Medstar Southern Maryland Hospital Center
MedStar Southern Maryland Hospital Center in Clinton, MD charges 1.3x the Medicare reimbursement rate across 79 analyzed procedures, representing relatively moderate pricing for this nonprofit hospital.
Clinton, MD 20735 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
A
Excellent
Avg markup vs Medicare
1.31x
Charge / Medicare rate
Max markup
1.8x
Worst procedure
Procedures analyzed
79
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $27,299 | $13,650 | — | 1.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $5,802 | $2,901 | — | 1.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $10,334 | $5,167 | — | 1.6x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $25,056 | $12,528 | — | 1.5x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $63,832 | $31,916 | — | 1.5x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $19,789 | $9,895 | — | 1.4x |
| DIABETES WITH CC | 638 | $9,760 | $4,880 | — | 1.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $10,151 | $5,076 | — | 1.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $28,311 | $14,156 | — | 1.4x |
| HYPERTENSION WITHOUT MCC | 305 | $8,469 | $4,235 | — | 1.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $8,564 | $4,282 | — | 1.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $9,231 | $4,615 | — | 1.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $12,884 | $6,442 | — | 1.4x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | 207 | $76,777 | $38,389 | — | 1.4x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $13,405 | $6,702 | — | 1.4x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $7,939 | $3,970 | — | 1.4x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $31,480 | $15,740 | — | 1.4x |
| HYPERTENSION WITH MCC | 304 | $13,943 | $6,971 | — | 1.4x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $45,652 | $22,826 | — | 1.4x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $8,694 | $4,347 | — | 1.4x |
| RENAL FAILURE WITH MCC | 682 | $15,776 | $7,888 | — | 1.4x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $9,406 | $4,703 | — | 1.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $9,270 | $4,635 | — | 1.4x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $21,905 | $10,953 | — | 1.3x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $15,314 | $7,657 | — | 1.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $15,192 | $7,596 | — | 1.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $10,415 | $5,208 | — | 1.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $14,841 | $7,420 | — | 1.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $9,454 | $4,727 | — | 1.3x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $13,567 | $6,784 | — | 1.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $11,715 | $5,857 | — | 1.3x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $26,220 | $13,110 | — | 1.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $11,597 | $5,798 | — | 1.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $13,992 | $6,996 | — | 1.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $13,394 | $6,697 | — | 1.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $12,860 | $6,430 | — | 1.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $21,063 | $10,531 | — | 1.3x |
| SEIZURES WITHOUT MCC | 101 | $11,941 | $5,970 | — | 1.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $32,570 | $16,285 | — | 1.3x |
| PSYCHOSES | 885 | $15,398 | $7,699 | — | 1.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $13,451 | $6,725 | — | 1.3x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $16,548 | $8,274 | — | 1.3x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $19,339 | $9,670 | — | 1.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $38,296 | $19,148 | — | 1.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $13,587 | $6,794 | — | 1.3x |
| RENAL FAILURE WITH CC | 683 | $12,535 | $6,267 | — | 1.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $23,820 | $11,910 | — | 1.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $57,944 | $28,972 | — | 1.3x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $14,217 | $7,108 | — | 1.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $21,276 | $10,638 | — | 1.3x |
Showing 50 of 79 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use