facebook tracking Hip replacement with principal diagnosis of hip fracture without major complications cost in Maryland: 34 hospitals compared (DRG 522)

Hip replacement with principal diagnosis of hip fracture without major complications in Maryland

What 34 hospitals in Maryland charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522), from 2024 Medicare claims.

DRG 522 Inpatient 2024 Medicare data
Average charge $30,718 Hospital list price billed
Average payment $27,815 Medicare + patient + other payers
Medicare paid $26,063 Average per stay
State rank #50 of 50 1 = lowest average payment

Hospitals in Maryland billed an average of $30,718 for hip replacement with principal diagnosis of hip fracture without major complications, about 1.1 times the average total payment of $27,815. That payment is 52% above the U.S. average of $18,301.

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 $27,815Billed $30,718

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: hip replacement with principal diagnosis of hip fracture 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
Peninsula Regional Medical CenterSalisbury 63 $29,732 $26,576 $25,255
Anne Arundel Medical CenterAnnapolis 62 $25,438 $23,477 $22,214
Frederick Memorial HospitalFrederick 55 $29,703 $27,089 $25,724
Suburban HospitalBethesda 44 $24,332 $21,273 $19,410
Upper Chesapeake Medical CenterBel Air 43 $28,548 $25,807 $24,441
Howard County General HospitalColumbia 39 $25,966 $23,569 $21,497
Memorial Hospital at EastonEaston 35 $23,845 $21,322 $20,063
Sinai Hospital of BaltimoreBaltimore 34 $37,526 $32,999 $31,451
Montgomery General Hospital INCOlney 34 $23,066 $20,445 $18,958
Baltimore Washington Medical CenterGlen Burnie 33 $30,750 $28,276 $26,892
University of MD St Joseph Medical CenterTowson 33 $24,269 $21,589 $19,551
Meritus Medical CenterHagerstown 32 $22,663 $20,874 $19,446
Greater Baltimore Medical CenterTowson 32 $32,207 $28,270 $26,690
Johns Hopkins Bayview Medical CenterBaltimore 30 $37,682 $32,883 $31,523
Carroll Hospital CenterWestminster 28 $32,874 $29,122 $26,819
Shady Grove Adventist HospitalRockville 27 $30,285 $26,726 $23,521
University of MD Capital Region Medical CenterHyattsville 23 $45,287 $42,971 $41,694
University of MD Charles Regional Medical CenterLa Plata 22 $32,740 $35,747 $34,412
Holy Cross HospitalSilver Spring 21 $30,465 $27,380 $25,905
Western Maryland Regional Medical CenterCumberland 18 $33,235 $29,482 $28,031
University of Maryland Medical CenterBaltimore 17 $54,210 $49,614 $46,284
Union Memorial HospitalBaltimore 17 $31,516 $28,439 $23,144
Holy Cross Germantown HospitalGermantown 17 $26,723 $23,799 $22,551
Franklin Square Hospital CenterRosedale 16 $28,781 $25,919 $22,878
The Johns Hopkins HospitalBaltimore 15 $52,419 $45,897 $42,737
Washington Adventist HospitalTakoma Park 15 $30,650 $27,652 $24,192
Union Hospital of Cecil CountyElkton 15 $41,047 $36,640 $35,117
Calverthealth Medical CenterPrince Frederick 14 $32,542 $29,270 $27,638
Northwest Hospital CenterRandallstown 14 $30,646 $27,073 $25,675
St Agnes HealthcareBaltimore 12 $32,890 $28,667 $27,171
Doctors' Community HospitalLanham 12 $36,869 $33,900 $32,404
St Mary's HospitalLeonardtown 11 $32,432 $32,857 $31,373
Harbor Hospital CenterBaltimore 11 $35,472 $32,029 $30,434
Medstar Southern Maryland Hospital CenterClinton 11 $33,441 $31,848 $30,661
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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.

Hip replacement with principal diagnosis of hip fracture without major complications in other states

Questions

How much does hip replacement with principal diagnosis of hip fracture without major complications cost in Maryland?

In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522) at 34 hospitals in Maryland was billed at $30,718 on average, while the average total payment was $27,815, of which Medicare paid $26,063. 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.