facebook tracking Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou cost in Maryland: 6 hospitals compared (DRG 004)

Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou in Maryland

What 6 hospitals in Maryland charged and were paid for a Medicare hospital stay for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou (DRG 004), from 2024 Medicare claims.

DRG 004 Inpatient 2024 Medicare data
Average charge $164,588 Hospital list price billed
Average payment $147,049 Medicare + patient + other payers
Medicare paid $139,796 Average per stay
State rank #20 of 24 1 = lowest average payment

Hospitals in Maryland billed an average of $164,588 for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou, about 1.1 times the average total payment of $147,049. That payment is 6% above the U.S. average of $139,119.

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 $147,049Billed $164,588

About 89¢ was paid for every $1 hospitals in Maryland billed for this stay.

Maryland hospitals: tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou

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
Holy Cross HospitalSilver Spring 18 $157,724 $142,146 $130,592
The Johns Hopkins HospitalBaltimore 18 $221,032 $194,003 $190,172
Suburban HospitalBethesda 13 $177,539 $160,215 $141,208
Washington Adventist HospitalTakoma Park 12 $105,962 $94,838 $92,798
Baltimore Washington Medical CenterGlen Burnie 12 $155,846 $143,721 $141,545
St Agnes HealthcareBaltimore 11 $141,644 $123,267 $120,117
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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.

Lowest

Washington Adventist HospitalTakoma Park, MD$94,838
St Agnes HealthcareBaltimore, MD$123,267
Holy Cross HospitalSilver Spring, MD$142,146
Baltimore Washington Medical CenterGlen Burnie, MD$143,721
Suburban HospitalBethesda, MD$160,215

Highest

The Johns Hopkins HospitalBaltimore, MD$194,003
Suburban HospitalBethesda, MD$160,215
Baltimore Washington Medical CenterGlen Burnie, MD$143,721
Holy Cross HospitalSilver Spring, MD$142,146
St Agnes HealthcareBaltimore, MD$123,267

Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou in other states

Questions

How much does tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou cost in Maryland?

In 2024 Medicare data, a hospital stay for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou (DRG 004) at 6 hospitals in Maryland was billed at $164,588 on average, while the average total payment was $147,049, of which Medicare paid $139,796. 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.