Other musculoskeletal system and connective tissue operating room procedures with complications in Maryland
What 5 hospitals in Maryland charged and were paid for a Medicare hospital stay for other musculoskeletal system and connective tissue operating room procedures with complications (DRG 516), from 2024 Medicare claims.
Average charge
$28,624
Hospital list price billed
Average payment
$25,337
Medicare + patient + other payers
Medicare paid
$23,973
Average per stay
State rank
#33 of 33
1 = lowest average payment
Hospitals in Maryland billed an average of $28,624 for other musculoskeletal system and connective tissue operating room procedures with complications, about 1.1 times the average total payment of $25,337. That payment is 33% above the U.S. average of $18,981.
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 $25,337Billed $28,624
About 89¢ 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 musculoskeletal system and connective tissue operating room procedures 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 |
|---|---|---|---|---|
| Western Maryland Regional Medical CenterCumberland | 15 | $23,587 | $20,957 | $19,869 |
| The Johns Hopkins HospitalBaltimore | 12 | $25,912 | $22,728 | $21,368 |
| Suburban HospitalBethesda | 12 | $22,141 | $19,753 | $18,121 |
| Peninsula Regional Medical CenterSalisbury | 11 | $27,614 | $24,680 | $23,345 |
| Shady Grove Adventist HospitalRockville | 11 | $46,531 | $40,904 | $39,421 |
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
| Suburban HospitalBethesda, MD | $19,753 |
|---|---|
| Western Maryland Regional Medical CenterCumberland, MD | $20,957 |
| The Johns Hopkins HospitalBaltimore, MD | $22,728 |
| Peninsula Regional Medical CenterSalisbury, MD | $24,680 |
| Shady Grove Adventist HospitalRockville, MD | $40,904 |
Highest
| Shady Grove Adventist HospitalRockville, MD | $40,904 |
|---|---|
| Peninsula Regional Medical CenterSalisbury, MD | $24,680 |
| The Johns Hopkins HospitalBaltimore, MD | $22,728 |
| Western Maryland Regional Medical CenterCumberland, MD | $20,957 |
| Suburban HospitalBethesda, MD | $19,753 |
Other musculoskeletal system and connective tissue operating room procedures with complications in other states
Questions
How much does other musculoskeletal system and connective tissue operating room procedures with complications cost in Maryland?
In 2024 Medicare data, a hospital stay for other musculoskeletal system and connective tissue operating room procedures with complications (DRG 516) at 5 hospitals in Maryland was billed at $28,624 on average, while the average total payment was $25,337, of which Medicare paid $23,973. 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.