MedStar Southern Maryland Hospital — price list
← Hospital overviewVerified from MedStar Southern Maryland 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.
179 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 1e admin stepdown bed Inpatient | 10011005 CDM | $357 | $350 | $350 – $357 | — | |
| 1s admin stepdown bed Inpatient | 10011013 CDM | $357 | $350 | $350 – $357 | — | |
| 1w admin stepdown bed Inpatient | 10011021 CDM | $357 | $350 | $350 – $357 | — | |
| 2e admin stepdown bed Inpatient | 10011039 CDM | $357 | $350 | $350 – $357 | — | |
| 2n admin stepdown bed Inpatient | 10011047 CDM | $357 | $350 | $350 – $357 | — | |
| 2s admin stepdown bed Inpatient | 10011054 CDM | $357 | $350 | $350 – $357 | — | |
| 2w admin stepdown bed Inpatient | 10011062 CDM | $357 | $350 | $350 – $357 | — | |
| 3e admin stepdown bed Inpatient | 10011070 CDM | $357 | $350 | $350 – $357 | — | |
| 3w admin stepdown bed Inpatient | 10011088 CDM | $357 | $350 | $350 – $357 | — | |
| 4e admin stepdown bed Inpatient | 10011096 CDM | $357 | $350 | $350 – $357 | — | |
| 4w admin stepdown bed Inpatient | 10011104 CDM | $357 | $350 | $350 – $357 | — | |
| Admission charge Inpatient | 22100010 CDM | $611 | $599 | $599 – $611 | — | |
| Alloderm cont prf 230 sqcm Outpatient | Q4116 HCPCS | $17,843 | $17,487 | $17,487 – $17,843 | — | |
| Alloderm cont prf md 185 sqcm Outpatient | Q4116 HCPCS | $14,361 | $14,074 | $14,074 – $14,361 | — | |
| Allogft cryo n/mesh 232 sqcm Outpatient | Q4433 HCPCS | $2,144 | $2,102 | $2,102 – $2,144 | — | |
| Allogft mesh 12 sqcm Outpatient | Q4186 HCPCS | $4,491 | $4,401 | $4,401 – $4,491 | — | |
| Allograft derma ace 28 sqcm Outpatient | Q4126 HCPCS | $6,338 | $6,211 | $6,211 – $6,338 | — | |
| Allograft men withbridge m/rt Outpatient | C1762 HCPCS | $13,695 | $13,421 | $13,421 – $13,695 | — | |
| Cc admin stepdown bed Inpatient | 10011120 CDM | $357 | $350 | $350 – $357 | — | |
| Cl & cv med/surg semi-private Inpatient | 12034815 CDM | $2,050 | $2,009 | $2,009 – $2,050 | — | |
| Coronary care charge (rr) Inpatient | 21005962 CDM | $3,513 | $3,443 | $3,443 – $3,513 | — | |
| Drsg matrix bil 1/each 26 sqcm Outpatient | Q4104 HCPCS | $9,090 | $8,908 | $8,908 – $9,090 | — | |
| Drsg matrix bil 1/each 129 sqcm Outpatient | Q4104 HCPCS | $14,032 | $13,751 | $13,751 – $14,032 | — | |
| Drsg matrix bil 5/pk 26 sqcm Outpatient | Q4104 HCPCS | $9,088 | $8,906 | $8,906 – $9,088 | — | |
| Drsg matrix bil 5/pk 129 sqcm Outpatient | Q4104 HCPCS | $12,249 | $12,004 | $12,004 – $12,249 | — | |
| Drsg wnd bilayr 516.128 sqcm Outpatient | Q4104 HCPCS | $34,356 | $33,668 | $33,668 – $34,356 | — | |
| Drsg wnd matrix mesh 25 sqcm Outpatient | Q4104 HCPCS | $7,904 | $7,746 | $7,746 – $7,904 | — | |
| Drsg wnd matrix mesh 125 sqcm Outpatient | Q4104 HCPCS | $13,786 | $13,510 | $13,510 – $13,786 | — | |
| Drsg wnd matrix sgl 26 sqcm Outpatient | Q4108 HCPCS | $7,789 | $7,633 | $7,633 – $7,789 | — | |
| Drsg wnd matrix sgl 129 sqcm Outpatient | Q4108 HCPCS | $10,652 | $10,439 | $10,439 – $10,652 | — |