facebook tracking Cardiac defibrillator implant with major complications or carotid sinus neurostimulator cost in Maryland: 2 hospitals compared (DRG 276)

Cardiac defibrillator implant with major complications or carotid sinus neurostimulator in Maryland

What 2 hospitals in Maryland charged and were paid for a Medicare hospital stay for cardiac defibrillator implant with major complications or carotid sinus neurostimulator (DRG 276), from 2024 Medicare claims.

DRG 276 Inpatient 2024 Medicare data
Average charge $127,949 Hospital list price billed
Average payment $112,025 Medicare + patient + other payers
Medicare paid $109,169 Average per stay
Volume 22 Medicare hospital stays

Hospitals in Maryland billed an average of $127,949 for cardiac defibrillator implant with major complications or carotid sinus neurostimulator, about 1.1 times the average total payment of $112,025. That payment is 70% above the U.S. average of $65,922.

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 $112,025Billed $127,949

About 88¢ was paid for every $1 hospitals in Maryland billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Maryland:

Maryland hospitals: cardiac defibrillator implant with major complications or carotid sinus neurostimulator

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 11 $179,853 $156,967 $151,404
Union Memorial HospitalBaltimore 11 $76,045 $67,083 $66,934
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Cardiac defibrillator implant with major complications or carotid sinus neurostimulator in other states

Questions

How much does cardiac defibrillator implant with major complications or carotid sinus neurostimulator cost in Maryland?

In 2024 Medicare data, a hospital stay for cardiac defibrillator implant with major complications or carotid sinus neurostimulator (DRG 276) at 2 hospitals in Maryland was billed at $127,949 on average, while the average total payment was $112,025, of which Medicare paid $109,169. 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.