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The Price of Medicare Procedures in Maryland



This table shows the 100 most frequently charged procedures/diagnosis in Maryland to the Inpatient Prospective Payment System (IPPS). This table will give a basic idea of the cost of medicare for hospital procedures. Hospitals determine what they bill according to a "chargemaster". The charge master serves as a price point for the beginning of negotiations between you and the health care provider.



ProcedureProvider StateTotal DischargesHospital Charge(s)Medicare Payment(s)Your Cost
Acute Myocardial Infarction Discharged Alive No Complications
 Maryland 772 $6984 $6613 $371
Acute Myocardial Infarction Discharged Alive With Complications
 Maryland 1436 $9981 $9404 $577
Acute Myocardial Infarction Discharged Alive With Major Complications
 Maryland 1126 $18555 $17464 $1091
Alcohol Drug Abuse No Rehabilitation Therapy No Major Complications
 Maryland 777 $6294 $5933 $361
Atherosclerosis No Major Complications
 Maryland 830 $5832 $5522 $310
Back And Neck Proc Exc Spinal Fusion No Complications
 Maryland 727 $10728 $10169 $559
Bronchitis And Asthma No Complications
 Maryland 472 $6021 $5691 $330
Bronchitis And Asthma With Complications
 Maryland 849 $8569 $8089 $480
Cardiac Arrhythmia And Conduction Disorders No Complications
 Maryland 2743 $5458 $5157 $301
Cardiac Arrhythmia And Conduction Disorders With Complications
 Maryland 2522 $7643 $7204 $439
Cardiac Arrhythmia And Conduction Disorders With Major Complications
 Maryland 1029 $12637 $11893 $744
Cellulitis No Major Complications
 Maryland 3379 $7905 $7466 $439
Cellulitis With Major Complications
 Maryland 381 $12326 $11615 $711
Cervical Spinal Fusion No Complications
 Maryland 399 $24904 $23524 $1380
Chest Pain
 Maryland 3930 $5639 $5353 $286
Chronic Obstructive Pulmonary Disease No Complications
 Maryland 2623 $6903 $6507 $396
Chronic Obstructive Pulmonary Disease With Complications
 Maryland 3878 $9034 $8516 $518
Chronic Obstructive Pulmonary Disease With Major Complications
 Maryland 3027 $11900 $11210 $690
Circulatory Disorders Except Ami With Card Cath No Major Complications
 Maryland 1859 $10460 $10414 $46
Circulatory Disorders Except Ami With Card Cath With Major Complications
 Maryland 342 $19095 $17996 $1099
Cranial And Peripheral Nerve Disorders No Major Complications
 Maryland 739 $8360 $7881 $479
Degenerative Nervous System Disorders No Major Complications
 Maryland 1280 $11246 $10593 $653
Diabetes With Complications
 Maryland 1389 $8011 $7556 $455
Disorders Of Pancreas Except Malignancy With Complications
 Maryland 661 $9613 $9072 $541
Dysequilibrium
 Maryland 1056 $5981 $5642 $339
Esophagitis Gastroent And Misc Digest Disorders No Major Complications
 Maryland 5433 $7107 $6707 $400
Esophagitis Gastroent And Misc Digest Disorders With Major Complications
 Maryland 1168 $11929 $11234 $695
Extracranial Procedures No Complications
 Maryland 706 $8909 $8409 $500
Fractures Of Hip And Pelvis No Major Complications
 Maryland 566 $6638 $6245 $393
Fx Sprn Strn And Disl Except Femur Hip Pelvis Thigh No Major Complications
 Maryland 764 $7091 $6698 $393
Gi Hemorrhage No Complications
 Maryland 1358 $6722 $6345 $377
Gi Hemorrhage With Complications
 Maryland 3038 $9748 $9186 $562
Gi Hemorrhage With Major Complications
 Maryland 1182 $16664 $15702 $962
Gi Obstruction No Complications
 Maryland 713 $6247 $5916 $331
Gi Obstruction With Complications
 Maryland 1189 $8564 $8079 $485
Heart Failure And Shock No Complications
 Maryland 2200 $6591 $6215 $376
Heart Failure And Shock With Complications
 Maryland 5727 $9471 $8916 $555
Heart Failure And Shock With Major Complications
 Maryland 4401 $13960 $13139 $821
Hip And Femur Procedures Except Major Joint No Complications
 Maryland 467 $14931 $14041 $890
Hip And Femur Procedures Except Major Joint With Complications
 Maryland 1473 $18512 $17419 $1093
Hip And Femur Procedures Except Major Joint With Major Complications
 Maryland 323 $25590 $24089 $1501
Hypertension No Major Complications
 Maryland 898 $6008 $5671 $337
Infectious And Parasitic Diseases Or Procedure With Major Complications
 Maryland 1113 $45419 $42842 $2577
Intracranial Hemorrhage Or Cerebral Infarction No Complications
 Maryland 1476 $8179 $7720 $459
Intracranial Hemorrhage Or Cerebral Infarction With Complications
 Maryland 2798 $10720 $10102 $618
Intracranial Hemorrhage Or Cerebral Infarction With Major Complications
 Maryland 1657 $18485 $17395 $1090
Kidney And Urinary Tract Infections No Major Complications
 Maryland 5295 $7422 $6986 $436
Kidney And Urinary Tract Infections With Major Complications
 Maryland 1425 $11307 $10641 $666
Laparoscopic Cholecystectomy No Cde No Complications
 Maryland 250 $10748 $10172 $576
Laparoscopic Cholecystectomy No Cde With Complications
 Maryland 347 $13729 $12965 $764
Major Cardiovasc Procedures No Major Complications
 Maryland 724 $32458 $30617 $1841
Major Gastrointestinal Disorders And Peritoneal Infections With Complications
 Maryland 819 $11342 $10734 $608
Major Joint Replacement Of Lower Extremity No Major Complications
 Maryland 8854 $21231 $20049 $1182
Major Joint Replacement Of Lower Extremity With Major Complications
 Maryland 447 $31529 $29696 $1833
Major Small And Large Bowel Procedures With Complications
 Maryland 1173 $25612 $24137 $1475
Major Small And Large Bowel Procedures With Major Complications
 Maryland 828 $47515 $44718 $2797
Medical Back Problems No Major Complications
 Maryland 1825 $7838 $7407 $431
Misc Disorders Of Metabolism Fluids Electrolytes No Major Complications
 Maryland 3818 $7083 $6678 $405
Misc Disorders Of Metabolism Fluids Electrolytes With Major Complications
 Maryland 1538 $11250 $10597 $653
Other Circulatory System Diagnoses With Complications
 Maryland 646 $10013 $9444 $569
Other Circulatory System Diagnoses With Major Complications
 Maryland 1346 $19006 $17894 $1112
Other Digestive System Diagnoses With Complications
 Maryland 1141 $9481 $8943 $538
Other Kidney And Urinary Tract Diagnoses With Complications
 Maryland 766 $12643 $11936 $707
Other Kidney And Urinary Tract Diagnoses With Major Complications
 Maryland 465 $20187 $19018 $1169
Other Vascular Procedures No Complications
 Maryland 678 $14649 $13869 $780
Other Vascular Procedures With Complications
 Maryland 929 $22256 $20953 $1303
Other Vascular Procedures With Major Complications
 Maryland 882 $30814 $28985 $1829
Perc Cardiovasc Proc No Coronary Artery Stent No Major Complications
 Maryland 458 $22464 $21195 $1269
Perc Cardiovasc Proc With Drug Eluting Stent No Major Complications
 Maryland 1690 $16839 $15903 $936
Perc Cardiovasc Proc With Drug Eluting Stent With Major Complications
 Maryland 333 $30944 $29111 $1833
Perc Cardiovasc Proc With Nondrug Eluting Stent No Major Complications
 Maryland 547 $15842 $14939 $903
Peripheral Vascular Disorders No Complications
 Maryland 442 $7436 $7047 $389
Peripheral Vascular Disorders With Complications
 Maryland 1074 $9500 $8949 $551
Permanent Cardiac Pacemaker Implant No Complications
 Maryland 519 $20753 $19577 $1176
Permanent Cardiac Pacemaker Implant With Complications
 Maryland 547 $26454 $24882 $1572
Poisoning And Toxic Effects Of Drugs No Major Complications
 Maryland 756 $6670 $6336 $334
Poisoning And Toxic Effects Of Drugs With Major Complications
 Maryland 407 $12724 $11974 $750
Psychoses
 Maryland 6742 $11981 $11277 $704
Pulmonary Edema And Respiratory Failure
 Maryland 2361 $15122 $14234 $888
Pulmonary Embolism No Major Complications
 Maryland 1052 $10230 $9658 $572
Red Blood Cell Disorders No Major Complications
 Maryland 2312 $7729 $7295 $434
Red Blood Cell Disorders With Major Complications
 Maryland 751 $11607 $10946 $661
Renal Failure No Complications
 Maryland 1019 $6303 $5940 $363
Renal Failure With Complications
 Maryland 3711 $9262 $8724 $538
Renal Failure With Major Complications
 Maryland 2038 $16366 $15408 $958
Respiratory Infections And Inflammations With Complications
 Maryland 1191 $12927 $12163 $764
Respiratory Infections And Inflammations With Major Complications
 Maryland 944 $18144 $17083 $1061
Respiratory System Diagnosis With Ventilator Support 96 Plus Hrs
 Maryland 616 $51198 $48185 $3013
Respiratory System Diagnosis With Ventilator Support Less 96 Hrs
 Maryland 1389 $23044 $21694 $1350
Seizures No Major Complications
 Maryland 1473 $7873 $7427 $446
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs No Major Complications
 Maryland 3169 $10565 $9947 $618
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs With Major Complications
 Maryland 7619 $18739 $17661 $1078
Septicemia Or Severe Sepsis With Mv 96 Plus Hrs
 Maryland 498 $51254 $48209 $3045
Signs And Symptoms No Major Complications
 Maryland 1700 $7277 $6865 $412
Simple Pneumonia And Pleurisy No Complications
 Maryland 1526 $6437 $6076 $361
Simple Pneumonia And Pleurisy With Complications
 Maryland 5087 $9727 $9167 $560
Simple Pneumonia And Pleurisy With Major Complications
 Maryland 1819 $14392 $13544 $848
Spinal Fusion Except Cervical No Major Complications
 Maryland 1292 $40917 $38601 $2316
Syncope And Collapse
 Maryland 4376 $6616 $6242 $374
Transient Ischemia
 Maryland 2481 $6892 $6493 $399


Source: CMS

As part of the Obama administration’s goal to make our healthcare more accountable, transparent and affordable the CMS.gov has released data from more then 3000 hospitals that receive payments for the 100 highest frequently billed charges under Medicare. For more information visit CMS.gov.

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