Revision of hip or knee replacement without complications in Maryland
What 10 hospitals in Maryland charged and were paid for a Medicare hospital stay for revision of hip or knee replacement without complications (DRG 468), from 2024 Medicare claims.
Average charge
$40,242
Hospital list price billed
Average payment
$35,961
Medicare + patient + other payers
Medicare paid
$32,239
Average per stay
State rank
#42 of 42
1 = lowest average payment
Hospitals in Maryland billed an average of $40,242 for revision of hip or knee replacement without complications, about 1.1 times the average total payment of $35,961. That payment is 50% above the U.S. average of $23,925.
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 $35,961Billed $40,242
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: revision of hip or knee replacement 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 |
|---|---|---|---|---|
| Sinai Hospital of BaltimoreBaltimore | 38 | $47,514 | $42,401 | $35,176 |
| Union Memorial HospitalBaltimore | 38 | $35,940 | $32,168 | $27,364 |
| Suburban HospitalBethesda | 37 | $39,369 | $35,089 | $33,634 |
| St Agnes HealthcareBaltimore | 22 | $28,589 | $24,839 | $23,281 |
| Frederick Memorial HospitalFrederick | 19 | $45,941 | $41,924 | $40,377 |
| Mercy Medical Center INCBaltimore | 16 | $33,253 | $29,150 | $25,050 |
| Holy Cross Germantown HospitalGermantown | 13 | $49,072 | $43,677 | $42,045 |
| Howard County General HospitalColumbia | 12 | $34,299 | $31,710 | $27,473 |
| Peninsula Regional Medical CenterSalisbury | 11 | $46,879 | $42,500 | $35,313 |
| University of MD St Joseph Medical CenterTowson | 11 | $45,958 | $40,586 | $39,102 |
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 | $24,839 |
|---|---|
| Mercy Medical Center INCBaltimore, MD | $29,150 |
| Howard County General HospitalColumbia, MD | $31,710 |
| Union Memorial HospitalBaltimore, MD | $32,168 |
| Suburban HospitalBethesda, MD | $35,089 |
Highest
| Holy Cross Germantown HospitalGermantown, MD | $43,677 |
|---|---|
| Peninsula Regional Medical CenterSalisbury, MD | $42,500 |
| Sinai Hospital of BaltimoreBaltimore, MD | $42,401 |
| Frederick Memorial HospitalFrederick, MD | $41,924 |
| University of MD St Joseph Medical CenterTowson, MD | $40,586 |
Revision of hip or knee replacement without complications in other states
Questions
How much does revision of hip or knee replacement without complications cost in Maryland?
In 2024 Medicare data, a hospital stay for revision of hip or knee replacement without complications (DRG 468) at 10 hospitals in Maryland was billed at $40,242 on average, while the average total payment was $35,961, of which Medicare paid $32,239. 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.