Supplies, drugs & other prices at MedStar Washington Hospital Center

Washington, DC · every code in this section with a posted price and a Medicare benchmark.

118 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,co (C8923) $2,260.28 $3,477.35 2.7×
2d tte w or w/o fol w/con,fu (C8924) $2,217.13 $3,410.97 6.0×
3D cntr simula trgt lvr les (0944T) $971.27 $1,494.26 3.8×
Ablation, benign breast tumor (eg, fibroadenoma), percutaneous, laser, including imaging guidance when performed, each… (0970T) $8,859.23 $13,629.59 2.1×
Ablation, malignant breast tumor(s), percutaneous, laser, including imaging guidance when performed, unilateral (0971T) $9,795.83 $15,070.51 2.3×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $5,601.25 $8,617.31 2.7×
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) $19,253.32 $29,620.49 2.1×
Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) $5,601.25 $8,617.31 2.7×
Apically positioned flap (D4245) $2,654.44 $4,083.75 1.6×
Automated analysis of binocular eye movements without spatial calibration, including disconjugacy, saccades, and… (0615T) $320.29 $492.75 2.3×
Ca screen;flexi sigmoidscope (G0104) $1,105.47 $1,700.72 1.1×
Catheterize for urine spec (P9612) $576.04 $886.22 61.7×
Collagen cross-linking of cornea, including removal of the corneal epithelium, when performed, and intraoperative… (0402T) $3,906.08 $6,009.36 1.5×
Colon ca scrn not hi rsk ind (G0121) $1,480.93 $2,278.35 1.5×
Colorectal scrn; hi risk ind (G0105) $1,731.73 $2,664.20 1.7×
Colpopexy, min/inv, ex-perit (C9778) $8,152.14 $12,541.76 1.5×
Cone beam ct both jaws (D0383) $146.73 $225.74 1.3×
Cone beam ct capt & interp (D0364) $626.12 $963.26 5.6×
Cone beam ct capt mandible (D0381) $146.73 $225.74 1.3×
Cone beam ct capt maxilla (D0382) $146.73 $225.74 1.3×
Cone beam ct capture limited (D0380) $117.39 $180.60 1.1×
Cone beam ct capture tmj (D0384) $146.73 $225.74 1.3×
Cysto, litho, vacuum kidney (C9761) $15,810.27 $24,323.49 1.6×
Diab manage trn per indiv (G0108) $146.98 $226.12 2.6×
Diab manage trn ind/group (G0109) $109.75 $168.85 6.8×
Direct refer hospital observ (G0379) $835.71 $1,285.70 1.3×
Electrophysiologic eval icds w/ss electrode (0577T) $3,378.38 $5,197.50 2.6×
Ev cath dir chem abltj w/img (0524T) $8,951.03 $13,770.81 2.7×
Evac meibomian glnd heat bi (0563T) $214.07 $329.34 3.4×
Evasc ven artlz tibl/prnl vn (0620T) $52,836.19 $81,286.44 1.1×
Extensv oral eval prob focus (D0160) $155.55 $239.30 1.1×
Extraction erupted tooth/exr (D7140) $3,118.75 $4,798.07 4.5×
Group train w/o patient (G0543) $50.42 $77.57 1.6×
Guided tiss regen nonresorb (D4267) $2,654.44 $4,083.75 1.6×
Guided tiss regen resorble (D4266) $2,654.44 $4,083.75 1.6×
High dose rate electronic brachytherapy, interstitial or intracavitary treatment, per fraction, includes basic… (0395T) $4,071.14 $6,263.29 5.5×
Hopd mntl hlt, 15-29 min (C7900) $68.94 $106.06 1.7×
Hopd mntl hlt, 30-60 min (C7901) $176.17 $271.03 1.6×
Impact tooth rem bony w/comp (D7241) $3,118.75 $4,798.07 4.5×
Impact tooth remov comp bony (D7240) $3,118.75 $4,798.07 4.5×
Impact tooth remov part bony (D7230) $3,118.75 $4,798.07 4.5×
Impact tooth remov soft tiss (D7220) $3,118.75 $4,798.07 4.5×
Infectious disease (bacterial and fungal), organism identification, blood culture, using rRNA FISH, 6 or more organism… (0086U) $849.42 $1,306.80 4.2×
Initial foot exam pt lops (G0245) $230.39 $354.45 1.6×
Injection posterior chamber eye medication (0699T) $8,268.27 $12,720.42 3.4×
Insertion of ocular telescope prosthesis including removal of crystalline lens or intraocular lens prosthesis Complex… (0308T) $50,797.74 $78,150.37 2.9×
Insertion wrls car stimulator lv pacg compl sys (0515T) $71,835.74 $110,516.53 3.0×
Insertion wrls car stimulator lv pacg eltrd only (0516T) $25,697.72 $39,534.96 2.3×
Insj substernal implantable defibrillator eltrd (0572T) $24,116.30 $37,102 2.7×
Insj/rplc cardiac modulj sys (0408T) $98,154.86 $151,007.48 2.9×
Insj/rplcmt icds w/substernal electrode (0571T) $115,407.36 $177,549.79 3.5×
Interrogation dev eval icds w/ss eltrd in person (0576T) $107.04 $164.68 2.7×
Interrogation device evaluation(s) (remote), up to 90 days, substernal lead implantable cardioverter-defibrillator… (0579T) $107.04 $164.68 2.7×
Ire ablation 1+tumors per organ w/img gdn perq (0600T) $23,428.29 $36,043.52 2.1×
Low-intensity extracorporeal shock wave therapy involving corpus cavernosum, low energy (0864T) $675.69 $1,039.52 2.5×
Mandible graft (D7950) $10,193.06 $15,681.63 1.6×
Neuro csf prion prtn qual (0035U) $265.14 $407.90 0.5×
Njx pltlt plasma w/img harvest/preparation (0232T) $906.85 $1,395.15 1.9×
No pt prsnt train initial 30 (G0541) $119.68 $184.12 3.9×
Noninvasive augmentative arrhythmia analysis derived from quantitative computational cardiac arrhythmia simulations,… (0897T) $3,399.47 $5,229.95 3.7×
Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg,… (0817T) $53,614.50 $82,483.85 2.6×
Open insj/rplcmt integrated nstimj sys ptn subq (0816T) $53,614.50 $82,483.85 2.6×
Pathogen test for platelets (P9100) $142.73 $219.58 2.3×
Perq sac agmntj bi w/wo balo/mchnl dev 2/> ndls (0201T) $19,136.39 $29,440.60 2.5×
Place device/marker, non pro (C9728) $2,488.80 $3,828.92 1.7×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $122.79 $188.90 3.1×
Primary closure sinus perf (D7261) $3,118.75 $4,798.07 4.5×
Programming device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode,… (0575T) $107.04 $164.68 2.7×
Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system, with iterative adjustment of the… (0650T) $140.70 $216.46 3.5×
Quan mr tis wo MRI 1orgn (0648T) $1,902.81 $2,927.40 1.9×
Quan mr tiss w/MRI 1orgn (0649T) $2,267.85 $3,489 2.3×
Quan MRI alys brn w/dx MRI (0866T) $574.23 $883.43 2.3×
Quantitative MRI alys brain w comp to prior mr study including lesion id character quantification w brain volumes… (0865T) $574.23 $883.43 2.3×
Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0863T) $5,779.40 $8,891.38 2.6×
Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0862T) $5,779.40 $8,891.38 2.6×
Rem imp tooth w mucoper flp (D7210) $3,118.75 $4,798.07 1.9×
Rem odontogen cyst > 1.25 cm (D7451) $5,603.96 $8,621.48 1.6×
Remote multi-day complex uroflowmetry (eg, calibrated electronic equipment); device supply with automated report… (0812T) $251.47 $386.88 1.8×
Remote multi-day complex uroflowmetry (eg, calibrated electronic equipment); set-up and patient education on use of… (0811T) $345.12 $530.95 2.4×
Removal of pulse generator for wireless cardiac stimulator for left ventricular pacing; both components (battery and… (0861T) $12,445.51 $19,146.94 3.1×
Repos prev impl ss impltbl dfb pacing eltrd (0574T) $11,147.41 $17,149.86 2.8×
Revasc intra lithotrip-ather (C9766) $33,032.27 $50,818.88 1.7×
Revasc intra lithotrip-stent (C9765) $33,032.27 $50,818.88 1.7×
Revasc intravasc lithotripsy (C9764) $19,096.40 $29,379.08 1.6×
Revasc lithotrip-stent-ather (C9767) $52,836.19 $81,286.44 2.7×
Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and… (0819T) $8,339.21 $12,829.55 2.2×
Revj/rmvl integrated nstimj sys ptn subcutaneous (0818T) $8,339.21 $12,829.55 2.2×
Rmvl substernal implantable defibrillator eltrd (0573T) $11,147.41 $17,149.86 2.8×
Rmvl substernal impltbl dfb pulse generator only (0580T) $11,147.41 $17,149.86 2.8×
Rmvl&rplcmt substernal impltbl defibrillator pg (0614T) $66,911.12 $102,940.19 2.8×
Routine footcare pt w lops (G0247) $266.90 $410.61 1.2×
Sim ang w/prs cath rad emb (C8004) $30,378.74 $46,736.52 2.5×
Surgical splint (D5988) $1,532.52 $2,357.73 2.2×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $61,752.63 $95,004.04 3.0×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $18,580.93 $28,586.04 0.9×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $61,803.27 $95,081.95 3.0×
Tcat insj perm dual chamber ldls pm compl sys (0795T) $45,499.12 $69,998.64 2.2×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $10,101.83 $15,541.27 3.0×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $7,526.75 $11,579.61 2.2×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $10,718.03 $16,489.28 3.2×
Tcat rmvl perm dual chamber ldls pm compl sys (0798T) $7,526.75 $11,579.61 2.2×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) $61,752.63 $95,004.04 3.0×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) $45,499.12 $69,998.64 2.2×
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) $45,499.12 $69,998.64 2.2×
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) $61,800.28 $95,077.35 3.0×
Temporary female intraurethral valve-pump (ie, voiding prosthesis); initial insertion, including urethral measurement (0596T) $1,946.19 $2,994.14 2.6×
Temporary female intraurethral valve-pump (ie, voiding prosthesis); replacement (0597T) $1,946.19 $2,994.14 2.6×
Therapeutic pulpotomy (D3220) $1,532.52 $2,357.73 2.2×
Tomosynthesis, mammo (G0279) $222.31 $342.02 17.5×
Tooth root removal (D7250) $3,118.75 $4,798.07 4.5×
Transcatheter implantation of wireless left atrial pressure sensor for long-term left atrial pressure monitoring,… (0933T) $10,339.22 $15,906.49 3.0×
Transcatheter renal sympath denervation unilat (0338T) $15,273.06 $23,497.01 2.5×
Trauma respons w/hosp criti (G0390) $6,968.59 $10,720.90 4.9×
Tte w or w/o fol w/con,stres (C8928) $2,260.28 $3,477.35 2.7×
Tte w or w/o fol w/cont, com (C8921) $2,074.24 $3,191.14 2.5×
Tte w or wo fol wcon,doppler (C8929) $1,865.74 $2,870.37 2.2×
Unsched dialysis esrd pt hos (G0257) $1,749.75 $2,691.93 2.4×
Vasc emb/occ w/prs cath (C9797) $15,689.67 $24,137.95 0.8×