The table below provides the historical range of charges for the most commonly used
inpatient and outpatient services at Holy Cross Hospital, and the average charge for
the service. This table is updated quarterly and is based on the patient charges
actually incurred for these services during the past six months and may be used by
patients to estimate the charge for services that they may incur. The actual charges
for services received may be higher or lower than the figures below as they will vary
depending upon the patient’s condition and the level of care or other services that are
required and provided to the patient. Please contact our Financial Counseling Office
at (301) 754-7195 for assistance or for a more current price list.
The amounts below reflect hospital charges only. Holy Cross Hospital does not employ most of the
physicians who practice at the hospital, and each physician group that provides service to you will charge
you separately for their services. Please contact physician groups directly for charge estimates.
Charges for Common Inpatient Procedures as of July 1, 2011
Procedure
Appendectomy
Arterial Catheterization
Hemodialysis
Laparoscopic Appendectomy
Laparoscopic Cholecystectomy
Left Heart Cardiac Catherization
Low Cervical Cesarean-Section
Normal Delivery
Open Reduction-with Fixation Femur
Partial Hip Replacement
Percutaneous Gastrostomy
Posterior Lumbar Fusion
Remove Both Tubes & Ovary
Small Bowel Endoscopy
Total Hip Replacement
Total Knee Replacement
Unilateral Salpingo-Oophorectomy
Total Abdominal Hysterectomy
Uterine Lesion Destruction
Charge Range
Minimum Maximum
$4,145
$2,376
$2,492
$4,629
$5,170
$4,742
$3,285
$2,440
$10,899
$13,176
$4,876
$23,376
$6,789
$2,538
$9,416
$11,776
$7,018
$4,650
$4,996
$13,707
$17,561
$23,862
$9,967
$20,966
$15,802
$15,554
$9,775
$25,352
$27,874
$48,424
$36,645
$19,416
$16,954
$28,653
$46,114
$21,937
$19,874
$16,738
Estimated Average Charge
$7,121
$8,300
$9,887
$6,819
$11,717
$8,853
$7,089
$4,649
$17,886
$19,967
$21,813
$30,011
$11,781
$8,923
$21,434
$23,050
$10,891
$10,302
$9,659
Charges for Common Outpatient Procedures as of July 1, 2011
Procedure
Abdominal Paracentesis
Anesthetic Injection Peripheral Nerve
Anesthetic Injection-Spinal Canal
Carpal Tunnel Release
Closed Liver Biopsy
Colonoscopy
Cystoscopy
D&C
EGD With Closed Biopsy
Endometrial Ablation
Laparoscopic Cholecystectomy
Laparoscopic Total Abdominal Hysterectomy
Laparoscopic Unilateral Salpingo-Oophorectomy
Laparoscopic Vaginal Hysterectomy
Local Excision Breast Lesion
Small Bowel Endoscopy
Spinal Canal Injection
Tonsillectomy
Tonsillectomy/Adenoidectomy
Uterine Lesion Destruction
Charge Range
Minimum Maximum
$963
$114
$175
$1,705
$401
$822
$1,247
$1,760
$763
$1,745
$3,326
$4,307
$2,975
$3,358
$2,136
$849
$108
$2,174
$1,840
$1,540
$5,176
$830
$881
$2,717
$1,656
$3,581
$3,129
$6,025
$4,880
$6,725
$9,814
$12,936
$8,904
$13,313
$7,853
$5,414
$2,180
$4,463
$4,610
$12,278
Estimated Average Charge
$2,785
$470
$488
$2,238
$845
$1,691
$2,039
$2,932
$2,101
$3,498
$5,457
$8,616
$5,685
$7,007
$4,267
$1,952
$809
$3,118
$2,956
$5,373
Charges for Common Ancillary Services as of July 1, 2011
LABORATORY
Procedure
Basic Metabolic Panel
Bilirubin Direct
Bilirubin Total Neonatal
CBC
CBC With Auto Diff
Comprehensive Metabolic Panel
C-Reactive Protein
Glucose
Glycohemoglobin (HGB A1C)
HCG Qualitative
Hepatic Function Panel
Lipid Panel
Magnesium
RADIOLOGY
Estimated
Charge
$23.32
$12.72
$12.72
$16.96
$21.20
$31.80
$31.80
$8.48
$42.40
$21.20
$23.32
$40.28
$12.72
Microalbumin Urine Quantitative
Misc Urinalysis
Partial Thromboplastin (APTT)
Prostatic Specific AG Diagnostic
$31.80
$19.08
$16.96
Prothrombin Time (PT)
Renal Function Panel
Sedimentat Rate RBC Non Auto
Thyroid Stimulating Hormone
Troponin Quantitative
Urinalysis with Micro Auto
$16.96
$25.44
$12.72
$31.80
$53
$19.08
$42.40
Procedure
X-Ray Chest Complete 4+ Views
X-Ray Elbow 3+ Views
X-Ray Hand 3+ Views
X-Ray Hip 2+ Views
X-Ray Knee 3 Views
Cat Scan Abdomen With & Without Contrast
Cat Scan Cervical-Spine Without Contrast
Cat Scan Head With Contrast
Cat Scan Pelvis With Contrast
Ultrasound Digital Breast
MRI Abdomen With & Without Contrast
MRI Brain With & Without Contrast
MRI Breast With & Without Contrast
Bilateral
MRI Chest With & Without Contrast
MRI Cervical-Spine With & Without Contrast
MRI Lumbar-Spine With & Without Contrast
MRI Orbit/Face/Neck With &Without
Contrast
MRI Pelvis With & Without Contrast
MRI Thoracic-Spine With & Without Contrast
Mammogram Screening Bilateral
Estimated
Charge
$115.55
$69.33
$69.33
$95.92
$69.33
$139.92
$84.80
$63.60
$106
$240
$615.07
$395.40
$395.40
$571.14
$395.40
$395.40
$505.24
$571.14
$395.40
$115.55
OTHER PROCEDURES
Procedure
EKG 12 Lead Tracing Only
Estimated
Charge
$46.68
Holy Cross Hospital does not employ most of the physicians who practice at the hospital. Accordingly each physician group
that provides service to you will bill you separately for their services. If you have questions, please contact the physicians
directly:
Anesthesiologists, Holy Cross Anesthesia Associates
Billing Group: Physicians Systems and Services, Inc.
(800) 693-3257
Hospitalists, Capital Internal Medicine
Billing Group: Comprehensive Practice Management, Inc.
(301) 447-3700
Cardiologists, Forest Glen Cardiology
(804) 262-1190
Perinatalogists, Maternal Fetal Associates
(301) 408-3667
Community Neonatal Associates
Billing Group: Assoc. Health Management Alliance
(240) 364-2510
Radiologists, Diagnostic Medical Imaging Associates
Billing Group: Perse Technologies
(800) 766-5942
ER Physicians, Silver Spring Emergency Physicians
(301) 498-2922
Surgical Pathologists, Pathology Assoc. of Silver Spring
Billing Group: Assoc. Health Management Alliance
(240) 364-2515
Intensivists, Sunrise Medical Group
Billing Group: Maximus Medical Billing
(301) 774-1320