facebook tracking Major chest procedures with major complications cost in Maryland: 6 hospitals compared (DRG 163)

Major chest procedures with major complications in Maryland

What 6 hospitals in Maryland charged and were paid for a Medicare hospital stay for major chest procedures with major complications (DRG 163), from 2024 Medicare claims.

DRG 163 Inpatient 2024 Medicare data
Average charge $59,533 Hospital list price billed
Average payment $53,573 Medicare + patient + other payers
Medicare paid $51,634 Average per stay
State rank #35 of 38 1 = lowest average payment

Hospitals in Maryland billed an average of $59,533 for major chest procedures with major complications, about 1.1 times the average total payment of $53,573. That payment is 19% above the U.S. average of $45,128.

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 $53,573Billed $59,533

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

Maryland hospitals: major chest procedures 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 24 $81,181 $71,671 $68,510
Anne Arundel Medical CenterAnnapolis 24 $33,460 $31,124 $29,764
Franklin Square Hospital CenterRosedale 17 $43,677 $39,126 $36,213
University of Maryland Medical CenterBaltimore 16 $91,927 $84,484 $83,183
Sinai Hospital of BaltimoreBaltimore 12 $48,888 $42,945 $41,993
Washington Adventist HospitalTakoma Park 11 $58,187 $52,026 $50,988
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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

Anne Arundel Medical CenterAnnapolis, MD$31,124
Franklin Square Hospital CenterRosedale, MD$39,126
Sinai Hospital of BaltimoreBaltimore, MD$42,945
Washington Adventist HospitalTakoma Park, MD$52,026
The Johns Hopkins HospitalBaltimore, MD$71,671

Highest

University of Maryland Medical CenterBaltimore, MD$84,484
The Johns Hopkins HospitalBaltimore, MD$71,671
Washington Adventist HospitalTakoma Park, MD$52,026
Sinai Hospital of BaltimoreBaltimore, MD$42,945
Franklin Square Hospital CenterRosedale, MD$39,126

Major chest procedures with major complications in other states

Questions

How much does major chest procedures with major complications cost in Maryland?

In 2024 Medicare data, a hospital stay for major chest procedures with major complications (DRG 163) at 6 hospitals in Maryland was billed at $59,533 on average, while the average total payment was $53,573, of which Medicare paid $51,634. 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.