Simple pneumonia and pleurisy with complications in Maryland
What 37 hospitals in Maryland charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with complications (DRG 194), from 2024 Medicare claims.
Average charge
$12,233
Hospital list price billed
Average payment
$11,047
Medicare + patient + other payers
Medicare paid
$9,465
Average per stay
State rank
#45 of 47
1 = lowest average payment
Hospitals in Maryland billed an average of $12,233 for simple pneumonia and pleurisy with complications, about 1.1 times the average total payment of $11,047. That payment is 39% above the U.S. average of $7,941.
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 $11,047Billed $12,233
About 90¢ 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: simple pneumonia and pleurisy 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 |
|---|---|---|---|---|
| Anne Arundel Medical CenterAnnapolis | 192 | $10,206 | $9,416 | $7,981 |
| Frederick Memorial HospitalFrederick | 98 | $9,956 | $9,111 | $7,674 |
| Greater Baltimore Medical CenterTowson | 93 | $14,061 | $12,155 | $10,604 |
| Upper Chesapeake Medical CenterBel Air | 81 | $12,043 | $10,844 | $9,270 |
| Meritus Medical CenterHagerstown | 78 | $9,741 | $9,207 | $7,265 |
| Carroll Hospital CenterWestminster | 67 | $10,713 | $9,484 | $8,217 |
| Howard County General HospitalColumbia | 60 | $7,977 | $7,312 | $5,533 |
| Baltimore Washington Medical CenterGlen Burnie | 59 | $12,243 | $11,389 | $9,765 |
| University of MD St Joseph Medical CenterTowson | 53 | $12,172 | $10,880 | $9,389 |
| Washington Adventist HospitalTakoma Park | 52 | $12,677 | $11,407 | $9,824 |
| Union Hospital of Cecil CountyElkton | 51 | $9,220 | $8,281 | $6,793 |
| St Agnes HealthcareBaltimore | 49 | $16,086 | $13,986 | $12,755 |
| The Johns Hopkins HospitalBaltimore | 47 | $16,957 | $15,167 | $12,308 |
| Peninsula Regional Medical CenterSalisbury | 41 | $11,761 | $10,542 | $9,387 |
| Suburban HospitalBethesda | 40 | $9,487 | $8,494 | $7,026 |
| Shady Grove Adventist HospitalRockville | 39 | $13,728 | $12,123 | $10,397 |
| Western Maryland Regional Medical CenterCumberland | 37 | $14,073 | $12,563 | $10,999 |
| Doctors' Community HospitalLanham | 37 | $12,794 | $12,250 | $10,515 |
| Northwest Hospital CenterRandallstown | 36 | $16,157 | $14,299 | $12,942 |
| Franklin Square Hospital CenterRosedale | 34 | $9,715 | $8,859 | $6,661 |
| Memorial Hospital at EastonEaston | 33 | $11,943 | $10,701 | $9,317 |
| Sinai Hospital of BaltimoreBaltimore | 31 | $18,036 | $15,929 | $14,257 |
| Johns Hopkins Bayview Medical CenterBaltimore | 29 | $15,622 | $13,620 | $12,103 |
| University of MD Charles Regional Medical CenterLa Plata | 28 | $15,991 | $16,591 | $15,047 |
| Calverthealth Medical CenterPrince Frederick | 28 | $12,212 | $10,984 | $9,530 |
| Atlantic General HospitalBerlin | 24 | $11,022 | $10,114 | $8,890 |
| Mercy Medical Center INCBaltimore | 19 | $13,461 | $11,630 | $10,428 |
| Garrett County Memorial HospitalOakland | 19 | $13,293 | $11,809 | $10,693 |
| St Mary's HospitalLeonardtown | 19 | $14,454 | $12,614 | $11,240 |
| Holy Cross HospitalSilver Spring | 17 | $10,882 | $9,954 | $7,760 |
| Good Samaritan HospitalBaltimore | 17 | $13,425 | $11,944 | $10,602 |
| Montgomery General Hospital INCOlney | 15 | $10,879 | $9,653 | $8,348 |
| Fort Washington HospitalFort Washington | 15 | $12,819 | $11,607 | $8,328 |
| University of MD Shore Medical Ctr at ChestertownChestertown | 14 | $27,206 | $25,002 | $23,606 |
| Harbor Hospital CenterBaltimore | 14 | $15,287 | $13,926 | $12,995 |
| Union Memorial HospitalBaltimore | 13 | $15,917 | $13,272 | $11,174 |
| Holy Cross Germantown HospitalGermantown | 13 | $7,783 | $7,137 | $5,077 |
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
| Holy Cross Germantown HospitalGermantown, MD | $7,137 |
|---|---|
| Howard County General HospitalColumbia, MD | $7,312 |
| Union Hospital of Cecil CountyElkton, MD | $8,281 |
| Suburban HospitalBethesda, MD | $8,494 |
| Franklin Square Hospital CenterRosedale, MD | $8,859 |
Highest
| University of MD Shore Medical Ctr at ChestertownChestertown, MD | $25,002 |
|---|---|
| University of MD Charles Regional Medical CenterLa Plata, MD | $16,591 |
| Sinai Hospital of BaltimoreBaltimore, MD | $15,929 |
| The Johns Hopkins HospitalBaltimore, MD | $15,167 |
| Northwest Hospital CenterRandallstown, MD | $14,299 |
Simple pneumonia and pleurisy with complications in other states
Questions
How much does simple pneumonia and pleurisy with complications cost in Maryland?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with complications (DRG 194) at 37 hospitals in Maryland was billed at $12,233 on average, while the average total payment was $11,047, of which Medicare paid $9,465. 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.