Price Transparency Healthcare | MedStar Health

 

 

Centers for Medicare and Medicaid services (CMS) price transparency

As a leading not-for-profit healthcare system in the region, MedStar Health is committed to enhancing price transparency to help patients and families make the most informed choice for their healthcare needs. The information provided includes the following information:

A comprehensive machine-readable file that includes standard charges for all hospital items and services: gross charges, discounted cash price, payer-specific negotiated charges, and de-identified minimum and maximum negotiated charges.

A comprehensive machine-readable file that includes standard charges for all MedStar National Rehabilitation Hospital Ambulatory Location items and services: gross charges, discounted cash price, payer-specific negotiated charges, and de-identified minimum and maximum negotiated charges.

A shoppable service file for at least 300 hospital items and services: gross charges, discounted cash price, payer-specific negotiated charges, and de-identified minimum and maximum negotiated charges.

A shoppable service file for MedStar National Rehabilitation Hospital Ambulatory Location items and services: gross charges, discounted cash price, payer-specific negotiated charges, and de-identified minimum and maximum negotiated charges.

Price Estimator Tool

The Centers for Medicare and Medicaid Services (CMS) requires hospitals to publish this information on their website.

Please note the information provided does not reflect the actual cost of care for patients. Your out-of-pocket costs will vary given the following factors:

  • Negotiated charges are based on MedStar Health’s contracts with each insurance company. Your individual insurance coverage determines what percentage of the negotiated charge is your responsibility. The negotiated charge for a particular service can vary based on a variety of factors, driven by an individual’s specific medical condition and needs. These can include, but are not limited to (i.) how long it takes to perform the service or how long it takes the patient to recover in the hospital, (ii.) whether the service is more or less difficult than expected, (iii.) the type of medications required, (iv.) any complications that require additional treatment and (v.) other health conditions that may affect the patient’s care.

  • These charges change frequently — the best way to obtain up-to-date costs is to call the hospital and ask for a cost estimate.

MedStar Health offers a variety of financial assistance options for our patients. Click here to view.

To better understand your healthcare coverage, receive an estimate of costs, or discuss financial assistance options, please contact your insurance provider or the MedStar Patient Financial Services office at 410-933-8200 or toll-free at 866-423-2734, during normal business hours (8 a.m. to 8 p.m. EST).