facebook tracking Malignancy of hepatobiliary system or pancreas with complications cost in Maryland: 4 hospitals compared (DRG 436)

Malignancy of hepatobiliary system or pancreas with complications in Maryland

What 4 hospitals in Maryland charged and were paid for a Medicare hospital stay for malignancy of hepatobiliary system or pancreas with complications (DRG 436), from 2024 Medicare claims.

DRG 436 Inpatient 2024 Medicare data
Average charge $18,488 Hospital list price billed
Average payment $16,461 Medicare + patient + other payers
Medicare paid $14,789 Average per stay
State rank #8 of 10 1 = lowest average payment

Hospitals in Maryland billed an average of $18,488 for malignancy of hepatobiliary system or pancreas with complications, about 1.1 times the average total payment of $16,461. That payment is 32% above the U.S. average of $12,472.

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 $16,461Billed $18,488

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: malignancy of hepatobiliary system or pancreas with 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
Frederick Memorial HospitalFrederick 12 $14,397 $13,044 $11,956
Anne Arundel Medical CenterAnnapolis 12 $15,516 $14,294 $13,070
Mercy Medical Center INCBaltimore 11 $21,154 $18,271 $16,670
The Johns Hopkins HospitalBaltimore 11 $23,526 $20,744 $17,875
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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$13,044
Anne Arundel Medical CenterAnnapolis, MD$14,294
Mercy Medical Center INCBaltimore, MD$18,271
The Johns Hopkins HospitalBaltimore, MD$20,744

Highest

The Johns Hopkins HospitalBaltimore, MD$20,744
Mercy Medical Center INCBaltimore, MD$18,271
Anne Arundel Medical CenterAnnapolis, MD$14,294
Frederick Memorial HospitalFrederick, MD$13,044

Malignancy of hepatobiliary system or pancreas with complications in other states

Questions

How much does malignancy of hepatobiliary system or pancreas with complications cost in Maryland?

In 2024 Medicare data, a hospital stay for malignancy of hepatobiliary system or pancreas with complications (DRG 436) at 4 hospitals in Maryland was billed at $18,488 on average, while the average total payment was $16,461, of which Medicare paid $14,789. 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.