Medstar Montgomery Medical Center
18101 Prince Philip Drive, Olney, MD 20832 · Acute care hospital · Emergency room
These are Medstar Montgomery Medical Center's own posted figures from its standard-charges file dated April 1, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
140 of the services we track have a posted price here. Tap a service to compare it with nearby hospitals. How to read these numbers.
Emergency room
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Emergency room visit, level 1 (minor) CPT 99281 | $220.78 | $225.29 | $220.78 – $225.29 |
| Emergency room visit, level 2 CPT 99282 | $163.87 | $167.21 | $163.87 – $167.21 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $327.72 | $334.41 | $327.72 – $334.41 |
| Emergency room visit, level 4 CPT 99284 | $655.44 | $668.82 | $655.44 – $668.82 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $1,147.03 | $1,170.44 | $1,147.03 – $1,170.44 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | $239.85 | $244.74 | $239.85 – $244.74 |
| New patient office visit, about 30 minutes CPT 99203 | $319.77 | $326.30 | $319.77 – $326.30 |
| New patient office visit, about 45 minutes CPT 99204 | $399.74 | $407.90 | $399.74 – $407.90 |
| New patient office visit, about 60 minutes CPT 99205 | $479.73 | $489.52 | $479.73 – $489.52 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $239.85 | $244.74 | $239.85 – $244.74 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $319.77 | $326.30 | $319.77 – $326.30 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $399.74 | $407.90 | $399.74 – $407.90 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $479.73 | $489.52 | $479.73 – $489.52 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $159.93 | $163.19 | $159.93 – $163.19 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $318.78 | $325.29 | $318.78 – $325.29 |
| Abdominal X-ray, 1 view CPT 74018 | $227.70 | $232.35 | $227.70 – $232.35 |
| Ankle X-ray, 3 or more views CPT 73610 | $273.24 | $278.82 | $273.24 – $278.82 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $409.87 | $418.23 | $409.87 – $418.23 |
| Breast ultrasound, one breast, complete CPT 76641 | $910.82 | $929.41 | $910.82 – $929.41 |
| Breast ultrasound, one breast, limited CPT 76642 | $683.11 | $697.05 | $683.11 – $697.05 |
| Chest X-ray, 1 view CPT 71045 | $136.62 | $139.41 | $136.62 – $139.41 |
| Chest X-ray, 2 views CPT 71046 | $227.70 | $232.35 | $227.70 – $232.35 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $196.19 | $200.19 | $196.19 – $200.19 |
| CT angiogram of the head CPT 70496 | $192.86 | $196.80 | $192.86 – $196.80 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $206.16 | $210.37 | $206.16 – $210.37 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $236.09 | $240.91 | $236.09 – $240.91 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $106.41 | $108.58 | $106.41 – $108.58 |
| CT scan of the abdomen, without contrast CPT 74150 | $83.13 | $84.83 | $83.13 – $84.83 |
| CT scan of the chest, with contrast CPT 71260 | $156.28 | $159.47 | $156.28 – $159.47 |
| CT scan of the chest, without contrast CPT 71250 | $119.71 | $122.15 | $119.71 – $122.15 |
| CT scan of the head, without contrast CPT 70450 | $69.83 | $71.25 | $69.83 – $71.25 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $123.03 | $125.54 | $123.03 – $125.54 |
| CT scan of the pelvis, with contrast CPT 72193 | $156.28 | $159.47 | $156.28 – $159.47 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $89.78 | $91.61 | $89.78 – $91.61 |
| Diagnostic mammogram, both breasts CPT 77066 | $1,548.39 | $1,579.99 | $1,548.39 – $1,579.99 |
| Diagnostic mammogram, one breast CPT 77065 | $1,184.07 | $1,208.23 | $1,184.07 – $1,208.23 |
| Foot X-ray, 3 or more views CPT 73630 | $273.24 | $278.82 | $273.24 – $278.82 |
| Hand X-ray, 3 or more views CPT 73130 | $273.24 | $278.82 | $273.24 – $278.82 |
| Knee X-ray, 3 views CPT 73562 | $318.78 | $325.29 | $318.78 – $325.29 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $2,094.88 | $2,137.63 | $2,094.88 – $2,137.63 |
| Leg or arm vein ultrasound, one side CPT 93971 | $1,275.15 | $1,301.17 | $1,275.15 – $1,301.17 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $318.78 | $325.29 | $318.78 – $325.29 |
| MRI of both breasts, without and with contrast CPT 77049 | $2,768.12 | $2,824.61 | $2,768.12 – $2,824.61 |
| MRI of the abdomen, without and with contrast CPT 74183 | $3,793.34 | $3,870.76 | $3,793.34 – $3,870.76 |
| MRI of the brain, without and with contrast CPT 70553 | $2,528.90 | $2,580.51 | $2,528.90 – $2,580.51 |
| MRI of the brain, without contrast CPT 70551 | $1,503.67 | $1,534.36 | $1,503.67 – $1,534.36 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $1,606.19 | $1,638.97 | $1,606.19 – $1,638.97 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $1,435.32 | $1,464.61 | $1,435.32 – $1,464.61 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $1,435.32 | $1,464.61 | $1,435.32 – $1,464.61 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $1,435.32 | $1,464.61 | $1,435.32 – $1,464.61 |
| MRI of the pelvis, without and with contrast CPT 72197 | $3,759.17 | $3,835.89 | $3,759.17 – $3,835.89 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $1,606.19 | $1,638.97 | $1,606.19 – $1,638.97 |
| Neck X-ray, 2 or 3 views CPT 72040 | $273.24 | $278.82 | $273.24 – $278.82 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $956.36 | $975.88 | $956.36 – $975.88 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $1,184.07 | $1,208.23 | $1,184.07 – $1,208.23 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $956.36 | $975.88 | $956.36 – $975.88 |
| Screening mammogram, both breasts CPT 77067 | $1,275.15 | $1,301.17 | $1,275.15 – $1,301.17 |
| Shoulder X-ray, 2 or more views CPT 73030 | $227.70 | $232.35 | $227.70 – $232.35 |
| Transvaginal pregnancy ultrasound CPT 76817 | $774.19 | $789.99 | $774.19 – $789.99 |
| Transvaginal ultrasound CPT 76830 | $1,138.52 | $1,161.76 | $1,138.52 – $1,161.76 |
| Ultrasound of the abdomen, complete CPT 76700 | $1,047.44 | $1,068.82 | $1,047.44 – $1,068.82 |
| Ultrasound of the neck or thyroid CPT 76536 | $1,138.52 | $1,161.76 | $1,138.52 – $1,161.76 |
| Wrist X-ray, 3 or more views CPT 73110 | $318.78 | $325.29 | $318.78 – $325.29 |
| X-ray of the lower back, 4 or more views CPT 72110 | $409.87 | $418.23 | $409.87 – $418.23 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $29.10 | $29.69 | $29.10 – $29.69 |
| Blood culture CPT 87040 | $105.81 | $107.97 | $105.81 – $107.97 |
| Blood draw (venipuncture) CPT 36415 | $21.16 | $21.59 | $21.16 – $21.59 |
| BNP test (heart failure) CPT 83880 | $79.36 | $80.98 | $79.36 – $80.98 |
| C-reactive protein (CRP) test CPT 86140 | $39.68 | $40.49 | $39.68 – $40.49 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $119.04 | $121.47 | $119.04 – $121.47 |
| Complete blood count (CBC) with differential CPT 85025 | $26.45 | $26.99 | $26.45 – $26.99 |
| Complete blood count (CBC), automated CPT 85027 | $21.16 | $21.59 | $21.16 – $21.59 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $39.68 | $40.49 | $39.68 – $40.49 |
| COVID-19 PCR test CPT 87635 | $317.43 | $323.91 | $317.43 – $323.91 |
| D-dimer test (blood clots) CPT 85379 | $39.68 | $40.49 | $39.68 – $40.49 |
| Drug screen, instrument chemistry CPT 80307 | $148.14 | $151.16 | $148.14 – $151.16 |
| Ferritin (iron stores) test CPT 82728 | $39.68 | $40.49 | $39.68 – $40.49 |
| Free T4 (thyroid) test CPT 84439 | $39.68 | $40.49 | $39.68 – $40.49 |
| Glucose (blood sugar) test CPT 82947 | $10.58 | $10.80 | $10.58 – $10.80 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $119.04 | $121.47 | $119.04 – $121.47 |
| Hemoglobin A1c test CPT 83036 | $52.90 | $53.98 | $52.90 – $53.98 |
| Hepatitis C antibody test CPT 86803 | $66.13 | $67.48 | $66.13 – $67.48 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $66.13 | $67.48 | $66.13 – $67.48 |
| Iron test CPT 83540 | $15.88 | $16.20 | $15.88 – $16.20 |
| Kidney function panel CPT 80069 | $31.74 | $32.39 | $31.74 – $32.39 |
| Lipase test (pancreas) CPT 83690 | $21.16 | $21.59 | $21.16 – $21.59 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $50.26 | $51.29 | $50.26 – $51.29 |
| Liver function panel CPT 80076 | $29.10 | $29.69 | $29.10 – $29.69 |
| Magnesium test CPT 83735 | $15.88 | $16.20 | $15.88 – $16.20 |
| Obstetric blood test panel CPT 80055 | $206.33 | $210.54 | $206.33 – $210.54 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $21.16 | $21.59 | $21.16 – $21.59 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $63.48 | $64.78 | $63.48 – $64.78 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $21.16 | $21.59 | $21.16 – $21.59 |
| PSA (prostate specific antigen), free CPT 84154 | $66.13 | $67.48 | $66.13 – $67.48 |
| PSA (prostate specific antigen), total CPT 84153 | $52.90 | $53.98 | $52.90 – $53.98 |
| Rapid strep test CPT 87880 | $66.13 | $67.48 | $66.13 – $67.48 |
| Sed rate (ESR) test CPT 85652 | $13.23 | $13.50 | $13.23 – $13.50 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $39.68 | $40.49 | $39.68 – $40.49 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $158.71 | $161.95 | $158.71 – $161.95 |
| Troponin test (heart damage) CPT 84484 | $66.13 | $67.48 | $66.13 – $67.48 |
| Urinalysis, automated, with microscope CPT 81001 | $23.80 | $24.29 | $23.80 – $24.29 |
| Urinalysis, automated, without microscope CPT 81003 | $10.58 | $10.80 | $10.58 – $10.80 |
| Urine culture, colony count CPT 87086 | $52.90 | $53.98 | $52.90 – $53.98 |
| Urine pregnancy test CPT 81025 | $26.45 | $26.99 | $26.45 – $26.99 |
| Vitamin B12 test CPT 82607 | $39.68 | $40.49 | $39.68 – $40.49 |
| Vitamin D test CPT 82306 | $39.68 | $40.49 | $39.68 – $40.49 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $2,094.88 | $2,137.63 | $2,094.88 – $2,137.63 |
| ECG tracing only (no interpretation) CPT 93005 | $47.73 | $48.70 | $47.73 – $48.70 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $238.62 | $243.49 | $238.62 – $243.49 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $2,514.12 | $2,565.43 | $2,514.12 – $2,565.43 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Breast biopsy with ultrasound guidance CPT 19083 | $665.70 | $679.29 | $665.70 – $679.29 |
| Cystoscopy (bladder scope) CPT 52000 | $1,766.28 | $1,802.33 | $1,766.28 – $1,802.33 |
| Kidney stone shock-wave lithotripsy CPT 50590 | $3,262.82 | $3,329.41 | $3,262.82 – $3,329.41 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | $1,103.93 | $1,126.46 | $1,103.93 – $1,126.46 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $362.34 | $369.73 | $362.34 – $369.73 |
| Sleep study with CPAP titration CPT 95811 | $1,787.52 | $1,824.00 | $1,787.52 – $1,824.00 |
| Sleep study, overnight in a sleep lab CPT 95810 | $1,690.89 | $1,725.40 | $1,690.89 – $1,725.40 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $530.30 | $541.12 | $530.30 – $541.12 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $96.02 | $97.98 | $96.02 – $97.98 |
| Physical therapy evaluation, low complexity CPT 97161 | $1,152.20 | $1,175.71 | $1,152.20 – $1,175.71 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $1,152.20 | $1,175.71 | $1,152.20 – $1,175.71 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $96.02 | $97.98 | $96.02 – $97.98 |
| Therapeutic activities, 15 minutes CPT 97530 | $168.03 | $171.46 | $168.03 – $171.46 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $319.77 | $326.30 | $319.77 – $326.30 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $319.77 | $326.30 | $319.77 – $326.30 |
| Group psychotherapy CPT 90853 | $159.88 | $163.14 | $159.88 – $163.14 |
| Psychiatric diagnostic evaluation CPT 90791 | $959.34 | $978.92 | $959.34 – $978.92 |
| Psychotherapy, 30 minutes CPT 90832 | $399.76 | $407.92 | $399.76 – $407.92 |
| Psychotherapy, 45 minutes CPT 90834 | $479.61 | $489.40 | $479.61 – $489.40 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $159.88 | $163.14 | $159.88 – $163.14 |
| IV hydration, each additional hour CPT 96361 | $239.85 | $244.75 | $239.85 – $244.75 |
| IV hydration, first hour CPT 96360 | $639.59 | $652.64 | $639.59 – $652.64 |
| IV push injection of a drug, first CPT 96374 | $799.50 | $815.82 | $799.50 – $815.82 |
| IV push injection, each additional drug CPT 96375 | $319.77 | $326.30 | $319.77 – $326.30 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $1.58 | $1.61 | $1.58 – $1.61 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $7.09 | $7.23 | $7.09 – $7.23 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $2.67 | $2.72 | $2.67 – $2.72 |
| Morphine injection, up to 10 mg HCPCS J2270 | $7.97 | $8.13 | $7.97 – $8.13 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $1.12 | $1.14 | $1.12 – $1.14 |
| Saline IV solution, 1000 ml HCPCS J7030 | $8.23 | $8.40 | $8.23 – $8.40 |
Cash price: the hospital's posted discounted price for people paying themselves. Gross charge: its list price before any discount. Insurer rates: the lowest and highest rates it says it negotiated with any insurer. When the file lists a service on several rows, this page shows one (the facility row for the usual setting); the service's own page lists every row.