Simple pneumonia and pleurisy with major complications in Maryland
What 40 hospitals in Maryland charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.
Average charge
$17,060
Hospital list price billed
Average payment
$15,376
Medicare + patient + other payers
Medicare paid
$13,806
Average per stay
State rank
#47 of 50
1 = lowest average payment
Hospitals in Maryland billed an average of $17,060 for simple pneumonia and pleurisy with major complications, about 1.1 times the average total payment of $15,376. That payment is 28% above the U.S. average of $12,020.
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 $15,376Billed $17,060
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 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 | 183 | $16,709 | $15,484 | $14,270 |
| Meritus Medical CenterHagerstown | 121 | $13,590 | $12,574 | $10,786 |
| Washington Adventist HospitalTakoma Park | 98 | $18,618 | $16,719 | $15,331 |
| Greater Baltimore Medical CenterTowson | 98 | $20,275 | $17,869 | $16,440 |
| Frederick Memorial HospitalFrederick | 96 | $14,053 | $12,860 | $11,403 |
| Howard County General HospitalColumbia | 90 | $13,119 | $12,032 | $10,516 |
| Upper Chesapeake Medical CenterBel Air | 89 | $15,180 | $13,554 | $12,399 |
| Carroll Hospital CenterWestminster | 82 | $16,184 | $14,436 | $12,539 |
| Union Hospital of Cecil CountyElkton | 80 | $14,891 | $13,250 | $11,986 |
| Franklin Square Hospital CenterRosedale | 71 | $15,508 | $13,684 | $12,468 |
| Peninsula Regional Medical CenterSalisbury | 71 | $14,261 | $12,828 | $11,473 |
| Doctors' Community HospitalLanham | 71 | $15,245 | $14,236 | $12,524 |
| Calverthealth Medical CenterPrince Frederick | 67 | $17,117 | $15,510 | $13,429 |
| Shady Grove Adventist HospitalRockville | 63 | $22,297 | $18,186 | $16,778 |
| Atlantic General HospitalBerlin | 62 | $14,102 | $12,948 | $10,928 |
| Suburban HospitalBethesda | 56 | $12,379 | $11,037 | $9,784 |
| Holy Cross HospitalSilver Spring | 54 | $15,267 | $14,033 | $12,268 |
| Sinai Hospital of BaltimoreBaltimore | 52 | $21,750 | $19,175 | $17,583 |
| Northwest Hospital CenterRandallstown | 52 | $20,799 | $18,362 | $17,390 |
| Memorial Hospital at EastonEaston | 50 | $18,046 | $16,189 | $14,805 |
| Holy Cross Germantown HospitalGermantown | 48 | $16,432 | $15,076 | $11,104 |
| The Johns Hopkins HospitalBaltimore | 46 | $26,705 | $23,432 | $22,017 |
| University of MD Charles Regional Medical CenterLa Plata | 45 | $21,330 | $22,789 | $21,521 |
| Johns Hopkins Bayview Medical CenterBaltimore | 44 | $17,105 | $14,944 | $13,374 |
| St Mary's HospitalLeonardtown | 43 | $17,122 | $16,076 | $14,143 |
| Baltimore Washington Medical CenterGlen Burnie | 42 | $13,625 | $12,625 | $11,422 |
| Montgomery General Hospital INCOlney | 40 | $13,106 | $11,709 | $10,067 |
| Western Maryland Regional Medical CenterCumberland | 37 | $17,923 | $15,886 | $14,607 |
| University of MD St Joseph Medical CenterTowson | 36 | $17,922 | $16,005 | $14,504 |
| Medstar Southern Maryland Hospital CenterClinton | 33 | $20,445 | $19,000 | $15,741 |
| St Agnes HealthcareBaltimore | 29 | $21,426 | $18,548 | $17,366 |
| Harbor Hospital CenterBaltimore | 26 | $16,050 | $14,577 | $12,818 |
| Good Samaritan HospitalBaltimore | 26 | $21,450 | $17,753 | $15,877 |
| Union Memorial HospitalBaltimore | 24 | $21,113 | $18,784 | $16,869 |
| University of MD Capital Region Medical CenterHyattsville | 21 | $19,565 | $19,052 | $17,294 |
| University of Maryland Medical CenterBaltimore | 20 | $26,507 | $21,254 | $19,706 |
| Mercy Medical Center INCBaltimore | 18 | $16,472 | $13,615 | $12,618 |
| Garrett County Memorial HospitalOakland | 14 | $16,053 | $14,256 | $12,741 |
| University of MD Shore Medical Ctr at ChestertownChestertown | 13 | $34,675 | $31,751 | $30,746 |
| Fort Washington HospitalFort Washington | 12 | $16,306 | $14,485 | $11,963 |
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 | $11,037 |
|---|---|
| Montgomery General Hospital INCOlney, MD | $11,709 |
| Howard County General HospitalColumbia, MD | $12,032 |
| Meritus Medical CenterHagerstown, MD | $12,574 |
| Baltimore Washington Medical CenterGlen Burnie, MD | $12,625 |
Highest
| University of MD Shore Medical Ctr at ChestertownChestertown, MD | $31,751 |
|---|---|
| The Johns Hopkins HospitalBaltimore, MD | $23,432 |
| University of MD Charles Regional Medical CenterLa Plata, MD | $22,789 |
| University of Maryland Medical CenterBaltimore, MD | $21,254 |
| Sinai Hospital of BaltimoreBaltimore, MD | $19,175 |
Simple pneumonia and pleurisy with major complications in other states
Questions
How much does simple pneumonia and pleurisy with major complications cost in Maryland?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 40 hospitals in Maryland was billed at $17,060 on average, while the average total payment was $15,376, of which Medicare paid $13,806. 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.