facebook tracking Pulmonary embolism without major complications cost in Maryland: 22 hospitals compared (DRG 176)

Pulmonary embolism without major complications in Maryland

What 22 hospitals in Maryland charged and were paid for a Medicare hospital stay for pulmonary embolism without major complications (DRG 176), from 2024 Medicare claims.

DRG 176 Inpatient 2024 Medicare data
Average charge $13,279 Hospital list price billed
Average payment $11,951 Medicare + patient + other payers
Medicare paid $10,376 Average per stay
State rank #39 of 39 1 = lowest average payment

Hospitals in Maryland billed an average of $13,279 for pulmonary embolism without major complications, about 1.1 times the average total payment of $11,951. That payment is 44% above the U.S. average of $8,294.

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 $11,951Billed $13,279

About 90¢ 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: pulmonary embolism without major 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
Anne Arundel Medical CenterAnnapolis 53 $9,974 $9,246 $7,794
Frederick Memorial HospitalFrederick 43 $9,954 $9,088 $6,778
The Johns Hopkins HospitalBaltimore 37 $24,239 $21,360 $19,936
Upper Chesapeake Medical CenterBel Air 32 $9,768 $9,251 $7,355
University of MD St Joseph Medical CenterTowson 32 $9,839 $8,810 $7,413
Meritus Medical CenterHagerstown 26 $9,736 $9,007 $7,752
Johns Hopkins Bayview Medical CenterBaltimore 26 $17,594 $14,602 $13,817
Northwest Hospital CenterRandallstown 25 $14,961 $13,328 $11,687
Washington Adventist HospitalTakoma Park 24 $17,026 $15,260 $14,104
Baltimore Washington Medical CenterGlen Burnie 24 $10,997 $10,198 $8,839
Sinai Hospital of BaltimoreBaltimore 23 $25,638 $23,121 $21,048
Franklin Square Hospital CenterRosedale 21 $13,976 $12,667 $10,346
Howard County General HospitalColumbia 21 $7,234 $6,683 $5,045
Carroll Hospital CenterWestminster 19 $10,048 $8,882 $7,593
Doctors' Community HospitalLanham 19 $12,217 $11,353 $10,150
Peninsula Regional Medical CenterSalisbury 17 $14,339 $12,958 $11,345
Greater Baltimore Medical CenterTowson 17 $12,546 $11,157 $10,005
Shady Grove Adventist HospitalRockville 16 $10,603 $9,362 $7,832
Holy Cross HospitalSilver Spring 15 $8,265 $7,804 $5,972
University of Maryland Medical CenterBaltimore 14 $22,860 $20,178 $18,757
Memorial Hospital at EastonEaston 12 $12,449 $11,342 $9,148
Suburban HospitalBethesda 11 $7,402 $6,634 $5,002
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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$6,634
Howard County General HospitalColumbia, MD$6,683
Holy Cross HospitalSilver Spring, MD$7,804
University of MD St Joseph Medical CenterTowson, MD$8,810
Carroll Hospital CenterWestminster, MD$8,882

Highest

Sinai Hospital of BaltimoreBaltimore, MD$23,121
The Johns Hopkins HospitalBaltimore, MD$21,360
University of Maryland Medical CenterBaltimore, MD$20,178
Washington Adventist HospitalTakoma Park, MD$15,260
Johns Hopkins Bayview Medical CenterBaltimore, MD$14,602

Pulmonary embolism without major complications in other states

Questions

How much does pulmonary embolism without major complications cost in Maryland?

In 2024 Medicare data, a hospital stay for pulmonary embolism without major complications (DRG 176) at 22 hospitals in Maryland was billed at $13,279 on average, while the average total payment was $11,951, of which Medicare paid $10,376. 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.