Medstar Harbor Hospital
3001 South Hanover Street, Baltimore, MD 21225 · 93 Priced Procedures · 63% Patient Recommendation
Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 1.00× fair market pricing.
Aligned Regional Benchmark Peer
Medstar Harbor Hospital prices shoppable and inpatient services (2.8× to 2.6× Medicare, divergence 0.93×) in alignment with regional hospital peers (1.00× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 79% of shoppable procedures (25/100 Cash Honesty)
- 4-Star CMS clinical rating with 63% patient recommendation (67/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (95.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 3.5× markup over Medicare rates
- Commercial insurance median sits at 1.00× Fair BaseRate (2.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
- Unnegotiated chargemaster list prices average 3.5× Medicare (40¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Medstar Harbor Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 93 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,472 | 5.4× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,330 | 1.3× |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $1,088 | 7.4× |
| Rabies immune globulin HCPCS Code: 90375 | $1,067 | 3.3× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $1,034 | 5.1× |
| Blood transfusion CPT Code: 36430 | $973 | 2.0× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $918 | 1.8× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $800 | 6.1× |
| Screening mammogram (both breasts) CPT Code: 77067 | $720 | 5.9× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $736 | 5.5× |
| Ultrasound, pelvis CPT Code: 76856 | $672 | 5.2× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $576 | 4.6× |
| Hepatitis B immune globulin HCPCS Code: 90371 | $496 | 3.3× |
| MRI, knee or other leg joint CPT Code: 73721 | $465 | 1.3× |
| MRI, brain (no contrast) CPT Code: 70551 | $434 | 1.3× |
| MRI, lower back (no contrast) CPT Code: 72148 | $416 | 1.2× |
| Speech therapy (language evaluation) CPT Code: 92507 | $379 | 4.4× |
| Orthotic fitting and training CPT Code: 97760 | $341 | 6.7× |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $349 | 1.9× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $349 | 0.8× |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $265 | 6.6× |
| Prosthetic fitting and training CPT Code: 97761 | $265 | 5.9× |
| X-ray, foot CPT Code: 73630 | $288 | 3.1× |
| X-ray, hand CPT Code: 73130 | $288 | 3.1× |
| X-ray, ankle CPT Code: 73610 | $288 | 3.1× |
Audit a Bill or Quote at Medstar Harbor Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $1,427
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (95.0% of gross = $1,427).
Self-Pay Cash Rate ($1,472) Beats Your Bill
Medstar Harbor Hospital's published 45 CFR § 180 self-pay cash rate is $1,472 (vs. $1,472 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $272 Fair BaseRate ($244 Medicare)
Your bill ($1,502) is $1,230 above the denoised Fair BaseRate ($272) and 6.2× the $244 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (95.0% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (419 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Medstar Harbor Hospital.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.