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Maryland: one knee, three prices

What Medicare pays Maryland hospitals and surgery centers for knee, hip and shoulder replacement, what hospitals list, and which cost the most and the least.

Surgery center
$8,953
Median Medicare knee rate, 63 orthopedic surgery centers
Hospital, same day
—
Median Medicare allowed amount
Hospital, overnight
$26,027
Median avg total payment (incl. patient share), 25 hospitals

Maryland requires a certificate of need for new surgery centers.

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Lowest average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
University of Md St Joseph Medical CenterTowson$18,420$20,699—
Luminis Health Anne Arundel Medical Center, IncAnnapolis$19,777$21,430—
Suburban HospitalBethesda$20,521$22,938—
Medstar Montgomery Medical CenterOlney$20,602$23,239—
Medstar Franklin Square Medical CenterRosedale$22,544$24,688—
Johns Hopkins Howard County Medical CenterColumbia$23,353$25,515—
Mercy Medical Center IncBaltimore$24,194$27,821—
Holy Cross Germantown HospitalGermantown$24,258$27,367—
Garrett Regional Medical CenterOakland$24,967$27,996—
Meritus Medical CenterHagerstown$25,015$27,250—

Highest average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
Union Hospital of Cecil CountyElkton$42,205$47,819—
Johns Hopkins Hospital, theBaltimore$39,013$44,401—
Sinai Hospital of BaltimoreBaltimore$35,542$39,907—
University of Md Charles Regional Medical CenterLa Plata$34,608$32,499—
Adventist Healthcare White Oak Medical CenterSilver Spring$32,240$36,059—
University of Md Upper Chesapeake Medical CenterBel Air$31,995$35,355—
Johns Hopkins Bayview Medical CenterBaltimore$31,274$36,015—
Luminis Health Doctors Community Medical Ctr, IncLanham$29,890$32,291—
Greater Baltimore Medical CenterBaltimore$29,288$33,160—
Medstar Union Memorial HospitalBaltimore$28,000$31,513—

Every Maryland hospital (26)

Orthopedic surgery centers (63)

Questions

How much does Medicare pay for a knee replacement in Maryland?

In 2024 the median average total payment to Maryland hospitals was $26,027 per Medicare inpatient hip or knee replacement stay (MS-DRG 470, 25 hospitals; Medicare's payment plus the patient's share), and the median Medicare allowed amount was — per outpatient case. An orthopedic surgery center is paid about $8,953 for a knee.

Which Maryland hospitals have the lowest Medicare payment for a joint replacement?

University of Md St Joseph Medical Center ($18,420), Luminis Health Anne Arundel Medical Center, Inc ($19,777), Suburban Hospital ($20,521) (average total payment per inpatient stay, patient share included).

What do Maryland hospitals list for a joint replacement?

The median list (chargemaster) price is $29,860, about 1.1× the median average total payment for a Medicare stay.

Does Maryland have a certificate-of-need law?

Maryland requires a certificate of need for new surgery centers. CON is required for ambulatory surgical facilities with three or more operating rooms; smaller centers receive a coverage determination instead.