Major chest procedures without complications in Maryland
What 6 hospitals in Maryland charged and were paid for a Medicare hospital stay for major chest procedures without complications (DRG 165), from 2024 Medicare claims.
Average charge
$26,437
Hospital list price billed
Average payment
$24,342
Medicare + patient + other payers
Medicare paid
$19,447
Average per stay
State rank
#25 of 26
1 = lowest average payment
Hospitals in Maryland billed an average of $26,437 for major chest procedures without complications, about 1.1 times the average total payment of $24,342. That payment is 24% above the U.S. average of $19,593.
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 $24,342Billed $26,437
About 92¢ 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:
Maryland hospitals: major chest procedures without 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 | 29 | $28,798 | $26,878 | $19,866 |
| Anne Arundel Medical CenterAnnapolis | 23 | $16,549 | $15,423 | $13,134 |
| Franklin Square Hospital CenterRosedale | 21 | $28,787 | $26,230 | $20,683 |
| Sinai Hospital of BaltimoreBaltimore | 14 | $36,372 | $32,299 | $28,497 |
| University of Maryland Medical CenterBaltimore | 11 | $32,101 | $29,619 | $28,284 |
| Suburban HospitalBethesda | 11 | $18,097 | $17,294 | $8,823 |
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 | $15,423 |
|---|---|
| Suburban HospitalBethesda, MD | $17,294 |
| Franklin Square Hospital CenterRosedale, MD | $26,230 |
| The Johns Hopkins HospitalBaltimore, MD | $26,878 |
| University of Maryland Medical CenterBaltimore, MD | $29,619 |
Highest
| Sinai Hospital of BaltimoreBaltimore, MD | $32,299 |
|---|---|
| University of Maryland Medical CenterBaltimore, MD | $29,619 |
| The Johns Hopkins HospitalBaltimore, MD | $26,878 |
| Franklin Square Hospital CenterRosedale, MD | $26,230 |
| Suburban HospitalBethesda, MD | $17,294 |
Major chest procedures without complications in other states
Questions
How much does major chest procedures without complications cost in Maryland?
In 2024 Medicare data, a hospital stay for major chest procedures without complications (DRG 165) at 6 hospitals in Maryland was billed at $26,437 on average, while the average total payment was $24,342, of which Medicare paid $19,447. 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.