Sinai Hospital of Baltimore
SINAI HOSPITAL OF BALTIMORE charges 1.3x the Medicare reimbursement rate across 114 analyzed procedures, positioning this nonprofit facility below the typical markup levels seen at many Baltimore-area hospitals.
Baltimore, MD 21215 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
A
Excellent
Avg markup vs Medicare
1.26x
Charge / Medicare rate
Max markup
1.88x
Worst procedure
Procedures analyzed
114
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 |
|---|---|---|---|---|---|
| AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | 559 | $52,091 | $26,046 | — | 1.9x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $117,709 | $58,855 | — | 1.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $35,822 | $17,911 | — | 1.5x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $51,712 | $25,856 | — | 1.4x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $95,597 | $47,798 | — | 1.4x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $70,292 | $35,146 | — | 1.4x |
| HYPERTENSION WITH MCC | 304 | $27,433 | $13,717 | — | 1.4x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $38,665 | $19,333 | — | 1.4x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $17,516 | $8,758 | — | 1.4x |
| PNEUMOTHORAX WITH CC | 200 | $18,305 | $9,153 | — | 1.4x |
| VENTRICULAR SHUNT PROCEDURES WITH CC | 032 | $32,477 | $16,239 | — | 1.4x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $33,391 | $16,696 | — | 1.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $49,684 | $24,842 | — | 1.3x |
| CHEST PAIN | 313 | $14,628 | $7,314 | — | 1.3x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | 207 | $58,827 | $29,414 | — | 1.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $24,036 | $12,018 | — | 1.3x |
| HYPERTENSION WITHOUT MCC | 305 | $16,695 | $8,347 | — | 1.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $13,099 | $6,550 | — | 1.3x |
| PSYCHOSES | 885 | $21,493 | $10,747 | — | 1.3x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $63,414 | $31,707 | — | 1.3x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MC | 024 | $68,711 | $34,355 | — | 1.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $88,015 | $44,008 | — | 1.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $29,813 | $14,907 | — | 1.3x |
| RENAL FAILURE WITH CC | 683 | $24,881 | $12,441 | — | 1.3x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $27,026 | $13,513 | — | 1.3x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $41,531 | $20,765 | — | 1.3x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $48,822 | $24,411 | — | 1.3x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $42,336 | $21,168 | — | 1.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $30,932 | $15,466 | — | 1.3x |
| CELLULITIS WITHOUT MCC | 603 | $22,735 | $11,368 | — | 1.3x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $81,290 | $40,645 | — | 1.3x |
| DIABETES WITH CC | 638 | $17,460 | $8,730 | — | 1.3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $37,803 | $18,902 | — | 1.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $20,612 | $10,306 | — | 1.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $41,129 | $20,564 | — | 1.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $21,360 | $10,680 | — | 1.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $31,755 | $15,877 | — | 1.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $18,223 | $9,112 | — | 1.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $18,377 | $9,188 | — | 1.3x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $19,922 | $9,961 | — | 1.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $27,788 | $13,894 | — | 1.3x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $46,294 | $23,147 | — | 1.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $33,424 | $16,712 | — | 1.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $17,197 | $8,599 | — | 1.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $19,743 | $9,872 | — | 1.3x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $21,981 | $10,991 | — | 1.3x |
| SYNCOPE AND COLLAPSE | 312 | $18,776 | $9,388 | — | 1.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $74,830 | $37,415 | — | 1.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $38,562 | $19,281 | — | 1.3x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $28,783 | $14,392 | — | 1.3x |
Showing 50 of 114 procedures
How SINAI HOSPITAL OF BALTIMORE compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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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