Maryland / Calverthealth Medical Center
CMS certification 210039 · Prince Frederick, MD · 4 entries in CMS's price-transparency list
Calverthealth Medical Center: charges and Medicare payments
Calverthealth Medical Center reported 1,483 Medicare inpatient stays across 43 DRGs in 2024. Across them it charged 1.11 times what it was paid — mid-range in Maryland, number 25 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: 224 stays at an average charge of $21,232, 76% below the national average.
- 1Medicare inpatient stays 1,483
- 2Charge ÷ paid, inpatient 1.11×
- 3Rank in MD (highest ratio = 1) 25 of 43
- 4CMS price-transparency actions 4
Inpatient stays
For the 43 DRGs that can be compared with the national average, Calverthealth 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 | 224 | $21,232 | -76% | $19,122 |
| 291 Heart Failure and Shock with MCC | 194 | $16,137 | -71% | $14,590 |
| 193 Simple Pneumonia and Pleurisy with MCC | 67 | $17,117 | -71% | $15,510 |
| 189 Pulmonary Edema and Respiratory Failure | 56 | $17,715 | -69% | $15,910 |
| 885 Psychoses | 51 | $17,203 | -61% | $15,554 |
| 177 Respiratory Infections and Inflammations with MCC | 45 | $16,587 | -77% | $15,092 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 44 | $12,557 | -74% | $11,349 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 39 | $13,114 | -74% | $11,827 |
| 603 Cellulitis without MCC | 34 | $13,391 | -64% | $12,140 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 32 | $14,718 | -74% | $13,202 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 32 | $17,233 | -70% | $15,764 |
| 689 Kidney and Urinary Tract Infections with MCC | 32 | $16,623 | -68% | $14,932 |
| 690 Kidney and Urinary Tract Infections without MCC | 32 | $13,258 | -65% | $11,914 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 32 | $18,550 | -75% | $16,636 |
| 070 Other Cerebrovascular Disorders with MCC | 29 | $20,458 | -73% | $18,310 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 29 | $10,418 | -74% | $9,477 |
| 194 Simple Pneumonia and Pleurisy with CC | 28 | $12,212 | -68% | $10,984 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 28 | $13,673 | -82% | $12,240 |
| 683 Renal Failure with CC | 27 | $14,348 | -65% | $12,901 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 26 | $15,621 | -84% | $14,181 |
| 378 Gastrointestinal Hemorrhage with CC | 26 | $12,767 | -74% | $11,558 |
| 638 Diabetes with CC | 26 | $11,966 | -71% | $10,752 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 26 | $11,019 | -70% | $9,933 |
| 682 Renal Failure with MCC | 26 | $17,623 | -73% | $15,856 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 23 | $13,820 | -62% | $12,401 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 22 | $42,577 | -81% | $38,325 |
| 312 Syncope and Collapse | 20 | $14,344 | -68% | $12,885 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 20 | $14,879 | -76% | $13,504 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $14,401 | -76% | $13,091 |
| 071 Other Cerebrovascular Disorders with CC | 17 | $19,127 | -62% | $17,162 |
| 389 Gastrointestinal Obstruction with CC | 17 | $10,026 | -74% | $9,024 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 16 | $17,763 | -73% | $16,031 |
| 481 Hip and Femur Procedures except Major Joint with CC | 15 | $26,726 | -73% | $24,049 |
| 292 Heart Failure and Shock with CC | 14 | $11,323 | -71% | $10,182 |
| 377 Gastrointestinal Hemorrhage with MCC | 14 | $26,456 | -69% | $23,875 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 14 | $32,542 | -68% | $29,270 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 14 | $8,995 | -76% | $8,204 |
| 178 Respiratory Infections and Inflammations with CC | 13 | $12,897 | -72% | $11,605 |
| 637 Diabetes with MCC | 13 | $21,585 | -68% | $19,454 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 12 | $12,227 | -71% | $10,978 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 12 | $13,808 | -71% | $12,386 |
| 444 Disorders of The Biliary Tract with MCC | 11 | $18,619 | -78% | $16,709 |
| 536 Fractures of Hip and Pelvis without MCC | 11 | $10,911 | -71% | $9,765 |
Against the Maryland average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Calverthealth Medical Center charged $21,232 on average, 21% less than the Maryland average of $26,908, and was paid $19,122 against a state average of $24,452. For Heart Failure and Shock with MCC (DRG 291), Calverthealth Medical Center charged $16,137 on average, 13% less than the Maryland average of $18,481, and was paid $14,590 against a state average of $16,664. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Calverthealth Medical Center charged $17,117 on average, 0% less than the Maryland average of $17,101, and was paid $15,510 against a state average of $15,416. For Pulmonary Edema and Respiratory Failure (DRG 189), Calverthealth Medical Center charged $17,715 on average, 24% less than the Maryland average of $23,291, and was paid $15,910 against a state average of $20,993.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Calverthealth Medical Center in Prince Frederick, MD, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-04-21 (CMS case 1155)
- Closure Notice — 2023-06-08 (CMS case 1155)
- Warning Notice — 2026-02-06 (CMS case 6961)
- Closure Notice — 2026-05-08 (CMS case 6961)
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.