Medstar Montgomery Medical Center
18101 Prince Philip Drive, Olney, MD 20832 · 90 Priced Procedures · 61% 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 Montgomery Medical Center prices shoppable and inpatient services (3.1× to 2.3× Medicare, divergence 0.74×) 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 (28/100 Cash Honesty)
- CMS clinical safety score (61/100 safety score) with 61% patient recommendation
- 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 3.9× markup over Medicare rates
- Commercial insurance median sits at 1.00× Fair BaseRate (3.1× 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 3.7× Medicare (39¢ 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 Montgomery Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 90 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Blood transfusion CPT Code: 36430 | $2,678 | 5.4× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,529 | 4.9× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $2,095 | 7.7× |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $1,548 | 10.5× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,282 | 3.5× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,196 | 3.5× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $1,139 | 8.6× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,145 | 3.4× |
| Screening mammogram (both breasts) CPT Code: 77067 | $1,025 | 8.3× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $1,047 | 7.8× |
| Ultrasound, pelvis CPT Code: 76856 | $956 | 7.4× |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $959 | 5.2× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $983 | 4.9× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $820 | 6.5× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $845 | 0.8× |
| Rabies immune globulin HCPCS Code: 90375 | $590 | 1.8× |
| Psychotherapy session (45 minutes) CPT Code: 90834 | $480 | 2.9× |
| Speech therapy (language evaluation) CPT Code: 92507 | $417 | 4.8× |
| X-ray, foot CPT Code: 73630 | $410 | 4.5× |
| X-ray, hand CPT Code: 73130 | $410 | 4.4× |
| X-ray, ankle CPT Code: 73610 | $410 | 4.4× |
| X-ray, lower back CPT Code: 72110 | $410 | 3.7× |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $400 | 3.3× |
| X-ray, hip CPT Code: 73502 | $364 | 3.9× |
| Diagnostic procedure preparation HCPCS Code: G0279 | $319 | 9.1× |
Audit a Bill or Quote at Medstar Montgomery Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $2,596
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 = $2,596).
Self-Pay Cash Rate ($2,678) Beats Your Bill
Medstar Montgomery Medical Center's published 45 CFR § 180 self-pay cash rate is $2,678 (vs. $2,678 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $498 Fair BaseRate ($451 Medicare)
Your bill ($2,733) is $2,235 above the denoised Fair BaseRate ($498) and 6.1× the $451 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 (543 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 Montgomery Medical Center.
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.