facebook tracking Back and neck procedures except spinal fusion with complications cost in Maryland: 5 hospitals compared (DRG 519)

Back and neck procedures except spinal fusion with complications in Maryland

What 5 hospitals in Maryland charged and were paid for a Medicare hospital stay for back and neck procedures except spinal fusion with complications (DRG 519), from 2024 Medicare claims.

DRG 519 Inpatient 2024 Medicare data
Average charge $33,994 Hospital list price billed
Average payment $30,530 Medicare + patient + other payers
Medicare paid $27,587 Average per stay
State rank #26 of 26 1 = lowest average payment

Hospitals in Maryland billed an average of $33,994 for back and neck procedures except spinal fusion with complications, about 1.1 times the average total payment of $30,530. That payment is 49% above the U.S. average of $20,542.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $30,530Billed $33,994

About 90¢ was paid for every $1 hospitals in Maryland billed for this stay.

Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Maryland:

Maryland hospitals: back and neck procedures except spinal fusion with complications

Every Maryland hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
The Johns Hopkins HospitalBaltimore 39 $33,005 $29,473 $24,554
University of Maryland Medical CenterBaltimore 22 $52,119 $48,113 $45,621
Suburban HospitalBethesda 15 $29,095 $25,605 $24,191
Mercy Medical Center INCBaltimore 13 $23,219 $19,957 $18,701
University of MD St Joseph Medical CenterTowson 12 $21,773 $19,344 $18,256
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Lowest and highest payments in Maryland

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

University of MD St Joseph Medical CenterTowson, MD$19,344
Mercy Medical Center INCBaltimore, MD$19,957
Suburban HospitalBethesda, MD$25,605
The Johns Hopkins HospitalBaltimore, MD$29,473
University of Maryland Medical CenterBaltimore, MD$48,113

Highest

University of Maryland Medical CenterBaltimore, MD$48,113
The Johns Hopkins HospitalBaltimore, MD$29,473
Suburban HospitalBethesda, MD$25,605
Mercy Medical Center INCBaltimore, MD$19,957
University of MD St Joseph Medical CenterTowson, MD$19,344

Back and neck procedures except spinal fusion with complications in other states

Questions

How much does back and neck procedures except spinal fusion with complications cost in Maryland?

In 2024 Medicare data, a hospital stay for back and neck procedures except spinal fusion with complications (DRG 519) at 5 hospitals in Maryland was billed at $33,994 on average, while the average total payment was $30,530, of which Medicare paid $27,587. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Maryland, average charges were 1.1 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.