facebook tracking Headaches without major complications cost in Maryland: 3 hospitals compared (DRG 103)

Headaches without major complications in Maryland

What 3 hospitals in Maryland charged and were paid for a Medicare hospital stay for headaches without major complications (DRG 103), from 2024 Medicare claims.

DRG 103 Inpatient 2024 Medicare data
Average charge $13,078 Hospital list price billed
Average payment $12,115 Medicare + patient + other payers
Medicare paid $10,575 Average per stay
State rank #14 of 16 1 = lowest average payment

Hospitals in Maryland billed an average of $13,078 for headaches without major complications, about 1.1 times the average total payment of $12,115. That payment is 17% above the U.S. average of $10,322.

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 $12,115Billed $13,078

About 93¢ 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: headaches without 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
Meritus Medical CenterHagerstown 13 $9,111 $8,342 $7,212
The Johns Hopkins HospitalBaltimore 13 $16,448 $15,799 $13,312
Franklin Square Hospital CenterRosedale 13 $13,675 $12,204 $11,199
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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$8,342
Franklin Square Hospital CenterRosedale, MD$12,204
The Johns Hopkins HospitalBaltimore, MD$15,799

Highest

The Johns Hopkins HospitalBaltimore, MD$15,799
Franklin Square Hospital CenterRosedale, MD$12,204
Meritus Medical CenterHagerstown, MD$8,342

Headaches without major complications in other states

Questions

How much does headaches without major complications cost in Maryland?

In 2024 Medicare data, a hospital stay for headaches without major complications (DRG 103) at 3 hospitals in Maryland was billed at $13,078 on average, while the average total payment was $12,115, of which Medicare paid $10,575. 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.