MD CMS Medicare PUF 2023 Avg payment #4 of 56

Maryland procedure costs

56 hospitals · 4,071 Medicare providers · 4,725 procedure codes with Maryland locality adjustments.

The short answer

Maryland has 56 hospitals and 4,071 Medicare-billing providers across 4,725 procedure codes. The average Medicare payment per procedure is $310.43; the average submitted (billed) charge is $1,534.24.

Procedure codes
4,725
Providers per hospital
72.7
Billed-to-Medicare ratio
4.9x
Markup rank
#45 of 56

Source: CMS Medicare Physician & Other Practitioners, 2023.

About this dataset, nationwide

According to the Centers for Medicare & Medicaid Services (CMS), the 2023 Medicare Physician & Other Practitioners dataset records payments for 9,297 procedure codes billed across 5,426 hospitals in 56 states and territories; see our methodology for how each figure is sourced and computed.

56
Hospitals
4,071
Providers
$310.43
Avg Medicare Payment
$1,534.24
Avg Billed Charge

Maryland against every US state

Where the state's average Medicare payment per procedure falls, all 56 tracked jurisdictions

$310 higher than 93% of 56 states

$75–$100: 3 states (5%). Below this entry. $100–$125: 1 states (2%). Below this entry. $125–$150: 2 states (4%). Below this entry. $150–$175: 5 states (9%). Below this entry. $175–$200: 7 states (13%). Below this entry. $200–$225: 9 states (16%). Below this entry. $225–$250: 9 states (16%). Below this entry. $250–$275: 11 states (20%). Below this entry. $275–$300: 4 states (7%). Below this entry. $300–$325: 4 states (7%). This entry sits in this band. $325–$350: 1 states (2%). Above this entry. This state $75 $350 every US state, bucketed by value

Each bar is a $25-wide band; taller bars hold more states. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Physician & Other Practitioners, 2023

The priciest procedures in Maryland

Highest average Medicare payment per procedure billed in Maryland. Hover any bar for the exact figure; even these top procedures are billed well above what Medicare reimburses.

Top procedures by Medicare payment - Maryland

Sipuleucel-T, Minimum Of 50 …41297Removal Of Plaque And Insert…9845Revascularization, Endovascu…9119Removal Of Plaque And Insert…9039Insertion Of Spinal Neurosti…8564Fusion Of Sacroiliac Joint B…7763Removal Of Plaque In Artery …7205Insertion Of Peripheral Or G…6848
Top procedures by Medicare payment - Maryland-Average Medicare payment per procedure (CMS 2023)

The cost spread in Maryland

The highest- and lowest-paying procedures Medicare reimbursed in Maryland, side by side.

Top Procedures by Volume

Procedure Medicare Services
Low Osmolar Contrast Material, 300-399 Mg/ml Iodine Concentration, Per Ml $0.11 4.1M
Injection, Gadoterate Meglumine, 0.1 Ml $0.11 3.0M
Established Patient Office Or Other Outpatient Visit, 30-39 Minutes $85.18 2.9M
Chloroprocaine Hcl Ophthalmic, 3% Gel, 1 Mg $0.55 2.8M
Injection, Denosumab, 1 Mg $18.21 2.3M
Ground Mileage, Per Statute Mile $7.06 2.2M
Injection, Ferric Carboxymaltose, 1 Mg $0.87 2.1M
Injection, Darbepoetin Alfa, 1 Microgram (non-Esrd Use) $2.34 2.1M
Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Administered Under The Direct Supervision Of A Physician, Not For Use When Drug Is Self Administered) $3.88 2.1M
Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-Esrd Use) $0.39 2.0M
Established Patient Office Or Other Outpatient Visit, 20-29 Minutes $61.67 1.9M
Therapy Procedure Using Exercise To Develop Strength, Endurance, Range Of Motion, And Flexibility, Each 15 Minutes $18.55 1.8M
Injection, Pembrolizumab, 1 Mg $42.34 1.5M
Injection, Tocilizumab, 1 Mg $4.59 1.4M
Therapy Procedure Using Functional Activities $26.89 1.2M
Injection, Faricimab-Svoa, 0.1 Mg $28.80 1.2M
Injection, Nivolumab, 1 Mg $23.28 1.1M
Injection, Romosozumab-Aqqg, 1 Mg $7.90 1.0M
Injection, Onabotulinumtoxina, 1 Unit $4.89 995.8K
Therapy Procedure To Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes $22.57 994.2K
Therapy Procedure Using Manual Technique, Each 15 Minutes $16.65 941.6K
Injection, Iron Sucrose, 1 Mg $0.16 914.3K
Injection, Daratumumab, 10 Mg And Hyaluronidase-Fihj $37.43 782.2K
Insertion Of Needle Into Vein For Collection Of Blood Sample $8.27 739.5K
Injection, Oxaliplatin, 0.5 Mg $0.06 705.3K
Injection, Azacitidine, 1 Mg $0.35 621.8K
Injection, Paclitaxel, 1 Mg $0.10 616.9K
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, At Least 35 Minutes $63.61 601.5K
Injection, Fosaprepitant, 1 Mg $0.12 582.9K
Injection, Vedolizumab, 1 Mg $17.16 573.9K

Maryland Healthcare Cost Landscape

CMS lists 56 hospitals in Maryland across 36 cities. BALTIMORE holds 17 (30%). The three densest cities together hold 38% of the state roster. Statewide that is 4,071 Medicare-billing providers, 72.7 per listed hospital.

42 hospitals carry a CMS overall star rating (4 five-star, 9 four-star, 16 three-star, 13 two-star, 0 one-star) ; five-star share among rated facilities is 10%. 14 hospitals in this extract have no published overall rating.

Facility-type mix: Acute Care Hospitals 43 (77%); Psychiatric 8 (14%); Acute Care - Veterans Administration 2 (4%); Childrens 2 (4%).

Among the 30 highest-volume procedure codes billed in Maryland, Drugs (Administered) leads with 23.4M services (51% of this top-volume slice) across 18 codes. Next is Temporary Codes at 13%.

Submitted charges average $1,534.24 against $310.43 Medicare payment (4.9x billed-to-Medicare). That ratio ranks #45 of 56 jurisdictions with both figures in this extract. Average Medicare payment itself is #4 of 56.

Volume leaders are not the high-payment codes. Low Osmolar Contrast Material, 300-399 Mg/ml Iodine Concentration, Per Ml is in the top volume slice but not the highest Medicare payments; Sipuleucel-T, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-Gm-Csf, Including Leukapheresis And All Other Preparatory Procedures, Per Infusion is in the high-payment set without matching volume rank.

These are CMS roster and claims aggregates for Maryland, not a quote for any patient, plan, or visit. See the methodology and CMS Medicare Provider Charge Data.

Where Maryland hospitals sit

City of the CMS hospital roster, not a travel or care recommendation. 36 distinct cities appear on 56 listed facilities.

City Hospitals Share of state roster
BALTIMORE 17 30%
ANNAPOLIS 2 4%
CUMBERLAND 2 4%
HAGERSTOWN 2 4%
SILVER SPRING 2 4%
ABERDEEN 1 2%
BEL AIR 1 2%
BERLIN 1 2%

Nationwide states with similar hospital scale or Medicare payment

Two CMS-extract-derived peer sets for Maryland: nearest hospital inventory and nearest statewide average Medicare payment. Not clinical substitutes: registry-scale and payment neighborhoods only.

Similar CMS hospital count

Nearest states with ≥5 hospitals (56 here).

Similar average Medicare payment

Nearest states with published averages ($310.43 here).

Hospitals in Maryland

ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CTR
FORT WASHINGTON · ★★☆☆☆
ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER
ROCKVILLE · ★★☆☆☆
ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER
SILVER SPRING · ★★☆☆☆
ATLANTIC GENERAL HOSPITAL
BERLIN · ★★★☆☆
BROOK LANE HEALTH SERVICES
HAGERSTOWN · -
CALVERTHEALTH MEDICAL CENTER
PRINCE FREDERICK · ★★★★★
CARROLL HOSPITAL CENTER
WESTMINSTER · ★★★☆☆
EASTERN SHORE HOSPITAL CENTER
CAMBRIDGE · -
FREDERICK HEALTH HOSPITAL
FREDERICK · ★★★☆☆
GARRETT REGIONAL MEDICAL CENTER
OAKLAND · ★★★★☆
GREATER BALTIMORE MEDICAL CENTER
BALTIMORE · ★★★★☆
HOLY CROSS GERMANTOWN HOSPITAL
GERMANTOWN · ★★☆☆☆
HOLY CROSS HOSPITAL
SILVER SPRING · ★★☆☆☆
JOHNS HOPKINS BAYVIEW MEDICAL CENTER
BALTIMORE · ★★★☆☆
JOHNS HOPKINS HOSPITAL, THE
BALTIMORE · ★★★★☆
JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER
COLUMBIA · ★★★☆☆
KENNEDY KRIEGER INSTITUTE
BALTIMORE · -
LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL
BALTIMORE · -
LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER, INC
ANNAPOLIS · ★★★☆☆
LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CTR, INC
LANHAM · ★★☆☆☆
LUMINIS HEALTH J KENT MCNEW FAMILY MEDICAL CENTER
ANNAPOLIS · -
MEDSTAR FRANKLIN SQUARE MEDICAL CENTER
ROSEDALE · ★★★☆☆
MEDSTAR GOOD SAMARITAN HOSPITAL
BALTIMORE · ★★★☆☆
MEDSTAR HARBOR HOSPITAL
BALTIMORE · ★★★★☆
MEDSTAR MONTGOMERY MEDICAL CENTER
OLNEY · ★★★☆☆
MEDSTAR SAINT MARY'S HOSPITAL
LEONARDTOWN · ★★★★☆
MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER
CLINTON · ★★☆☆☆
MEDSTAR UNION MEMORIAL HOSPITAL
BALTIMORE · ★★★★★
MERCY MEDICAL CENTER INC
BALTIMORE · ★★★★☆
MERITUS MEDICAL CENTER
HAGERSTOWN · ★★☆☆☆

View all 56 hospitals in Maryland →

How Maryland Compares Nationally

Maryland's average Medicare payment is #4 of 56 in this extract. Submitted-over-Medicare markup ranks #45 of 56 (4.9x). Hospital-count peers (nearest CMS roster size to 56): West Virginia 55, Puerto Rico 61, South Dakota 61, Utah 51. Payment peers (nearest average Medicare payment to $310.43): New York $313.07, Texas $303.51, Florida $320.44, Arizona $286.66.

Those peer sets are registry neighborhoods, not clinical substitutes. Markup rank and payment rank can diverge: a jurisdiction can sit high on billed-to-Medicare while sitting mid-pack on payment, or the reverse. Figures remain CMS averages for Maryland, not an out-of-pocket quote.

Related registry pages

Maryland averages sit on two maps: Medicare payment and submitted-over-Medicare markup.

Figures here are Maryland CMS averages, not a quote for any patient, plan, or visit.

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure  · Verify with CMS →

Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.