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HCHospitalCostData

Updated April 2026

Transient Ischemia in Maryland

32 Maryland hospitals report Medicare totals for this DRG, averaging $8,193 (above the $7,374 national mean), with a 3× spread from $4,291 to $11,810. 1 carry an A grade, 0 carry an F.

Transient Ischemia (DRG 069) is a Neurological procedure tracked in CMS Inpatient Payment files. Across Maryland, 2,604 hospitals report payment data for 540,941 total discharges, with an average Medicare payment of $7,374 (median $7,170). The $2,746-to-$15,148 payment range is wide: the same DRG code can attract very different reimbursements across hospitals, reflecting differences in cost structure, patient complexity within the DRG, and regional pricing dynamics. The Medicare DRG system bundles cases by diagnosis-and-procedure groupings, so payment differences within a single DRG mostly track hospital-specific factors rather than case-mix.

Within Maryland, the 2,604 hospitals reporting this procedure span the full range of ownership types and hospital sizes. The state-specific average ($7,374) is shaped by which hospitals in the state see enough volume to report the DRG code at all. For patients with elective scheduling on Transient Ischemia, the cost-comparison logic is straightforward: the per-procedure payment range is meaningfully wide, so the hospital chosen affects total cost. For patients in an emergency, the choice is functionally fixed — but the listed prices still matter for insurance-coverage and out-of-pocket planning.

About This Procedure

Neurology and neurosurgery DRGs span stroke care, craniotomy, spinal procedures, and seizure management. Outcomes vary substantially by hospital volume and stroke-center designation, which the CMS Care Compare site flags directly.

Transient Ischemia is Medicare DRG 069 in the Neurological category. National Medicare average for this DRG is $7,374 across 2,604 reporting hospitals. The state-level view here filters that universe down to Maryland only.

Cost Picture in Maryland

Maryland's average for this DRG sits above the national Medicare mean. State-level differences are explained primarily by the regional Medicare wage index — the multiplier CMS applies to standardize DRG payments to local labor costs — alongside hospital case mix and the concentration of academic referral centers in the state's larger metros.

Within the state, the 3× spread between the lowest- and highest-reporting facility usually reflects length-of-stay differences, complication adjustments for sicker patients, teaching-status add-ons, and outlier payments for unusually long stays. Two hospitals reporting the same DRG can post meaningfully different totals without anything “wrong” happening at either site. For non-Medicare patients, the more relevant figure is the negotiated commercial rate published in each hospital's machine-readable file under the CMS Hospital Price Transparency Rule.

Quality Alongside Price

For a planned admission, the most useful complement to the cost view is the hospital-specific quality data on CMS Care Compare. The site publishes risk-adjusted measures of mortality, readmission, complication, infection, and patient experience for every Medicare-participating hospital. The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators feed many of these CMS measures.

For complex procedures, hospital-level case volume correlates with outcomes in published research, even after risk adjustment. CMS publishes case counts on Care Compare alongside outcome measures.

Hospitals in Maryland Reporting Transient Ischemia

Sorted lowest to highest Medicare total payment. Pricing is informational and should be considered alongside CMS quality measures.

#HospitalPaymentGrade
1Um Upper Chesapeake Behavioral Health Pavilion At
Aberdeen
$4,291C
2Johns Hopkins Howard County Medical Center
Columbia
$4,702C
3Johns Hopkins Bayview Medical Center
Baltimore
$4,920C
4Luminis Health Anne Arundel Medical Center, Inc
Annapolis
$6,283D
5Garrett Regional Medical Center
Oakland
$6,475C
6Adventist Healthcare White Oak Medical Center
Silver Spring
$7,107D
7Saint Agnes Hospital
Baltimore
$7,178C
8Atlantic General Hospital
Berlin
$7,242C
9University Of Md Baltimore Washington Medical Center
Glen Burnie
$7,280B
10Medstar Saint Mary's Hospital
Leonardtown
$7,370B
11Sheppard And Enoch Pratt Hospital, The
Baltimore
$7,467C
12Kennedy Krieger Institute
Baltimore
$7,892C
13Walter Reed National Military Med Cen
Bethesda
$7,961C
14University Of Md Shore Medical Ctr At Chestertown
Chestertown
$7,983B
15Holy Cross Germantown Hospital
Germantown
$8,139D
16University Of Md Charles Regional Medical Center
La Plata
$8,367C
17Va Maryland Healthcare System - Perry Point
Perry Point
$8,389C
18Johns Hopkins Hospital, The
Baltimore
$8,447B
19Eastern Shore Hospital Center
Cambridge
$8,645C
20Levindale Hebrew Geriatric Center And Hospital
Baltimore
$8,667D
21Union Hospital Of Cecil County
Elkton
$8,681C
22Meritus Medical Center
Hagerstown
$8,704D
23Carroll Hospital Center
Westminster
$9,124D
24Northwest Hospital Center
Randallstown
$9,237C
25Frederick Health Hospital
Frederick
$9,401C
26Tidalhealth Peninsula Regional, Inc
Salisbury
$9,421C
27Adventist Healthcare Fort Washington Medical Ctr
Fort Washington
$9,456D
28Medstar Good Samaritan Hospital
Baltimore
$9,570C
29University Of Md Capital Region Medical Center
Upper Marlboro
$10,234C
30Adventist Healthcare Shady Grove Medical Center
Rockville
$10,439D
31Luminis Health Doctors Community Medical Ctr, Inc
Lanham
$11,305D
32Medstar Union Memorial Hospital
Baltimore
$11,810A

Frequently Asked Questions

How much does transient ischemia cost in Maryland?

Transient Ischemia (DRG 069) averages $8,193 in total Medicare payment across 32 Maryland hospitals reporting this code. Within the state, payments span $4,291 to $11,810 — about 3× from cheapest to most expensive.

Is Transient Ischemia more or less expensive in Maryland than nationally?

Maryland's state-level average of $8,193 sits above the national Medicare average of $7,374 for this DRG. State differences are driven primarily by the regional Medicare wage index, case mix, and the share of high-acuity referral hospitals.

Why is the spread between hospitals so wide?

Variation within a state runs 3× because the same DRG can come with different lengths of stay, complication adjustments, teaching-status add-ons, and outlier payments. The CMS Hospital Price Transparency Rule publishes machine-readable rate files that allow direct comparisons against negotiated commercial rates, which often differ from Medicare totals.

Are these the prices a privately insured patient would pay?

No. Figures here are Medicare DRG payments. Privately insured patients are billed under their plan's negotiated network rate, published in each hospital's price-transparency file. Uninsured patients should ask the hospital for the cash-pay rate, also disclosed under federal price-transparency rules.

Should I choose a hospital based only on price?

No. HospitalCostData is informational. Surgeon experience, hospital volume for the procedure, complication rates, and your specific clinical situation matter at least as much as price. Always discuss options with your physician and review CMS Care Compare quality data alongside any pricing benchmark.

See the methodology page for DRG sourcing and Medicare wage-index context.

Sources & Citations

  • CMS Medicare Inpatient Hospital Payments (IPPS). DRG-level average covered charges, total payments, and Medicare payments per facility. data.cms.gov
  • CMS Hospital Compare (Care Compare). Star ratings, mortality, readmission, safety-of-care, and patient-experience measures. medicare.gov/care-compare
  • CMS Hospital Price Transparency Rule. Standard charge files required from every Medicare-participating hospital. cms.gov/hospital-price-transparency
  • Agency for Healthcare Research and Quality (AHRQ). National benchmarks, quality indicators, and clinical context for hospital outcome measures. ahrq.gov

Dataset last refreshed: April 2026. Underlying CMS files are public domain. Suggested citation: “HospitalCostData, hospitalcostdata.com, accessed May 24, 2026.”

This page is informational only and does not constitute medical, legal, or financial advice. Care decisions should be made with a licensed physician.

Source: CMS Hospital Price Transparency, 2026.