Does MedStar Southern Maryland Hospital Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at MedStar Southern Maryland Hospital Center. In a medical emergency, call 911.

Where is MedStar Southern Maryland Hospital Center?

7503 Surratts Road, Clinton, MD 20735, in Prince Georges County, Maryland.

What is the phone number of MedStar Southern Maryland Hospital Center?

(301) 868-8000, as listed by Medicare (CMS).

What is the Medicare star rating of MedStar Southern Maryland Hospital Center?

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

MedStar Southern Maryland Hospital Center

Quick answers

Does MedStar Southern Maryland Hospital Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at MedStar Southern Maryland Hospital Center. In a medical emergency, call 911.
Where is MedStar Southern Maryland Hospital Center?: 7503 Surratts Road, Clinton, MD 20735, in Prince Georges County, Maryland.
What is the phone number of MedStar Southern Maryland Hospital Center?: (301) 868-8000, as listed by Medicare (CMS).
What is the Medicare star rating of MedStar Southern Maryland Hospital Center?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][9]

Treatments^[4][9]

Radiosurgery for brain tumors (ZAP-X)
Halcyon treatment system
Diabetes treatment
Outpatient surgery
Outpatient imaging

Procedures^[4]

Cardiac catheterization
Angioplasty

Programs and centers^[4][9][10]

Stroke Center
Special Care Nursery (Level II)
Neurosciences program
Transitional Care Program
Cardiopulmonary rehabilitation
Laboratory for sleep disorders
MedStar Regional Breast Center at Southern Maryland
MedStar Heart & Vascular Institute of Southern Maryland

Emergency care (hospital website)^{[4][8][9][11]}

Emergency room	Yes
Stroke designation	Primary Stroke Center

Visiting and practical information

Visiting	Normal visiting hours 7 a.m.-9 p.m.; quiet hours 9 p.m.-7 a.m.; up to two visitors at a time. Unit rules vary^[5]
Parking	All hospital parking is free; visitors park in the lot in front of the hospital^[7]
Interpreters and languages	Free language interpreters available; call 301-868-8000 to arrange^[8]

Recognition^[6]

Becker's 100 Great Community Hospitals 2026
American Heart Association Get With The Guidelines Stroke Gold Plus with Target: Type 2 Diabetes Honor Roll 2026
American Heart Association Get With The Guidelines Coronary Artery Disease STEMI Receiving Silver 2026
Stroke Smart Hospital Gold Status 2026
Lown Institute Hospitals Index for Social Responsibility (A grades in several measures) 2026
Healthgrades Coronary Intervention Excellence Award 2026
Healthgrades Gastrointestinal Care Excellence Award 2026

Doctors and clinicians (497)

497 doctors and other clinicians list MedStar Southern Maryland Hospital Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (497)

Aaron Holley, MDCritical Care (Intensivists)
Aaron S. Lewis, DPMPodiatry
Abdel Mun'Em Al Hourani, MDHospitalist
Abdulhosein N. Adham, MDGastroenterology
Abdullah Ismail, MDInternal Medicine
Abhishek Anand, MDNeurology
Adam Fang, MDInterventional Radiology
Adam M. Pearlman, MDNephrology
Adam M. Rabe, DOHospitalist
Addisalem Bitew, CNACertified Registered Nurse Anesthetist (CRNA)
Adedoyin Sobowale, NPNurse Practitioner
Adetimbo AdediranNurse Practitioner
Aditya Chopra, MDInternal Medicine
Aditya Kadiyala, MDNephrology
Agegndia Fuoching, MDInternal Medicine
Ahmad Alkhatatneh, MDPulmonary Disease
Ahmareen Baten, DONeurology
Ahmed H. Kafaji, MDNeurology
Akara Forsythe, MDAnesthesiology
Akshat Vyas, MDInternal Medicine
Alex Ryzhikov, MDInternal Medicine
Alexander Gilbert, MDInternal Medicine
Alexander I. Papolos, MDCardiovascular Disease (Cardiology)
Alexander S. Mark, MDDiagnostic Radiology

And 473 more: the button below opens the full list.

Other emergency rooms nearby

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

Adventist Healthcare Fort Washington Medical Ctr6.4 mi · Fort Washington, MD · Acute Care Hospital
University of MD Capital Region Medical Center10 mi · Upper Marlboro, MD · Acute Care Hospital
Inova Mount Vernon Hospital12 mi · Alexandria, VA · Acute Care Hospital
Inova Alexandria Hospital13 mi · Alexandria, VA · Acute Care Hospital
George Washington Univ Hospital14 mi · Washington, DC · Acute Care Hospital

Other hospitals nearby

St Elizabeths Hospital8.9 mi · Washington, DC · Psychiatric Hospital
Bridgepoint Cont Care Hospital - Nat Harborside8.9 mi · Washington, DC · Long-Term Acute Care Hospital
Bridgepoint Cont Care Hospital - Capitol Hill12 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

Autumn Lake Healthcare at Bradford Oaks0.1 mi · Clinton, MD · 4 of 5 stars
Hidden Waters Rehabilitation and Wellness Center1.0 mi · Clinton, MD · 2 of 5 stars
Future Care Pineview1.1 mi · Clinton, MD · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Hospice of the Chesapeake, Inc.10.0 mi · Waldorf, MD · 3 of 5 stars
Accentcare Hospice & Palliative Care of Washington, DC10 mi · Washington, DC
Amedisys Hospice10 mi · Largo, MD

All hospice providers in the state →

Home health agencies

Americare in Home Nursing5.8 mi · Fort Washington, MD · 5 of 5 stars
Kidscare Home Health of Washington DC LLC9.4 mi · Washington, DC
MJ General LLC D/B/A Meiger Health9.4 mi · Washington, DC

All home health agencies in the state →

Dialysis facilities

DaVita Lakeside Dialysis1.4 mi · Clinton, MD · 4 of 5 stars
Fmc-Surratts JV1.4 mi · Clinton, MD · 4 of 5 stars
Renalis Pineview1.4 mi · Clinton, MD

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Metro Ambulatory Surgical Center5.4 mi · Temple Hills, MD
MedStar Surgery Center at Brandywine6.7 mi · Brandywine, MD
Summit Ambulatory Surgery Center6.7 mi · Brandywine, MD

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Greater Baden Medical Service at Brandywine5.5 mi · Brandywine, MD · Community health center
Greater Baden Medical Services at Brandywine WIC program5.5 mi · Brandywine, MD · Community health center
Greater Baden Medical Service at Oxon Hill6.8 mi · Oxon Hill, MD · Community health center

Clinics and urgent care

CRH MD Management LLC1.4 mi · Clinton, MD · Urgent care center
Disparity Healthcare LLC5.4 mi · Temple Hills, MD · Urgent care center
CRH MD Management, LLC5.8 mi · Fort Washington, MD · Urgent care center

Pharmacies

Mendel Pharmacy Inc1.4 mi · Clinton, MD · Community/retail pharmacy
Nai Saturn Eastern LLC1.4 mi · Clinton, MD · Community/retail pharmacy
Narmada Inc1.4 mi · Clinton, MD · Community/retail pharmacy

Assisted living nearby

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

Advent Home1.4 mi · Clinton, MD
Alpha Home Assisted Living1.4 mi · Clinton, MD
Amaka Senior Home1.4 mi · Clinton, MD
Caring Hands Assisted Living Providers, LLC1.4 mi · Clinton, MD

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	2 of 5 stars
Overall rating of the hospital	1 of 5 stars
Would recommend the hospital	1 of 5 stars
Nurses communicated well	1 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	1 of 5 stars
Information about recovery at home	2 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	1 of 5 stars
Rated the hospital 9 or 10 out of 10	51%National average: 72%
Would definitely recommend the hospital	48%National average: 71%
Nurses “always” communicated well	69%National average: 80%
Doctors “always” communicated well	73%National average: 80%
Staff “always” explained medicines before giving them	52%National average: 62%
Were given information about recovery at home	78%National average: 86%
Room and bathroom “always” clean	68%National average: 74%
Area around the room “always” quiet at night	43%National average: 60%
Completed surveys	715Response rate: 13%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0.195Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.156Better than the national benchmark
Surgical site infections after colon surgery	0.234No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0.926No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	9.8%
Deaths within 30 days: heart failure patients	9%
Deaths within 30 days: pneumonia patients	15.8%
Deaths within 30 days: COPD patients	7.1%
Deaths within 30 days: stroke patients	10.8%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	1.03No different from the national rate
Complications after hip or knee replacement	Too few cases to report

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	15.3%
Readmitted within 30 days: heart failure	18.9%
Readmitted within 30 days: pneumonia	16.3%
Readmitted within 30 days: COPD	18.6%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	356 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	4%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	28%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Maryland Best hospitals in Maryland

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 41 common services exactly as MedStar Southern Maryland Hospital Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: INF VISIT NEW L3	$216.53	$212.20	$212.20 – $216.53
New patient office visit (about 30–44 minutes): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $216.53 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $216.53 AmeriGroup — AmeriGroup DC: $216.53 AmeriHealth Caritas District of Columbia — AmeriHealth: $216.53 CareFirst Advantage Inc — CareFirst Medicare Advantage: $216.53 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $216.53 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $216.53 Cigna HealthCare Mid Atlantic — All Cigna HMO: $216.53 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $216.53 Cigna Healthspring — Cigna Healthspring: $216.53
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · modifier 25 In the file: INF VISIT NEW L3 W/PROC	$216.53	$212.20	$212.20 – $216.53
New patient office visit (about 30–44 minutes): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $216.53 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $216.53 AmeriGroup — AmeriGroup DC: $216.53 AmeriHealth Caritas District of Columbia — AmeriHealth: $216.53 CareFirst Advantage Inc — CareFirst Medicare Advantage: $216.53 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $216.53 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $216.53 Cigna HealthCare Mid Atlantic — All Cigna HMO: $216.53 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $216.53 Cigna Healthspring — Cigna Healthspring: $216.53
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: INF VISIT NEW L4	$270.72	$265.31	$265.31 – $270.72
New patient office visit (about 45–59 minutes): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $270.72 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $270.72 AmeriGroup — AmeriGroup DC: $270.72 AmeriHealth Caritas District of Columbia — AmeriHealth: $270.72 CareFirst Advantage Inc — CareFirst Medicare Advantage: $270.72 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $270.72 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $270.72 Cigna HealthCare Mid Atlantic — All Cigna HMO: $270.72 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $270.72 Cigna Healthspring — Cigna Healthspring: $270.72
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · modifier 25 In the file: INF VISIT NEW L4 W/PROC	$270.72	$265.31	$265.31 – $270.72
New patient office visit (about 45–59 minutes): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $270.72 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $270.72 AmeriGroup — AmeriGroup DC: $270.72 AmeriHealth Caritas District of Columbia — AmeriHealth: $270.72 CareFirst Advantage Inc — CareFirst Medicare Advantage: $270.72 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $270.72 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $270.72 Cigna HealthCare Mid Atlantic — All Cigna HMO: $270.72 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $270.72 Cigna Healthspring — Cigna Healthspring: $270.72
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: INF VISIT NEW L5	$324.79	$318.29	$318.29 – $324.79
New patient office visit (about 60–74 minutes): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $324.79 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $324.79 AmeriGroup — AmeriGroup DC: $324.79 AmeriHealth Caritas District of Columbia — AmeriHealth: $324.79 CareFirst Advantage Inc — CareFirst Medicare Advantage: $324.79 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $324.79 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $324.79 Cigna HealthCare Mid Atlantic — All Cigna HMO: $324.79 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $324.79 Cigna Healthspring — Cigna Healthspring: $324.79
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · modifier 25 In the file: INF VISIT NEW L5 W/PROC	$324.79	$318.29	$318.29 – $324.79
New patient office visit (about 60–74 minutes): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $324.79 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $324.79 AmeriGroup — AmeriGroup DC: $324.79 AmeriHealth Caritas District of Columbia — AmeriHealth: $324.79 CareFirst Advantage Inc — CareFirst Medicare Advantage: $324.79 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $324.79 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $324.79 Cigna HealthCare Mid Atlantic — All Cigna HMO: $324.79 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $324.79 Cigna Healthspring — Cigna Healthspring: $324.79
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: INF VISIT EST L3	$216.53	$212.20	$212.20 – $216.53
Established patient office visit (about 20–29 minutes): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $216.53 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $216.53 AmeriGroup — AmeriGroup DC: $216.53 AmeriHealth Caritas District of Columbia — AmeriHealth: $216.53 CareFirst Advantage Inc — CareFirst Medicare Advantage: $216.53 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $216.53 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $216.53 Cigna HealthCare Mid Atlantic — All Cigna HMO: $216.53 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $216.53 Cigna Healthspring — Cigna Healthspring: $216.53
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · modifier 25 In the file: INF VISIT EST L3 W/PROC	$216.53	$212.20	$212.20 – $216.53
Established patient office visit (about 20–29 minutes): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $216.53 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $216.53 AmeriGroup — AmeriGroup DC: $216.53 AmeriHealth Caritas District of Columbia — AmeriHealth: $216.53 CareFirst Advantage Inc — CareFirst Medicare Advantage: $216.53 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $216.53 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $216.53 Cigna HealthCare Mid Atlantic — All Cigna HMO: $216.53 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $216.53 Cigna Healthspring — Cigna Healthspring: $216.53
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: INF VISIT EST L4	$270.72	$265.31	$265.31 – $270.72
Established patient office visit (about 30–39 minutes): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $270.72 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $270.72 AmeriGroup — AmeriGroup DC: $270.72 AmeriHealth Caritas District of Columbia — AmeriHealth: $270.72 CareFirst Advantage Inc — CareFirst Medicare Advantage: $270.72 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $270.72 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $270.72 Cigna HealthCare Mid Atlantic — All Cigna HMO: $270.72 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $270.72 Cigna Healthspring — Cigna Healthspring: $270.72
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · modifier 25 In the file: INF VISIT EST L4 W/PROC	$270.72	$265.31	$265.31 – $270.72
Established patient office visit (about 30–39 minutes): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $270.72 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $270.72 AmeriGroup — AmeriGroup DC: $270.72 AmeriHealth Caritas District of Columbia — AmeriHealth: $270.72 CareFirst Advantage Inc — CareFirst Medicare Advantage: $270.72 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $270.72 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $270.72 Cigna HealthCare Mid Atlantic — All Cigna HMO: $270.72 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $270.72 Cigna Healthspring — Cigna Healthspring: $270.72
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: A CATEGORY LEVEL 3	$288.91	$283.13	$283.13 – $288.91
Emergency room visit (moderate): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $288.91 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $288.91 AmeriGroup — AmeriGroup DC: $288.91 AmeriHealth Caritas District of Columbia — AmeriHealth: $288.91 CareFirst Advantage Inc — CareFirst Medicare Advantage: $288.91 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $288.91 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $288.91 Cigna HealthCare Mid Atlantic — All Cigna HMO: $288.91 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $288.91 Cigna Healthspring — Cigna Healthspring: $288.91
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: A CATEGORY LEVEL 4	$577.78	$566.22	$566.22 – $577.78
Emergency room visit (moderately high): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $577.78 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $577.78 AmeriGroup — AmeriGroup DC: $577.78 AmeriHealth Caritas District of Columbia — AmeriHealth: $577.78 CareFirst Advantage Inc — CareFirst Medicare Advantage: $577.78 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $577.78 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $577.78 Cigna HealthCare Mid Atlantic — All Cigna HMO: $577.78 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $577.78 Cigna Healthspring — Cigna Healthspring: $577.78
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: EXTENDED CARE PER 2 HRS	$144.45	$141.56	$141.56 – $144.45
Emergency room visit (high): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $144.45 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $144.45 AmeriGroup — AmeriGroup DC: $144.45 AmeriHealth Caritas District of Columbia — AmeriHealth: $144.45 CareFirst Advantage Inc — CareFirst Medicare Advantage: $144.45 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $144.45 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $144.45 Cigna HealthCare Mid Atlantic — All Cigna HMO: $144.45 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $144.45 Cigna Healthspring — Cigna Healthspring: $144.45
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: A CATEGORY LEVEL 5	$1,011.23	$991.01	$991.01 – $1,011.23
Emergency room visit (high): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $1,011.23 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $1,011.23 AmeriGroup — AmeriGroup DC: $1,011.23 AmeriHealth Caritas District of Columbia — AmeriHealth: $1,011.23 CareFirst Advantage Inc — CareFirst Medicare Advantage: $1,011.23 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $1,011.23 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $1,011.23 Cigna HealthCare Mid Atlantic — All Cigna HMO: $1,011.23 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $1,011.23 Cigna Healthspring — Cigna Healthspring: $1,011.23

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOLIC PANEL (TOT CA)	$32.26	$31.61	$31.61 – $32.26
Basic metabolic panel (blood test): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $32.26 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $32.26 AmeriGroup — AmeriGroup DC: $32.26 AmeriHealth Caritas District of Columbia — AmeriHealth: $32.26 CareFirst Advantage Inc — CareFirst Medicare Advantage: $32.26 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $32.26 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $32.26 Cigna HealthCare Mid Atlantic — All Cigna HMO: $32.26 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $32.26 Cigna Healthspring — Cigna Healthspring: $32.26
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMPREHENSIVE METABOLIC PANEL	$44	$43.12	$43.12 – $44
Comprehensive metabolic panel (blood test): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $44 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $44 AmeriGroup — AmeriGroup DC: $44 AmeriHealth Caritas District of Columbia — AmeriHealth: $44 CareFirst Advantage Inc — CareFirst Medicare Advantage: $44 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $44 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $44 Cigna HealthCare Mid Atlantic — All Cigna HMO: $44 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $44 Cigna Healthspring — Cigna Healthspring: $44
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: OBSTETRIC PANEL	$228.78	$224.20	$224.20 – $228.78
Obstetric blood test panel: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $228.78 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $228.78 AmeriGroup — AmeriGroup DC: $228.78 AmeriHealth Caritas District of Columbia — AmeriHealth: $228.78 CareFirst Advantage Inc — CareFirst Medicare Advantage: $228.78 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $228.78 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $228.78 Cigna HealthCare Mid Atlantic — All Cigna HMO: $228.78 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $228.78 Cigna Healthspring — Cigna Healthspring: $228.78
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL	$55.73	$54.62	$54.62 – $55.73
Cholesterol panel (lipid panel): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $55.73 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $55.73 AmeriGroup — AmeriGroup DC: $55.73 AmeriHealth Caritas District of Columbia — AmeriHealth: $55.73 CareFirst Advantage Inc — CareFirst Medicare Advantage: $55.73 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $55.73 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $55.73 Cigna HealthCare Mid Atlantic — All Cigna HMO: $55.73 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $55.73 Cigna Healthspring — Cigna Healthspring: $55.73
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPIP PANEL	$55.73	$54.62	$54.62 – $55.73
Cholesterol panel (lipid panel): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $55.73 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $55.73 AmeriGroup — AmeriGroup DC: $55.73 AmeriHealth Caritas District of Columbia — AmeriHealth: $55.73 CareFirst Advantage Inc — CareFirst Medicare Advantage: $55.73 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $55.73 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $55.73 Cigna HealthCare Mid Atlantic — All Cigna HMO: $55.73 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $55.73 Cigna Healthspring — Cigna Healthspring: $55.73
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	$35.20	$34.50	$34.50 – $35.20
Kidney function panel: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $35.20 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $35.20 AmeriGroup — AmeriGroup DC: $35.20 AmeriHealth Caritas District of Columbia — AmeriHealth: $35.20 CareFirst Advantage Inc — CareFirst Medicare Advantage: $35.20 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $35.20 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $35.20 Cigna HealthCare Mid Atlantic — All Cigna HMO: $35.20 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $35.20 Cigna Healthspring — Cigna Healthspring: $35.20
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC PANEL (LIVER PANEL)	$32.26	$31.61	$31.61 – $32.26
Liver function panel: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $32.26 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $32.26 AmeriGroup — AmeriGroup DC: $32.26 AmeriHealth Caritas District of Columbia — AmeriHealth: $32.26 CareFirst Advantage Inc — CareFirst Medicare Advantage: $32.26 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $32.26 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $32.26 Cigna HealthCare Mid Atlantic — All Cigna HMO: $32.26 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $32.26 Cigna Healthspring — Cigna Healthspring: $32.26
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINE DIP/TABLET, AUTO/MICRO	$26.40	$25.87	$25.87 – $26.40
Urine test (automated, with microscope): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $26.40 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $26.40 AmeriGroup — AmeriGroup DC: $26.40 AmeriHealth Caritas District of Columbia — AmeriHealth: $26.40 CareFirst Advantage Inc — CareFirst Medicare Advantage: $26.40 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $26.40 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $26.40 Cigna HealthCare Mid Atlantic — All Cigna HMO: $26.40 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $26.40 Cigna Healthspring — Cigna Healthspring: $26.40
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA AUTOMATED W/ MICROSCOPY	$26.40	$25.87	$25.87 – $26.40
Urine test (automated, with microscope): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $26.40 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $26.40 AmeriGroup — AmeriGroup DC: $26.40 AmeriHealth Caritas District of Columbia — AmeriHealth: $26.40 CareFirst Advantage Inc — CareFirst Medicare Advantage: $26.40 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $26.40 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $26.40 Cigna HealthCare Mid Atlantic — All Cigna HMO: $26.40 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $26.40 Cigna Healthspring — Cigna Healthspring: $26.40
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINALYSIS,BY DIP AUTO	$11.73	$11.50	$11.50 – $11.73
Urine test (automated, without microscope): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $11.73 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $11.73 AmeriGroup — AmeriGroup DC: $11.73 AmeriHealth Caritas District of Columbia — AmeriHealth: $11.73 CareFirst Advantage Inc — CareFirst Medicare Advantage: $11.73 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $11.73 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $11.73 Cigna HealthCare Mid Atlantic — All Cigna HMO: $11.73 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $11.73 Cigna Healthspring — Cigna Healthspring: $11.73
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINE DIP/TAB,AUTO/NONMICRO	$11.73	$11.50	$11.50 – $11.73
Urine test (automated, without microscope): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $11.73 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $11.73 AmeriGroup — AmeriGroup DC: $11.73 AmeriHealth Caritas District of Columbia — AmeriHealth: $11.73 CareFirst Advantage Inc — CareFirst Medicare Advantage: $11.73 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $11.73 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $11.73 Cigna HealthCare Mid Atlantic — All Cigna HMO: $11.73 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $11.73 Cigna Healthspring — Cigna Healthspring: $11.73
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: UR INALYSIS,AUTOMATED WO MICRO	$11.73	$11.50	$11.50 – $11.73
Urine test (automated, without microscope): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $11.73 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $11.73 AmeriGroup — AmeriGroup DC: $11.73 AmeriHealth Caritas District of Columbia — AmeriHealth: $11.73 CareFirst Advantage Inc — CareFirst Medicare Advantage: $11.73 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $11.73 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $11.73 Cigna HealthCare Mid Atlantic — All Cigna HMO: $11.73 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $11.73 Cigna Healthspring — Cigna Healthspring: $11.73
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA TEST,MCR SCREEN,TOTAL	$58.66	$57.49	$57.49 – $58.66
PSA (prostate specific antigen) blood test: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $58.66 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $58.66 AmeriGroup — AmeriGroup DC: $58.66 AmeriHealth Caritas District of Columbia — AmeriHealth: $58.66 CareFirst Advantage Inc — CareFirst Medicare Advantage: $58.66 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $58.66 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $58.66 Cigna HealthCare Mid Atlantic — All Cigna HMO: $58.66 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $58.66 Cigna Healthspring — Cigna Healthspring: $58.66
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PROSTATE SPECIFIC ANTIGEN(PSA)	$58.66	$57.49	$57.49 – $58.66
PSA (prostate specific antigen) blood test: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $58.66 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $58.66 AmeriGroup — AmeriGroup DC: $58.66 AmeriHealth Caritas District of Columbia — AmeriHealth: $58.66 CareFirst Advantage Inc — CareFirst Medicare Advantage: $58.66 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $58.66 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $58.66 Cigna HealthCare Mid Atlantic — All Cigna HMO: $58.66 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $58.66 Cigna Healthspring — Cigna Healthspring: $58.66
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA UROCOR TOTAL	$58.66	$57.49	$57.49 – $58.66
PSA (prostate specific antigen) blood test: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $58.66 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $58.66 AmeriGroup — AmeriGroup DC: $58.66 AmeriHealth Caritas District of Columbia — AmeriHealth: $58.66 CareFirst Advantage Inc — CareFirst Medicare Advantage: $58.66 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $58.66 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $58.66 Cigna HealthCare Mid Atlantic — All Cigna HMO: $58.66 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $58.66 Cigna Healthspring — Cigna Healthspring: $58.66
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: THYROID STIM HORMONE (TSH)	$44	$43.12	$43.12 – $44
Thyroid stimulating hormone (TSH) test: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $44 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $44 AmeriGroup — AmeriGroup DC: $44 AmeriHealth Caritas District of Columbia — AmeriHealth: $44 CareFirst Advantage Inc — CareFirst Medicare Advantage: $44 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $44 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $44 Cigna HealthCare Mid Atlantic — All Cigna HMO: $44 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $44 Cigna Healthspring — Cigna Healthspring: $44
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH	$44	$43.12	$43.12 – $44
Thyroid stimulating hormone (TSH) test: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $44 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $44 AmeriGroup — AmeriGroup DC: $44 AmeriHealth Caritas District of Columbia — AmeriHealth: $44 CareFirst Advantage Inc — CareFirst Medicare Advantage: $44 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $44 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $44 Cigna HealthCare Mid Atlantic — All Cigna HMO: $44 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $44 Cigna Healthspring — Cigna Healthspring: $44
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HEM + PLATE CT AUTO + AUTO CBC	$29.33	$28.74	$28.74 – $29.33
Complete blood count (CBC) with differential: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $29.33 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $29.33 AmeriGroup — AmeriGroup DC: $29.33 AmeriHealth Caritas District of Columbia — AmeriHealth: $29.33 CareFirst Advantage Inc — CareFirst Medicare Advantage: $29.33 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $29.33 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $29.33 Cigna HealthCare Mid Atlantic — All Cigna HMO: $29.33 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $29.33 Cigna Healthspring — Cigna Healthspring: $29.33
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HEMOGRAM PLT AUTO COMPLETE DIF	$29.33	$28.74	$28.74 – $29.33
Complete blood count (CBC) with differential: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $29.33 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $29.33 AmeriGroup — AmeriGroup DC: $29.33 AmeriHealth Caritas District of Columbia — AmeriHealth: $29.33 CareFirst Advantage Inc — CareFirst Medicare Advantage: $29.33 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $29.33 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $29.33 Cigna HealthCare Mid Atlantic — All Cigna HMO: $29.33 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $29.33 Cigna Healthspring — Cigna Healthspring: $29.33
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HEMOGRAM + PLT COUNT	$23.46	$22.99	$22.99 – $23.46
Complete blood count (CBC), automated: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $23.46 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $23.46 AmeriGroup — AmeriGroup DC: $23.46 AmeriHealth Caritas District of Columbia — AmeriHealth: $23.46 CareFirst Advantage Inc — CareFirst Medicare Advantage: $23.46 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $23.46 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $23.46 Cigna HealthCare Mid Atlantic — All Cigna HMO: $23.46 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $23.46 Cigna Healthspring — Cigna Healthspring: $23.46
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME	$23.46	$22.99	$22.99 – $23.46
Blood clotting time test (prothrombin time, PT): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $23.46 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $23.46 AmeriGroup — AmeriGroup DC: $23.46 AmeriHealth Caritas District of Columbia — AmeriHealth: $23.46 CareFirst Advantage Inc — CareFirst Medicare Advantage: $23.46 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $23.46 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $23.46 Cigna HealthCare Mid Atlantic — All Cigna HMO: $23.46 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $23.46 Cigna Healthspring — Cigna Healthspring: $23.46
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: THROMBOPLASTIN TIME, PARTIAL	$23.46	$22.99	$22.99 – $23.46
Blood clotting test (partial thromboplastin time, PTT): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $23.46 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $23.46 AmeriGroup — AmeriGroup DC: $23.46 AmeriHealth Caritas District of Columbia — AmeriHealth: $23.46 CareFirst Advantage Inc — CareFirst Medicare Advantage: $23.46 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $23.46 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $23.46 Cigna HealthCare Mid Atlantic — All Cigna HMO: $23.46 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $23.46 Cigna Healthspring — Cigna Healthspring: $23.46
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PARTIAL PTT PLASMA OR WHOLE BL	$23.46	$22.99	$22.99 – $23.46
Blood clotting test (partial thromboplastin time, PTT): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $23.46 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $23.46 AmeriGroup — AmeriGroup DC: $23.46 AmeriHealth Caritas District of Columbia — AmeriHealth: $23.46 CareFirst Advantage Inc — CareFirst Medicare Advantage: $23.46 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $23.46 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $23.46 Cigna HealthCare Mid Atlantic — All Cigna HMO: $23.46 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $23.46 Cigna Healthspring — Cigna Healthspring: $23.46

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) In the file: CT HEAD OR BRAIN WO CONTRAST	$88.37	$86.60	$86.60 – $88.37
CT scan of the head or brain, without contrast: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $88.37 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $88.37 AmeriGroup — AmeriGroup DC: $88.37 AmeriHealth Caritas District of Columbia — AmeriHealth: $88.37 CareFirst Advantage Inc — CareFirst Medicare Advantage: $88.37 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $88.37 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $88.37 Cigna HealthCare Mid Atlantic — All Cigna HMO: $88.37 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $88.37 Cigna Healthspring — Cigna Healthspring: $88.37
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT OR BRAIN WITHOUT CONTRAST	$88.37	$86.60	$86.60 – $88.37
CT scan of the head or brain, without contrast: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $88.37 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $88.37 AmeriGroup — AmeriGroup DC: $88.37 AmeriHealth Caritas District of Columbia — AmeriHealth: $88.37 CareFirst Advantage Inc — CareFirst Medicare Advantage: $88.37 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $88.37 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $88.37 Cigna HealthCare Mid Atlantic — All Cigna HMO: $88.37 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $88.37 Cigna Healthspring — Cigna Healthspring: $88.37
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: BC-CT HEAD OR BRAIN WO CONT	$88.37	$86.60	$86.60 – $88.37
CT scan of the head or brain, without contrast: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $88.37 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $88.37 AmeriGroup — AmeriGroup DC: $88.37 AmeriHealth Caritas District of Columbia — AmeriHealth: $88.37 CareFirst Advantage Inc — CareFirst Medicare Advantage: $88.37 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $88.37 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $88.37 Cigna HealthCare Mid Atlantic — All Cigna HMO: $88.37 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $88.37 Cigna Healthspring — Cigna Healthspring: $88.37
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN WO W CONTRAST	$791.75	$775.91	$775.91 – $791.75
MRI of the brain, before and after contrast: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $791.75 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $791.75 AmeriGroup — AmeriGroup DC: $791.75 AmeriHealth Caritas District of Columbia — AmeriHealth: $791.75 CareFirst Advantage Inc — CareFirst Medicare Advantage: $791.75 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $791.75 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $791.75 Cigna HealthCare Mid Atlantic — All Cigna HMO: $791.75 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $791.75 Cigna Healthspring — Cigna Healthspring: $791.75
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: BC-MRI BRAIN WO W CONTRAST	$791.75	$775.91	$775.91 – $791.75
MRI of the brain, before and after contrast: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $791.75 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $791.75 AmeriGroup — AmeriGroup DC: $791.75 AmeriHealth Caritas District of Columbia — AmeriHealth: $791.75 CareFirst Advantage Inc — CareFirst Medicare Advantage: $791.75 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $791.75 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $791.75 Cigna HealthCare Mid Atlantic — All Cigna HMO: $791.75 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $791.75 Cigna Healthspring — Cigna Healthspring: $791.75
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST 2 VIEWS	$162.61	$159.36	$159.36 – $162.61
Chest X-ray, 2 views: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $162.61 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $162.61 AmeriGroup — AmeriGroup DC: $162.61 AmeriHealth Caritas District of Columbia — AmeriHealth: $162.61 CareFirst Advantage Inc — CareFirst Medicare Advantage: $162.61 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $162.61 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $162.61 Cigna HealthCare Mid Atlantic — All Cigna HMO: $162.61 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $162.61 Cigna Healthspring — Cigna Healthspring: $162.61
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: BC-CHEST 2 VIEWS	$162.61	$159.36	$159.36 – $162.61
Chest X-ray, 2 views: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $162.61 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $162.61 AmeriGroup — AmeriGroup DC: $162.61 AmeriHealth Caritas District of Columbia — AmeriHealth: $162.61 CareFirst Advantage Inc — CareFirst Medicare Advantage: $162.61 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $162.61 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $162.61 Cigna HealthCare Mid Atlantic — All Cigna HMO: $162.61 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $162.61 Cigna Healthspring — Cigna Healthspring: $162.61
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: SPINE, LUMBAR W OBL	$292.69	$286.84	$286.84 – $292.69
X-ray of the lower spine, at least 4 views: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $292.69 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $292.69 AmeriGroup — AmeriGroup DC: $292.69 AmeriHealth Caritas District of Columbia — AmeriHealth: $292.69 CareFirst Advantage Inc — CareFirst Medicare Advantage: $292.69 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $292.69 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $292.69 Cigna HealthCare Mid Atlantic — All Cigna HMO: $292.69 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $292.69 Cigna Healthspring — Cigna Healthspring: $292.69
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI SPINE LUMBAR WO CONTRAST	$449.37	$440.38	$440.38 – $449.37
MRI of the lower back (lumbar spine), without contrast: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $449.37 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $449.37 AmeriGroup — AmeriGroup DC: $449.37 AmeriHealth Caritas District of Columbia — AmeriHealth: $449.37 CareFirst Advantage Inc — CareFirst Medicare Advantage: $449.37 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $449.37 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $449.37 Cigna HealthCare Mid Atlantic — All Cigna HMO: $449.37 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $449.37 Cigna Healthspring — Cigna Healthspring: $449.37
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: BC-MRI SPINE LUMBAR WO CONT	$449.37	$440.38	$440.38 – $449.37
MRI of the lower back (lumbar spine), without contrast: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $449.37 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $449.37 AmeriGroup — AmeriGroup DC: $449.37 AmeriHealth Caritas District of Columbia — AmeriHealth: $449.37 CareFirst Advantage Inc — CareFirst Medicare Advantage: $449.37 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $449.37 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $449.37 Cigna HealthCare Mid Atlantic — All Cigna HMO: $449.37 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $449.37 Cigna Healthspring — Cigna Healthspring: $449.37
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · modifier 52 In the file: MRI SPINE LUMBAR WO CON LTD	$267.48	$262.13	$262.13 – $267.48
MRI of the lower back (lumbar spine), without contrast: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $267.48 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $267.48 AmeriGroup — AmeriGroup DC: $267.48 AmeriHealth Caritas District of Columbia — AmeriHealth: $267.48 CareFirst Advantage Inc — CareFirst Medicare Advantage: $267.48 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $267.48 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $267.48 Cigna HealthCare Mid Atlantic — All Cigna HMO: $267.48 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $267.48 Cigna Healthspring — Cigna Healthspring: $267.48
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W CONTRAST	$197.78	$193.82	$193.82 – $197.78
CT scan of the pelvis, with contrast: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $197.78 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $197.78 AmeriGroup — AmeriGroup DC: $197.78 AmeriHealth Caritas District of Columbia — AmeriHealth: $197.78 CareFirst Advantage Inc — CareFirst Medicare Advantage: $197.78 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $197.78 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $197.78 Cigna HealthCare Mid Atlantic — All Cigna HMO: $197.78 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $197.78 Cigna Healthspring — Cigna Healthspring: $197.78
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: BC-CT PELVIS W CONTRAST	$197.78	$193.82	$193.82 – $197.78
CT scan of the pelvis, with contrast: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $197.78 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $197.78 AmeriGroup — AmeriGroup DC: $197.78 AmeriHealth Caritas District of Columbia — AmeriHealth: $197.78 CareFirst Advantage Inc — CareFirst Medicare Advantage: $197.78 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $197.78 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $197.78 Cigna HealthCare Mid Atlantic — All Cigna HMO: $197.78 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $197.78 Cigna Healthspring — Cigna Healthspring: $197.78
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI LOWER EXT JOINT WO CONT	$502.87	$492.81	$492.81 – $502.87
MRI of a leg joint (such as the knee), without contrast: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $502.87 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $502.87 AmeriGroup — AmeriGroup DC: $502.87 AmeriHealth Caritas District of Columbia — AmeriHealth: $502.87 CareFirst Advantage Inc — CareFirst Medicare Advantage: $502.87 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $502.87 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $502.87 Cigna HealthCare Mid Atlantic — All Cigna HMO: $502.87 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $502.87 Cigna Healthspring — Cigna Healthspring: $502.87
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier 52 In the file: BC-MRI LREX JT WO C LTD HIP LT	$160.49	$157.28	$157.28 – $160.49
MRI of a leg joint (such as the knee), without contrast: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $160.49 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $160.49 AmeriGroup — AmeriGroup DC: $160.49 AmeriHealth Caritas District of Columbia — AmeriHealth: $160.49 CareFirst Advantage Inc — CareFirst Medicare Advantage: $160.49 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $160.49 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $160.49 Cigna HealthCare Mid Atlantic — All Cigna HMO: $160.49 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $160.49 Cigna Healthspring — Cigna Healthspring: $160.49
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier 52 In the file: BC-MRI LREX JT WO C LTD KNE LT	$160.49	$157.28	$157.28 – $160.49
MRI of a leg joint (such as the knee), without contrast: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $160.49 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $160.49 AmeriGroup — AmeriGroup DC: $160.49 AmeriHealth Caritas District of Columbia — AmeriHealth: $160.49 CareFirst Advantage Inc — CareFirst Medicare Advantage: $160.49 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $160.49 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $160.49 Cigna HealthCare Mid Atlantic — All Cigna HMO: $160.49 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $160.49 Cigna Healthspring — Cigna Healthspring: $160.49
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD + PELV WITH CONTRAST	$260.90	$255.68	$255.68 – $260.90
CT scan of the abdomen and pelvis, with contrast: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $260.90 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $260.90 AmeriGroup — AmeriGroup DC: $260.90 AmeriHealth Caritas District of Columbia — AmeriHealth: $260.90 CareFirst Advantage Inc — CareFirst Medicare Advantage: $260.90 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $260.90 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $260.90 Cigna HealthCare Mid Atlantic — All Cigna HMO: $260.90 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $260.90 Cigna Healthspring — Cigna Healthspring: $260.90
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: BC-CT ABD PELVIS W CONTRAST	$260.90	$255.68	$255.68 – $260.90
CT scan of the abdomen and pelvis, with contrast: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $260.90 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $260.90 AmeriGroup — AmeriGroup DC: $260.90 AmeriHealth Caritas District of Columbia — AmeriHealth: $260.90 CareFirst Advantage Inc — CareFirst Medicare Advantage: $260.90 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $260.90 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $260.90 Cigna HealthCare Mid Atlantic — All Cigna HMO: $260.90 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $260.90 Cigna Healthspring — Cigna Healthspring: $260.90
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: BC-NM PET CT ABD PEL W CONT	$260.90	$255.68	$255.68 – $260.90
CT scan of the abdomen and pelvis, with contrast: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $260.90 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $260.90 AmeriGroup — AmeriGroup DC: $260.90 AmeriHealth Caritas District of Columbia — AmeriHealth: $260.90 CareFirst Advantage Inc — CareFirst Medicare Advantage: $260.90 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $260.90 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $260.90 Cigna HealthCare Mid Atlantic — All Cigna HMO: $260.90 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $260.90 Cigna Healthspring — Cigna Healthspring: $260.90
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMINAL COMPLETE	$748	$733.04	$733.04 – $748
Ultrasound of the abdomen, complete: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $748 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $748 AmeriGroup — AmeriGroup DC: $748 AmeriHealth Caritas District of Columbia — AmeriHealth: $748 CareFirst Advantage Inc — CareFirst Medicare Advantage: $748 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $748 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $748 Cigna HealthCare Mid Atlantic — All Cigna HMO: $748 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $748 Cigna Healthspring — Cigna Healthspring: $748
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: BC-ECHOGRAPHY, ABDOMEN COMP.	$748	$733.04	$733.04 – $748
Ultrasound of the abdomen, complete: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $748 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $748 AmeriGroup — AmeriGroup DC: $748 AmeriHealth Caritas District of Columbia — AmeriHealth: $748 CareFirst Advantage Inc — CareFirst Medicare Advantage: $748 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $748 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $748 Cigna HealthCare Mid Atlantic — All Cigna HMO: $748 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $748 Cigna Healthspring — Cigna Healthspring: $748
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US OB COMPL,SINGLE,AFTER1STTRI	$845.56	$828.65	$828.65 – $845.56
Pregnancy ultrasound (after the first trimester): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $845.56 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $845.56 AmeriGroup — AmeriGroup DC: $845.56 AmeriHealth Caritas District of Columbia — AmeriHealth: $845.56 CareFirst Advantage Inc — CareFirst Medicare Advantage: $845.56 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $845.56 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $845.56 Cigna HealthCare Mid Atlantic — All Cigna HMO: $845.56 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $845.56 Cigna Healthspring — Cigna Healthspring: $845.56
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: BC-ECHOGRAPHY, PREGNANCY COMP	$845.56	$828.65	$828.65 – $845.56
Pregnancy ultrasound (after the first trimester): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $845.56 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $845.56 AmeriGroup — AmeriGroup DC: $845.56 AmeriHealth Caritas District of Columbia — AmeriHealth: $845.56 CareFirst Advantage Inc — CareFirst Medicare Advantage: $845.56 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $845.56 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $845.56 Cigna HealthCare Mid Atlantic — All Cigna HMO: $845.56 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $845.56 Cigna Healthspring — Cigna Healthspring: $845.56
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: TRANSVAGINAL US NON-OB	$813.04	$796.78	$796.78 – $813.04
Transvaginal ultrasound: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $813.04 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $813.04 AmeriGroup — AmeriGroup DC: $813.04 AmeriHealth Caritas District of Columbia — AmeriHealth: $813.04 CareFirst Advantage Inc — CareFirst Medicare Advantage: $813.04 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $813.04 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $813.04 Cigna HealthCare Mid Atlantic — All Cigna HMO: $813.04 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $813.04 Cigna Healthspring — Cigna Healthspring: $813.04
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · modifier 59 In the file: BC-ECHOGRAPHY, TRANSVAG NON-OB	$813.04	$796.78	$796.78 – $813.04
Transvaginal ultrasound: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $813.04 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $813.04 AmeriGroup — AmeriGroup DC: $813.04 AmeriHealth Caritas District of Columbia — AmeriHealth: $813.04 CareFirst Advantage Inc — CareFirst Medicare Advantage: $813.04 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $813.04 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $813.04 Cigna HealthCare Mid Atlantic — All Cigna HMO: $813.04 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $813.04 Cigna Healthspring — Cigna Healthspring: $813.04
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: GRANT-MAMMO UNILAT	$845.56	$828.65	$828.65 – $845.56
Diagnostic mammogram, one breast: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $845.56 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $845.56 AmeriGroup — AmeriGroup DC: $845.56 AmeriHealth Caritas District of Columbia — AmeriHealth: $845.56 CareFirst Advantage Inc — CareFirst Medicare Advantage: $845.56 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $845.56 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $845.56 Cigna HealthCare Mid Atlantic — All Cigna HMO: $845.56 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $845.56 Cigna Healthspring — Cigna Healthspring: $845.56
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: DIGITAL DIAG MAMMO, UNILAT	$845.56	$828.65	$828.65 – $845.56
Diagnostic mammogram, one breast: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $845.56 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $845.56 AmeriGroup — AmeriGroup DC: $845.56 AmeriHealth Caritas District of Columbia — AmeriHealth: $845.56 CareFirst Advantage Inc — CareFirst Medicare Advantage: $845.56 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $845.56 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $845.56 Cigna HealthCare Mid Atlantic — All Cigna HMO: $845.56 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $845.56 Cigna Healthspring — Cigna Healthspring: $845.56
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier GG In the file: BC-GRANT-MAMMO DX/UNI SCN S/D	$845.56	$828.65	$828.65 – $845.56
Diagnostic mammogram, one breast: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $845.56 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $845.56 AmeriGroup — AmeriGroup DC: $845.56 AmeriHealth Caritas District of Columbia — AmeriHealth: $845.56 CareFirst Advantage Inc — CareFirst Medicare Advantage: $845.56 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $845.56 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $845.56 Cigna HealthCare Mid Atlantic — All Cigna HMO: $845.56 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $845.56 Cigna Healthspring — Cigna Healthspring: $845.56
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: GRANT-MAMMOGRAPHY BILAT	$1,105.74	$1,083.63	$1,083.63 – $1,105.74
Diagnostic mammogram, both breasts: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $1,105.74 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $1,105.74 AmeriGroup — AmeriGroup DC: $1,105.74 AmeriHealth Caritas District of Columbia — AmeriHealth: $1,105.74 CareFirst Advantage Inc — CareFirst Medicare Advantage: $1,105.74 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $1,105.74 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $1,105.74 Cigna HealthCare Mid Atlantic — All Cigna HMO: $1,105.74 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $1,105.74 Cigna Healthspring — Cigna Healthspring: $1,105.74
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: DIGITAL DIAG MAMMO, BILAT	$1,105.74	$1,083.63	$1,083.63 – $1,105.74
Diagnostic mammogram, both breasts: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $1,105.74 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $1,105.74 AmeriGroup — AmeriGroup DC: $1,105.74 AmeriHealth Caritas District of Columbia — AmeriHealth: $1,105.74 CareFirst Advantage Inc — CareFirst Medicare Advantage: $1,105.74 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $1,105.74 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $1,105.74 Cigna HealthCare Mid Atlantic — All Cigna HMO: $1,105.74 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $1,105.74 Cigna Healthspring — Cigna Healthspring: $1,105.74
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: BC-DIGITAL 4V DIAG MAMMO BILAT	$1,105.74	$1,083.63	$1,083.63 – $1,105.74
Diagnostic mammogram, both breasts: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $1,105.74 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $1,105.74 AmeriGroup — AmeriGroup DC: $1,105.74 AmeriHealth Caritas District of Columbia — AmeriHealth: $1,105.74 CareFirst Advantage Inc — CareFirst Medicare Advantage: $1,105.74 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $1,105.74 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $1,105.74 Cigna HealthCare Mid Atlantic — All Cigna HMO: $1,105.74 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $1,105.74 Cigna Healthspring — Cigna Healthspring: $1,105.74
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: BC-GRANT-MAMMO,SCREENING BILAT	$910.61	$892.40	$892.40 – $910.61
Screening mammogram, both breasts: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $910.61 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $910.61 AmeriGroup — AmeriGroup DC: $910.61 AmeriHealth Caritas District of Columbia — AmeriHealth: $910.61 CareFirst Advantage Inc — CareFirst Medicare Advantage: $910.61 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $910.61 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $910.61 Cigna HealthCare Mid Atlantic — All Cigna HMO: $910.61 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $910.61 Cigna Healthspring — Cigna Healthspring: $910.61
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: DIGITAL 4V SCRN MAMMO, BILAT	$910.61	$892.40	$892.40 – $910.61
Screening mammogram, both breasts: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $910.61 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $910.61 AmeriGroup — AmeriGroup DC: $910.61 AmeriHealth Caritas District of Columbia — AmeriHealth: $910.61 CareFirst Advantage Inc — CareFirst Medicare Advantage: $910.61 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $910.61 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $910.61 Cigna HealthCare Mid Atlantic — All Cigna HMO: $910.61 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $910.61 Cigna Healthspring — Cigna Healthspring: $910.61
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: BC-DIGITAL 4V SCRN MAMMO BILAT	$910.61	$892.40	$892.40 – $910.61
Screening mammogram, both breasts: 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $910.61 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $910.61 AmeriGroup — AmeriGroup DC: $910.61 AmeriHealth Caritas District of Columbia — AmeriHealth: $910.61 CareFirst Advantage Inc — CareFirst Medicare Advantage: $910.61 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $910.61 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $910.61 Cigna HealthCare Mid Atlantic — All Cigna HMO: $910.61 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $910.61 Cigna Healthspring — Cigna Healthspring: $910.61

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: COMP POLYSOMNOGRAM AGE 6+	$2,463.42	$2,414.15	$2,414.15 – $2,463.42
Sleep study (overnight, in a sleep lab): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $2,463.42 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $2,463.42 AmeriGroup — AmeriGroup DC: $2,463.42 AmeriHealth Caritas District of Columbia — AmeriHealth: $2,463.42 CareFirst Advantage Inc — CareFirst Medicare Advantage: $2,463.42 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $2,463.42 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $2,463.42 Cigna HealthCare Mid Atlantic — All Cigna HMO: $2,463.42 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $2,463.42 Cigna Healthspring — Cigna Healthspring: $2,463.42
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · modifier 52 In the file: RS-COMP POLYSOM UNDER 6 HRS	$1,231.71	$1,207.08	$1,207.08 – $1,231.71
Sleep study (overnight, in a sleep lab): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $1,231.71 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $1,231.71 AmeriGroup — AmeriGroup DC: $1,231.71 AmeriHealth Caritas District of Columbia — AmeriHealth: $1,231.71 CareFirst Advantage Inc — CareFirst Medicare Advantage: $1,231.71 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $1,231.71 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $1,231.71 Cigna HealthCare Mid Atlantic — All Cigna HMO: $1,231.71 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $1,231.71 Cigna Healthspring — Cigna Healthspring: $1,231.71

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) In the file: THER EX, EACH 15 MIN	$131.86	$129.22	$129.22 – $131.86
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $131.86 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $131.86 AmeriGroup — AmeriGroup DC: $131.86 AmeriHealth Caritas District of Columbia — AmeriHealth: $131.86 CareFirst Advantage Inc — CareFirst Medicare Advantage: $131.86 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $131.86 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $131.86 Cigna HealthCare Mid Atlantic — All Cigna HMO: $131.86 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $131.86 Cigna Healthspring — Cigna Healthspring: $131.86
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: THER EX, EACH 15 MINS	$72.44	$70.99	$70.99 – $72.44
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $72.44 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $72.44 AmeriGroup — AmeriGroup DC: $72.44 AmeriHealth Caritas District of Columbia — AmeriHealth: $72.44 CareFirst Advantage Inc — CareFirst Medicare Advantage: $72.44 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $72.44 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $72.44 Cigna HealthCare Mid Atlantic — All Cigna HMO: $72.44 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $72.44 Cigna Healthspring — Cigna Healthspring: $72.44
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: THER EXER EACH 15 MINS	$114	$111.72	$111.72 – $114
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $114 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $114 AmeriGroup — AmeriGroup DC: $114 AmeriHealth Caritas District of Columbia — AmeriHealth: $114 CareFirst Advantage Inc — CareFirst Medicare Advantage: $114 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $114 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $114 Cigna HealthCare Mid Atlantic — All Cigna HMO: $114 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $114 Cigna Healthspring — Cigna Healthspring: $114
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT EVAL LOW COMPLEX 08-22 MIN	$263.71	$258.44	$258.44 – $263.71
Physical therapy evaluation (low complexity): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $263.71 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $263.71 AmeriGroup — AmeriGroup DC: $263.71 AmeriHealth Caritas District of Columbia — AmeriHealth: $263.71 CareFirst Advantage Inc — CareFirst Medicare Advantage: $263.71 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $263.71 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $263.71 Cigna HealthCare Mid Atlantic — All Cigna HMO: $263.71 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $263.71 Cigna Healthspring — Cigna Healthspring: $263.71
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT EVAL LOW COMPLEX 23-37 MIN	$527.43	$516.88	$516.88 – $527.43
Physical therapy evaluation (low complexity): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $527.43 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $527.43 AmeriGroup — AmeriGroup DC: $527.43 AmeriHealth Caritas District of Columbia — AmeriHealth: $527.43 CareFirst Advantage Inc — CareFirst Medicare Advantage: $527.43 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $527.43 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $527.43 Cigna HealthCare Mid Atlantic — All Cigna HMO: $527.43 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $527.43 Cigna Healthspring — Cigna Healthspring: $527.43
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT EVAL LOW COMPLEX 38-52 MIN	$791.14	$775.32	$775.32 – $791.14
Physical therapy evaluation (low complexity): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $791.14 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $791.14 AmeriGroup — AmeriGroup DC: $791.14 AmeriHealth Caritas District of Columbia — AmeriHealth: $791.14 CareFirst Advantage Inc — CareFirst Medicare Advantage: $791.14 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $791.14 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $791.14 Cigna HealthCare Mid Atlantic — All Cigna HMO: $791.14 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $791.14 Cigna Healthspring — Cigna Healthspring: $791.14
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVAL MOD COMPLEX 08-22 MIN	$263.71	$258.44	$258.44 – $263.71
Physical therapy evaluation (moderate complexity): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $263.71 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $263.71 AmeriGroup — AmeriGroup DC: $263.71 AmeriHealth Caritas District of Columbia — AmeriHealth: $263.71 CareFirst Advantage Inc — CareFirst Medicare Advantage: $263.71 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $263.71 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $263.71 Cigna HealthCare Mid Atlantic — All Cigna HMO: $263.71 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $263.71 Cigna Healthspring — Cigna Healthspring: $263.71
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVAL MOD COMPLEX 23-37 MIN	$527.43	$516.88	$516.88 – $527.43
Physical therapy evaluation (moderate complexity): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $527.43 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $527.43 AmeriGroup — AmeriGroup DC: $527.43 AmeriHealth Caritas District of Columbia — AmeriHealth: $527.43 CareFirst Advantage Inc — CareFirst Medicare Advantage: $527.43 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $527.43 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $527.43 Cigna HealthCare Mid Atlantic — All Cigna HMO: $527.43 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $527.43 Cigna Healthspring — Cigna Healthspring: $527.43
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVAL MOD COMPLEX 38-52 MIN	$791.14	$775.32	$775.32 – $791.14
Physical therapy evaluation (moderate complexity): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $791.14 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $791.14 AmeriGroup — AmeriGroup DC: $791.14 AmeriHealth Caritas District of Columbia — AmeriHealth: $791.14 CareFirst Advantage Inc — CareFirst Medicare Advantage: $791.14 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $791.14 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $791.14 Cigna HealthCare Mid Atlantic — All Cigna HMO: $791.14 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $791.14 Cigna Healthspring — Cigna Healthspring: $791.14
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT EVAL HIGH COMPLEX 08-22 MIN	$263.71	$258.44	$258.44 – $263.71
Physical therapy evaluation (high complexity): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $263.71 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $263.71 AmeriGroup — AmeriGroup DC: $263.71 AmeriHealth Caritas District of Columbia — AmeriHealth: $263.71 CareFirst Advantage Inc — CareFirst Medicare Advantage: $263.71 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $263.71 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $263.71 Cigna HealthCare Mid Atlantic — All Cigna HMO: $263.71 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $263.71 Cigna Healthspring — Cigna Healthspring: $263.71
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT EVAL HIGH COMPLEX 23-37 MIN	$527.43	$516.88	$516.88 – $527.43
Physical therapy evaluation (high complexity): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $527.43 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $527.43 AmeriGroup — AmeriGroup DC: $527.43 AmeriHealth Caritas District of Columbia — AmeriHealth: $527.43 CareFirst Advantage Inc — CareFirst Medicare Advantage: $527.43 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $527.43 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $527.43 Cigna HealthCare Mid Atlantic — All Cigna HMO: $527.43 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $527.43 Cigna Healthspring — Cigna Healthspring: $527.43
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT EVAL HIGH COMPLEX 38-52 MIN	$791.14	$775.32	$775.32 – $791.14
Physical therapy evaluation (high complexity): 10 of 33 insurance plan rates Aetna Medicare — Aetna Medicare: $791.14 Aetna US HealthCare Inc — Aetna All HMO and PPO Plans: $791.14 AmeriGroup — AmeriGroup DC: $791.14 AmeriHealth Caritas District of Columbia — AmeriHealth: $791.14 CareFirst Advantage Inc — CareFirst Medicare Advantage: $791.14 CareFirst Blue Choice Inc — All Carefirst HMO Plans: $791.14 CareFirst Blue Choice Inc — All Carefirst PPO Plans: $791.14 Cigna HealthCare Mid Atlantic — All Cigna HMO: $791.14 Cigna HealthCare MidAtlantic Inc — All Cigna PPO: $791.14 Cigna Healthspring — Cigna Healthspring: $791.14

Source: MedStar Southern Maryland Hospital Center’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	Acute Care Hospital
Address	7503 Surratts Road, Clinton, MD 20735
County	Prince Georges County
State	Maryland
Phone	(301) 868‑8000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	2 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	210062
Name in Medicare records	MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER
Profile level	Medicare data + hospital website
Official website	medstarhealth.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

MedStar Southern Maryland Hospital Center — medstarhealth.org
Patient & Visitor Information | MedStar Southern Maryland Hospital | MedStar Health — medstarhealth.org
Awards & Accreditations | MedStar Southern Maryland Hospital Center | MedStar Health — medstarhealth.org
Driving Directions & Parking | MedStar Southern Maryland Hospital | MedStar Health — medstarhealth.org
Patient & Visitor Experience | MedStar Southern Maryland Hospital| MedStar Health — medstarhealth.org
Contact Us| MedStar Southern Maryland Hospital Center | MedStar Health — medstarhealth.org
Community Health | MedStar Southern Maryland Hospital Center | MedStar Health — medstarhealth.org
Stroke Prevention and Risk | MedStar Health — medstarhealth.org