358
Emergency room visit (high): rates for 10 insurance plans AETNA [204] — PB Aetna Commercial Reimbursement Contract: $213.97 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $298.75 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $298.75 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $283.80 CIGNA [210] — PB CIGNA COMMERCIAL: $248.82 CIGNA HMO [256] — PB CIGNA COMMERCIAL: $248.82 KEYCARE ADVANTAGE [299] — PB KEYCARE ADVANTAGE: $182.10 MULTIPLAN/PHCS [296] — PB MULTIPLAN INSURANCES: $209.42 UNITED HEALTHCARE [221] — PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON : $190.96 UNITED HEALTHCARE HMO [254] — PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON : $190.96

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Basic Metabolic Panel	$20.88	$20.46	$20.46 – $20.88
Basic metabolic panel (blood test): rates for 1 insurance plan ALL PAYERS — ALL PLANS: $20.88
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Comprehensive Metabolic Pan	$26.08	$25.56	$25.56 – $26.08
Comprehensive metabolic panel (blood test): rates for 1 insurance plan ALL PAYERS — ALL PLANS: $26.08
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OB Panel	$118.04	$115.68	$115.68 – $118.04
Obstetric blood test panel: rates for 1 insurance plan ALL PAYERS — ALL PLANS: $118.04
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lipid Panel	$33.06	$32.40	$32.40 – $33.06
Cholesterol panel (lipid panel): rates for 1 insurance plan ALL PAYERS — ALL PLANS: $33.06
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Renal Function Panel	$21.44	$21.01	$21.01 – $21.44
Kidney function panel: rates for 1 insurance plan ALL PAYERS — ALL PLANS: $21.44
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Hepatic Function Panel	$20.18	$19.78	$19.78 – $20.18
Liver function panel: rates for 1 insurance plan ALL PAYERS — ALL PLANS: $20.18
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis Complete	$7.84	$7.68	$7.68 – $7.84
Urine test (automated, with microscope): rates for 1 insurance plan ALL PAYERS — ALL PLANS: $7.84
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Urinalysis Nonauto W/O Scope	$7	$7	$4.73 – $7
Urine test (manual, without microscope): rates for 8 insurance plans CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $4.73 CAREFIRST [201] — PB CAREFIRST RPN PCP - CHARLES STREET PEDS: $4.73 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $4.73 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $4.27 CIGNA [210] — PB CIGNA COMMERCIAL: $2.64 CIGNA HMO [256] — PB CIGNA COMMERCIAL: $2.64 UNITED HEALTHCARE [221] — PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON : $2.36 UNITED HEALTHCARE HMO [254] — PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON : $2.36
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee In the file: Urinalysis Nonauto W/O Scope	$7	$7	$3.08 – $7
Urine test (manual, without microscope): rates for 8 insurance plans AETNA [204] — PB Aetna Medicare Reimbursement Contract: $3.08 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $4.73 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $4.73 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $4.27 CIGNA [210] — PB CIGNA COMMERCIAL: $2.64 CIGNA HMO [256] — PB CIGNA COMMERCIAL: $2.64 UNITED HEALTHCARE [221] — PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON : $2.36 UNITED HEALTHCARE HMO [254] — PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON : $2.36
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Urinalysis Nonauto W/O Scope	$7	$7	$4.27 – $7
Urine test (manual, without microscope): rates for 3 insurance plans CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $3.28 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $3.28 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $4.27
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis Macroscopic	$5.54	$5.43	$5.43 – $5.54
Urine test (automated, without microscope): rates for 1 insurance plan ALL PAYERS — ALL PLANS: $5.54
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Prost. Spec. Antigen	$45.42	$44.51	$44.51 – $45.42
PSA (prostate specific antigen) blood test: rates for 1 insurance plan ALL PAYERS — ALL PLANS: $45.42
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Thyroid Stimulating Hormone	$34.86	$34.16	$34.16 – $34.86
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan ALL PAYERS — ALL PLANS: $34.86
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc W/Auto Diff, Plt	$19.18	$18.80	$18.80 – $19.18
Complete blood count (CBC) with differential: rates for 1 insurance plan ALL PAYERS — ALL PLANS: $19.18
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc / Platelets	$15.96	$15.64	$15.64 – $15.96
Complete blood count (CBC), automated: rates for 1 insurance plan ALL PAYERS — ALL PLANS: $15.96
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Doctor (professional) fee In the file: Prothrombin Time	$10	$10	$6.56 – $10
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans AETNA [204] — PB Aetna Medicare Reimbursement Contract: $4.73 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $6.56 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $6.56 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $5.90 CIGNA [210] — PB CIGNA COMMERCIAL: $3.12 CIGNA HMO [256] — PB CIGNA COMMERCIAL: $3.12 UNITED HEALTHCARE [221] — PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON : $3.46 UNITED HEALTHCARE HMO [254] — PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON : $3.46
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Prothombin Time	$9.70	$9.51	$9.51 – $9.70
Blood clotting time test (prothrombin time, PT): rates for 1 insurance plan ALL PAYERS — ALL PLANS: $9.70
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Partial Thromboplast	$14.84	$14.54	$14.54 – $14.84
Blood clotting test (partial thromboplastin time, PTT): rates for 1 insurance plan ALL PAYERS — ALL PLANS: $14.84

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Head - Ne	$97.84	$95.88	$95.88 – $97.84
CT scan of the head or brain, without contrast: rates for 1 insurance plan ALL PAYERS — ALL PLANS: $97.84
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI-Head Pre/Post	$978.11	$958.55	$958.55 – $978.11
MRI of the brain, before and after contrast: rates for 1 insurance plan ALL PAYERS — ALL PLANS: $978.11
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee In the file: Radiologic Exam Chest 2 Views	$71	$71	$71
Chest X-ray, 2 views: 10 of 28 insurance plan rates AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $26.61 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $27.14 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $35.97 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $53.90 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $53.90 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $50.67 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $35.97 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $35.97 CIGNA [210] — PB CIGNA COMMERCIAL: $42.27 CIGNA [210] — PB CIGNA HEALTHSPRING-MEDICARE: $35.97
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Radiologic Exam Chest 2 Views	$71	$71	$71
Chest X-ray, 2 views: rates for 4 insurance plans JOHNS HOPKINS [213] — PB Johns Hopkins US Family Health Plan: $35.97 KAISER PERMANENTE HMO [231] — PB Kaiser Reimbursement Contract: $50.72 KEYCARE ADVANTAGE [299] — PB KEYCARE ADVANTAGE: $35.97 MULTIPLAN/PHCS [296] — PB MULTIPLAN INSURANCES: $41.37
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Radiologic Exam Chest 2 Views	$71	$71	$71
Chest X-ray, 2 views: rates for 3 insurance plans JOHNS HOPKINS [213] — PB Johns Hopkins US Family Health Plan: $37.77 KAISER PERMANENTE HMO [231] — PB Kaiser Reimbursement Contract: $49.28 MULTIPLAN/PHCS [296] — PB MULTIPLAN INSURANCES: $35.97
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee In the file: X-Ray Lumbar Spine 4 Vw	$115	$115	$115
X-ray of the lower spine, at least 4 views: 10 of 34 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $53.04 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $50.21 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $41.44 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $42.27 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $55.63 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $83.16 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $83.16 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $78.16 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $55.63 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $55.63
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Doctor (professional) fee In the file: X-Ray Lumbar Spine 4 Vw	$115	$115	$115
X-ray of the lower spine, at least 4 views: rates for 2 insurance plans KEYCARE ADVANTAGE [299] — PB KEYCARE ADVANTAGE: $55.63 MULTIPLAN/PHCS [296] — PB MULTIPLAN INSURANCES: $63.97
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: X-Ray Lumbar Spine 4 Vw	$115	$115	$115
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan MULTIPLAN/PHCS [296] — PB MULTIPLAN INSURANCES: $55.63
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI-Lumbar Spine	$555.14	$544.04	$544.04 – $555.14
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan ALL PAYERS — ALL PLANS: $555.14
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Pelvis - E	$218.97	$214.59	$214.59 – $218.97
CT scan of the pelvis, with contrast: rates for 1 insurance plan ALL PAYERS — ALL PLANS: $218.97
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI-Hip/Knee/Ankle	$621.23	$608.81	$608.81 – $621.23
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan ALL PAYERS — ALL PLANS: $621.23
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Abdomen/Pelvis W Contrast	$288.85	$283.07	$283.07 – $288.85
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan ALL PAYERS — ALL PLANS: $288.85
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Abdomen/Pelvis W IV Contr	$288.85	$283.07	$283.07 – $288.85
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan ALL PAYERS — ALL PLANS: $288.85
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Abdominal Sonogram-Complet	$340.74	$333.93	$333.93 – $340.74
Ultrasound of the abdomen, complete: rates for 1 insurance plan ALL PAYERS — ALL PLANS: $340.74
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Doctor (professional) fee In the file: US, OB >/= 14 Wks, Sngl Fetus	$289	$289	$144.60 – $289
Pregnancy ultrasound (after the first trimester): 10 of 36 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $156.14 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $140.83 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $114.13 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $116.41 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $144.60 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $238.32 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $238.32 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $224.02 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $144.60 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $144.60
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: US, OB >/= 14 Wks, Sngl Fetus	$289	$289	$238.32 – $289
Pregnancy ultrasound (after the first trimester): rates for 8 insurance plans AETNA [204] — PB Aetna Commercial Reimbursement Contract: $156.14 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $238.32 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $238.32 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $224.02 CIGNA [210] — PB CIGNA COMMERCIAL: $167.80 CIGNA HMO [256] — PB CIGNA COMMERCIAL: $167.80 UNITED HEALTHCARE [221] — PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON : $138.84 UNITED HEALTHCARE HMO [254] — PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON : $138.84
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Doctor (professional) fee In the file: US, OB >/= 14 Wks, Sngl Fetus	$289	$289	$165.42 – $289
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $165.42 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $165.42 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $155.50
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: Echography,Transvaginal	$251	$251	$173.67 – $251
Transvaginal ultrasound: 10 of 36 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $134.07 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $126.02 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $98.06 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $100.02 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $127.52 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $173.67 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $173.67 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $163.25 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $127.52 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $127.52
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Echography,Transvaginal	$251	$251	$134.07 – $251
Transvaginal ultrasound: rates for 5 insurance plans AETNA [204] — PB Aetna Commercial Reimbursement Contract: $134.07 CIGNA [210] — PB CIGNA COMMERCIAL: $147.73 CIGNA HMO [256] — PB CIGNA COMMERCIAL: $147.73 UNITED HEALTHCARE [221] — PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON : $120.40 UNITED HEALTHCARE HMO [254] — PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON : $120.40
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Echography, Transvaginal	$370.37	$362.96	$362.96 – $370.37
Transvaginal ultrasound: rates for 1 insurance plan ALL PAYERS — ALL PLANS: $370.37
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Uni	$385.18	$377.48	$377.48 – $385.18
Diagnostic mammogram, one breast: rates for 1 insurance plan ALL PAYERS — ALL PLANS: $385.18
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Bil	$503.70	$493.63	$493.63 – $503.70
Diagnostic mammogram, both breasts: rates for 1 insurance plan ALL PAYERS — ALL PLANS: $503.70
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography-Screening	$414.81	$406.51	$406.51 – $414.81
Screening mammogram, both breasts: rates for 1 insurance plan ALL PAYERS — ALL PLANS: $414.81

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee In the file: Electrocardiogram, Complete	$33	$33	$15.26 – $33
Electrocardiogram (ECG/EKG) with reading: 10 of 35 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $21.39 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $18.52 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $15.01 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $15.31 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $15.26 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $27.81 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $27.81 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $25.57 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $15.26 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $15.26
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Electrocardiogram, Complete	$33	$33	$27.81 – $33
Electrocardiogram (ECG/EKG) with reading: 10 of 11 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $21.39 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $27.81 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $27.81 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $25.57 CIGNA [210] — PB CIGNA COMMERCIAL: $22.35 CIGNA HMO [256] — PB CIGNA COMMERCIAL: $22.35 JOHNS HOPKINS [213] — PB Johns Hopkins US Family Health Plan: $16.02 KAISER PERMANENTE HMO [231] — PB Kaiser Reimbursement Contract: $20.91 MULTIPLAN/PHCS [296] — PB MULTIPLAN INSURANCES: $15.26 UNITED HEALTHCARE [221] — PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON : $19.96
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Electrocardiogram, Complete	$33	$33	$33
Electrocardiogram (ECG/EKG) with reading: rates for 7 insurance plans CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $33 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $33 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $33 JOHNS HOPKINS [213] — PB Johns Hopkins US Family Health Plan: $15.26 KAISER PERMANENTE HMO [231] — PB Kaiser Reimbursement Contract: $21.52 KEYCARE ADVANTAGE [299] — PB KEYCARE ADVANTAGE: $15.26 MULTIPLAN/PHCS [296] — PB MULTIPLAN INSURANCES: $17.55
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee In the file: Polysom 6/>Yrs Sleep 4/> Addl Param Attnd	$1,441	$1,441	$1,139.83 – $1,441
Sleep study (overnight, in a sleep lab): 10 of 36 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $707.54 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $649.64 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $628.08 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $640.64 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $668.77 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $1,139.83 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $1,139.83 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $1,048.15 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $668.77 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $668.77
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psg, Incomplete Study	$2,433.54	$2,384.87	$2,384.87 – $2,433.54
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan ALL PAYERS — ALL PLANS: $2,433.54
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psg-Baseline	$2,433.54	$2,384.87	$2,384.87 – $2,433.54
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan ALL PAYERS — ALL PLANS: $2,433.54

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Doctor (professional) fee In the file: Therapeutic Exercises	$61	$61	$36.35 – $61
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 36 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $35.94 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $29.31 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $29.03 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $29.61 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $30.79 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $36.35 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $36.35 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $33.43 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $30.79 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $30.79
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Therapeutic Exercise Ea 15 Min	$87.01	$85.27	$85.27 – $87.01
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan ALL PAYERS — ALL PLANS: $87.01
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Ot Therapeutic Exercise Ea 15 Min	$76.92	$75.38	$75.38 – $76.92
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan ALL PAYERS — ALL PLANS: $76.92
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Doctor (professional) fee In the file: Physical Therapy Evaluation Low Complex 20 Mins	$205	$205	$118.99 – $205
Physical therapy evaluation (low complexity): 10 of 32 insurance plan rates AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $69.20 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $70.58 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $105.34 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $118.99 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $118.99 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $109.42 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $105.34 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $105.34 CIGNA [210] — PB CIGNA COMMERCIAL: $102.03 CIGNA [210] — PB CIGNA HEALTHSPRING-MEDICARE: $105.34
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Eval Low Complexity Ea 15min	$174.02	$170.54	$170.54 – $174.02
Physical therapy evaluation (low complexity): rates for 1 insurance plan ALL PAYERS — ALL PLANS: $174.02
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Doctor (professional) fee In the file: Physical Therapy Evaluation Mod Complex 30 Mins	$205	$205	$122.41 – $205
Physical therapy evaluation (moderate complexity): 10 of 32 insurance plan rates AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $69.20 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $70.58 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $105.34 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $122.41 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $122.41 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $112.56 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $105.34 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $105.34 CIGNA [210] — PB CIGNA COMMERCIAL: $102.03 CIGNA [210] — PB CIGNA HEALTHSPRING-MEDICARE: $105.34
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Eval Moderate Complexity Ea 15min	$174.02	$170.54	$170.54 – $174.02
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan ALL PAYERS — ALL PLANS: $174.02
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Eval High Complexity Ea 15min	$174.02	$170.54	$170.54 – $174.02
Physical therapy evaluation (high complexity): rates for 1 insurance plan ALL PAYERS — ALL PLANS: $174.02

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee In the file: Excise Breast Cyst	$1,224	$1,224	$662.61 – $1,224
Removal of breast growth (open surgery): 10 of 36 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $561.53 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $469.01 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $395.48 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $403.39 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $564.33 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $662.61 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $662.61 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $629.47 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $564.33 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $564.33
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: Total Hip Arthroplasty	$2,465	$2,465	$1,941.52 – $2,465
Total hip replacement: 10 of 28 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $1,554.02 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $1,394.82 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $1,379.34 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $1,941.52 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $1,941.52 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $1,785.36 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $1,379.34 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $1,379.34 CIGNA [210] — PB CIGNA COMMERCIAL: $1,834.54 CIGNA [210] — PB CIGNA HEALTHSPRING-MEDICARE: $1,379.34
Total hip replacement CPT 27130 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Total Hip Arthroplasty	$2,465	$2,465	$1,356.83 – $2,465
Total hip replacement: rates for 9 insurance plans AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $1,356.83 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $1,383.97 JAI MEDICAL SERVICES [236] — PB JAI MEDICAL SYSTEMS: $1,424.67 KEYCARE ADVANTAGE [299] — PB KEYCARE ADVANTAGE: $1,172.44 MD PHYSICIAN CARE [237] — PB MARYLAND PHYSICIANS CARE: $1,356.83 MEDICAID [243] — PB MEDICAID FACILITY AND NON FACILITY: $1,356.83 PRIORITY PARTNERS [241] — PB Johns Hopkins Priority Partners: $1,356.83 UHC COMMUNITY PLAN MCO [240] — PB United Community Care Reimbursement Contract: $1,356.83 WELLPOINT [235] — PB WELLPOINT: $1,356.83
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Total Hip Arthroplasty	$2,465	$2,465	$1,554.02 – $2,465
Total hip replacement: rates for 6 insurance plans AETNA [204] — PB Aetna Commercial Reimbursement Contract: $1,554.02 CIGNA [210] — PB CIGNA COMMERCIAL: $1,834.54 CIGNA HMO [256] — PB CIGNA COMMERCIAL: $1,834.54 KEYCARE ADVANTAGE [299] — PB KEYCARE ADVANTAGE: $1,379.34 UNITED HEALTHCARE [221] — PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON : $1,859.97 UNITED HEALTHCARE HMO [254] — PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON : $1,859.97
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: Total Knee Arthroplasty	$2,460	$2,460	$2,072.92 – $2,460
Total knee replacement: 10 of 28 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $1,777.68 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $1,490.08 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $1,377.04 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $2,072.92 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $2,072.92 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $1,906.18 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $1,377.04 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $1,377.04 CIGNA [210] — PB CIGNA COMMERCIAL: $1,832.07 CIGNA [210] — PB CIGNA HEALTHSPRING-MEDICARE: $1,377.04
Total knee replacement CPT 27447 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Total Knee Arthroplasty	$2,460	$2,460	$1,354.56 – $2,460
Total knee replacement: rates for 9 insurance plans AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $1,354.56 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $1,381.65 JAI MEDICAL SERVICES [236] — PB JAI MEDICAL SYSTEMS: $1,422.29 KEYCARE ADVANTAGE [299] — PB KEYCARE ADVANTAGE: $1,170.48 MD PHYSICIAN CARE [237] — PB MARYLAND PHYSICIANS CARE: $1,354.56 MEDICAID [243] — PB MEDICAID FACILITY AND NON FACILITY: $1,354.56 PRIORITY PARTNERS [241] — PB Johns Hopkins Priority Partners: $1,354.56 UHC COMMUNITY PLAN MCO [240] — PB United Community Care Reimbursement Contract: $1,354.56 WELLPOINT [235] — PB WELLPOINT: $1,354.56
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Total Knee Arthroplasty	$2,460	$2,460	$1,777.68 – $2,460
Total knee replacement: rates for 6 insurance plans AETNA [204] — PB Aetna Commercial Reimbursement Contract: $1,777.68 CIGNA [210] — PB CIGNA COMMERCIAL: $1,832.07 CIGNA HMO [256] — PB CIGNA COMMERCIAL: $1,832.07 KEYCARE ADVANTAGE [299] — PB KEYCARE ADVANTAGE: $1,377.04 UNITED HEALTHCARE [221] — PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON : $1,858.95 UNITED HEALTHCARE HMO [254] — PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON : $1,858.95
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: Shldr Arthroscop,Part Acromioplas	$313	$313	$181.68 – $313
Shoulder arthroscopy: shaving of shoulder bone: 10 of 36 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $201.62 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $171.63 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $178.71 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $182.28 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $181.68 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $313 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $313 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $313 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $181.68 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $181.68
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Shldr Arthroscop,Part Acromioplas	$313	$313	$313
Shoulder arthroscopy: shaving of shoulder bone: rates for 9 insurance plans AETNA [204] — PB Aetna Commercial Reimbursement Contract: $201.62 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $313 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $313 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $313 CIGNA [210] — PB CIGNA COMMERCIAL: $242.28 CIGNA HMO [256] — PB CIGNA COMMERCIAL: $242.28 KEYCARE ADVANTAGE [299] — PB KEYCARE ADVANTAGE: $181.68 UNITED HEALTHCARE [221] — PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON : $241.43 UNITED HEALTHCARE HMO [254] — PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON : $241.43
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Shldr Arthroscop,Part Acromioplas	$313	$313	$207.17 – $313
Shoulder arthroscopy: shaving of shoulder bone: rates for 4 insurance plans CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $207.17 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $207.17 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $190.50 KEYCARE ADVANTAGE [299] — PB KEYCARE ADVANTAGE: $154.43
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: Knee Scope,Med/Lat Menisectomy	$1,097	$1,097	$848.95 – $1,097
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 36 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $620.91 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $532.56 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $579.66 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $591.25 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $589.28 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $848.95 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $848.95 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $780.66 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $589.28 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $589.28
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee In the file: Remove Tonsils/Adenoids,<12 Y/O	$551	$551	$314.12 – $551
Removal of tonsils and adenoids (under age 12): 10 of 28 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $332.98 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $287.44 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $314.12 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $551 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $551 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $551 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $314.12 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $314.12 CIGNA [210] — PB CIGNA COMMERCIAL: $395.19 CIGNA [210] — PB CIGNA HEALTHSPRING-MEDICARE: $314.12
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Remove Tonsils/Adenoids,<12 Y/O	$551	$551	$342.47 – $551
Removal of tonsils and adenoids (under age 12): 10 of 12 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $287.44 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $231.34 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $235.97 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $342.47 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $342.47 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $314.92 JAI MEDICAL SERVICES [236] — PB JAI MEDICAL SYSTEMS: $242.91 MD PHYSICIAN CARE [237] — PB MARYLAND PHYSICIANS CARE: $231.34 MEDICAID [243] — PB MEDICAID FACILITY AND NON FACILITY: $231.34 PRIORITY PARTNERS [241] — PB Johns Hopkins Priority Partners: $231.34
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Remove Tonsils/Adenoids,<12 Y/O	$551	$551	$551
Removal of tonsils and adenoids (under age 12): rates for 8 insurance plans AETNA [204] — PB Aetna Commercial Reimbursement Contract: $332.98 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $551 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $551 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $551 CIGNA [210] — PB CIGNA COMMERCIAL: $395.19 CIGNA HMO [256] — PB CIGNA COMMERCIAL: $395.19 UNITED HEALTHCARE [221] — PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON : $404.42 UNITED HEALTHCARE HMO [254] — PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON : $404.42
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: Esophagogastroduodenoscopy Transoral Diagnostic	$688	$688	$508.96 – $688
Upper GI endoscopy (diagnostic): 10 of 36 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $361.72 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $296.88 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $229.40 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $233.99 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $307.64 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $508.96 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $508.96 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $508.96 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $307.64 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $307.64
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: Egd Transoral Biopsy Single/Multiple	$893	$893	$402.46 – $893
Upper GI endoscopy with biopsy: 10 of 36 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $453.67 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $342.39 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $273.96 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $279.44 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $402.46 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $519.73 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $519.73 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $477.92 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $402.46 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $402.46
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Egd Transoral Biopsy Single/Multiple	$893	$893	$519.73 – $893
Upper GI endoscopy with biopsy: rates for 5 insurance plans CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $519.73 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $519.73 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $477.92 KEYCARE ADVANTAGE [299] — PB KEYCARE ADVANTAGE: $402.46 MULTIPLAN/PHCS [296] — PB MULTIPLAN INSURANCES: $523.20
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Egd Transoral Biopsy Single/Multiple	$893	$893	$793.09 – $893
Upper GI endoscopy with biopsy: rates for 4 insurance plans CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $793.09 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $793.09 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $729.30 MULTIPLAN/PHCS [296] — PB MULTIPLAN INSURANCES: $402.46
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$804	$804	$593.74 – $804
Colonoscopy (diagnostic): 10 of 36 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $455.52 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $391.61 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $298.64 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $304.61 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $362.59 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $593.74 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $593.74 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $545.99 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $362.59 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $362.59
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$804	$804	$593.74 – $804
Colonoscopy (diagnostic): rates for 7 insurance plans CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $593.74 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $593.74 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $545.99 JOHNS HOPKINS [213] — PB Johns Hopkins US Family Health Plan: $362.59 KAISER PERMANENTE HMO [231] — PB Kaiser Reimbursement Contract: $511.25 KEYCARE ADVANTAGE [299] — PB KEYCARE ADVANTAGE: $362.59 MULTIPLAN/PHCS [296] — PB MULTIPLAN INSURANCES: $471.37
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$804	$804	$692.49 – $804
Colonoscopy (diagnostic): rates for 6 insurance plans CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $692.49 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $692.49 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $636.80 JOHNS HOPKINS [213] — PB Johns Hopkins US Family Health Plan: $380.72 KAISER PERMANENTE HMO [231] — PB Kaiser Reimbursement Contract: $496.75 MULTIPLAN/PHCS [296] — PB MULTIPLAN INSURANCES: $362.59
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: Colonoscopy W/Biopsy Single/Multiple	$1,023	$1,023	$462.64 – $1,023
Colonoscopy with biopsy: 10 of 36 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $557.94 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $467.24 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $356.70 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $363.83 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $462.64 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $706.91 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $706.91 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $650.06 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $462.64 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $462.64
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Colonoscopy W/Biopsy Single/Multiple	$1,023	$1,023	$898.75 – $1,023
Colonoscopy with biopsy: rates for 7 insurance plans CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $898.75 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $898.75 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $826.47 JOHNS HOPKINS [213] — PB Johns Hopkins US Family Health Plan: $462.64 KAISER PERMANENTE HMO [231] — PB Kaiser Reimbursement Contract: $652.32 KEYCARE ADVANTAGE [299] — PB KEYCARE ADVANTAGE: $462.64 MULTIPLAN/PHCS [296] — PB MULTIPLAN INSURANCES: $462.64
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Colonoscopy W/Biopsy Single/Multiple	$1,023	$1,023	$706.91 – $1,023
Colonoscopy with biopsy: rates for 7 insurance plans CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $706.91 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $706.91 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $650.06 JOHNS HOPKINS [213] — PB Johns Hopkins US Family Health Plan: $485.77 KAISER PERMANENTE HMO [231] — PB Kaiser Reimbursement Contract: $633.82 KEYCARE ADVANTAGE [299] — PB KEYCARE ADVANTAGE: $462.64 MULTIPLAN/PHCS [296] — PB MULTIPLAN INSURANCES: $601.43
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$1,063	$1,063	$793.87 – $1,063
Colonoscopy with removal of polyps (snare): 10 of 36 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $612.03 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $525.29 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $400.29 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $408.30 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $483.50 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $793.87 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $793.87 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $730.01 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $483.50 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $483.50
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$1,063	$1,063	$793.87 – $1,063
Colonoscopy with removal of polyps (snare): rates for 7 insurance plans CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $793.87 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $793.87 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $730.01 JOHNS HOPKINS [213] — PB Johns Hopkins US Family Health Plan: $483.50 KAISER PERMANENTE HMO [231] — PB Kaiser Reimbursement Contract: $681.74 KEYCARE ADVANTAGE [299] — PB KEYCARE ADVANTAGE: $483.50 MULTIPLAN/PHCS [296] — PB MULTIPLAN INSURANCES: $628.55
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$1,063	$1,063	$925.95 – $1,063
Colonoscopy with removal of polyps (snare): rates for 6 insurance plans CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $925.95 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $925.95 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $851.48 JOHNS HOPKINS [213] — PB Johns Hopkins US Family Health Plan: $507.68 KAISER PERMANENTE HMO [231] — PB Kaiser Reimbursement Contract: $662.40 MULTIPLAN/PHCS [296] — PB MULTIPLAN INSURANCES: $483.50
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: Colon Ca Scrn Not Hi Rsk Ind	$805	$805	$363.03 – $805
Screening colonoscopy (not high risk): 10 of 25 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $430.20 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $391.61 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $363.03 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $363.03 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $363.03 CIGNA [210] — PB CIGNA COMMERCIAL: $523.25 CIGNA [210] — PB CIGNA HEALTHSPRING-MEDICARE: $363.03 CIGNA HMO [256] — PB CIGNA COMMERCIAL: $523.25 COMMUNICARE ADVANTAGE [300] — PB COMMUNICARE ADVANTAGE: $363.03 FIRST HEALTH NETWORK [268] — PB FIRST HEALTH (AETNA): $471.94
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Colon Ca Scrn Not Hi Rsk Ind	$805	$805	$363.03 – $805
Screening colonoscopy (not high risk): rates for 3 insurance plans JOHNS HOPKINS [213] — PB Johns Hopkins US Family Health Plan: $363.03 KAISER PERMANENTE HMO [231] — PB Kaiser Reimbursement Contract: $511.87 KEYCARE ADVANTAGE [299] — PB KEYCARE ADVANTAGE: $363.03
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Colon Ca Scrn Not Hi Rsk Ind	$805	$805	$381.18 – $805
Screening colonoscopy (not high risk): rates for 2 insurance plans JOHNS HOPKINS [213] — PB Johns Hopkins US Family Health Plan: $381.18 KAISER PERMANENTE HMO [231] — PB Kaiser Reimbursement Contract: $497.35
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: Lap,Cholecystectomy	$1,346	$1,346	$714.89 – $1,346
Gallbladder removal by laparoscope: 10 of 36 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $811.84 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $717.34 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $531.59 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $542.22 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $714.89 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $1,225.32 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $1,225.32 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $1,126.76 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $714.89 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $714.89
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Lap,Cholecystectomy	$1,346	$1,346	$1,225.32 – $1,346
Gallbladder removal by laparoscope: rates for 8 insurance plans AETNA [204] — PB Aetna Commercial Reimbursement Contract: $811.84 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $1,225.32 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $1,225.32 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $1,126.76 CIGNA [210] — PB CIGNA COMMERCIAL: $934.77 CIGNA HMO [256] — PB CIGNA COMMERCIAL: $934.77 UNITED HEALTHCARE [221] — PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON : $899.51 UNITED HEALTHCARE HMO [254] — PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON : $899.51
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Lap,Cholecystectomy	$1,346	$1,346	$1,012.23 – $1,346
Gallbladder removal by laparoscope: rates for 3 insurance plans CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $1,012.23 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $1,012.23 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $930.81
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: Repair Ing Hernia,5+Y/O,Reducibl	$1,083	$1,083	$850.71 – $1,083
Groin (inguinal) hernia repair, age 5 or older: 10 of 28 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $596.16 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $497.59 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $567.77 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $850.71 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $850.71 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $782.28 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $567.77 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $567.77 CIGNA [210] — PB CIGNA COMMERCIAL: $742.77 CIGNA [210] — PB CIGNA HEALTHSPRING-MEDICARE: $567.77
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Biopsy,Prostate	$103.70	$101.63	$101.63 – $103.70
Prostate biopsy: rates for 1 insurance plan ALL PAYERS — ALL PLANS: $103.70
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee In the file: Lap,Prostatectomy,Radical,W/Nerve Spare,Incl Robotic	$2,269	$2,269	$1,252.66 – $2,269
Prostate removal by laparoscope (radical prostatectomy): 10 of 28 insurance plan rates AETNA [204] — PB Aetna Medicare Reimbursement Contract: $1,668.18 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $1,232.22 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $1,256.86 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $1,252.66 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $1,252.66 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $1,252.66 CIGNA [210] — PB CIGNA HEALTHSPRING-MEDICARE: $1,252.66 COMMUNICARE ADVANTAGE [300] — PB COMMUNICARE ADVANTAGE: $1,252.66 FIRST HEALTH NETWORK [268] — PB FIRST HEALTH (AETNA): $1,628.46 HUMANA MCA [282] — PB HUMANA MEDICARE ADVANTAGE: $1,252.66
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Lap,Prostatectomy,Radical,W/Nerve Spare,Incl Robotic	$2,269	$2,269	$2,269
Prostate removal by laparoscope (radical prostatectomy): rates for 8 insurance plans AETNA [204] — PB Aetna Commercial Reimbursement Contract: $1,953.05 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $2,269 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $2,269 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $2,269 CIGNA [210] — PB CIGNA COMMERCIAL: $1,520.07 CIGNA HMO [256] — PB CIGNA COMMERCIAL: $1,520.07 UNITED HEALTHCARE [221] — PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON : $2,035.99 UNITED HEALTHCARE HMO [254] — PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON : $2,035.99
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Lap,Prostatectomy,Radical,W/Nerve Spare,Incl Robotic	$2,269	$2,269	$1,864.68 – $2,269
Prostate removal by laparoscope (radical prostatectomy): rates for 4 insurance plans AETNA [204] — PB Aetna Commercial Reimbursement Contract: $1,668.18 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $1,864.68 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $1,864.68 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $1,714.70
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: Hysteroscopy,W/Endo Bx	$2,720	$2,720	$485.02 – $2,720
Hysteroscopy with biopsy of the uterus lining: 10 of 36 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $447.40 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $371.24 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $1,183.10 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $1,206.76 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $1,416.62 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $485.02 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $485.02 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $485.02 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $1,416.62 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $1,416.62
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Doctor (professional) fee In the file: Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$582	$582	$462.68 – $582
Spinal injection, lower back (epidural), with imaging guidance: 10 of 32 insurance plan rates AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $242 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $246.84 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $276.37 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $462.68 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $462.68 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $425.47 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $276.37 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $276.37 CIGNA [210] — PB CIGNA COMMERCIAL: $356.20 CIGNA [210] — PB CIGNA HEALTHSPRING-MEDICARE: $276.37
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Doctor (professional) fee In the file: Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level	$564	$564	$321.44 – $564
Nerve root injection, lower back, with imaging guidance: 10 of 36 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $249 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $235.39 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $238.48 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $243.25 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $263.26 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $321.44 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $321.44 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $295.59 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $263.26 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $263.26
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: Revise Median N/Carpal Tunnel Surg	$1,029	$1,029	$895.96 – $1,029
Carpal tunnel release: 10 of 28 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $492.50 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $415.03 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $486.19 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $895.96 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $895.96 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $823.90 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $486.19 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $486.19 CIGNA [210] — PB CIGNA COMMERCIAL: $643.01 CIGNA [210] — PB CIGNA HEALTHSPRING-MEDICARE: $486.19
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Doctor (professional) fee In the file: Discission,2nd Cataract,Laser	$710	$710	$710
Laser treatment of clouding after cataract surgery: 10 of 38 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $371.58 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $316.37 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $260.35 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $265.56 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $353.44 CAREFIRST [201] — PB CAREFIRST RPN ASC: $383.34 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $651.67 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN ASC: $383.34 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $651.67 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $599.25
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Discission,2nd Cataract,Laser	$710	$710	$651.67 – $710
Laser treatment of clouding after cataract surgery: 10 of 36 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $371.58 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $316.37 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $260.35 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $265.56 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $353.44 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $651.67 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $651.67 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $599.25 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $353.44 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $353.44
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Discission,2nd Cataract,Laser	$710	$710	$361.86 – $710
Laser treatment of clouding after cataract surgery: 10 of 34 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $350.37 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $298.23 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $245.54 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $250.45 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $328.68 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $361.86 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $361.86 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $332.76 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $328.68 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $328.68
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Doctor (professional) fee In the file: Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp	$973	$973	$569.21 – $973
Cataract removal with lens implant: 10 of 38 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $716.79 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $734.03 AETNA MCO [274] — PB AETNA BETTER HEALTH OF MARYLAND: $503.10 ALTERWOOD HEALTH [290] — PB ALTERWOOD ADVANTAGE CHOICE: $513.16 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $569.21 CAREFIRST [201] — PB CAREFIRST RPN ASC: $643.90 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $973 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN ASC: $643.90 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $973 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $973
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp	$973	$973	$973
Cataract removal with lens implant: rates for 8 insurance plans AETNA [204] — PB Aetna Commercial Reimbursement Contract: $716.79 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $973 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $973 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $973 CIGNA [210] — PB CIGNA COMMERCIAL: $809.75 CIGNA HMO [256] — PB CIGNA COMMERCIAL: $809.75 UNITED HEALTHCARE [221] — PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON : $854.66 UNITED HEALTHCARE HMO [254] — PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON : $854.66
Cataract removal with lens implant CPT 66984 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp	$973	$973	$635.47 – $973
Cataract removal with lens implant: rates for 4 insurance plans AETNA [204] — PB Aetna Commercial Reimbursement Contract: $734.03 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $635.47 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $635.47 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $584.35

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: Full Rout Obste Care,Vaginal Deliv	$4,727	$4,727	$2,876.76 – $4,727
Vaginal delivery, with care before and after: 10 of 28 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $2,410.08 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $2,054.57 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $2,626.52 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $2,876.76 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $2,876.76 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $2,645.36 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $2,626.52 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $2,626.52 CIGNA [210] — PB CIGNA COMMERCIAL: $3,267.97 CIGNA [210] — PB CIGNA HEALTHSPRING-MEDICARE: $2,626.52
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: Full Rout Obste Care,Cesarean Deliv	$5,295	$5,295	$3,142.19 – $5,295
Cesarean delivery (C-section), with care before and after: 10 of 28 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $2,662.87 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $2,278.92 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $2,929.48 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $3,142.19 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $3,142.19 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $2,985.07 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $2,929.48 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $2,929.48 CIGNA [210] — PB CIGNA COMMERCIAL: $3,641.05 CIGNA [210] — PB CIGNA HEALTHSPRING-MEDICARE: $2,929.48
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee In the file: Rout OB Care,Vag Deliv,Prev C-Sec	$4,991	$4,991	$3,831.80 – $4,991
Vaginal delivery after a previous C-section, with care before and after: 10 of 28 insurance plan rates AETNA [204] — PB Aetna Commercial Reimbursement Contract: $2,525.44 AETNA [204] — PB Aetna Medicare Reimbursement Contract: $2,159.73 CAREFIRST [201] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $2,762.96 CAREFIRST [201] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $3,831.80 CAREFIRST ADMINISTRATOR [252] — PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS: $3,831.80 CAREFIRST BLUE CHOICE HMO [253] — PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS: $3,523.59 CAREFIRST MARYLAND HEALTH ADVANTAGE MCA [264] — PB CAREFIRST MEDICARE ADVANTAGE PPO: $2,762.96 CFCHP MCO [239] — PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVA: $2,762.96 CIGNA [210] — PB CIGNA COMMERCIAL: $3,434.90 CIGNA [210] — PB CIGNA HEALTHSPRING-MEDICARE: $2,762.96

Source: Greater Baltimore Medical Center’s standard charges file (gbmc.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on July 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Acute Care Hospital
Address	6701 North Charles Street, Baltimore, MD 21204
County	Baltimore County
State	Maryland
Phone	(443) 849‑2000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	5 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	210044
Name in Medicare records	GREATER BALTIMORE MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	gbmc.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Greater Baltimore Medical Center — gbmc.org
Cancer Institute at GBMC — gbmc.org
Parking - GBMC HealthCare in Baltimore, MD — gbmc.org
Integrative Wellness Palliative Medicine for Cancer Patients - GBMC HealthCare in Baltimore, MD — gbmc.org
Maps & Directions - GBMC HealthCare in Baltimore, MD — gbmc.org
Patient & Family Advisory Council - GBMC HealthCare in Baltimore, MD — gbmc.org
Your Visit to GBMC - GBMC HealthCare in Baltimore, MD — gbmc.org
Pediatrics at GBMC HealthCare — gbmc.org
Pediatric Emergency/Inpatient Department - GBMC HealthCare in Baltimore, MD — gbmc.org
Johns Hopkins Pediatric Surgery at GBMC - GBMC HealthCare in Baltimore, MD — gbmc.org