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Medstar Montgomery Medical Center

18101 Prince Philip Drive, Olney, MD 20832 · (301) 774-8882

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 3/5Washington, DC-VA-MD-WV metroWebsite ↗

Price file

Prices published

File dated 2026-04-01

2,854 price rows for 36 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · metro median $151

$29
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 3 lines · metro median $1,065

$206
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 4 lines · metro median $628

$70
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $796

$156
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $246

$119
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $92

$26
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $195

$40
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 3 lines · metro median $487

$1,548
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 3 lines · metro median $402

$480
cash
Family psychotherapy with the patient

CPT 90847 · metro median $351

$320
cash
Family psychotherapy without the patient

CPT 90846 · metro median $462

$320
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $215

$119
cash
Group psychotherapy

CPT 90853 · lowest of 2 lines · metro median $142

$160
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $123

$50
cash
Liver function panel

CPT 80076 · metro median $228

$29
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $1,479

$2,529
cash
$1,606
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $835

$1,435
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $835

$1,435
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 3 lines · metro median $320

$320
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 3 lines · metro median $265

$400
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 3 lines · metro median $402

$480
cash
PSA test (prostate)

CPT 84153 · lowest of 3 lines · metro median $141

$53
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $78

$21
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 2 lines · metro median $124

$68
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $708

$1,184
cash
Prothrombin time (blood clotting test)

CPT 85610 · metro median $45

$21
cash
Psychotherapy, 30 minutes

CPT 90832 · metro median $283

$400
cash
Psychotherapy, 45 minutes

CPT 90834 · metro median $376

$480
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 3 lines · metro median $366

$1,275
cash
Sleep study (overnight, attended)

CPT 95810 · metro median $2,917

$1,691
cash
TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $162

$40
cash
Transvaginal ultrasound

CPT 76830 · metro median $576

$1,139
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $867

$1,047
cash
Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $34

$24
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $576

$410
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.