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County Price & Affordability Audit 2 of 6 Hospitals Priced Pop. 1,057,586 $128,733 Median Income

Montgomery County, MD Hospital Rates

Compare hospital price transparency compliance, fair price benchmarks, and local household charity-care eligibility across all 6 mapped hospitals in Montgomery County.

Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Above Fair Market · Negotiate
1.20×vs. Fair Market Price
Position vs. 1.00× Fair Price+20% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here are +20% above the fair benchmark (1.20×) even after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Montgomery County Affordability & CoverageSummarizes local hospital price disclosure compliance in Montgomery County, U.S. Census median household income, local uninsured rate, and federal 200%–400% FPL charity-care income thresholds.2 of 6 Hospitals Priced
Hospitals Priced2 of 6Number of CMS-certified hospitals located inside Montgomery County that have published machine-readable price files out of all 6 local facilities.
Median Income$128.7k / yrU.S. Census ACS median annual household income in Montgomery County ($128,733/yr), used to measure medical bill burden and charity-care eligibility.
Uninsured Rate6.8%Percentage of Montgomery County residents without health insurance who rely on self-pay cash discounts and 501(r) nonprofit hospital financial assistance.

Local charity-care income cutoffs (200%–400% FPL): up to $31,920 (single) and $128,600 (family of 4) qualify for free or discounted hospital care.

County Hospital Pricing & Affordability Audit2 of 6 Local Hospitals Priced

Montgomery County, MD Hospital Price & Affordability Summary

Montgomery County, Maryland (pop. 1,057,586) has 6 CMS-certified hospitals (2 publishing verified machine-readable price files) with a local price index of 1.20× the U.S. fair price benchmark and a $128,733 median household income.

County Price Index: 1.20× Fair MarketMedian Income: $128,733/yr
Advantage

Best Value & Patient Protections in Montgomery County

  • 2 of 6 hospitals in Montgomery County publish verified 45 CFR § 180 price files (Suburban Hospital, Medstar Montgomery Medical Center).
  • High-rated local clinical care: Suburban Hospital (4/5 CMS Stars).
  • Under federal 26 U.S.C. § 501(r), nonprofit hospitals must provide discounted Financial Assistance Policy (FAP) rates for Montgomery County families earning up to $128,600/yr (400% FPL).
Watchout

Where Montgomery County Patients Get Burned (Billing Watchouts)

  • 4 facilities in Montgomery County (Holy Cross Hospital, Adventist Healthcare Shady Grove Medical Center) lack an indexed MRF price schedule — always demand a written Good Faith Estimate before scheduling.
  • With a 6.8% local uninsured rate and $128,733 median household income, an unnegotiated $5,000 hospital bill equals 2.0 weeks of typical Montgomery County family take-home pay.
  • Emergency department and inpatient ancillary charges vary significantly across Maryland counties — inspect each hospital's profile below before paying a full chargemaster bill.
County MRF Price Coverage33% Published
2 of 6 Hospitals

Includes Suburban Hospital & Medstar Montgomery Medical Center.

Free Care Income Cutoff (200% FPL)Nonprofit 501(r) Rule
$31,920 – $64,300

Single ($31,920) to Family of 4 ($64,300) threshold for 100% free charity care.

Discounted Care Cutoff (400% FPL)AGB Billing Cap
Up to $128,600/yr

4-person household income cap qualifying for statutory AGB billing limits in Montgomery County.

Maryland County Price & Affordability Heatmap 10 of 24 Counties with MRF Hospital Data

Maryland County-Level Hospital Price & Affordability Heatmap

Hospital price index, Medicare markup, and household affordability burden across 24 counties in Maryland

<0.94× Affordable 0.94–1.06× Near Avg 1.06–1.20× Elevated >1.20× High-Markup

All Hospitals in Montgomery County (6)

Select any published hospital below to inspect its procedure price list, insurer discounts, and official MRF verification links.

MRF Compliance: 2 of 6 Published
  • Suburban Hospital · Bethesda CMS CCN 210022 · 24/7 Emergency Services
    4/5 CMS Stars MRF Published
  • Holy Cross Hospital · Silver Spring CMS CCN 210004 · Specialty / Outpatient Care
    2/5 CMS Stars No MRF Indexed
  • Adventist Healthcare Shady Grove Medical Center · Rockville CMS CCN 210057 · 24/7 Emergency Services
    2/5 CMS Stars No MRF Indexed
  • Adventist Healthcare White Oak Medical Center · Silver Spring CMS CCN 210016 · 24/7 Emergency Services
    3/5 CMS Stars No MRF Indexed
  • Holy Cross Germantown Hospital · Germantown CMS CCN 210065 · 24/7 Emergency Services
    1/5 CMS Stars No MRF Indexed
  • Medstar Montgomery Medical Center · Olney CMS CCN 210018 · 24/7 Emergency Services
    3/5 CMS Stars MRF Published Inspect Prices →

Compare Procedure Prices Across All Maryland Hospitals

View statewide surgical, imaging, colonoscopy, and ER price rankings across all Maryland facilities.

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