Other digestive system diagnoses without complications in Maryland
What 1 hospital in Maryland charged and were paid for a Medicare hospital stay for other digestive system diagnoses without complications (DRG 395), from 2024 Medicare claims.
Average charge
$5,830
Hospital list price billed
Average payment
$5,356
Medicare + patient + other payers
Medicare paid
$3,608
Average per stay
Volume
11
Medicare hospital stays
Hospitals in Maryland billed an average of $5,830 for other digestive system diagnoses without complications, about 1.1 times the average total payment of $5,356. That payment is 25% below the U.S. average of $7,117.
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 $5,356Billed $5,830
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: other digestive system diagnoses 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 |
|---|---|---|---|---|
| Franklin Square Hospital CenterRosedale | 11 | $5,830 | $5,356 | $3,608 |
Other digestive system diagnoses without complications in other states
Questions
How much does other digestive system diagnoses without complications cost in Maryland?
In 2024 Medicare data, a hospital stay for other digestive system diagnoses without complications (DRG 395) at 1 hospital in Maryland was billed at $5,830 on average, while the average total payment was $5,356, of which Medicare paid $3,608. 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.