Simple pneumonia and pleurisy without complications in Maryland
What 6 hospitals in Maryland charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy without complications (DRG 195), from 2024 Medicare claims.
Average charge
$8,941
Hospital list price billed
Average payment
$8,177
Medicare + patient + other payers
Medicare paid
$6,487
Average per stay
State rank
#16 of 16
1 = lowest average payment
Hospitals in Maryland billed an average of $8,941 for simple pneumonia and pleurisy without complications, about 1.1 times the average total payment of $8,177. That payment is 36% above the U.S. average of $6,019.
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 $8,177Billed $8,941
About 91¢ 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 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 |
|---|---|---|---|---|
| Anne Arundel Medical CenterAnnapolis | 36 | $9,158 | $8,494 | $7,001 |
| Frederick Memorial HospitalFrederick | 22 | $9,269 | $8,457 | $6,973 |
| Greater Baltimore Medical CenterTowson | 19 | $10,833 | $9,638 | $7,918 |
| Howard County General HospitalColumbia | 15 | $6,287 | $5,800 | $4,277 |
| Upper Chesapeake Medical CenterBel Air | 12 | $10,522 | $9,617 | $6,750 |
| Baltimore Washington Medical CenterGlen Burnie | 11 | $6,199 | $5,725 | $4,093 |
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
| Baltimore Washington Medical CenterGlen Burnie, MD | $5,725 |
|---|---|
| Howard County General HospitalColumbia, MD | $5,800 |
| Frederick Memorial HospitalFrederick, MD | $8,457 |
| Anne Arundel Medical CenterAnnapolis, MD | $8,494 |
| Upper Chesapeake Medical CenterBel Air, MD | $9,617 |
Highest
| Greater Baltimore Medical CenterTowson, MD | $9,638 |
|---|---|
| Upper Chesapeake Medical CenterBel Air, MD | $9,617 |
| Anne Arundel Medical CenterAnnapolis, MD | $8,494 |
| Frederick Memorial HospitalFrederick, MD | $8,457 |
| Howard County General HospitalColumbia, MD | $5,800 |
Simple pneumonia and pleurisy without complications in other states
Questions
How much does simple pneumonia and pleurisy without complications cost in Maryland?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy without complications (DRG 195) at 6 hospitals in Maryland was billed at $8,941 on average, while the average total payment was $8,177, of which Medicare paid $6,487. 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.