Price Transparency | Adventist HealthCare | Maryland

Price Transparency

Adventist HealthCare is committed to price transparency in helping patients make informed decisions about healthcare costs. In accordance with federal regulations at 45 C.F.R. § 180 and the definitions of standard charges included therein we have published a complete list of each of our hospital’s standard charges and a list of 300 of each of our hospital’s most common procedures and services, known as "shoppable services."

Standard Charges & Shoppable Services by Location

Acute Care Hospitals

The list of standard charges includes five types of charges, as applicable, in accordance with the definitions in the federal regulations. These standard charges include the gross charges included in what is commonly referred to as the hospital’s "chargemaster," payer-specific negotiated charges, which in Maryland is the All-Payer rate which applies to all payers, the maximum negotiated charge, minimum negotiated charge, and discounted cash price. It is important to note that the shoppable services list will often include charges for multiple chargemaster services, and therefore will not be comparable to any single chargemaster item.

In Maryland, the Maryland Health Services Cost Review Commission (HSCRC) regulates the average rate for hospital services for all payers. Maryland acute care hospitals do not have individual negotiated rates with the insurance carriers but rather must charge all payers at the rates set by the HSCRC.

These prices show a standard range of charges that correspond to what most patients are charged. Your actual charges may be higher or lower than the amount(s) listed depending on your specific medical needs. If you still have questions, please contact our one of our Financial Advisors at 301-315-3660.

Fort Washington Medical Center

Standard Charges [CSV] Shoppable Services [XLSX]

Shady Grove Medical Center

Standard Charges [CSV] Shoppable Services [XLSX]

White Oak Medical Center

Standard Charges [CSV] Shoppable Services [XLSX]


Information to Keep in Mind

  • All prices include hospital charges only. Your doctor(s) will send you a separate bill. For an estimate of those charges, please contact your doctor(s) directly.
  • Hospital approved rates generally reflect the average price of a group of similar services. Individual service charges are components of the larger group average, and therefore may vary from the price set by the HSCRC.
  • Though the HSCRC sets rates as of a certain date, hospital charges for all payers are allowed to fluctuate during the course of the year, and detailed charges for certain items may be different than the average approved rate that covers a larger group of services. This is both permissible and normal as hospitals adjust charges frequently to comply with other HSCRC regulations.
  • Amounts patients owe out-of-pocket will vary based on insurance provider and insurance plan. We encourage you to contact your insurance company to understand all of the factors affecting your financial responsibility.
    • Numerous factors, such as type of plan, copay, coinsurance, deductible, out-of-pocket maximums, provider network and other limitations, will affect your financial responsibility to a hospital.

Rehabilitation Hospital

The list of standard charges includes five types of charges, as applicable, in accordance with the definitions in the federal regulations. These standard charges include the gross charges included in what is commonly referred to as the hospital’s "chargemaster," payer-specific negotiated charges, the maximum negotiated charge, minimum negotiated charge, and discounted cash price. It is important to note that the shoppable services list will often include charges for multiple chargemaster services, and therefore will not be comparable to any single chargemaster item.

These prices show a standard range of charges that correspond to what most patients are charged. Your actual charges may be higher or lower than the amount(s) listed depending on your specific medical needs. If you still have questions, please contact our one of our Financial Advisors at 301-315-3660.

Adventist HealthCare Rehabilitation

Standard Charges [CSV] Shoppable Services [XLSX]


Information to Keep in Mind

  • All prices include hospital charges only. Your doctor(s) will send you a separate bill. For an estimate of those charges, please contact your doctor(s) directly.
  • There are different types of payer arrangements for services. Please be sure to take note of the contractual arrangement type associated with your insurer in the file to better understand the rates for your insurance plan:
    • Adventist Healthcare inpatient rehabilitation services are most often paid under the one of the following arrangements.
      • Payer specific negotiated amount per case based on various clinical factors
      • Payer specific negotiated amount per day
      • Payer specific negotiated % of Billed charges ("a la carte")
    • Outpatient rehabilitation services are most often paid based on a rate schedule for the CPT codes for the services rendered.
  • Amounts patients owe out-of-pocket will vary based on insurance provider and insurance plan. We encourage you to contact your insurance company to understand all of the factors affecting your financial responsibility.
    • Numerous factors, such as type of plan, copay, coinsurance, deductible, out-of-pocket maximums, provider network and other limitations, will affect your financial responsibility to a hospital.

 

Estimated Hospital Charges

The following additional hospital charges are being made available to provide useful information to our patients and community regarding the cost of care for the most common inpatient and outpatient procedures performed at our hospitals.

Shady Grove Medical Center

View Estimated Charges for Common Inpatient & Outpatient Procedures at Adventist HealthCare Shady Grove Medical Center in Rockville, MD.

Patients may request an estimate of charges for a specific procedure by calling the Patient Access Department at 240-826-6162.

Please Note: These are only estimates and subject to change. The actual cost of your procedure may be higher or lower based on your specific clinical needs. Hospital rates are set in compliance with the Maryland Health Services Cost Review Commission (HSCRC).

White Oak Medical Center

View Estimated Charges for Common Inpatient & Outpatient Procedures at Adventist HealthCare White Oak Medical Center in Silver Spring, MD.

Patients may request an estimate of charges for a specific procedure by calling the Patient Access Department at 240-637-6323.

Please Note: These are only estimates and subject to change. The actual cost of your procedure may be higher or lower based on your specific clinical needs. Hospital rates are set in compliance with the Maryland Health Services Cost Review Commission (HSCRC).

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