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Healthcare Pricing Data: BALTIMORE, MD

13 hospitals with public pricing data · 30 procedures reported to CMS

Hospitals

13

With CMS data

Procedures

30

DRG categories

Avg Charge-to-Medicare Ratio

1.2x

Across all procedures

vs National Average

-55%

Chargemaster rates

About This Data

BALTIMORE, MD has 13 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 1.2x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)

The procedure with the highest average listed charges in BALTIMORE is INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC (DRG 853), with an average chargemaster rate of $78,022 across reporting hospitals.

Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.

Procedure Pricing Data

ProcedureDRGAvg Listed ChargeHospitals ReportingCharge-to-Medicare Ratio
PULMONARY EDEMA AND RESPIRATORY FAILURE189$47,394121.2x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$38,694111.2x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$25,171111.2x
HEART FAILURE AND SHOCK WITH MCC291$24,593111.2x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$24,184111.2x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$22,175111.2x
RENAL FAILURE WITH CC683$17,797111.3x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$16,647111.3x
DIABETES WITH CC638$16,143111.3x
CELLULITIS WITHOUT MCC603$15,943111.3x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$15,352111.3x
ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY884$33,071101.2x
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC057$32,863101.2x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC698$32,692101.2x
RENAL FAILURE WITH MCC682$30,003101.2x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$28,079101.2x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$26,205101.2x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$22,411101.2x
GASTROINTESTINAL HEMORRHAGE WITH CC378$19,480101.3x
MEDICAL BACK PROBLEMS WITHOUT MCC552$18,992101.3x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$16,506101.3x
SIMPLE PNEUMONIA AND PLEURISY WITH CC194$14,545101.3x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$78,02291.2x
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC056$50,33891.2x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$36,10191.2x
GASTROINTESTINAL HEMORRHAGE WITH MCC377$30,25591.2x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$30,00291.2x
POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC917$26,65891.3x
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC092$24,57091.2x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$24,41291.2x

Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.

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Data from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).

Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error