facebook tracking Cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in Maryland: 4 hospitals compared (DRG 219)

Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in Maryland

What 4 hospitals in Maryland charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219), from 2024 Medicare claims.

DRG 219 Inpatient 2024 Medicare data
Average charge $148,700 Hospital list price billed
Average payment $133,090 Medicare + patient + other payers
Medicare paid $124,644 Average per stay
State rank #37 of 37 1 = lowest average payment

Hospitals in Maryland billed an average of $148,700 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 1.1 times the average total payment of $133,090. That payment is 59% above the U.S. average of $83,705.

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 $133,090Billed $148,700

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: cardiac valve and other major cardiothoracic procedures without cardiac catheterization

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 63 $117,203 $103,546 $94,320
University of Maryland Medical CenterBaltimore 48 $204,013 $184,101 $183,218
Union Memorial HospitalBaltimore 13 $167,176 $151,440 $111,928
University of MD St Joseph Medical CenterTowson 12 $72,792 $64,278 $63,326
Advertisement

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

Highest

Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in other states

Questions

How much does cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in Maryland?

In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219) at 4 hospitals in Maryland was billed at $148,700 on average, while the average total payment was $133,090, of which Medicare paid $124,644. 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.