facebook tracking Major hematological and immunological diagnoses except sickle cell crisis and coagulatio cost in Maryland: 3 hospitals compared (DRG 808)

Major hematological and immunological diagnoses except sickle cell crisis and coagulatio in Maryland

What 3 hospitals in Maryland charged and were paid for a Medicare hospital stay for major hematological and immunological diagnoses except sickle cell crisis and coagulatio (DRG 808), from 2024 Medicare claims.

DRG 808 Inpatient 2024 Medicare data
Average charge $67,676 Hospital list price billed
Average payment $60,568 Medicare + patient + other payers
Medicare paid $54,031 Average per stay
State rank #18 of 18 1 = lowest average payment

Hospitals in Maryland billed an average of $67,676 for major hematological and immunological diagnoses except sickle cell crisis and coagulatio, about 1.1 times the average total payment of $60,568. That payment is 117% above the U.S. average of $27,957.

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 $60,568Billed $67,676

About 89¢ 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: major hematological and immunological diagnoses except sickle cell crisis and coagulatio

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 22 $78,781 $68,831 $67,941
University of Maryland Medical CenterBaltimore 12 $92,826 $85,705 $64,011
Frederick Memorial HospitalFrederick 11 $18,029 $16,620 $15,325
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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

Frederick Memorial HospitalFrederick, MD$16,620
The Johns Hopkins HospitalBaltimore, MD$68,831
University of Maryland Medical CenterBaltimore, MD$85,705

Highest

University of Maryland Medical CenterBaltimore, MD$85,705
The Johns Hopkins HospitalBaltimore, MD$68,831
Frederick Memorial HospitalFrederick, MD$16,620

Major hematological and immunological diagnoses except sickle cell crisis and coagulatio in other states

Questions

How much does major hematological and immunological diagnoses except sickle cell crisis and coagulatio cost in Maryland?

In 2024 Medicare data, a hospital stay for major hematological and immunological diagnoses except sickle cell crisis and coagulatio (DRG 808) at 3 hospitals in Maryland was billed at $67,676 on average, while the average total payment was $60,568, of which Medicare paid $54,031. 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.