facebook tracking Pulmonary edema and respiratory failure cost in Maryland: 39 hospitals compared (DRG 189)

Pulmonary edema and respiratory failure in Maryland

What 39 hospitals in Maryland charged and were paid for a Medicare hospital stay for pulmonary edema and respiratory failure (DRG 189), from 2024 Medicare claims.

DRG 189 Inpatient 2024 Medicare data
Average charge $23,287 Hospital list price billed
Average payment $20,991 Medicare + patient + other payers
Medicare paid $19,279 Average per stay
State rank #50 of 50 1 = lowest average payment

Hospitals in Maryland billed an average of $23,287 for pulmonary edema and respiratory failure, about 1.1 times the average total payment of $20,991. That payment is 72% above the U.S. average of $12,197.

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 $20,991Billed $23,287

About 90¢ was paid for every $1 hospitals in Maryland billed for this stay.

Maryland hospitals: pulmonary edema and respiratory failure

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 258 $21,263 $19,162 $17,419
Meritus Medical CenterHagerstown 245 $16,668 $15,411 $14,088
Frederick Memorial HospitalFrederick 225 $15,900 $14,486 $12,996
Peninsula Regional Medical CenterSalisbury 223 $17,714 $15,932 $14,471
Howard County General HospitalColumbia 209 $15,001 $13,665 $12,329
St Agnes HealthcareBaltimore 171 $23,218 $20,016 $18,999
Anne Arundel Medical CenterAnnapolis 153 $18,734 $17,393 $15,956
Sinai Hospital of BaltimoreBaltimore 151 $31,268 $27,658 $25,027
Carroll Hospital CenterWestminster 138 $20,685 $18,273 $17,057
Baltimore Washington Medical CenterGlen Burnie 127 $20,311 $18,789 $17,858
Upper Chesapeake Medical CenterBel Air 125 $20,191 $18,237 $17,058
Montgomery General Hospital INCOlney 124 $16,697 $14,830 $13,452
Johns Hopkins Bayview Medical CenterBaltimore 115 $28,925 $25,183 $23,796
Holy Cross HospitalSilver Spring 108 $20,287 $18,278 $16,736
Northwest Hospital CenterRandallstown 108 $22,707 $20,081 $18,958
The Johns Hopkins HospitalBaltimore 107 $39,734 $34,868 $33,212
Union Hospital of Cecil CountyElkton 96 $20,942 $18,499 $17,109
Suburban HospitalBethesda 95 $14,698 $13,098 $11,775
University of MD St Joseph Medical CenterTowson 94 $19,304 $17,141 $15,907
Western Maryland Regional Medical CenterCumberland 91 $23,701 $21,021 $20,290
Memorial Hospital at EastonEaston 88 $20,667 $18,485 $17,299
Medstar Southern Maryland Hospital CenterClinton 86 $20,143 $18,928 $15,489
St Mary's HospitalLeonardtown 84 $19,740 $18,870 $17,513
Harbor Hospital CenterBaltimore 83 $20,776 $18,782 $16,939
Greater Baltimore Medical CenterTowson 79 $27,924 $24,459 $23,514
University of MD Capital Region Medical CenterHyattsville 77 $27,510 $26,590 $24,548
Good Samaritan HospitalBaltimore 69 $24,076 $21,408 $20,129
Holy Cross Germantown HospitalGermantown 67 $16,883 $15,171 $13,754
Doctors' Community HospitalLanham 62 $21,116 $19,687 $18,549
University of MD Charles Regional Medical CenterLa Plata 58 $20,072 $21,744 $20,454
Shady Grove Adventist HospitalRockville 57 $20,761 $18,388 $15,721
Union Memorial HospitalBaltimore 56 $28,258 $24,494 $22,344
Calverthealth Medical CenterPrince Frederick 56 $17,715 $15,910 $14,493
Washington Adventist HospitalTakoma Park 49 $29,960 $26,813 $25,504
Atlantic General HospitalBerlin 48 $16,106 $14,853 $12,763
University of Maryland Medical CenterBaltimore 35 $61,538 $57,213 $54,386
University of MD Medical Center Midtown CampusBaltimore 30 $115,089 $103,376 $91,844
Levindale Hebrew Geriatric Center and HospitalBaltimore 27 $198,156 $176,520 $153,644
Mercy Medical Center INCBaltimore 12 $21,163 $18,348 $17,192
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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

Suburban HospitalBethesda, MD$13,098
Howard County General HospitalColumbia, MD$13,665
Frederick Memorial HospitalFrederick, MD$14,486
Montgomery General Hospital INCOlney, MD$14,830
Atlantic General HospitalBerlin, MD$14,853

Pulmonary edema and respiratory failure in other states

Questions

How much does pulmonary edema and respiratory failure cost in Maryland?

In 2024 Medicare data, a hospital stay for pulmonary edema and respiratory failure (DRG 189) at 39 hospitals in Maryland was billed at $23,287 on average, while the average total payment was $20,991, of which Medicare paid $19,279. 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.