facebook tracking Revision of hip or knee replacement with complications cost in Maryland: 11 hospitals compared (DRG 467)

Revision of hip or knee replacement with complications in Maryland

What 11 hospitals in Maryland charged and were paid for a Medicare hospital stay for revision of hip or knee replacement with complications (DRG 467), from 2024 Medicare claims.

DRG 467 Inpatient 2024 Medicare data
Average charge $48,304 Hospital list price billed
Average payment $42,922 Medicare + patient + other payers
Medicare paid $40,964 Average per stay
State rank #41 of 41 1 = lowest average payment

Hospitals in Maryland billed an average of $48,304 for revision of hip or knee replacement with complications, about 1.1 times the average total payment of $42,922. That payment is 40% above the U.S. average of $30,673.

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 $42,922Billed $48,304

About 89¢ was paid for every $1 hospitals in Maryland billed for this stay.

Maryland hospitals: revision of hip or knee replacement 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
Sinai Hospital of BaltimoreBaltimore 52 $58,393 $51,296 $49,978
University of MD St Joseph Medical CenterTowson 31 $43,548 $38,529 $37,370
Mercy Medical Center INCBaltimore 30 $37,692 $32,974 $29,708
Union Memorial HospitalBaltimore 30 $48,157 $42,631 $39,940
Suburban HospitalBethesda 24 $42,060 $37,872 $33,736
Peninsula Regional Medical CenterSalisbury 20 $37,198 $33,257 $31,788
Anne Arundel Medical CenterAnnapolis 20 $39,261 $35,810 $34,423
University of Maryland Medical CenterBaltimore 19 $71,836 $66,316 $65,028
Johns Hopkins Bayview Medical CenterBaltimore 13 $56,727 $49,338 $47,957
St Agnes HealthcareBaltimore 11 $29,446 $25,459 $23,978
Holy Cross Germantown HospitalGermantown 11 $61,874 $54,647 $53,460
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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

St Agnes HealthcareBaltimore, MD$25,459
Mercy Medical Center INCBaltimore, MD$32,974
Peninsula Regional Medical CenterSalisbury, MD$33,257
Anne Arundel Medical CenterAnnapolis, MD$35,810
Suburban HospitalBethesda, MD$37,872

Highest

University of Maryland Medical CenterBaltimore, MD$66,316
Holy Cross Germantown HospitalGermantown, MD$54,647
Sinai Hospital of BaltimoreBaltimore, MD$51,296
Johns Hopkins Bayview Medical CenterBaltimore, MD$49,338
Union Memorial HospitalBaltimore, MD$42,631

Revision of hip or knee replacement with complications in other states

Questions

How much does revision of hip or knee replacement with complications cost in Maryland?

In 2024 Medicare data, a hospital stay for revision of hip or knee replacement with complications (DRG 467) at 11 hospitals in Maryland was billed at $48,304 on average, while the average total payment was $42,922, of which Medicare paid $40,964. 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.