MedStar Georgetown University Hospital — price list
← Hospital overviewVerified from MedStar Georgetown University Hospital’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.
479 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ABLATION1ST 1 2 HR Inpatient | 21600051 CDM | $6,658 | $4,328 | $2,330 – $5,992 | — | |
| ABLATION1ST 1 2 HR Outpatient | 21600051 CDM | $6,658 | $4,328 | $1,864 – $13,422 | — | |
| ABLATIONADD 1 2 HR Inpatient | 21600069 CDM | $4,432 | $2,881 | $1,551 – $3,989 | — | |
| ABLATIONADD 1 2 HR Outpatient | 21600069 CDM | $4,432 | $2,881 | $1,241 – $13,422 | — | |
| AEP SCR AUDITORY POTENTIAL Inpatient | 92650 CPT | $446 | $290 | $156 – $401 | — | |
| AEP SCR AUDITORY POTENTIAL Outpatient | 92650 CPT | $446 | $290 | $125 – $401 | — | |
| ALLODERM CONT PRF 230 SQCM Inpatient | Q4116 HCPCS | $18,658 | $12,128 | $6,530 – $16,793 | — | |
| ALLODERM CONT PRF 230 SQCM Outpatient | Q4116 HCPCS | $18,658 | $12,128 | $5,224 – $16,793 | — | |
| ALLODERM CONT PRF MD 185 SQCM Inpatient | Q4116 HCPCS | $14,103 | $9,167 | $4,936 – $12,692 | — | |
| ALLODERM CONT PRF MD 185 SQCM Outpatient | Q4116 HCPCS | $14,103 | $9,167 | $3,949 – $12,692 | — | |
| ALLOGFT MESH 12 SQCM Inpatient | Q4186 HCPCS | $4,751 | $3,088 | $1,663 – $4,276 | — | |
| ALLOGFT MESH 12 SQCM Outpatient | Q4186 HCPCS | $4,751 | $3,088 | $1,330 – $4,276 | — | |
| ALLOGRAFT DERMA ACE28 SQCM Inpatient | Q4126 HCPCS | $6,747 | $4,386 | $2,361 – $6,072 | — | |
| ALLOGRAFT DERMA ACE28 SQCM Outpatient | Q4126 HCPCS | $6,747 | $4,386 | $1,889 – $6,072 | — | |
| ALLOGRAFT MEN W BRIDGE M RT Inpatient | C1762 HCPCS | $16,358 | $10,632 | $5,725 – $14,722 | — | |
| ALLOGRAFT MEN W BRIDGE M RT Outpatient | C1762 HCPCS | $16,358 | $10,632 | $4,580 – $14,722 | — | |
| APLIGRAF PER SQ CM Inpatient | Q4101 HCPCS | $344 | $224 | $120 – $310 | — | |
| APLIGRAF PER SQ CM Outpatient | Q4101 HCPCS | $344 | $224 | $96.37 – $310 | — | |
| BLOOD PLATELET TRANSFUSION Inpatient | 36430 CPT | $1,882 | $1,223 | $659 – $1,694 | — | |
| BLOOD PLATELET TRANSFUSION Outpatient | 36430 CPT | $1,882 | $1,223 | $527 – $1,694 | — | |
| BLOOD TRANSFUSIONS Inpatient | 36430 CPT | $1,882 | $1,223 | $659 – $1,694 | — | |
| BLOOD TRANSFUSIONS Outpatient | 36430 CPT | $1,882 | $1,223 | $527 – $1,694 | — | |
| CHEMO CNS Inpatient | 96450 CPT | $1,006 | $654 | $352 – $905 | — | |
| CHEMO CNS Outpatient | 96450 CPT | $1,006 | $654 | $282 – $905 | — | |
| CHEMO CNS INTRATHECAL Inpatient | 96450 CPT | $1,006 | $654 | $352 – $905 | — | |
| CHEMO CNS INTRATHECAL Outpatient | 96450 CPT | $1,006 | $654 | $282 – $905 | — | |
| CHEMO INJ SUBARACH VENTR Inpatient | 96542 CPT | $976 | $635 | $342 – $879 | — | |
| CHEMO INJ SUBARACH VENTR Outpatient | 96542 CPT | $976 | $635 | $273 – $879 | — | |
| DECLOT CATHTHROMBOLYTIC AGENT Inpatient | 36593 CPT | $882 | $574 | $309 – $794 | — | |
| DECLOT CATHTHROMBOLYTIC AGENT Outpatient | 36593 CPT | $882 | $574 | $247 – $794 | — |