MedStar Franklin Square Medical Center — price list
← Hospital overviewVerified from MedStar Franklin Square Medical Center’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
179 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 1CB ADMIN STEPDOWN BED Inpatient | 10031003 CDM | $357 | $350 | $350 – $357 | — | |
| 2SB ADMIN STEPDOWN BED Inpatient | 10031011 CDM | $357 | $350 | $350 – $357 | — | |
| 2SB PSYCHIATRIC Inpatient | 11403201 CDM | $1,963 | $1,924 | $1,924 – $1,963 | — | |
| 2SB SEMI-PRIVATE Inpatient | 12403200 CDM | $1,963 | $1,924 | $1,924 – $1,963 | — | |
| 3SB ADMIN STEPDOWN BED Inpatient | 10031037 CDM | $357 | $350 | $350 – $357 | — | |
| 3SB ROOM AND BED Inpatient | 11003233 CDM | $1,962 | $1,923 | $1,923 – $1,962 | — | |
| 4CA ADMIN STEPDOWN BED Inpatient | 10031045 CDM | $357 | $350 | $350 – $357 | — | |
| 4CB ADMIN STEPDOWN BED Inpatient | 10031326 CDM | $357 | $350 | $350 – $357 | — | |
| ACU ADMIN STEPDOWN BED Inpatient | 10031052 CDM | $357 | $350 | $350 – $357 | — | |
| ADMIN STEPDOWN BED Inpatient | 10031318 CDM | $357 | $350 | $350 – $357 | — | |
| ADMISSION CHARGE Inpatient | 22100010 CDM | $562 | $551 | $551 – $562 | — | |
| ALLODERM CONT PRF 230 SQCM Outpatient | Q4116 HCPCS | $10,811 | $10,595 | $10,595 – $10,811 | — | |
| ALLODERM CONT PRF MD 185 SQCM Outpatient | Q4116 HCPCS | $8,701 | $8,527 | $8,527 – $8,701 | — | |
| ALLODERM TISS THK MD 48 SQCM Outpatient | Q4116 HCPCS | $4,399 | $4,311 | $4,311 – $4,399 | — | |
| ALLOGFT CRYO N/MESH 232 SQCM Outpatient | Q4433 HCPCS | $1,689 | $1,655 | $1,655 – $1,689 | — | |
| ALLOGFT MESH 12 SQCM Outpatient | Q4186 HCPCS | $3,241 | $3,176 | $3,176 – $3,241 | — | |
| ALLOGRAFT DERMA ACE 28 SQCM Outpatient | Q4126 HCPCS | $4,191 | $4,107 | $4,107 – $4,191 | — | |
| ALLOGRAFT MEN W/BRIDGE M/RT Outpatient | C1762 HCPCS | $9,056 | $8,875 | $8,875 – $9,056 | — | |
| ASC ADMIN STEPDOWN BED Inpatient | 10031060 CDM | $357 | $350 | $350 – $357 | — | |
| CHIP Inpatient | 12403101 CDM | $1,963 | $1,924 | $1,924 – $1,963 | — | |
| CHIP ADMIN STEPDOWN BED Inpatient | 10031078 CDM | $357 | $350 | $350 – $357 | — | |
| DRSG MATRIX BIL 1/EA 26 SQCM Outpatient | Q4104 HCPCS | $6,011 | $5,891 | $5,891 – $6,011 | — | |
| DRSG MATRIX BIL 1/EA 129 SQCM Outpatient | Q4104 HCPCS | $8,502 | $8,332 | $8,332 – $8,502 | — | |
| DRSG MATRIX BIL 5/PK 26 SQCM Outpatient | Q4104 HCPCS | $6,009 | $5,889 | $5,889 – $6,009 | — | |
| DRSG MATRIX BIL 5/PK 129 SQCM Outpatient | Q4104 HCPCS | $8,100 | $7,938 | $7,938 – $8,100 | — | |
| DRSG WND BILAYR 516.128 SQCM Outpatient | Q4104 HCPCS | $20,816 | $20,400 | $20,400 – $20,816 | — | |
| DRSG WND MATRIX MESH 25 SQCM Outpatient | Q4104 HCPCS | $5,227 | $5,122 | $5,122 – $5,227 | — | |
| DRSG WND MATRIX MESH 125 SQCM Outpatient | Q4104 HCPCS | $9,116 | $8,934 | $8,934 – $9,116 | — | |
| DRSG WND MATRIX SGL 26 SQCM Outpatient | Q4108 HCPCS | $5,150 | $5,047 | $5,047 – $5,150 | — | |
| DRSG WND MATRIX SGL 129 SQCM Outpatient | Q4108 HCPCS | $7,044 | $6,903 | $6,903 – $7,044 | — |