Maryland Code, Health-General § 19-219

(1) The total costs of all hospital services offered by or through a facility are reasonable;

(2) The aggregate rates of the facility are related reasonably to the aggregate costs of the facility; and

(3) The rates are set equitably among all purchasers or classes of purchasers without undue discrimination or preference.

(b)(1) To carry out its powers under subsection (a) of this section, the Commission may review and approve or disapprove the reasonableness of any rate or amount of revenue that a facility sets or requests.

(2) A facility shall:

(3) Consistent with the all-payer model contract, in determining the reasonableness of rates, the Commission may take into account objective standards of efficiency and effectiveness.

(1) Establish hospital rate levels and rate increases in the aggregate or on a hospital-specific basis;

(2) Promote and approve alternative methods of rate determination and payment of an experimental nature for the duration of the all-payer model contract; and

(3) On request of the Secretary, assist in the implementation of federally approved model programs.