facebook tracking Extensive operating room procedures unrelated to principal diagnosis with major complications cost in Maryland: 19 hospitals compared (DRG 981)

Extensive operating room procedures unrelated to principal diagnosis with major complications in Maryland

What 19 hospitals in Maryland charged and were paid for a Medicare hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981), from 2024 Medicare claims.

DRG 981 Inpatient 2024 Medicare data
Average charge $76,891 Hospital list price billed
Average payment $69,594 Medicare + patient + other payers
Medicare paid $64,023 Average per stay
State rank #42 of 42 1 = lowest average payment

Hospitals in Maryland billed an average of $76,891 for extensive operating room procedures unrelated to principal diagnosis with major complications, about 1.1 times the average total payment of $69,594. That payment is 48% above the U.S. average of $47,051.

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 $69,594Billed $76,891

About 91¢ 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:

Major complications $69,594 DRG 981 · this page Complications $24,742 DRG 982 · U.S. average No complications $20,340 DRG 983 · U.S. average

Maryland hospitals: extensive operating room procedures unrelated to principal diagnosis 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
The Johns Hopkins HospitalBaltimore 40 $149,612 $133,037 $108,949
University of Maryland Medical CenterBaltimore 35 $146,716 $143,780 $138,547
Western Maryland Regional Medical CenterCumberland 23 $51,186 $45,641 $41,201
Meritus Medical CenterHagerstown 22 $32,647 $30,130 $29,240
Sinai Hospital of BaltimoreBaltimore 22 $83,998 $74,206 $69,004
Greater Baltimore Medical CenterTowson 19 $52,462 $46,458 $42,628
Good Samaritan HospitalBaltimore 18 $60,722 $53,814 $50,701
Baltimore Washington Medical CenterGlen Burnie 17 $47,505 $43,608 $41,784
Anne Arundel Medical CenterAnnapolis 16 $42,469 $38,883 $37,965
Johns Hopkins Bayview Medical CenterBaltimore 16 $79,283 $65,510 $64,594
Franklin Square Hospital CenterRosedale 14 $53,398 $43,460 $33,835
Memorial Hospital at EastonEaston 14 $49,936 $44,587 $43,538
University of MD St Joseph Medical CenterTowson 14 $71,477 $63,444 $62,511
Peninsula Regional Medical CenterSalisbury 13 $55,750 $50,145 $44,077
Frederick Memorial HospitalFrederick 12 $35,406 $31,738 $28,814
Union Memorial HospitalBaltimore 12 $62,218 $54,933 $53,811
Doctors' Community HospitalLanham 12 $59,353 $55,074 $53,852
Holy Cross HospitalSilver Spring 11 $73,816 $66,209 $65,133
Upper Chesapeake Medical CenterBel Air 11 $58,518 $51,609 $50,576
Extensive operating room procedures unrelated to principal diagnosis with major complications: all states All Maryland hospitals Maryland hospital finances
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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

Meritus Medical CenterHagerstown, MD$30,130
Frederick Memorial HospitalFrederick, MD$31,738
Anne Arundel Medical CenterAnnapolis, MD$38,883
Franklin Square Hospital CenterRosedale, MD$43,460
Baltimore Washington Medical CenterGlen Burnie, MD$43,608

Highest

University of Maryland Medical CenterBaltimore, MD$143,780
The Johns Hopkins HospitalBaltimore, MD$133,037
Sinai Hospital of BaltimoreBaltimore, MD$74,206
Holy Cross HospitalSilver Spring, MD$66,209
Johns Hopkins Bayview Medical CenterBaltimore, MD$65,510

Extensive operating room procedures unrelated to principal diagnosis with major complications in other states

Alaska · $57,637 California · $62,446 Connecticut · $54,430 Massachusetts · $57,989 New Hampshire · $57,765 New York · $60,614 Rhode Island · $62,024 Wisconsin · $53,997

Questions

How much does extensive operating room procedures unrelated to principal diagnosis with major complications cost in Maryland?

In 2024 Medicare data, a hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981) at 19 hospitals in Maryland was billed at $76,891 on average, while the average total payment was $69,594, of which Medicare paid $64,023. 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.