facebook tracking Coronary bypass without cardiac catheterization with major complications cost in Maryland: 5 hospitals compared (DRG 235)

Coronary bypass without cardiac catheterization with major complications in Maryland

What 5 hospitals in Maryland charged and were paid for a Medicare hospital stay for coronary bypass without cardiac catheterization with major complications (DRG 235), from 2024 Medicare claims.

DRG 235 Inpatient 2024 Medicare data
Average charge $98,389 Hospital list price billed
Average payment $89,687 Medicare + patient + other payers
Medicare paid $85,492 Average per stay
State rank #37 of 37 1 = lowest average payment

Hospitals in Maryland billed an average of $98,389 for coronary bypass without cardiac catheterization with major complications, about 1.1 times the average total payment of $89,687. That payment is 59% above the U.S. average of $56,401.

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 $89,687Billed $98,389

About 91¢ 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: coronary bypass without cardiac catheterization with major 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
University of Maryland Medical CenterBaltimore 31 $123,787 $113,738 $112,635
The Johns Hopkins HospitalBaltimore 23 $111,685 $97,578 $96,586
University of MD St Joseph Medical CenterTowson 21 $65,264 $64,714 $56,998
Peninsula Regional Medical CenterSalisbury 16 $73,128 $66,421 $57,794
Union Memorial HospitalBaltimore 15 $98,836 $87,659 $81,822
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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

Highest

Coronary bypass without cardiac catheterization with major complications in other states

Questions

How much does coronary bypass without cardiac catheterization with major complications cost in Maryland?

In 2024 Medicare data, a hospital stay for coronary bypass without cardiac catheterization with major complications (DRG 235) at 5 hospitals in Maryland was billed at $98,389 on average, while the average total payment was $89,687, of which Medicare paid $85,492. 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.