facebook tracking Spinal fusion except cervical without major complications cost in Maryland: 19 hospitals compared (DRG 460)

Spinal fusion except cervical without major complications in Maryland

What 19 hospitals in Maryland charged and were paid for a Medicare hospital stay for spinal fusion except cervical without major complications (DRG 460), from 2024 Medicare claims.

DRG 460 Inpatient 2024 Medicare data
Average charge $58,672 Hospital list price billed
Average payment $52,847 Medicare + patient + other payers
Medicare paid $48,896 Average per stay
State rank #43 of 43 1 = lowest average payment

Hospitals in Maryland billed an average of $58,672 for spinal fusion except cervical without major complications, about 1.1 times the average total payment of $52,847. That payment is 55% above the U.S. average of $34,025.

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 $52,847Billed $58,672

About 90¢ was paid for every $1 hospitals in Maryland billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Maryland:

Maryland hospitals: spinal fusion except cervical without 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
University of MD St Joseph Medical CenterTowson 88 $36,379 $32,528 $29,468
The Johns Hopkins HospitalBaltimore 84 $66,362 $58,829 $50,768
University of Maryland Medical CenterBaltimore 81 $77,543 $70,846 $69,517
Union Memorial HospitalBaltimore 60 $55,732 $49,382 $46,552
Upper Chesapeake Medical CenterBel Air 39 $74,677 $66,570 $61,828
Holy Cross HospitalSilver Spring 33 $54,065 $50,060 $43,552
Montgomery General Hospital INCOlney 31 $60,942 $53,828 $52,460
Anne Arundel Medical CenterAnnapolis 28 $37,343 $34,727 $33,153
Mercy Medical Center INCBaltimore 22 $47,853 $41,810 $34,987
Sinai Hospital of BaltimoreBaltimore 21 $58,915 $51,743 $50,344
Franklin Square Hospital CenterRosedale 21 $54,236 $48,320 $46,688
Shady Grove Adventist HospitalRockville 20 $51,848 $45,771 $41,446
Baltimore Washington Medical CenterGlen Burnie 18 $63,884 $59,884 $52,695
University of MD Capital Region Medical CenterHyattsville 15 $84,460 $81,911 $73,425
Peninsula Regional Medical CenterSalisbury 13 $46,825 $41,951 $40,444
Johns Hopkins Bayview Medical CenterBaltimore 12 $87,560 $75,981 $74,621
Meritus Medical CenterHagerstown 11 $44,858 $41,935 $40,303
Suburban HospitalBethesda 11 $53,900 $48,679 $42,723
Doctors' Community HospitalLanham 11 $59,795 $56,417 $51,016
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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.

Spinal fusion except cervical without major complications in other states

Questions

How much does spinal fusion except cervical without major complications cost in Maryland?

In 2024 Medicare data, a hospital stay for spinal fusion except cervical without major complications (DRG 460) at 19 hospitals in Maryland was billed at $58,672 on average, while the average total payment was $52,847, of which Medicare paid $48,896. 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.