MedStar Montgomery Medical Center

Olney, MD · CMS ID: 210018

This hospital has pricing data for 31 procedures.

Procedures (31)

Chest X-Ray 1 View

71045

Cash Price

(No Insurance)

—

Gross Charge

$85

No payer-negotiated rates available

Chest X-Ray 2 Views

71046

Cash Price

(No Insurance)

—

Gross Charge

$142

No payer-negotiated rates available

Complete Blood Count (CBC)

85025

Cash Price

(No Insurance)

—

Gross Charge

$35

No payer-negotiated rates available

Comprehensive Metabolic Panel

80053

Cash Price

(No Insurance)

—

Gross Charge

$53

No payer-negotiated rates available

CT Abdomen/Pelvis with Contrast

74177

Cash Price

(No Insurance)

—

Gross Charge

$202

No payer-negotiated rates available

CT Abdomen/Pelvis without Contrast

74176

Cash Price

(No Insurance)

—

Gross Charge

$104

No payer-negotiated rates available

CT Chest Low Dose

71271

Cash Price

(No Insurance)

—

Gross Charge

$117

No payer-negotiated rates available

CT Chest with Contrast

71260

Cash Price

(No Insurance)

—

Gross Charge

$153

No payer-negotiated rates available

ER Visit Level 3

99283

Cash Price

(No Insurance)

—

Gross Charge

$240

No payer-negotiated rates available

ER Visit Level 4

99284

Cash Price

(No Insurance)

—

Gross Charge

$479

No payer-negotiated rates available

ER Visit Level 5

99285

Cash Price

(No Insurance)

—

Gross Charge

$839

No payer-negotiated rates available

Fetal Non-Stress Test

59025

Cash Price

(No Insurance)

—

Gross Charge

$845

No payer-negotiated rates available

Hemoglobin A1C

83036

Cash Price

(No Insurance)

—

Gross Charge

$70

No payer-negotiated rates available

Knee X-Ray

73560

Cash Price

(No Insurance)

—

Gross Charge

$340

No payer-negotiated rates available

Lipid Panel

80061

Cash Price

(No Insurance)

—

Gross Charge

$67

No payer-negotiated rates available

Mammogram Diagnostic

77066

Cash Price

(No Insurance)

—

Gross Charge

$964

No payer-negotiated rates available

Mammogram Screening

77067

Cash Price

(No Insurance)

—

Gross Charge

$482

No payer-negotiated rates available

MRI Brain

70551

Cash Price

(No Insurance)

—

Gross Charge

$650

No payer-negotiated rates available

MRI Brain with Contrast

70553

Cash Price

(No Insurance)

—

Gross Charge

$1,849

No payer-negotiated rates available

MRI Cervical Spine

72141

Cash Price

(No Insurance)

—

Gross Charge

$625

No payer-negotiated rates available

MRI Knee

73721

Cash Price

(No Insurance)

—

Gross Charge

$700

No payer-negotiated rates available

MRI Lumbar Spine

72148

Cash Price

(No Insurance)

—

Gross Charge

$625

No payer-negotiated rates available

MRI Shoulder

73221

Cash Price

(No Insurance)

—

Gross Charge

$2,349

No payer-negotiated rates available

Office Visit Level 3

99213

Cash Price

(No Insurance)

—

Gross Charge

$247

No payer-negotiated rates available

Office Visit Level 4

99214

Cash Price

(No Insurance)

—

Gross Charge

$308

No payer-negotiated rates available

Shoulder X-Ray

73030

Cash Price

(No Insurance)

—

Gross Charge

$283

No payer-negotiated rates available

TSH (Thyroid)

84443

Cash Price

(No Insurance)

—

Gross Charge

$53

No payer-negotiated rates available

Ultrasound Abdomen

76700

Cash Price

(No Insurance)

—

Gross Charge

$652

No payer-negotiated rates available

Ultrasound Pelvis

76856

Cash Price

(No Insurance)

—

Gross Charge

$595

No payer-negotiated rates available

Ultrasound Transvaginal

76830

Cash Price

(No Insurance)

—

Gross Charge

$709

No payer-negotiated rates available

Urinalysis

81001

Cash Price

(No Insurance)

—

Gross Charge

$32

No payer-negotiated rates available