facebook tracking Hip and femur procedures except major joint with major complications cost in Maryland: 19 hospitals compared (DRG 480)

Hip and femur procedures except major joint with major complications in Maryland

What 19 hospitals in Maryland charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with major complications (DRG 480), from 2024 Medicare claims.

DRG 480 Inpatient 2024 Medicare data
Average charge $45,868 Hospital list price billed
Average payment $41,128 Medicare + patient + other payers
Medicare paid $39,293 Average per stay
State rank #46 of 46 1 = lowest average payment

Hospitals in Maryland billed an average of $45,868 for hip and femur procedures except major joint with major complications, about 1.1 times the average total payment of $41,128. That payment is 56% above the U.S. average of $26,284.

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 $41,128Billed $45,868

About 90¢ was paid for every $1 hospitals in Maryland billed for this stay.

Maryland hospitals: hip and femur procedures except major joint 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 41 $71,597 $62,848 $60,012
Suburban HospitalBethesda 32 $29,350 $26,214 $25,044
Anne Arundel Medical CenterAnnapolis 26 $27,026 $26,522 $23,544
Sinai Hospital of BaltimoreBaltimore 24 $63,692 $56,026 $54,307
Johns Hopkins Bayview Medical CenterBaltimore 23 $60,859 $52,904 $51,698
Meritus Medical CenterHagerstown 21 $37,174 $34,142 $31,126
University of MD Capital Region Medical CenterHyattsville 20 $56,185 $54,082 $52,695
The Johns Hopkins HospitalBaltimore 18 $75,476 $66,471 $65,066
Howard County General HospitalColumbia 18 $30,427 $27,357 $25,997
Peninsula Regional Medical CenterSalisbury 17 $38,428 $34,433 $32,995
Upper Chesapeake Medical CenterBel Air 17 $31,500 $27,557 $26,407
Frederick Memorial HospitalFrederick 15 $45,468 $40,870 $39,348
Union Memorial HospitalBaltimore 15 $49,111 $43,359 $41,945
Montgomery General Hospital INCOlney 14 $25,314 $22,434 $21,035
Western Maryland Regional Medical CenterCumberland 14 $38,234 $34,146 $30,241
Harbor Hospital CenterBaltimore 14 $52,692 $48,094 $46,696
Memorial Hospital at EastonEaston 14 $28,314 $25,315 $24,037
Baltimore Washington Medical CenterGlen Burnie 13 $35,391 $32,687 $31,306
Franklin Square Hospital CenterRosedale 11 $38,710 $34,335 $32,999
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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

Montgomery General Hospital INCOlney, MD$22,434
Memorial Hospital at EastonEaston, MD$25,315
Suburban HospitalBethesda, MD$26,214
Anne Arundel Medical CenterAnnapolis, MD$26,522
Howard County General HospitalColumbia, MD$27,357

Hip and femur procedures except major joint with major complications in other states

Questions

How much does hip and femur procedures except major joint with major complications cost in Maryland?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with major complications (DRG 480) at 19 hospitals in Maryland was billed at $45,868 on average, while the average total payment was $41,128, of which Medicare paid $39,293. 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.