Where is MedStar National Rehabilitation Hospital?

102 Irving Street NW, Washington, DC 20010, in District of Columbia, District of Columbia.

What is the phone number of MedStar National Rehabilitation Hospital?

(202) 877-1000, as listed by Medicare (CMS).

MedStar National Rehabilitation Hospital

Quick answers

Where is MedStar National Rehabilitation Hospital?: 102 Irving Street NW, Washington, DC 20010, in District of Columbia, District of Columbia.
What is the phone number of MedStar National Rehabilitation Hospital?: (202) 877-1000, as listed by Medicare (CMS).

Specialties and care areas^[4][6]

Physical medicine and rehabilitation

Conditions treated^[4][7][9]

Treatments^[12]

Programs and centers^[4][5]

Amputation Rehabilitation Program
Brain Injury Rehabilitation Services
Spinal Cord Injury Rehabilitation
Stroke Rehabilitation Program
Orthopedic Rehabilitation Program
Pediatric Rehabilitation Program
Cancer Rehabilitation Program
Cardiac Rehabilitation Program
Day treatment programs

Visiting and practical information

Visiting	Visiting hours 7 a.m.-9 p.m.; quiet hours 9 p.m.-7 a.m.; up to two visitors at a time^[4]
Parking	Parking garage, surface lots and valet service^[4]
Interpreters and languages	Free registered sign language interpreters and free foreign language interpreters for inpatients and clinic visitors; inpatient sign interpreting via 202-877-1642^[7]

Recognition^{[4][5][6][10]}

U.S. News & World Report Best Hospitals: #1 rehabilitation in Washington metro area (2026-2027)
The Joint Commission hospital accreditation
CARF accreditation
CARF Accredited Specialty Programs: Amputation, Brain Injury, Spinal Cord Injury, Stroke

Nearest emergency rooms

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

MedStar Washington Hospital Center0.0 mi · Washington, DC · Acute Care Hospital
Washington DC VA Medical Center0.1 mi · Washington, DC · Federal/VA Acute Care Hospital
Children's National Hospital0.3 mi · Washington, DC · Children's Hospital
Howard University Hospital Corp1.0 mi · Washington, DC · Acute Care Hospital
George Washington Univ Hospital2.9 mi · Washington, DC · Acute Care Hospital

Other hospitals nearby

Bridgepoint Cont Care Hospital - Capitol Hill2.8 mi · Washington, DC · Long-Term 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

Jeanne Jugan Residence0.7 mi · Washington, DC · 5 of 5 stars
Ascension Living Carroll Manor1.3 mi · Washington, DC · 2 of 5 stars
Stoddard Baptist Nursing Home1.6 mi · Washington, DC · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Affinity Care of DC LLC1.2 mi · Washington, DC
Vitas Innovative Hospice Care of Greater Wash, DC2.4 mi · Washington, DC
Capital Hospice3.5 mi · Washington, DC · 1 of 5 stars

All hospice providers in the state →

Home health agencies

Alliance Home Health Care & Equipment Services1.1 mi · Washington, DC
Human Touch Home Health Care Agency, Inc1.5 mi · Washington, DC · 4 of 5 stars
Aba Home Health Care, Inc1.6 mi · Washington, DC

All home health agencies in the state →

Dialysis facilities

BMA - Columbia Heights1.1 mi · Washington, DC · 2 of 5 stars
Childrens National Medical Center1.1 mi · Washington, DC
BMA - Northeast Washington1.2 mi · Washington, DC · 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.

MedStar Surgery Center at Lafayette Centre2.3 mi · Washington, DC
District Endoscopy Center, LLC2.7 mi · Washington, DC
Endoscopy Center of Washington2.7 mi · Washington, DC

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

Bruce-Monroe Elementary School @ Parkview (SBMH)0.5 mi · Washington, DC · Community health center
EL Haynes Public Charter School (SBMH)0.7 mi · Washington, DC · Community health center
Mary's Center - Petworth Health Center DC0.9 mi · Washington, DC · Community health center

Clinics and urgent care

PM Pediatrics of Maryland LLC1.1 mi · Washington, DC · Urgent care center
Medics USA Medical Center Columbia Height1.6 mi · Washington, DC · Urgent care center
Medics USA Medical Center Inc1.6 mi · Washington, DC · Urgent care center

Pharmacies

District of Columbia CVS Pharmacy, LLC1.1 mi · Washington, DC · Pharmacy
MedStar Pharmacies, Inc.1.1 mi · Washington, DC · Community/retail pharmacy
Mount Pleasant Care Pharmacy LLC1.1 mi · Washington, DC · Community/retail pharmacy

Assisted living nearby

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

Agape Assisted Living3.5 mi · Hyattsville, MD
Gentle Steps Assisted Living II3.5 mi · Hyattsville, MD
Independence Court of Hyattsville3.5 mi · Hyattsville, MD
Malta House - North3.5 mi · Hyattsville, MD

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 Washington Best hospitals in Washington

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 61 common services exactly as MedStar National Rehabilitation Hospital 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) · Hospital (facility) fee In the file: CLINIC NEW LVL 3	$201.93	$131.25	$123.18 – $171.64
New patient office visit (about 30–44 minutes): 10 of 13 insurance plan rates Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $126 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $123.18 First Health — First Health: $171.64 JHHC — JHHC EHP: $131.25 JHHC — JHHC Uniformed Services: $131.25 Kaiser — Kaiser MD MCO: $157.91 Kaiser Permanente — All Kaiser Commercial: $141.35 Kaiser Permanente — Kaiser VA MCO: $346.65 Medstar Family Choice Inc — Medstar Family Choice MD: $154 PFC — PFC: $131.25
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PT L3 DETAIL H AND P LOW CMPLX	$201.93	$131.25	$123.18 – $171.64
New patient office visit (about 30–44 minutes): 10 of 13 insurance plan rates Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $126 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $123.18 First Health — First Health: $171.64 JHHC — JHHC EHP: $131.25 JHHC — JHHC Uniformed Services: $131.25 Kaiser — Kaiser MD MCO: $157.91 Kaiser Permanente — All Kaiser Commercial: $141.35 Kaiser Permanente — Kaiser VA MCO: $346.65 Medstar Family Choice Inc — Medstar Family Choice MD: $154 PFC — PFC: $131.25
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR OP NEW LVL III	$201.93	$131.25	$123.18 – $171.64
New patient office visit (about 30–44 minutes): 10 of 13 insurance plan rates Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $126 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $123.18 First Health — First Health: $171.64 JHHC — JHHC EHP: $131.25 JHHC — JHHC Uniformed Services: $131.25 Kaiser — Kaiser MD MCO: $157.91 Kaiser Permanente — All Kaiser Commercial: $141.35 Kaiser Permanente — Kaiser VA MCO: $346.65 Medstar Family Choice Inc — Medstar Family Choice MD: $154 PFC — PFC: $131.25
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CLINIC NEW LVL 4	$264.51	$171.93	$126 – $224.83
New patient office visit (about 45–59 minutes): 10 of 13 insurance plan rates Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $126 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $161.35 First Health — First Health: $224.83 JHHC — JHHC EHP: $171.93 JHHC — JHHC Uniformed Services: $171.93 Kaiser — Kaiser MD MCO: $206.85 Kaiser Permanente — All Kaiser Commercial: $185.16 Kaiser Permanente — Kaiser VA MCO: $346.65 Medstar Family Choice Inc — Medstar Family Choice MD: $154 PFC — PFC: $171.93
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PT L4 COMP H AND P MOD CMPLX	$264.51	$171.93	$126 – $224.83
New patient office visit (about 45–59 minutes): 10 of 13 insurance plan rates Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $126 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $161.35 First Health — First Health: $224.83 JHHC — JHHC EHP: $171.93 JHHC — JHHC Uniformed Services: $171.93 Kaiser — Kaiser MD MCO: $206.85 Kaiser Permanente — All Kaiser Commercial: $185.16 Kaiser Permanente — Kaiser VA MCO: $346.65 Medstar Family Choice Inc — Medstar Family Choice MD: $154 PFC — PFC: $171.93
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR OP NEW LVL IV	$264.51	$171.93	$126 – $224.83
New patient office visit (about 45–59 minutes): 10 of 13 insurance plan rates Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $126 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $161.35 First Health — First Health: $224.83 JHHC — JHHC EHP: $171.93 JHHC — JHHC Uniformed Services: $171.93 Kaiser — Kaiser MD MCO: $206.85 Kaiser Permanente — All Kaiser Commercial: $185.16 Kaiser Permanente — Kaiser VA MCO: $346.65 Medstar Family Choice Inc — Medstar Family Choice MD: $154 PFC — PFC: $171.93
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CLINIC NEW LVL 5	$447.92	$291.15	$126 – $380.73
New patient office visit (about 60–74 minutes): 10 of 13 insurance plan rates Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $126 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $273.23 First Health — First Health: $380.73 JHHC — JHHC EHP: $291.15 JHHC — JHHC Uniformed Services: $291.15 Kaiser — Kaiser MD MCO: $350.27 Kaiser Permanente — All Kaiser Commercial: $313.54 Kaiser Permanente — Kaiser VA MCO: $346.65 Medstar Family Choice Inc — Medstar Family Choice MD: $154 PFC — PFC: $291.15
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PT L5 COMP H AND P HIGH CMPLX	$447.92	$291.15	$126 – $380.73
New patient office visit (about 60–74 minutes): 10 of 13 insurance plan rates Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $126 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $273.23 First Health — First Health: $380.73 JHHC — JHHC EHP: $291.15 JHHC — JHHC Uniformed Services: $291.15 Kaiser — Kaiser MD MCO: $350.27 Kaiser Permanente — All Kaiser Commercial: $313.54 Kaiser Permanente — Kaiser VA MCO: $346.65 Medstar Family Choice Inc — Medstar Family Choice MD: $154 PFC — PFC: $291.15
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR OP NEW LVL V	$447.92	$291.15	$126 – $380.73
New patient office visit (about 60–74 minutes): 10 of 13 insurance plan rates Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $126 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $273.23 First Health — First Health: $380.73 JHHC — JHHC EHP: $291.15 JHHC — JHHC Uniformed Services: $291.15 Kaiser — Kaiser MD MCO: $350.27 Kaiser Permanente — All Kaiser Commercial: $313.54 Kaiser Permanente — Kaiser VA MCO: $346.65 Medstar Family Choice Inc — Medstar Family Choice MD: $154 PFC — PFC: $291.15
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSESSMENT COMPREHENSIVE	$150.73	$97.97	$91.95 – $128.12
Established patient office visit (about 20–29 minutes): 10 of 15 insurance plan rates Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $105.51 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $91.95 Cigna HealthCare Mid Atlantic — All Cigna HMO: $128.12 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $128.12 First Health — First Health: $128.12 JHHC — JHHC EHP: $97.97 JHHC — JHHC Uniformed Services: $97.97 Kaiser — Kaiser MD MCO: $117.87 Kaiser Permanente — All Kaiser Commercial: $105.51 Kaiser Permanente — Kaiser VA MCO: $346.65
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST PT VISIT LEVEL 3	$150.73	$97.97	$91.95 – $154
Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $126 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $91.95 First Health — First Health: $128.12 JHHC — JHHC EHP: $97.97 JHHC — JHHC Uniformed Services: $97.97 Kaiser — Kaiser MD MCO: $117.87 Kaiser Permanente — All Kaiser Commercial: $105.51 Kaiser Permanente — Kaiser VA MCO: $346.65 Medstar Family Choice Inc — Medstar Family Choice MD: $154 PFC — PFC: $97.97
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST PT L3 EXP P F H AND P LO CMPLX	$150.73	$97.97	$91.95 – $154
Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $126 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $91.95 First Health — First Health: $128.12 JHHC — JHHC EHP: $97.97 JHHC — JHHC Uniformed Services: $97.97 Kaiser — Kaiser MD MCO: $117.87 Kaiser Permanente — All Kaiser Commercial: $105.51 Kaiser Permanente — Kaiser VA MCO: $346.65 Medstar Family Choice Inc — Medstar Family Choice MD: $154 PFC — PFC: $97.97
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST PT VISIT LEVEL 4	$194.80	$126.62	$118.83 – $165.58
Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $126 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $118.83 First Health — First Health: $165.58 JHHC — JHHC EHP: $126.62 JHHC — JHHC Uniformed Services: $126.62 Kaiser — Kaiser MD MCO: $152.33 Kaiser Permanente — All Kaiser Commercial: $136.36 Kaiser Permanente — Kaiser VA MCO: $346.65 Medstar Family Choice Inc — Medstar Family Choice MD: $154 PFC — PFC: $126.62
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST PT L4 DETAIL H AND P MOD CMPLX	$194.80	$126.62	$118.83 – $165.58
Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $126 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $118.83 First Health — First Health: $165.58 JHHC — JHHC EHP: $126.62 JHHC — JHHC Uniformed Services: $126.62 Kaiser — Kaiser MD MCO: $152.33 Kaiser Permanente — All Kaiser Commercial: $136.36 Kaiser Permanente — Kaiser VA MCO: $346.65 Medstar Family Choice Inc — Medstar Family Choice MD: $154 PFC — PFC: $126.62
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR OP EST LVL IV	$194.80	$126.62	$118.83 – $165.58
Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $126 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $118.83 First Health — First Health: $165.58 JHHC — JHHC EHP: $126.62 JHHC — JHHC Uniformed Services: $126.62 Kaiser — Kaiser MD MCO: $152.33 Kaiser Permanente — All Kaiser Commercial: $136.36 Kaiser Permanente — Kaiser VA MCO: $346.65 Medstar Family Choice Inc — Medstar Family Choice MD: $154 PFC — PFC: $126.62
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AWV NEW AGE 18 39	$299.66	$194.78	$108.84 – $254.71
Preventive checkup, new patient, age 18–39: 10 of 15 insurance plan rates Aetna Medicare — Aetna Medicare: $194.78 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $126 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $182.79 First Health — First Health: $254.71 JHHC — JHHC EHP: $194.78 JHHC — JHHC Uniformed Services: $194.78 Kaiser — Kaiser MD MCO: $234.33 Kaiser Permanente — All Kaiser Commercial: $209.76 Kaiser Permanente — Kaiser VA MCO: $346.65 Medstar Family Choice Inc — Medstar Family Choice MD: $154
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: AWV NEW AGE 18 39	$299.66	$194.78	$146.83 – $254.71
Preventive checkup, new patient, age 18–39: rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $146.83 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $191.78 First Health — First Health: $254.71 PFC — PFC: $194.78 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $254.71 United Healthcare — United Healthcare All Commercial: $239.73
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AWV NEW AGE 40 64	$299.66	$194.78	$126 – $254.71
Preventive checkup, new patient, age 40–64: 10 of 15 insurance plan rates Aetna Medicare — Aetna Medicare: $194.78 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $126 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $182.79 First Health — First Health: $254.71 JHHC — JHHC EHP: $194.78 JHHC — JHHC Uniformed Services: $194.78 Kaiser — Kaiser MD MCO: $234.33 Kaiser Permanente — All Kaiser Commercial: $209.76 Kaiser Permanente — Kaiser VA MCO: $346.65 Medstar Family Choice Inc — Medstar Family Choice MD: $154
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: AWV NEW AGE 40 64	$299.66	$194.78	$146.83 – $254.71
Preventive checkup, new patient, age 40–64: rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $146.83 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $191.78 First Health — First Health: $254.71 PFC — PFC: $194.78 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $254.71 United Healthcare — United Healthcare All Commercial: $239.73
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MINOR EM VISIT LVL 3	$1,556.10	$1,011.47	$949.22 – $1,322.68
Emergency room visit (moderate): 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $294.58 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $1,089.27 CareFirst Advantage Inc — CareFirst Medicare Advantage: $286 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $949.22 Cigna HealthCare Mid Atlantic — All Cigna HMO: $1,322.68 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $1,322.68 First Health — First Health: $1,322.68 Health Care Service Corporation — Health Care Service Corporation: $300.30 Humana — Humana Medicare Advantage: $300.30 JHHC — JHHC EHP: $1,011.47
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E R LEVEL III	$1,556.10	$1,011.47	$949.22 – $1,322.68
Emergency room visit (moderate): 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $294.58 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $1,089.27 CareFirst Advantage Inc — CareFirst Medicare Advantage: $286 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $949.22 Cigna HealthCare Mid Atlantic — All Cigna HMO: $1,322.68 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $1,322.68 First Health — First Health: $1,322.68 Health Care Service Corporation — Health Care Service Corporation: $300.30 Humana — Humana Medicare Advantage: $300.30 JHHC — JHHC EHP: $1,011.47
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MINOR EM VISIT LVL 3	$1,556.10	$1,011.47	$762.49 – $1,322.68
Emergency room visit (moderate): rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $762.49 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $995.90 First Health — First Health: $1,322.68 PFC — PFC: $1,011.47 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $1,322.68 United Healthcare — United Healthcare All Commercial: $1,244.88
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REG EM VISIT LVL 4	$2,451.35	$1,593.38	$1,495.32 – $2,083.65
Emergency room visit (moderately high): 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $450.29 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $1,715.94 CareFirst Advantage Inc — CareFirst Medicare Advantage: $437.17 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $1,495.32 Cigna HealthCare Mid Atlantic — All Cigna HMO: $2,083.65 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $2,083.65 First Health — First Health: $2,083.65 Health Care Service Corporation — Health Care Service Corporation: $459.03 Humana — Humana Medicare Advantage: $459.03 JHHC — JHHC EHP: $1,593.38
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E R LEVEL IV	$2,451.35	$1,593.38	$1,495.32 – $2,083.65
Emergency room visit (moderately high): 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $450.29 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $1,715.94 CareFirst Advantage Inc — CareFirst Medicare Advantage: $437.17 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $1,495.32 Cigna HealthCare Mid Atlantic — All Cigna HMO: $2,083.65 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $2,083.65 First Health — First Health: $2,083.65 Health Care Service Corporation — Health Care Service Corporation: $459.03 Humana — Humana Medicare Advantage: $459.03 JHHC — JHHC EHP: $1,593.38
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: REG EM VISIT LVL 4	$2,451.35	$1,593.38	$1,201.16 – $2,083.65
Emergency room visit (moderately high): rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $1,201.16 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $1,568.86 First Health — First Health: $2,083.65 PFC — PFC: $1,593.38 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $2,083.65 United Healthcare — United Healthcare All Commercial: $1,961.08
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXT EM VISIT LVL 5	$3,064.47	$1,991.91	$1,869.33 – $2,604.80
Emergency room visit (high): 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $642.66 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $2,145.13 CareFirst Advantage Inc — CareFirst Medicare Advantage: $623.94 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $1,869.33 Cigna HealthCare Mid Atlantic — All Cigna HMO: $2,604.80 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $2,604.80 First Health — First Health: $2,604.80 Health Care Service Corporation — Health Care Service Corporation: $655.14 Humana — Humana Medicare Advantage: $655.14 JHHC — JHHC EHP: $1,991.91
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E R LEVEL V	$3,064.47	$1,991.91	$1,869.33 – $2,604.80
Emergency room visit (high): 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $642.66 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $2,145.13 CareFirst Advantage Inc — CareFirst Medicare Advantage: $623.94 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $1,869.33 Cigna HealthCare Mid Atlantic — All Cigna HMO: $2,604.80 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $2,604.80 First Health — First Health: $2,604.80 Health Care Service Corporation — Health Care Service Corporation: $655.14 Humana — Humana Medicare Advantage: $655.14 JHHC — JHHC EHP: $1,991.91
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EXT EM VISIT LVL 5	$3,064.47	$1,991.91	$1,501.59 – $2,604.80
Emergency room visit (high): rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $1,501.59 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $1,961.26 First Health — First Health: $2,604.80 PFC — PFC: $1,991.91 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $2,604.80 United Healthcare — United Healthcare All Commercial: $2,451.58

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL CA TOT	$247.42	$160.82	$8.29 – $210.31
Basic metabolic panel (blood test): 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $8.54 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $173.19 CareFirst Advantage Inc — CareFirst Medicare Advantage: $8.29 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $150.93 Cigna HealthCare Mid Atlantic — All Cigna HMO: $210.31 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $210.31 First Health — First Health: $210.31 Health Care Service Corporation — Health Care Service Corporation: $8.70 Humana — Humana Medicare Advantage: $8.70 JHHC — JHHC EHP: $160.82
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL TOT CA	$247.42	$160.82	$8.29 – $210.31
Basic metabolic panel (blood test): 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $8.54 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $173.19 CareFirst Advantage Inc — CareFirst Medicare Advantage: $8.29 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $150.93 Cigna HealthCare Mid Atlantic — All Cigna HMO: $210.31 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $210.31 First Health — First Health: $210.31 Health Care Service Corporation — Health Care Service Corporation: $8.70 Humana — Humana Medicare Advantage: $8.70 JHHC — JHHC EHP: $160.82
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL CA TOT	$247.42	$160.82	$121.24 – $210.31
Basic metabolic panel (blood test): rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $121.24 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $158.35 First Health — First Health: $210.31 PFC — PFC: $160.82 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $210.31 United Healthcare — United Healthcare All Commercial: $197.94
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$123.73	$80.42	$10.35 – $105.17
Comprehensive metabolic panel (blood test): 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $10.66 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $86.61 CareFirst Advantage Inc — CareFirst Medicare Advantage: $10.35 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $75.48 Cigna HealthCare Mid Atlantic — All Cigna HMO: $105.17 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $105.17 First Health — First Health: $105.17 Health Care Service Corporation — Health Care Service Corporation: $10.87 Humana — Humana Medicare Advantage: $10.87 JHHC — JHHC EHP: $80.42
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$123.73	$80.42	$60.63 – $105.17
Comprehensive metabolic panel (blood test): rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $60.63 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $79.19 First Health — First Health: $105.17 PFC — PFC: $80.42 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $105.17 United Healthcare — United Healthcare All Commercial: $98.98
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	$190.70	$123.96	$46.85 – $162.10
Obstetric blood test panel: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $48.26 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $133.49 CareFirst Advantage Inc — CareFirst Medicare Advantage: $46.85 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $116.33 Cigna HealthCare Mid Atlantic — All Cigna HMO: $162.09 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $162.09 First Health — First Health: $162.09 Health Care Service Corporation — Health Care Service Corporation: $49.19 Humana — Humana Medicare Advantage: $49.19 JHHC — JHHC EHP: $123.95
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	$190.70	$123.96	$93.44 – $162.10
Obstetric blood test panel: rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $93.44 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $122.05 First Health — First Health: $162.09 PFC — PFC: $123.95 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $162.10 United Healthcare — United Healthcare All Commercial: $152.56
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	$88.17	$57.31	$13.12 – $74.94
Cholesterol panel (lipid panel): 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $13.51 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $61.72 CareFirst Advantage Inc — CareFirst Medicare Advantage: $13.12 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $53.78 Cigna HealthCare Mid Atlantic — All Cigna HMO: $74.94 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $74.94 First Health — First Health: $74.94 Health Care Service Corporation — Health Care Service Corporation: $13.78 Humana — Humana Medicare Advantage: $13.78 JHHC — JHHC EHP: $57.31
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPIP PANEL	$88.17	$57.31	$13.12 – $74.94
Cholesterol panel (lipid panel): 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $13.51 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $61.72 CareFirst Advantage Inc — CareFirst Medicare Advantage: $13.12 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $53.78 Cigna HealthCare Mid Atlantic — All Cigna HMO: $74.94 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $74.94 First Health — First Health: $74.94 Health Care Service Corporation — Health Care Service Corporation: $13.78 Humana — Humana Medicare Advantage: $13.78 JHHC — JHHC EHP: $57.31
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL	$88.17	$57.31	$43.20 – $74.94
Cholesterol panel (lipid panel): rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $43.20 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $56.43 First Health — First Health: $74.94 PFC — PFC: $57.31 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $74.94 United Healthcare — United Healthcare All Commercial: $70.54
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$62.56	$40.66	$8.51 – $53.18
Kidney function panel: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $8.77 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $43.79 CareFirst Advantage Inc — CareFirst Medicare Advantage: $8.51 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $38.16 Cigna HealthCare Mid Atlantic — All Cigna HMO: $53.18 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $53.18 First Health — First Health: $53.18 Health Care Service Corporation — Health Care Service Corporation: $8.94 Humana — Humana Medicare Advantage: $8.94 JHHC — JHHC EHP: $40.66
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$62.56	$40.66	$30.65 – $53.18
Kidney function panel: rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $30.65 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $40.04 First Health — First Health: $53.18 PFC — PFC: $40.66 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $53.18 United Healthcare — United Healthcare All Commercial: $50.05
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$106.65	$69.32	$8.01 – $90.65
Liver function panel: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $8.25 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $74.66 CareFirst Advantage Inc — CareFirst Medicare Advantage: $8.01 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $65.06 Cigna HealthCare Mid Atlantic — All Cigna HMO: $90.65 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $90.65 First Health — First Health: $90.65 Health Care Service Corporation — Health Care Service Corporation: $8.41 Humana — Humana Medicare Advantage: $8.41 JHHC — JHHC EHP: $69.32
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$106.65	$69.32	$52.26 – $90.65
Liver function panel: rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $52.26 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $68.26 First Health — First Health: $90.65 PFC — PFC: $69.32 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $90.65 United Healthcare — United Healthcare All Commercial: $85.32
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE DIP TABLET AUTO MICRO	$75.92	$49.35	$3.11 – $64.53
Urine test (automated, with microscope): 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $3.20 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $53.14 CareFirst Advantage Inc — CareFirst Medicare Advantage: $3.11 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $46.31 Cigna HealthCare Mid Atlantic — All Cigna HMO: $64.53 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $64.53 First Health — First Health: $64.53 Health Care Service Corporation — Health Care Service Corporation: $3.27 Humana — Humana Medicare Advantage: $3.27 JHHC — JHHC EHP: $49.35
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA AUTOMATED W MICROSCOPY	$75.92	$49.35	$3.11 – $64.53
Urine test (automated, with microscope): 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $3.20 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $53.14 CareFirst Advantage Inc — CareFirst Medicare Advantage: $3.11 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $46.31 Cigna HealthCare Mid Atlantic — All Cigna HMO: $64.53 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $64.53 First Health — First Health: $64.53 Health Care Service Corporation — Health Care Service Corporation: $3.27 Humana — Humana Medicare Advantage: $3.27 JHHC — JHHC EHP: $49.35
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINE DIP TABLET AUTO MICRO	$75.92	$49.35	$37.20 – $64.53
Urine test (automated, with microscope): rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $37.20 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $48.59 First Health — First Health: $64.53 PFC — PFC: $49.35 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $64.53 United Healthcare — United Healthcare All Commercial: $60.74
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA DIP NONAUTOMATED WO MICRO	$49.70	$32.31	$3.41 – $42.25
Urine test (manual, without microscope): 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $3.51 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $34.79 CareFirst Advantage Inc — CareFirst Medicare Advantage: $3.41 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $30.32 Cigna HealthCare Mid Atlantic — All Cigna HMO: $42.25 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $42.25 First Health — First Health: $42.25 Health Care Service Corporation — Health Care Service Corporation: $3.58 Humana — Humana Medicare Advantage: $3.58 JHHC — JHHC EHP: $32.30
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W O SCOPE	$49.70	$32.31	$3.41 – $42.25
Urine test (manual, without microscope): 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $3.51 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $34.79 CareFirst Advantage Inc — CareFirst Medicare Advantage: $3.41 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $30.32 Cigna HealthCare Mid Atlantic — All Cigna HMO: $42.25 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $42.25 First Health — First Health: $42.25 Health Care Service Corporation — Health Care Service Corporation: $3.58 Humana — Humana Medicare Advantage: $3.58 JHHC — JHHC EHP: $32.30
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA NON AUTOMATED WO MICRO	$49.70	$32.31	$3.41 – $42.25
Urine test (manual, without microscope): 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $3.51 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $34.79 CareFirst Advantage Inc — CareFirst Medicare Advantage: $3.41 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $30.32 Cigna HealthCare Mid Atlantic — All Cigna HMO: $42.25 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $42.25 First Health — First Health: $42.25 Health Care Service Corporation — Health Care Service Corporation: $3.58 Humana — Humana Medicare Advantage: $3.58 JHHC — JHHC EHP: $32.30
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSISBY DIP AUTO	$40.05	$26.03	$2.20 – $34.04
Urine test (automated, without microscope): 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $2.27 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $28.04 CareFirst Advantage Inc — CareFirst Medicare Advantage: $2.20 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $24.43 Cigna HealthCare Mid Atlantic — All Cigna HMO: $34.04 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $34.04 First Health — First Health: $34.04 Health Care Service Corporation — Health Care Service Corporation: $2.31 Humana — Humana Medicare Advantage: $2.31 JHHC — JHHC EHP: $26.03
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE DIP TAB AUTO NONMICRO	$40.05	$26.03	$2.20 – $34.04
Urine test (automated, without microscope): 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $2.27 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $28.04 CareFirst Advantage Inc — CareFirst Medicare Advantage: $2.20 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $24.43 Cigna HealthCare Mid Atlantic — All Cigna HMO: $34.04 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $34.04 First Health — First Health: $34.04 Health Care Service Corporation — Health Care Service Corporation: $2.31 Humana — Humana Medicare Advantage: $2.31 JHHC — JHHC EHP: $26.03
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UR INALYSIS AUTOMATED WO MICRO	$40.05	$26.03	$2.20 – $34.04
Urine test (automated, without microscope): 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $2.27 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $28.04 CareFirst Advantage Inc — CareFirst Medicare Advantage: $2.20 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $24.43 Cigna HealthCare Mid Atlantic — All Cigna HMO: $34.04 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $34.04 First Health — First Health: $34.04 Health Care Service Corporation — Health Care Service Corporation: $2.31 Humana — Humana Medicare Advantage: $2.31 JHHC — JHHC EHP: $26.03
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATE CANCER SCREENING	$220.39	$143.25	$18.02 – $187.33
PSA (prostate specific antigen) blood test: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $18.56 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $154.27 CareFirst Advantage Inc — CareFirst Medicare Advantage: $18.02 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $134.44 Cigna HealthCare Mid Atlantic — All Cigna HMO: $187.33 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $187.33 First Health — First Health: $187.33 Health Care Service Corporation — Health Care Service Corporation: $18.92 Humana — Humana Medicare Advantage: $18.92 JHHC — JHHC EHP: $143.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATE SPECIFIC ANTIGEN PSA	$220.39	$143.25	$18.02 – $187.33
PSA (prostate specific antigen) blood test: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $18.56 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $154.27 CareFirst Advantage Inc — CareFirst Medicare Advantage: $18.02 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $134.44 Cigna HealthCare Mid Atlantic — All Cigna HMO: $187.33 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $187.33 First Health — First Health: $187.33 Health Care Service Corporation — Health Care Service Corporation: $18.92 Humana — Humana Medicare Advantage: $18.92 JHHC — JHHC EHP: $143.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA UROCOR TOTAL	$220.39	$143.25	$18.02 – $187.33
PSA (prostate specific antigen) blood test: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $18.56 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $154.27 CareFirst Advantage Inc — CareFirst Medicare Advantage: $18.02 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $134.44 Cigna HealthCare Mid Atlantic — All Cigna HMO: $187.33 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $187.33 First Health — First Health: $187.33 Health Care Service Corporation — Health Care Service Corporation: $18.92 Humana — Humana Medicare Advantage: $18.92 JHHC — JHHC EHP: $143.25
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIM HORMONE TSH	$149.29	$97.04	$16.46 – $126.90
Thyroid stimulating hormone (TSH) test: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $16.95 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $104.50 CareFirst Advantage Inc — CareFirst Medicare Advantage: $16.46 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $91.07 Cigna HealthCare Mid Atlantic — All Cigna HMO: $126.90 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $126.90 First Health — First Health: $126.90 Health Care Service Corporation — Health Care Service Corporation: $17.28 Humana — Humana Medicare Advantage: $17.28 JHHC — JHHC EHP: $97.04
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH	$149.29	$97.04	$16.46 – $126.90
Thyroid stimulating hormone (TSH) test: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $16.95 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $104.50 CareFirst Advantage Inc — CareFirst Medicare Advantage: $16.46 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $91.07 Cigna HealthCare Mid Atlantic — All Cigna HMO: $126.90 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $126.90 First Health — First Health: $126.90 Health Care Service Corporation — Health Care Service Corporation: $17.28 Humana — Humana Medicare Advantage: $17.28 JHHC — JHHC EHP: $97.04
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THYROID STIM HORMONE TSH	$149.29	$97.04	$73.15 – $126.90
Thyroid stimulating hormone (TSH) test: rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $73.15 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $95.55 First Health — First Health: $126.90 PFC — PFC: $97.04 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $126.90 United Healthcare — United Healthcare All Commercial: $119.43
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEM AND PLATE CT AUTO AND AUTO CBC	$76.80	$49.92	$7.61 – $65.28
Complete blood count (CBC) with differential: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $7.84 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $53.76 CareFirst Advantage Inc — CareFirst Medicare Advantage: $7.61 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $46.85 Cigna HealthCare Mid Atlantic — All Cigna HMO: $65.28 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $65.28 First Health — First Health: $65.28 Health Care Service Corporation — Health Care Service Corporation: $7.99 Humana — Humana Medicare Advantage: $7.99 JHHC — JHHC EHP: $49.92
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEMOGRAM PLT AUTO COMPLETE DIF	$76.80	$49.92	$7.61 – $65.28
Complete blood count (CBC) with differential: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $7.84 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $53.76 CareFirst Advantage Inc — CareFirst Medicare Advantage: $7.61 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $46.85 Cigna HealthCare Mid Atlantic — All Cigna HMO: $65.28 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $65.28 First Health — First Health: $65.28 Health Care Service Corporation — Health Care Service Corporation: $7.99 Humana — Humana Medicare Advantage: $7.99 JHHC — JHHC EHP: $49.92
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEM AND PLATE CT AUTO AND AUTO CBC	$76.80	$49.92	$37.63 – $65.28
Complete blood count (CBC) with differential: rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $37.63 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $49.15 First Health — First Health: $65.28 PFC — PFC: $49.92 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $65.28 United Healthcare — United Healthcare All Commercial: $61.44
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEMOGRAM AND PLT COUNT S	$76.80	$49.92	$6.34 – $65.28
Complete blood count (CBC), automated: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $6.53 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $53.76 CareFirst Advantage Inc — CareFirst Medicare Advantage: $6.34 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $46.85 Cigna HealthCare Mid Atlantic — All Cigna HMO: $65.28 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $65.28 First Health — First Health: $65.28 Health Care Service Corporation — Health Care Service Corporation: $6.66 Humana — Humana Medicare Advantage: $6.66 JHHC — JHHC EHP: $49.92
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEMOGRAM AND PLT COUNT	$76.80	$49.92	$6.34 – $65.28
Complete blood count (CBC), automated: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $6.53 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $53.76 CareFirst Advantage Inc — CareFirst Medicare Advantage: $6.34 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $46.85 Cigna HealthCare Mid Atlantic — All Cigna HMO: $65.28 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $65.28 First Health — First Health: $65.28 Health Care Service Corporation — Health Care Service Corporation: $6.66 Humana — Humana Medicare Advantage: $6.66 JHHC — JHHC EHP: $49.92
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEMOGRAM AND PLT COUNT S	$76.80	$49.92	$37.63 – $65.28
Complete blood count (CBC), automated: rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $37.63 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $49.15 First Health — First Health: $65.28 PFC — PFC: $49.92 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $65.28 United Healthcare — United Healthcare All Commercial: $61.44
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$49.70	$32.31	$4.20 – $42.25
Blood clotting time test (prothrombin time, PT): 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $4.33 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $34.79 CareFirst Advantage Inc — CareFirst Medicare Advantage: $4.20 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $30.32 Cigna HealthCare Mid Atlantic — All Cigna HMO: $42.25 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $42.25 First Health — First Health: $42.25 Health Care Service Corporation — Health Care Service Corporation: $4.41 Humana — Humana Medicare Advantage: $4.41 JHHC — JHHC EHP: $32.30
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTIME INR	$49.70	$32.31	$4.20 – $42.25
Blood clotting time test (prothrombin time, PT): 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $4.33 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $34.79 CareFirst Advantage Inc — CareFirst Medicare Advantage: $4.20 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $30.32 Cigna HealthCare Mid Atlantic — All Cigna HMO: $42.25 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $42.25 First Health — First Health: $42.25 Health Care Service Corporation — Health Care Service Corporation: $4.41 Humana — Humana Medicare Advantage: $4.41 JHHC — JHHC EHP: $32.30
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$49.70	$32.31	$24.35 – $42.25
Blood clotting time test (prothrombin time, PT): rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $24.35 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $31.81 First Health — First Health: $42.25 PFC — PFC: $32.30 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $42.24 United Healthcare — United Healthcare All Commercial: $39.76
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME	$91.01	$59.16	$5.89 – $77.36
Blood clotting test (partial thromboplastin time, PTT): 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $6.07 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $63.71 CareFirst Advantage Inc — CareFirst Medicare Advantage: $5.89 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $55.52 Cigna HealthCare Mid Atlantic — All Cigna HMO: $77.36 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $77.36 First Health — First Health: $77.36 Health Care Service Corporation — Health Care Service Corporation: $6.18 Humana — Humana Medicare Advantage: $6.18 JHHC — JHHC EHP: $59.16
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PARTIAL PTT PLASMA OR WHOLE BL	$91.01	$59.16	$5.89 – $77.36
Blood clotting test (partial thromboplastin time, PTT): 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $6.07 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $63.71 CareFirst Advantage Inc — CareFirst Medicare Advantage: $5.89 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $55.52 Cigna HealthCare Mid Atlantic — All Cigna HMO: $77.36 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $77.36 First Health — First Health: $77.36 Health Care Service Corporation — Health Care Service Corporation: $6.18 Humana — Humana Medicare Advantage: $6.18 JHHC — JHHC EHP: $59.16
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME	$91.01	$59.16	$44.59 – $77.36
Blood clotting test (partial thromboplastin time, PTT): rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $44.59 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $58.25 First Health — First Health: $77.36 PFC — PFC: $59.16 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $77.36 United Healthcare — United Healthcare All Commercial: $72.81

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 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR CT HEAD OR BRAIN WO CON	$642.48	$417.61	$231.73 – $546.11
CT scan of the head or brain, without contrast: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $112.83 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $231.73 CareFirst Advantage Inc — CareFirst Medicare Advantage: $109.54 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $391.91 Cigna HealthCare Mid Atlantic — All Cigna HMO: $481.86 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $481.86 First Health — First Health: $546.11 Health Care Service Corporation — Health Care Service Corporation: $115.02 Humana — Humana Medicare Advantage: $115.02 JHHC — JHHC EHP: $417.61
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD OR BRAIN WO CONTRAST	$642.48	$417.61	$231.73 – $546.11
CT scan of the head or brain, without contrast: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $112.83 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $231.73 CareFirst Advantage Inc — CareFirst Medicare Advantage: $109.54 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $391.91 Cigna HealthCare Mid Atlantic — All Cigna HMO: $481.86 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $481.86 First Health — First Health: $546.11 Health Care Service Corporation — Health Care Service Corporation: $115.02 Humana — Humana Medicare Advantage: $115.02 JHHC — JHHC EHP: $417.61
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT OR BRAIN WITHOUT CONTRAST	$642.48	$417.61	$231.73 – $546.11
CT scan of the head or brain, without contrast: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $112.83 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $231.73 CareFirst Advantage Inc — CareFirst Medicare Advantage: $109.54 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $391.91 Cigna HealthCare Mid Atlantic — All Cigna HMO: $481.86 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $481.86 First Health — First Health: $546.11 Health Care Service Corporation — Health Care Service Corporation: $115.02 Humana — Humana Medicare Advantage: $115.02 JHHC — JHHC EHP: $417.61
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN WO W CONTRAST	$2,173.11	$1,412.52	$506.54 – $1,847.14
MRI of the brain, before and after contrast: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $376.49 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $506.54 CareFirst Advantage Inc — CareFirst Medicare Advantage: $365.52 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $1,325.60 Cigna HealthCare Mid Atlantic — All Cigna HMO: $1,629.83 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $1,629.83 First Health — First Health: $1,847.14 Health Care Service Corporation — Health Care Service Corporation: $383.80 Humana — Humana Medicare Advantage: $383.80 JHHC — JHHC EHP: $1,412.52
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BC MRI BRAIN WO W CONTRAST	$2,173.11	$1,412.52	$506.54 – $1,847.14
MRI of the brain, before and after contrast: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $376.49 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $506.54 CareFirst Advantage Inc — CareFirst Medicare Advantage: $365.52 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $1,325.60 Cigna HealthCare Mid Atlantic — All Cigna HMO: $1,629.83 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $1,629.83 First Health — First Health: $1,847.14 Health Care Service Corporation — Health Care Service Corporation: $383.80 Humana — Humana Medicare Advantage: $383.80 JHHC — JHHC EHP: $1,412.52
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI BRAIN WO W CONTRAST	$2,173.11	$1,412.52	$1,064.82 – $1,847.14
MRI of the brain, before and after contrast: rates for 8 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $1,064.82 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $1,390.79 Cigna HealthCare Mid Atlantic — All Cigna HMO: $1,629.83 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $1,629.83 First Health — First Health: $1,847.14 PFC — PFC: $1,412.52 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $1,847.14 United Healthcare — United Healthcare All Commercial: $1,738.49
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST 2 VIEWS	$324.23	$210.75	$197.78 – $421
Chest X-ray, 2 views: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $93.92 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $226.96 CareFirst Advantage Inc — CareFirst Medicare Advantage: $91.18 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $197.78 Cigna HealthCare Mid Atlantic — All Cigna HMO: $275.60 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $275.60 First Health — First Health: $275.60 Health Care Service Corporation — Health Care Service Corporation: $95.74 Humana — Humana Medicare Advantage: $95.74 JHHC — JHHC EHP: $210.75
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BC CHEST 2 VIEWS	$324.23	$210.75	$197.78 – $421
Chest X-ray, 2 views: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $93.92 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $226.96 CareFirst Advantage Inc — CareFirst Medicare Advantage: $91.18 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $197.78 Cigna HealthCare Mid Atlantic — All Cigna HMO: $275.60 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $275.60 First Health — First Health: $275.60 Health Care Service Corporation — Health Care Service Corporation: $95.74 Humana — Humana Medicare Advantage: $95.74 JHHC — JHHC EHP: $210.75
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CHEST 2 VIEWS	$324.23	$210.75	$158.87 – $275.60
Chest X-ray, 2 views: rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $158.87 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $207.51 First Health — First Health: $275.60 PFC — PFC: $210.75 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $275.60 United Healthcare — United Healthcare All Commercial: $259.38
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SPINE LUMBAR W OBL	$389.62	$253.25	$237.67 – $421
X-ray of the lower spine, at least 4 views: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $112.83 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $272.73 CareFirst Advantage Inc — CareFirst Medicare Advantage: $109.54 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $237.67 Cigna HealthCare Mid Atlantic — All Cigna HMO: $331.18 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $331.18 First Health — First Health: $331.18 Health Care Service Corporation — Health Care Service Corporation: $115.02 Humana — Humana Medicare Advantage: $115.02 JHHC — JHHC EHP: $253.25
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINE LUMBAR W OBL	$389.62	$253.25	$190.91 – $331.18
X-ray of the lower spine, at least 4 views: rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $190.91 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $249.36 First Health — First Health: $331.18 PFC — PFC: $253.25 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $331.18 United Healthcare — United Healthcare All Commercial: $311.70
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SPINE LUMBAR WO CONTRAST	$1,357.88	$882.62	$506.54 – $1,154.20
MRI of the lower back (lumbar spine), without contrast: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $257.49 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $506.54 CareFirst Advantage Inc — CareFirst Medicare Advantage: $249.99 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $828.31 Cigna HealthCare Mid Atlantic — All Cigna HMO: $1,018.41 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $1,018.41 First Health — First Health: $1,154.20 Health Care Service Corporation — Health Care Service Corporation: $262.49 Humana — Humana Medicare Advantage: $262.49 JHHC — JHHC EHP: $882.62
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BC MRI SPINE LUMBAR WO CONT	$1,357.88	$882.62	$506.54 – $1,154.20
MRI of the lower back (lumbar spine), without contrast: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $257.49 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $506.54 CareFirst Advantage Inc — CareFirst Medicare Advantage: $249.99 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $828.31 Cigna HealthCare Mid Atlantic — All Cigna HMO: $1,018.41 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $1,018.41 First Health — First Health: $1,154.20 Health Care Service Corporation — Health Care Service Corporation: $262.49 Humana — Humana Medicare Advantage: $262.49 JHHC — JHHC EHP: $882.62
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI SPINE LUMBAR WO CONTRAST	$1,357.88	$882.62	$665.36 – $1,154.20
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $665.36 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $869.04 Cigna HealthCare Mid Atlantic — All Cigna HMO: $1,018.41 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $1,018.41 First Health — First Health: $1,154.20 JHHC — JHHC EHP: $882.62 JHHC — JHHC Uniformed Services: $882.62 PFC — PFC: $882.62 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $1,154.20 United Healthcare — United Healthcare All Commercial: $1,086.30
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR CT PELVIS W CONTRAST	$1,054.11	$685.17	$356.13 – $895.99
CT scan of the pelvis, with contrast: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $189.28 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $356.13 CareFirst Advantage Inc — CareFirst Medicare Advantage: $183.77 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $643.01 Cigna HealthCare Mid Atlantic — All Cigna HMO: $790.58 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $790.58 First Health — First Health: $895.99 Health Care Service Corporation — Health Care Service Corporation: $192.96 Humana — Humana Medicare Advantage: $192.96 JHHC — JHHC EHP: $685.17
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W CONTRAST	$1,054.11	$685.17	$356.13 – $895.99
CT scan of the pelvis, with contrast: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $189.28 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $356.13 CareFirst Advantage Inc — CareFirst Medicare Advantage: $183.77 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $643.01 Cigna HealthCare Mid Atlantic — All Cigna HMO: $790.58 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $790.58 First Health — First Health: $895.99 Health Care Service Corporation — Health Care Service Corporation: $192.96 Humana — Humana Medicare Advantage: $192.96 JHHC — JHHC EHP: $685.17
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BC CT PELVIS W CONTRAST	$1,054.11	$685.17	$356.13 – $895.99
CT scan of the pelvis, with contrast: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $189.28 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $356.13 CareFirst Advantage Inc — CareFirst Medicare Advantage: $183.77 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $643.01 Cigna HealthCare Mid Atlantic — All Cigna HMO: $790.58 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $790.58 First Health — First Health: $895.99 Health Care Service Corporation — Health Care Service Corporation: $192.96 Humana — Humana Medicare Advantage: $192.96 JHHC — JHHC EHP: $685.17
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LOWER EXT JOINT WO CONT	$1,357.88	$882.62	$506.54 – $1,154.20
MRI of a leg joint (such as the knee), without contrast: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $257.49 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $506.54 CareFirst Advantage Inc — CareFirst Medicare Advantage: $249.99 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $828.31 Cigna HealthCare Mid Atlantic — All Cigna HMO: $1,018.41 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $1,018.41 First Health — First Health: $1,154.20 Health Care Service Corporation — Health Care Service Corporation: $262.49 Humana — Humana Medicare Advantage: $262.49 JHHC — JHHC EHP: $882.62
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LOWER EXT JOINT WO CONT	$1,357.88	$882.62	$665.36 – $1,154.20
MRI of a leg joint (such as the knee), without contrast: rates for 8 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $665.36 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $869.04 Cigna HealthCare Mid Atlantic — All Cigna HMO: $1,018.41 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $1,018.41 First Health — First Health: $1,154.20 PFC — PFC: $882.62 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $1,154.20 United Healthcare — United Healthcare All Commercial: $1,086.30
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: BC MRI LREX JT WO C LTD HIP LT	$1,357.88	$882.62	$506.54 – $1,154.20
MRI of a leg joint (such as the knee), without contrast: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $128.75 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $506.54 CareFirst Advantage Inc — CareFirst Medicare Advantage: $125 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $828.31 Cigna HealthCare Mid Atlantic — All Cigna HMO: $1,018.41 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $1,018.41 First Health — First Health: $1,154.20 Health Care Service Corporation — Health Care Service Corporation: $131.25 Humana — Humana Medicare Advantage: $131.25 JHHC — JHHC EHP: $882.62
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR CT ABD AND PELV WITH CONTRAST	$2,076.08	$1,349.45	$437.62 – $1,764.67
CT scan of the abdomen and pelvis, with contrast: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $376.49 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $437.62 CareFirst Advantage Inc — CareFirst Medicare Advantage: $365.52 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $1,266.41 Cigna HealthCare Mid Atlantic — All Cigna HMO: $1,557.06 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $1,557.06 First Health — First Health: $1,764.67 Health Care Service Corporation — Health Care Service Corporation: $383.80 Humana — Humana Medicare Advantage: $383.80 JHHC — JHHC EHP: $1,349.45
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BC IR CT ABD PELVIS W CONTRAST	$2,076.08	$1,349.45	$437.62 – $1,764.67
CT scan of the abdomen and pelvis, with contrast: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $376.49 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $437.62 CareFirst Advantage Inc — CareFirst Medicare Advantage: $365.52 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $1,266.41 Cigna HealthCare Mid Atlantic — All Cigna HMO: $1,557.06 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $1,557.06 First Health — First Health: $1,764.67 Health Care Service Corporation — Health Care Service Corporation: $383.80 Humana — Humana Medicare Advantage: $383.80 JHHC — JHHC EHP: $1,349.45
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD AND PELV WITH CONTRAST	$2,076.08	$1,349.45	$437.62 – $1,764.67
CT scan of the abdomen and pelvis, with contrast: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $376.49 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $437.62 CareFirst Advantage Inc — CareFirst Medicare Advantage: $365.52 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $1,266.41 Cigna HealthCare Mid Atlantic — All Cigna HMO: $1,557.06 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $1,557.06 First Health — First Health: $1,764.67 Health Care Service Corporation — Health Care Service Corporation: $383.80 Humana — Humana Medicare Advantage: $383.80 JHHC — JHHC EHP: $1,349.45
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMINAL COMPLETE	$611.46	$397.45	$372.99 – $519.74
Ultrasound of the abdomen, complete: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $112.83 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $428.02 CareFirst Advantage Inc — CareFirst Medicare Advantage: $109.54 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $372.99 Cigna HealthCare Mid Atlantic — All Cigna HMO: $519.74 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $519.74 First Health — First Health: $519.74 Health Care Service Corporation — Health Care Service Corporation: $115.02 Humana — Humana Medicare Advantage: $115.02 JHHC — JHHC EHP: $397.45
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BC ECHOGRAPHY ABDOMEN COMP.	$611.46	$397.45	$372.99 – $519.74
Ultrasound of the abdomen, complete: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $112.83 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $428.02 CareFirst Advantage Inc — CareFirst Medicare Advantage: $109.54 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $372.99 Cigna HealthCare Mid Atlantic — All Cigna HMO: $519.74 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $519.74 First Health — First Health: $519.74 Health Care Service Corporation — Health Care Service Corporation: $115.02 Humana — Humana Medicare Advantage: $115.02 JHHC — JHHC EHP: $397.45
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABDOMINAL COMPLETE	$611.46	$397.45	$299.62 – $519.74
Ultrasound of the abdomen, complete: rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $299.62 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $391.33 First Health — First Health: $519.74 PFC — PFC: $397.45 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $519.74 United Healthcare — United Healthcare All Commercial: $489.17
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB COMPL SINGLE AFTER1STTRI	$372.33	$242.01	$227.12 – $316.48
Pregnancy ultrasound (after the first trimester): 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $112.83 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $260.63 CareFirst Advantage Inc — CareFirst Medicare Advantage: $109.54 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $227.12 Cigna HealthCare Mid Atlantic — All Cigna HMO: $316.48 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $316.48 First Health — First Health: $316.48 Health Care Service Corporation — Health Care Service Corporation: $115.02 Humana — Humana Medicare Advantage: $115.02 JHHC — JHHC EHP: $242.01
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BC ECHOGRAPHY PREGNANCY COMP	$372.33	$242.01	$227.12 – $316.48
Pregnancy ultrasound (after the first trimester): 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $112.83 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $260.63 CareFirst Advantage Inc — CareFirst Medicare Advantage: $109.54 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $227.12 Cigna HealthCare Mid Atlantic — All Cigna HMO: $316.48 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $316.48 First Health — First Health: $316.48 Health Care Service Corporation — Health Care Service Corporation: $115.02 Humana — Humana Medicare Advantage: $115.02 JHHC — JHHC EHP: $242.01
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTSND OB UTS GREATER THAN 14WKS SGL	$372.33	$242.01	$227.12 – $316.48
Pregnancy ultrasound (after the first trimester): 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $112.83 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $260.63 CareFirst Advantage Inc — CareFirst Medicare Advantage: $109.54 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $227.12 Cigna HealthCare Mid Atlantic — All Cigna HMO: $316.48 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $316.48 First Health — First Health: $316.48 Health Care Service Corporation — Health Care Service Corporation: $115.02 Humana — Humana Medicare Advantage: $115.02 JHHC — JHHC EHP: $242.01
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND TRANSVAGINAL NON OB	$519.03	$337.37	$316.61 – $441.18
Transvaginal ultrasound: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $112.83 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $363.32 CareFirst Advantage Inc — CareFirst Medicare Advantage: $109.54 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $316.61 Cigna HealthCare Mid Atlantic — All Cigna HMO: $441.18 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $441.18 First Health — First Health: $441.18 Health Care Service Corporation — Health Care Service Corporation: $115.02 Humana — Humana Medicare Advantage: $115.02 JHHC — JHHC EHP: $337.37
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON OB	$519.03	$337.37	$316.61 – $441.18
Transvaginal ultrasound: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $112.83 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $363.32 CareFirst Advantage Inc — CareFirst Medicare Advantage: $109.54 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $316.61 Cigna HealthCare Mid Atlantic — All Cigna HMO: $441.18 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $441.18 First Health — First Health: $441.18 Health Care Service Corporation — Health Care Service Corporation: $115.02 Humana — Humana Medicare Advantage: $115.02 JHHC — JHHC EHP: $337.37
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL	$519.03	$337.37	$316.61 – $441.18
Transvaginal ultrasound: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $112.83 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $363.32 CareFirst Advantage Inc — CareFirst Medicare Advantage: $109.54 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $316.61 Cigna HealthCare Mid Atlantic — All Cigna HMO: $441.18 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $441.18 First Health — First Health: $441.18 Health Care Service Corporation — Health Care Service Corporation: $115.02 Humana — Humana Medicare Advantage: $115.02 JHHC — JHHC EHP: $337.37
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GRANT MAMMO UNILAT	$290.94	$189.11	$99.87 – $421
Diagnostic mammogram, one breast: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $102.87 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $203.66 CareFirst Advantage Inc — CareFirst Medicare Advantage: $99.87 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $177.47 Cigna HealthCare Mid Atlantic — All Cigna HMO: $247.30 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $247.30 First Health — First Health: $247.30 Health Care Service Corporation — Health Care Service Corporation: $104.86 Humana — Humana Medicare Advantage: $104.86 JHHC — JHHC EHP: $189.11
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIGITAL DIAG MAMMO UNILAT	$290.94	$189.11	$99.87 – $247.30
Diagnostic mammogram, one breast: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $102.87 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $203.66 CareFirst Advantage Inc — CareFirst Medicare Advantage: $99.87 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $177.47 Cigna HealthCare Mid Atlantic — All Cigna HMO: $247.30 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $247.30 First Health — First Health: $247.30 Health Care Service Corporation — Health Care Service Corporation: $104.86 Humana — Humana Medicare Advantage: $104.86 JHHC — JHHC EHP: $189.11
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: GRANT MAMMO UNILAT	$290.94	$189.11	$142.56 – $247.30
Diagnostic mammogram, one breast: rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $142.56 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $186.20 First Health — First Health: $247.30 PFC — PFC: $189.11 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $247.30 United Healthcare — United Healthcare All Commercial: $232.75
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GRANT MAMMOGRAPHY BILAT	$374.50	$243.43	$128.11 – $421
Diagnostic mammogram, both breasts: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $131.95 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $262.15 CareFirst Advantage Inc — CareFirst Medicare Advantage: $128.11 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $228.44 Cigna HealthCare Mid Atlantic — All Cigna HMO: $318.32 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $318.32 First Health — First Health: $318.32 Health Care Service Corporation — Health Care Service Corporation: $134.52 Humana — Humana Medicare Advantage: $134.52 JHHC — JHHC EHP: $243.43
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIGITAL DIAG MAMMO BILAT	$374.50	$243.43	$128.11 – $318.32
Diagnostic mammogram, both breasts: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $131.95 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $262.15 CareFirst Advantage Inc — CareFirst Medicare Advantage: $128.11 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $228.44 Cigna HealthCare Mid Atlantic — All Cigna HMO: $318.32 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $318.32 First Health — First Health: $318.32 Health Care Service Corporation — Health Care Service Corporation: $134.52 Humana — Humana Medicare Advantage: $134.52 JHHC — JHHC EHP: $243.43
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BC DIGITAL 4V DIAG MAMMO BILAT	$374.50	$243.43	$128.11 – $318.32
Diagnostic mammogram, both breasts: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $131.95 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $262.15 CareFirst Advantage Inc — CareFirst Medicare Advantage: $128.11 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $228.44 Cigna HealthCare Mid Atlantic — All Cigna HMO: $318.32 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $318.32 First Health — First Health: $318.32 Health Care Service Corporation — Health Care Service Corporation: $134.52 Humana — Humana Medicare Advantage: $134.52 JHHC — JHHC EHP: $243.43
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BC GRANT MAMMO SCREENING BILAT	$265.85	$172.80	$105.24 – $225.97
Screening mammogram, both breasts: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $108.40 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $186.09 CareFirst Advantage Inc — CareFirst Medicare Advantage: $105.24 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $162.17 Cigna HealthCare Mid Atlantic — All Cigna HMO: $225.97 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $225.97 First Health — First Health: $225.97 Health Care Service Corporation — Health Care Service Corporation: $110.50 Humana — Humana Medicare Advantage: $110.50 JHHC — JHHC EHP: $172.80
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIGITAL 4V SCRN MAMMO BILAT	$265.85	$172.80	$105.24 – $225.97
Screening mammogram, both breasts: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $108.40 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $186.09 CareFirst Advantage Inc — CareFirst Medicare Advantage: $105.24 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $162.17 Cigna HealthCare Mid Atlantic — All Cigna HMO: $225.97 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $225.97 First Health — First Health: $225.97 Health Care Service Corporation — Health Care Service Corporation: $110.50 Humana — Humana Medicare Advantage: $110.50 JHHC — JHHC EHP: $172.80
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BC DIGITAL 4V SCRN MAMMO BILAT	$265.85	$172.80	$105.24 – $225.97
Screening mammogram, both breasts: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $108.40 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $186.09 CareFirst Advantage Inc — CareFirst Medicare Advantage: $105.24 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $162.17 Cigna HealthCare Mid Atlantic — All Cigna HMO: $225.97 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $225.97 First Health — First Health: $225.97 Health Care Service Corporation — Health Care Service Corporation: $110.50 Humana — Humana Medicare Advantage: $110.50 JHHC — JHHC EHP: $172.80

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EPS W O INDUCT	$14,195.54	$9,227.10	$8,659.28 – $12,066.21
Heart rhythm study (electrophysiology evaluation): 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $8,417 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $9,936.88 CareFirst Advantage Inc — CareFirst Medicare Advantage: $8,171.84 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $8,659.28 Cigna HealthCare Mid Atlantic — All Cigna HMO: $12,066.21 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $12,066.21 First Health — First Health: $12,066.21 Health Care Service Corporation — Health Care Service Corporation: $8,580.43 Humana — Humana Medicare Advantage: $8,580.43 JHHC — JHHC EHP: $9,227.10
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EPS W O INDUCT	$14,195.54	$9,227.10	$6,955.81 – $12,066.21
Heart rhythm study (electrophysiology evaluation): rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $6,955.81 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $9,085.15 First Health — First Health: $12,066.21 PFC — PFC: $9,227.10 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $12,066.21 United Healthcare — United Healthcare All Commercial: $11,356.43
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ATRL FIB PULM VN ISOL PCNG ICE	$42,966.20	$27,928.03	$26,209.38 – $36,521.27
Heart rhythm study with ablation for atrial fibrillation: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $28,127.72 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $30,076.34 CareFirst Advantage Inc — CareFirst Medicare Advantage: $27,308.47 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $26,209.38 Cigna HealthCare Mid Atlantic — All Cigna HMO: $36,521.27 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $36,521.27 First Health — First Health: $36,521.27 Health Care Service Corporation — Health Care Service Corporation: $28,673.89 Humana — Humana Medicare Advantage: $28,673.89 JHHC — JHHC EHP: $27,928.03
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ATRL FIB PULM VN ISOL PCNG ICE	$42,966.20	$27,928.03	$21,053.44 – $36,521.27
Heart rhythm study with ablation for atrial fibrillation: rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $21,053.44 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $27,498.37 First Health — First Health: $36,521.27 PFC — PFC: $27,928.03 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $36,521.27 United Healthcare — United Healthcare All Commercial: $34,372.96
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMP POLYSOMNOGRAM AGE 6 AND	$1,864.78	$1,212.11	$1,212.11 – $1,788.09
Sleep study (overnight, in a sleep lab): 10 of 22 insurance plan rates Aetna Medicare — Aetna Medicare: $926.71 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $1,305.35 CareFirst Advantage Inc — CareFirst Medicare Advantage: $899.72 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $1,788.09 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $1,788.09 Cigna HealthCare Mid Atlantic — All Cigna HMO: $1,585.06 First Health — First Health: $1,585.06 Health Care Service Corporation — Health Care Service Corporation: $944.71 Humana — Humana Medicare Advantage: $944.71 JHHC — JHHC EHP: $1,212.11
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMP POLYSOMNOGRAM AGE 6 AND	$1,864.78	$1,212.11	$913.74 – $1,585.06
Sleep study (overnight, in a sleep lab): rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $913.74 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $1,193.46 First Health — First Health: $1,585.06 PFC — PFC: $1,212.11 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $1,585.06 United Healthcare — United Healthcare All Commercial: $1,491.82

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT THER EX	$91.95	$59.77	$31.83 – $239
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates Aetna Medicare — Aetna Medicare: $32.78 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $64.36 CareFirst Advantage Inc — CareFirst Medicare Advantage: $31.83 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $54.25 Cigna HealthCare Mid Atlantic — All Cigna HMO: $78.16 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $78.16 First Health — First Health: $78.16 Health Care Service Corporation — Health Care Service Corporation: $33.42 Humana — Humana Medicare Advantage: $33.42 JHHC — JHHC EHP: $59.77
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OT THER EX EA 15 MIN	$91.95	$59.77	$31.83 – $239
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates Aetna Medicare — Aetna Medicare: $32.78 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $64.36 CareFirst Advantage Inc — CareFirst Medicare Advantage: $31.83 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $54.25 Cigna HealthCare Mid Atlantic — All Cigna HMO: $78.16 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $78.16 First Health — First Health: $78.16 Health Care Service Corporation — Health Care Service Corporation: $33.42 Humana — Humana Medicare Advantage: $33.42 JHHC — JHHC EHP: $59.77
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EX EA 15 MIN	$91.95	$59.77	$31.83 – $239
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates Aetna Medicare — Aetna Medicare: $32.78 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $64.36 CareFirst Advantage Inc — CareFirst Medicare Advantage: $31.83 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $54.25 Cigna HealthCare Mid Atlantic — All Cigna HMO: $78.16 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $78.16 First Health — First Health: $78.16 Health Care Service Corporation — Health Care Service Corporation: $33.42 Humana — Humana Medicare Advantage: $33.42 JHHC — JHHC EHP: $59.77
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX	$663.29	$431.14	$107.53 – $563.80
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates Aetna Medicare — Aetna Medicare: $110.76 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $464.30 CareFirst Advantage Inc — CareFirst Medicare Advantage: $107.53 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $391.34 Cigna HealthCare Mid Atlantic — All Cigna HMO: $563.80 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $563.80 First Health — First Health: $563.80 Health Care Service Corporation — Health Care Service Corporation: $112.91 Humana — Humana Medicare Advantage: $112.91 JHHC — JHHC EHP: $431.14
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX BURN	$663.29	$431.14	$107.53 – $563.80
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates Aetna Medicare — Aetna Medicare: $110.76 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $464.30 CareFirst Advantage Inc — CareFirst Medicare Advantage: $107.53 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $391.34 Cigna HealthCare Mid Atlantic — All Cigna HMO: $563.80 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $563.80 First Health — First Health: $563.80 Health Care Service Corporation — Health Care Service Corporation: $112.91 Humana — Humana Medicare Advantage: $112.91 JHHC — JHHC EHP: $431.14
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX	$663.29	$431.14	$325.01 – $563.80
Physical therapy evaluation (low complexity): rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $325.01 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $424.51 First Health — First Health: $563.80 PFC — PFC: $431.14 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $563.80 United Healthcare — United Healthcare All Commercial: $530.63
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX	$663.29	$431.14	$107.53 – $563.80
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates Aetna Medicare — Aetna Medicare: $110.76 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $464.30 CareFirst Advantage Inc — CareFirst Medicare Advantage: $107.53 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $391.34 Cigna HealthCare Mid Atlantic — All Cigna HMO: $563.80 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $563.80 First Health — First Health: $563.80 Health Care Service Corporation — Health Care Service Corporation: $112.91 Humana — Humana Medicare Advantage: $112.91 JHHC — JHHC EHP: $431.14
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX BURN	$663.29	$431.14	$107.53 – $563.80
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates Aetna Medicare — Aetna Medicare: $110.76 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $464.30 CareFirst Advantage Inc — CareFirst Medicare Advantage: $107.53 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $391.34 Cigna HealthCare Mid Atlantic — All Cigna HMO: $563.80 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $563.80 First Health — First Health: $563.80 Health Care Service Corporation — Health Care Service Corporation: $112.91 Humana — Humana Medicare Advantage: $112.91 JHHC — JHHC EHP: $431.14
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX	$663.29	$431.14	$325.01 – $563.80
Physical therapy evaluation (moderate complexity): rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $325.01 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $424.51 First Health — First Health: $563.80 PFC — PFC: $431.14 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $563.80 United Healthcare — United Healthcare All Commercial: $530.63
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX	$663.29	$431.14	$107.53 – $563.80
Physical therapy evaluation (high complexity): 10 of 22 insurance plan rates Aetna Medicare — Aetna Medicare: $110.76 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $464.30 CareFirst Advantage Inc — CareFirst Medicare Advantage: $107.53 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $391.34 Cigna HealthCare Mid Atlantic — All Cigna HMO: $563.80 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $563.80 First Health — First Health: $563.80 Health Care Service Corporation — Health Care Service Corporation: $112.91 Humana — Humana Medicare Advantage: $112.91 JHHC — JHHC EHP: $431.14
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX BURN	$663.29	$431.14	$107.53 – $563.80
Physical therapy evaluation (high complexity): 10 of 22 insurance plan rates Aetna Medicare — Aetna Medicare: $110.76 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $464.30 CareFirst Advantage Inc — CareFirst Medicare Advantage: $107.53 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $391.34 Cigna HealthCare Mid Atlantic — All Cigna HMO: $563.80 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $563.80 First Health — First Health: $563.80 Health Care Service Corporation — Health Care Service Corporation: $112.91 Humana — Humana Medicare Advantage: $112.91 JHHC — JHHC EHP: $431.14
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX	$663.29	$431.14	$325.01 – $563.80
Physical therapy evaluation (high complexity): rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $325.01 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $424.51 First Health — First Health: $563.80 PFC — PFC: $431.14 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $563.80 United Healthcare — United Healthcare All Commercial: $530.63
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IND PSYCH TX 16 37M	$531.39	$345.40	$324.15 – $451.68
Psychotherapy, 30 minutes: 10 of 22 insurance plan rates Aetna Medicare — Aetna Medicare: $191.55 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $371.97 CareFirst Advantage Inc — CareFirst Medicare Advantage: $185.97 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $324.15 Cigna HealthCare Mid Atlantic — All Cigna HMO: $451.68 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $451.68 First Health — First Health: $451.68 Health Care Service Corporation — Health Care Service Corporation: $195.27 Humana — Humana Medicare Advantage: $195.27 JHHC — JHHC EHP: $345.40
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: IND PSYCH TX 16 37M	$531.39	$345.40	$260.38 – $451.68
Psychotherapy, 30 minutes: rates for 5 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $260.38 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $340.09 First Health — First Health: $451.68 PFC — PFC: $345.40 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $451.68
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IND PSYCH TX 38 52M	$578.97	$376.33	$353.17 – $492.12
Psychotherapy, 45 minutes: 10 of 22 insurance plan rates Aetna Medicare — Aetna Medicare: $191.55 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $405.28 CareFirst Advantage Inc — CareFirst Medicare Advantage: $185.97 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $353.17 Cigna HealthCare Mid Atlantic — All Cigna HMO: $492.12 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $492.12 First Health — First Health: $492.12 Health Care Service Corporation — Health Care Service Corporation: $195.27 Humana — Humana Medicare Advantage: $195.27 JHHC — JHHC EHP: $376.33
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: IND PSYCH TX 38 52M	$578.97	$376.33	$283.70 – $492.12
Psychotherapy, 45 minutes: rates for 5 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $283.70 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $370.54 First Health — First Health: $492.12 PFC — PFC: $376.33 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $492.12
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IND PSYCH TX 53 AND M	$630.86	$410.06	$384.82 – $536.23
Psychotherapy, 60 minutes: 10 of 22 insurance plan rates Aetna Medicare — Aetna Medicare: $191.55 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $441.60 CareFirst Advantage Inc — CareFirst Medicare Advantage: $185.97 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $384.82 Cigna HealthCare Mid Atlantic — All Cigna HMO: $536.23 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $536.23 First Health — First Health: $536.23 Health Care Service Corporation — Health Care Service Corporation: $195.27 Humana — Humana Medicare Advantage: $195.27 JHHC — JHHC EHP: $410.06
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: IND PSYCH TX 53 AND M	$630.86	$410.06	$309.12 – $536.23
Psychotherapy, 60 minutes: rates for 5 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $309.12 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $403.75 First Health — First Health: $536.23 PFC — PFC: $410.06 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $536.23
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ADULT FAMILY PSY TX W O PT	$373.33	$242.66	$227.73 – $317.33
Family psychotherapy, without the patient: 10 of 22 insurance plan rates Aetna Medicare — Aetna Medicare: $191.55 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $261.33 CareFirst Advantage Inc — CareFirst Medicare Advantage: $185.97 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $227.73 Cigna HealthCare Mid Atlantic — All Cigna HMO: $317.33 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $317.33 First Health — First Health: $317.33 Health Care Service Corporation — Health Care Service Corporation: $195.27 Humana — Humana Medicare Advantage: $195.27 JHHC — JHHC EHP: $242.66
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY TX W O PATIENT 50MIN	$373.33	$242.66	$227.73 – $317.33
Family psychotherapy, without the patient: 10 of 22 insurance plan rates Aetna Medicare — Aetna Medicare: $191.55 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $261.33 CareFirst Advantage Inc — CareFirst Medicare Advantage: $185.97 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $227.73 Cigna HealthCare Mid Atlantic — All Cigna HMO: $317.33 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $317.33 First Health — First Health: $317.33 Health Care Service Corporation — Health Care Service Corporation: $195.27 Humana — Humana Medicare Advantage: $195.27 JHHC — JHHC EHP: $242.66
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ADULT FAMILY PSY TX W O PT 50M	$373.33	$242.66	$227.73 – $317.33
Family psychotherapy, without the patient: 10 of 22 insurance plan rates Aetna Medicare — Aetna Medicare: $191.55 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $261.33 CareFirst Advantage Inc — CareFirst Medicare Advantage: $185.97 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $227.73 Cigna HealthCare Mid Atlantic — All Cigna HMO: $317.33 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $317.33 First Health — First Health: $317.33 Health Care Service Corporation — Health Care Service Corporation: $195.27 Humana — Humana Medicare Advantage: $195.27 JHHC — JHHC EHP: $242.66
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ADULT FAMILY PSY TX W PT	$661.13	$429.73	$403.29 – $561.96
Family psychotherapy, with the patient: 10 of 22 insurance plan rates Aetna Medicare — Aetna Medicare: $191.55 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $462.79 CareFirst Advantage Inc — CareFirst Medicare Advantage: $185.97 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $403.29 Cigna HealthCare Mid Atlantic — All Cigna HMO: $561.96 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $561.96 First Health — First Health: $561.96 Health Care Service Corporation — Health Care Service Corporation: $195.27 Humana — Humana Medicare Advantage: $195.27 JHHC — JHHC EHP: $429.73
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY MED PSY W PATIENT 50MIN	$661.13	$429.73	$403.29 – $561.96
Family psychotherapy, with the patient: 10 of 22 insurance plan rates Aetna Medicare — Aetna Medicare: $191.55 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $462.79 CareFirst Advantage Inc — CareFirst Medicare Advantage: $185.97 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $403.29 Cigna HealthCare Mid Atlantic — All Cigna HMO: $561.96 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $561.96 First Health — First Health: $561.96 Health Care Service Corporation — Health Care Service Corporation: $195.27 Humana — Humana Medicare Advantage: $195.27 JHHC — JHHC EHP: $429.73
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY COUNSELING	$661.13	$429.73	$403.29 – $561.96
Family psychotherapy, with the patient: 10 of 22 insurance plan rates Aetna Medicare — Aetna Medicare: $191.55 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $462.79 CareFirst Advantage Inc — CareFirst Medicare Advantage: $185.97 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $403.29 Cigna HealthCare Mid Atlantic — All Cigna HMO: $561.96 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $561.96 First Health — First Health: $561.96 Health Care Service Corporation — Health Care Service Corporation: $195.27 Humana — Humana Medicare Advantage: $195.27 JHHC — JHHC EHP: $429.73
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ADULT GROUP PSY TX	$441.56	$287.01	$269.35 – $375.33
Group psychotherapy: 10 of 22 insurance plan rates Aetna Medicare — Aetna Medicare: $109.63 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $309.09 CareFirst Advantage Inc — CareFirst Medicare Advantage: $106.44 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $269.35 Cigna HealthCare Mid Atlantic — All Cigna HMO: $375.33 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $375.33 First Health — First Health: $375.33 Health Care Service Corporation — Health Care Service Corporation: $111.76 Humana — Humana Medicare Advantage: $111.76 JHHC — JHHC EHP: $287.01
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSY TX	$441.56	$287.01	$269.35 – $375.33
Group psychotherapy: 10 of 22 insurance plan rates Aetna Medicare — Aetna Medicare: $109.63 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $309.09 CareFirst Advantage Inc — CareFirst Medicare Advantage: $106.44 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $269.35 Cigna HealthCare Mid Atlantic — All Cigna HMO: $375.33 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $375.33 First Health — First Health: $375.33 Health Care Service Corporation — Health Care Service Corporation: $111.76 Humana — Humana Medicare Advantage: $111.76 JHHC — JHHC EHP: $287.01
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GRP PSYCHOTHERAPY	$431.05	$280.18	$262.94 – $366.39
Group psychotherapy: 10 of 22 insurance plan rates Aetna Medicare — Aetna Medicare: $109.63 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $301.74 CareFirst Advantage Inc — CareFirst Medicare Advantage: $106.44 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $262.94 Cigna HealthCare Mid Atlantic — All Cigna HMO: $366.39 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $366.39 First Health — First Health: $366.39 Health Care Service Corporation — Health Care Service Corporation: $111.76 Humana — Humana Medicare Advantage: $111.76 JHHC — JHHC EHP: $280.18

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXC CYST FIBROADENOMA OTH TUM	$5,273.91	$3,428.04	$3,217.09 – $4,482.82
Removal of breast growth (open surgery): 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $4,225.34 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $3,691.74 CareFirst Advantage Inc — CareFirst Medicare Advantage: $4,102.27 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $3,217.09 Cigna HealthCare Mid Atlantic — All Cigna HMO: $4,482.82 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $4,482.82 First Health — First Health: $4,482.82 Health Care Service Corporation — Health Care Service Corporation: $4,307.38 Humana — Humana Medicare Advantage: $4,307.38 JHHC — JHHC EHP: $3,428.04
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EXC CYST FIBROADENOMA OTH TUM	$5,273.91	$3,428.04	$2,584.22 – $4,482.82
Removal of breast growth (open surgery): rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $2,584.22 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $3,375.30 First Health — First Health: $4,482.82 PFC — PFC: $3,428.04 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $4,482.82 United Healthcare — United Healthcare All Commercial: $4,219.13
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPR GI DIAGNOSTIC BRUSH WASH	$1,151.91	$748.74	$702.67 – $979.12
Upper GI endoscopy (diagnostic): 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $978.78 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $806.34 CareFirst Advantage Inc — CareFirst Medicare Advantage: $950.27 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $702.67 Cigna HealthCare Mid Atlantic — All Cigna HMO: $979.12 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $979.12 First Health — First Health: $979.12 Health Care Service Corporation — Health Care Service Corporation: $997.78 Humana — Humana Medicare Advantage: $997.78 JHHC — JHHC EHP: $748.74
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UPPR GI DIAGNOSTIC BRUSH WASH	$1,151.91	$748.74	$564.44 – $979.12
Upper GI endoscopy (diagnostic): rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $564.44 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $737.22 First Health — First Health: $979.12 PFC — PFC: $748.74 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $979.12 United Healthcare — United Healthcare All Commercial: $921.53
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE MULTIPLE	$1,867.34	$1,213.77	$1,139.08 – $1,587.24
Upper GI endoscopy with biopsy: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $978.78 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $1,307.14 CareFirst Advantage Inc — CareFirst Medicare Advantage: $950.27 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $1,139.08 Cigna HealthCare Mid Atlantic — All Cigna HMO: $1,587.24 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $1,587.24 First Health — First Health: $1,587.24 Health Care Service Corporation — Health Care Service Corporation: $997.78 Humana — Humana Medicare Advantage: $997.78 JHHC — JHHC EHP: $1,213.77
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE MULTIPLE	$1,867.34	$1,213.77	$915 – $1,587.24
Upper GI endoscopy with biopsy: rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $915 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $1,195.10 First Health — First Health: $1,587.24 PFC — PFC: $1,213.77 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $1,587.24 United Healthcare — United Healthcare All Commercial: $1,493.87
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR COLNSCP NO HG RS MDCARE	$2,167.99	$1,409.19	$1,322.47 – $1,842.79
Screening colonoscopy (not high risk): 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $999.49 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $1,517.59 CareFirst Advantage Inc — CareFirst Medicare Advantage: $970.38 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $1,322.47 Cigna HealthCare Mid Atlantic — All Cigna HMO: $1,842.79 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $1,842.79 First Health — First Health: $1,842.79 Health Care Service Corporation — Health Care Service Corporation: $1,018.90 Humana — Humana Medicare Advantage: $1,018.90 JHHC — JHHC EHP: $1,409.19
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SCR COLNSCP NO HG RS MDCARE	$2,167.99	$1,409.19	$1,062.32 – $1,842.79
Screening colonoscopy (not high risk): rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $1,062.32 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $1,387.51 First Health — First Health: $1,842.79 PFC — PFC: $1,409.19 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $1,842.79 United Healthcare — United Healthcare All Commercial: $1,734.39
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTERO W BX ENDM POL W WO D ANDC	$5,590.54	$3,633.85	$3,410.23 – $4,751.96
Hysteroscopy with biopsy of the uterus lining: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $3,493.34 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $3,913.38 CareFirst Advantage Inc — CareFirst Medicare Advantage: $3,391.59 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $3,410.23 Cigna HealthCare Mid Atlantic — All Cigna HMO: $4,751.96 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $4,751.96 First Health — First Health: $4,751.96 Health Care Service Corporation — Health Care Service Corporation: $3,561.17 Humana — Humana Medicare Advantage: $3,561.17 JHHC — JHHC EHP: $3,633.85
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HYSTERO W BX ENDM POL W WO D ANDC	$5,590.54	$3,633.85	$2,739.36 – $4,751.96
Hysteroscopy with biopsy of the uterus lining: rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $2,739.36 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $3,577.95 First Health — First Health: $4,751.96 PFC — PFC: $3,633.85 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $4,751.96 United Healthcare — United Healthcare All Commercial: $4,472.43
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ LMBR SAC	$1,359.07	$883.40	$829.03 – $1,155.21
Spinal injection, lower back (epidural), with imaging guidance: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $761.75 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $951.35 CareFirst Advantage Inc — CareFirst Medicare Advantage: $739.56 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $829.03 Cigna HealthCare Mid Atlantic — All Cigna HMO: $1,155.21 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $1,155.21 First Health — First Health: $1,155.21 Health Care Service Corporation — Health Care Service Corporation: $776.54 Humana — Humana Medicare Advantage: $776.54 JHHC — JHHC EHP: $883.40
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR ESI LUMB SACR WITH IMAGING	$1,359.07	$883.40	$829.03 – $1,155.21
Spinal injection, lower back (epidural), with imaging guidance: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $761.75 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $951.35 CareFirst Advantage Inc — CareFirst Medicare Advantage: $739.56 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $829.03 Cigna HealthCare Mid Atlantic — All Cigna HMO: $1,155.21 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $1,155.21 First Health — First Health: $1,155.21 Health Care Service Corporation — Health Care Service Corporation: $776.54 Humana — Humana Medicare Advantage: $776.54 JHHC — JHHC EHP: $883.40
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT INJ LUMBAR SAC	$1,359.07	$883.40	$829.03 – $1,155.21
Spinal injection, lower back (epidural), with imaging guidance: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $761.75 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $951.35 CareFirst Advantage Inc — CareFirst Medicare Advantage: $739.56 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $829.03 Cigna HealthCare Mid Atlantic — All Cigna HMO: $1,155.21 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $1,155.21 First Health — First Health: $1,155.21 Health Care Service Corporation — Health Care Service Corporation: $776.54 Humana — Humana Medicare Advantage: $776.54 JHHC — JHHC EHP: $883.40
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NERV INJ LUMB SACRAL SING LV	$1,326	$861.90	$808.86 – $1,127.10
Nerve root injection, lower back, with imaging guidance: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $954.48 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $928.20 CareFirst Advantage Inc — CareFirst Medicare Advantage: $926.68 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $808.86 Cigna HealthCare Mid Atlantic — All Cigna HMO: $1,127.10 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $1,127.10 First Health — First Health: $1,127.10 Health Care Service Corporation — Health Care Service Corporation: $973.01 Humana — Humana Medicare Advantage: $973.01 JHHC — JHHC EHP: $861.90
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ FORAMIN EPIDUR L S SINGLE	$1,326	$861.90	$808.86 – $1,127.10
Nerve root injection, lower back, with imaging guidance: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $954.48 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $928.20 CareFirst Advantage Inc — CareFirst Medicare Advantage: $926.68 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $808.86 Cigna HealthCare Mid Atlantic — All Cigna HMO: $1,127.10 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $1,127.10 First Health — First Health: $1,127.10 Health Care Service Corporation — Health Care Service Corporation: $973.01 Humana — Humana Medicare Advantage: $973.01 JHHC — JHHC EHP: $861.90
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NERV INJ LUMB SACRAL SING LV	$1,326	$861.90	$649.74 – $1,127.10
Nerve root injection, lower back, with imaging guidance: rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $649.74 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $848.64 First Health — First Health: $1,127.10 PFC — PFC: $861.90 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $1,127.10 United Healthcare — United Healthcare All Commercial: $1,060.80
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEUR AND OR TRANSPO MED NERV	$8,614.47	$5,599.41	$5,254.83 – $7,322.30
Carpal tunnel release: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $2,107.28 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $6,030.13 CareFirst Advantage Inc — CareFirst Medicare Advantage: $2,045.90 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $5,254.83 Cigna HealthCare Mid Atlantic — All Cigna HMO: $7,322.30 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $7,322.30 First Health — First Health: $7,322.30 Health Care Service Corporation — Health Care Service Corporation: $2,148.20 Humana — Humana Medicare Advantage: $2,148.20 JHHC — JHHC EHP: $5,599.41
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEUR AND OR TRANSPO MED NERV	$8,614.47	$5,599.41	$4,221.09 – $7,322.30
Carpal tunnel release: rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $4,221.09 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $5,513.26 First Health — First Health: $7,322.30 PFC — PFC: $5,599.41 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $7,322.30 United Healthcare — United Healthcare All Commercial: $6,891.58
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: YAG LASER	$1,224.93	$796.20	$747.21 – $1,041.19
Laser treatment of clouding after cataract surgery: 10 of 23 insurance plan rates Aetna Medicare — Aetna Medicare: $593.53 Aetna US Healthcare Inc — Aetna ALL HMO and PPO Plans: $857.45 CareFirst Advantage Inc — CareFirst Medicare Advantage: $576.24 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $747.21 Cigna HealthCare Mid Atlantic — All Cigna HMO: $1,041.19 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $1,041.19 First Health — First Health: $1,041.19 Health Care Service Corporation — Health Care Service Corporation: $605.05 Humana — Humana Medicare Advantage: $605.05 JHHC — JHHC EHP: $796.20
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Hospital (facility) fee In the file: YAG LASER	$1,224.93	$796.20	$600.22 – $1,041.19
Laser treatment of clouding after cataract surgery: rates for 6 insurance plans CareFirst Blue Choice Inc — All Carefirst HMO Plans: $600.22 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $783.96 First Health — First Health: $1,041.19 PFC — PFC: $796.20 Private HealthCare Systems (PHCS) — Private HealthCare Systems (PHCS): $1,041.19 United Healthcare — United Healthcare All Commercial: $979.94

Source: MedStar National Rehabilitation Hospital’s standard charges file (medstarhealth.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 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	Inpatient Rehabilitation Hospital
Address	102 Irving Street NW, Washington, DC 20010
County	District of Columbia
State	District of Columbia
Phone	(202) 877‑1000
Ownership	Non-profit
CMS Certification Number	093025
Name in Medicare records	MEDSTAR NATIONAL REHABILITATION HOSPITAL
Profile level	Medicare data + hospital website
Official website	medstarhealth.org
Corrections	Report an error or suggest an update →

Sources

Inpatient Rehabilitation Facility - General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-08-12, retrieved 2026-10-29
Medicare Care Compare — official Medicare tool to look up and compare this type of 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.

MedStar National Rehabilitation Hospital — medstarhealth.org
Patients and Visitors - MedStar National Rehabilitation Network — medstarhealth.org
Awards & Accreditations | MedStar NRH | MedStar Health — medstarhealth.org
Patients & Visitors Services | MedStar NRH | MedStar Health — medstarhealth.org
Stroke Rehabilitation | MedStar Health — medstarhealth.org
About Our Hospital | MedStar MedStar National Rehabilitation Hospital | MedStar Health — medstarhealth.org
Admissions — medstarhealth.org

MedStar National Rehabilitation Hospital

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^[4][6]

Conditions treated^[4][7][9]

Treatments^[12]

Programs and centers^[4][5]

Visiting and practical information

Recognition^{[4][5][6][10]}

Nearest emergency rooms

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Outpatient surgery centers nearby

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Hospital information

Sources

From the hospital’s website

MedStar National Rehabilitation Hospital

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[4][6]

Conditions treated[4][7][9]

Treatments[12]

Programs and centers[4][5]

Visiting and practical information

Recognition[4][5][6][10]

Nearest emergency rooms

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Outpatient surgery centers nearby

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Hospital information

Sources

From the hospital’s website

Specialties and care areas^[4][6]

Conditions treated^[4][7][9]

Treatments^[12]

Programs and centers^[4][5]

Recognition^{[4][5][6][10]}