Maryland / Adventist Healthcare Shady Grove Medical Center
CMS certification 210057 · Rockville, MD · 3 entries in CMS's price-transparency list
Adventist Healthcare Shady Grove Medical Center: charges and Medicare payments
Adventist Healthcare Shady Grove Medical Center reported 3,802 Medicare inpatient stays across 98 DRGs in 2024. Across them it charged 1.13 times what it was paid — among the higher ratios in Maryland, number 7 of 43 hospitals with at least 100 stays (state median 1.12×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 504 stays at an average charge of $29,528, 67% below the national average.
- 1Medicare inpatient stays 3,802
- 2Charge ÷ paid, inpatient 1.13×
- 3Rank in MD (highest ratio = 1) 7 of 43
- 4CMS price-transparency actions 3
Inpatient stays
For the 98 DRGs that can be compared with the national average, Adventist Healthcare Shady Grove Medical Center charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 504 | $29,528 | -67% | $26,080 |
| 885 Psychoses | 294 | $16,682 | -62% | $14,674 |
| 291 Heart Failure and Shock with MCC | 197 | $18,065 | -68% | $15,918 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 163 | $16,387 | -67% | $14,473 |
| 177 Respiratory Infections and Inflammations with MCC | 91 | $22,741 | -68% | $20,019 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 88 | $15,503 | -72% | $13,658 |
| 690 Kidney and Urinary Tract Infections without MCC | 88 | $13,098 | -65% | $11,566 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 84 | $12,912 | -65% | $11,456 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 69 | $10,804 | -70% | $9,581 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 68 | $27,715 | -72% | $24,338 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 68 | $26,022 | -66% | $22,970 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 67 | $53,642 | -77% | $47,418 |
| 193 Simple Pneumonia and Pleurisy with MCC | 63 | $22,297 | -63% | $18,186 |
| 378 Gastrointestinal Hemorrhage with CC | 63 | $16,132 | -67% | $14,251 |
| 603 Cellulitis without MCC | 62 | $14,860 | -60% | $13,326 |
| 552 Medical Back Problems without MCC | 60 | $13,205 | -73% | $11,726 |
| 189 Pulmonary Edema and Respiratory Failure | 57 | $20,761 | -64% | $18,388 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 57 | $14,881 | -63% | $13,188 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 48 | $26,744 | -77% | $23,624 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 48 | $31,251 | -66% | $27,562 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 40 | $24,297 | -60% | $21,500 |
| 194 Simple Pneumonia and Pleurisy with CC | 39 | $13,728 | -64% | $12,123 |
| 481 Hip and Femur Procedures except Major Joint with CC | 39 | $33,222 | -67% | $29,219 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 38 | $18,434 | -67% | $16,322 |
| 377 Gastrointestinal Hemorrhage with MCC | 37 | $23,539 | -72% | $20,735 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 36 | $10,682 | -75% | $9,501 |
| 178 Respiratory Infections and Inflammations with CC | 33 | $13,386 | -70% | $11,866 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 31 | $8,447 | -71% | $7,535 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 31 | $41,132 | -75% | $36,333 |
| 330 Major Small and Large Bowel Procedures with CC | 30 | $27,379 | -77% | $24,246 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 29 | $20,657 | -59% | $18,118 |
| 689 Kidney and Urinary Tract Infections with MCC | 29 | $16,012 | -69% | $14,120 |
| 884 Organic Disturbances and Intellectual Disability | 29 | $16,348 | -74% | $14,406 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 28 | $25,430 | -65% | $22,496 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 27 | $15,924 | -76% | $13,969 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 27 | $30,285 | -70% | $26,726 |
| 812 Red Blood Cell Disorders without MCC | 27 | $10,941 | -75% | $9,647 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 27 | $29,467 | -70% | $26,017 |
| 069 Transient Ischemia without Thrombolytic | 26 | $13,584 | -73% | $11,962 |
| 683 Renal Failure with CC | 26 | $17,961 | -56% | $15,935 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 25 | $12,225 | -76% | $10,752 |
| 389 Gastrointestinal Obstruction with CC | 25 | $15,188 | -61% | $13,486 |
| 057 Degenerative Nervous System Disorders without MCC | 24 | $19,682 | -65% | $17,290 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 24 | $11,592 | -73% | $10,300 |
| 101 Seizures without MCC | 24 | $12,401 | -75% | $10,918 |
| 312 Syncope and Collapse | 24 | $14,544 | -68% | $12,810 |
| 536 Fractures of Hip and Pelvis without MCC | 24 | $9,816 | -74% | $8,691 |
| 638 Diabetes with CC | 24 | $14,366 | -66% | $13,030 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 22 | $26,207 | -57% | $22,923 |
| 948 Signs and Symptoms without MCC | 21 | $12,500 | -67% | $11,059 |
| 314 Other Circulatory System Diagnoses with MCC | 20 | $30,642 | -68% | $27,010 |
| 460 Spinal Fusion except Cervical without MCC | 20 | $51,848 | -70% | $45,771 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 20 | $25,617 | -67% | $22,588 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 20 | $15,879 | -67% | $14,008 |
| 092 Other Disorders of Nervous System with CC | 19 | $15,864 | -69% | $13,966 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 19 | $10,921 | -75% | $9,756 |
| 682 Renal Failure with MCC | 19 | $26,724 | -59% | $23,487 |
| 074 Cranial and Peripheral Nerve Disorders without MCC | 18 | $30,442 | -43% | $26,762 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 17 | $33,133 | -76% | $28,951 |
| 305 Hypertension without MCC | 17 | $9,360 | -77% | $8,344 |
Showing the 60 most frequent of 98 DRGs.
Against the Maryland average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Adventist Healthcare Shady Grove Medical Center charged $29,528 on average, 10% more than the Maryland average of $26,908, and was paid $26,080 against a state average of $24,452. For Psychoses (DRG 885), Adventist Healthcare Shady Grove Medical Center charged $16,682 on average, 35% less than the Maryland average of $25,841, and was paid $14,674 against a state average of $23,130. For Heart Failure and Shock with MCC (DRG 291), Adventist Healthcare Shady Grove Medical Center charged $18,065 on average, 2% less than the Maryland average of $18,481, and was paid $15,918 against a state average of $16,664. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Adventist Healthcare Shady Grove Medical Center charged $16,387 on average, 12% more than the Maryland average of $14,613, and was paid $14,473 against a state average of $13,259.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Adventist Healthcare Shady Grove Medical Center in Rockville, MD, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-14 (CMS case 3757)
- Warning Notice — 2026-04-08 (CMS case 7397)
- Closure Notice — 2026-07-10 (CMS case 7397)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.