Maryland / Meritus Medical Center
CMS certification 210001 · Hagerstown, MD · 4 entries in CMS's price-transparency list
Meritus Medical Center: charges and Medicare payments
Meritus Medical Center reported 5,357 Medicare inpatient stays across 129 DRGs in 2024. Across them it charged 1.08 times what it was paid — among the lower ratios in Maryland, number 37 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: 637 stays at an average charge of $21,012, 77% below the national average.
- 1Medicare inpatient stays 5,357
- 2Charge ÷ paid, inpatient 1.08×
- 3Rank in MD (highest ratio = 1) 37 of 43
- 4CMS price-transparency actions 4
Inpatient stays
For the 129 DRGs that can be compared with the national average, Meritus 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 | 637 | $21,012 | -77% | $19,542 |
| 291 Heart Failure and Shock with MCC | 288 | $12,834 | -77% | $11,844 |
| 189 Pulmonary Edema and Respiratory Failure | 245 | $16,668 | -71% | $15,411 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 149 | $11,239 | -77% | $10,432 |
| 560 Aftercare, Musculoskeletal System and Connective Tissue with... | 137 | $35,603 | -24% | $32,883 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 134 | $11,158 | -78% | $10,290 |
| 193 Simple Pneumonia and Pleurisy with MCC | 121 | $13,590 | -77% | $12,574 |
| 177 Respiratory Infections and Inflammations with MCC | 104 | $19,674 | -72% | $18,102 |
| 378 Gastrointestinal Hemorrhage with CC | 101 | $11,580 | -76% | $10,749 |
| 885 Psychoses | 98 | $14,354 | -67% | $13,136 |
| 603 Cellulitis without MCC | 95 | $9,578 | -74% | $8,818 |
| 690 Kidney and Urinary Tract Infections without MCC | 95 | $9,183 | -76% | $8,480 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 91 | $15,556 | -79% | $14,508 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 86 | $9,605 | -76% | $8,870 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 86 | $18,393 | -75% | $16,990 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 79 | $9,330 | -75% | $8,613 |
| 194 Simple Pneumonia and Pleurisy with CC | 78 | $9,741 | -75% | $9,207 |
| 683 Renal Failure with CC | 75 | $10,062 | -75% | $9,307 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 73 | $11,577 | -79% | $10,701 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 70 | $15,851 | -72% | $14,593 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 65 | $44,771 | -80% | $41,383 |
| 057 Degenerative Nervous System Disorders without MCC | 57 | $30,407 | -46% | $28,194 |
| 552 Medical Back Problems without MCC | 54 | $11,911 | -76% | $11,026 |
| 481 Hip and Femur Procedures except Major Joint with CC | 52 | $27,180 | -73% | $25,202 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 51 | $9,345 | -76% | $8,691 |
| 377 Gastrointestinal Hemorrhage with MCC | 51 | $18,944 | -78% | $17,506 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 49 | $18,711 | -81% | $17,426 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 48 | $8,016 | -78% | $7,483 |
| 389 Gastrointestinal Obstruction with CC | 48 | $8,048 | -79% | $7,532 |
| 689 Kidney and Urinary Tract Infections with MCC | 47 | $10,773 | -79% | $9,880 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 46 | $15,454 | -74% | $14,264 |
| 682 Renal Failure with MCC | 45 | $19,473 | -70% | $18,003 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 43 | $12,296 | -67% | $11,372 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 41 | $10,164 | -80% | $9,364 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 36 | $19,636 | -83% | $18,242 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 35 | $13,515 | -78% | $12,377 |
| 638 Diabetes with CC | 35 | $11,076 | -73% | $10,279 |
| 069 Transient Ischemia without Thrombolytic | 33 | $9,183 | -82% | $8,414 |
| 312 Syncope and Collapse | 33 | $9,442 | -79% | $8,665 |
| 330 Major Small and Large Bowel Procedures with CC | 33 | $38,349 | -68% | $35,419 |
| 811 Red Blood Cell Disorders with MCC | 33 | $15,543 | -77% | $14,694 |
| 071 Other Cerebrovascular Disorders with CC | 32 | $12,705 | -75% | $11,511 |
| 178 Respiratory Infections and Inflammations with CC | 32 | $10,843 | -76% | $10,124 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 32 | $22,663 | -78% | $20,874 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 31 | $22,737 | -71% | $20,941 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 30 | $27,327 | -80% | $25,384 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 30 | $30,308 | -81% | $27,954 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 29 | $14,781 | -77% | $13,819 |
| 559 Aftercare, Musculoskeletal System and Connective Tissue with... | 29 | $36,467 | -60% | $33,523 |
| 812 Red Blood Cell Disorders without MCC | 29 | $9,527 | -79% | $8,716 |
| 945 Rehabilitation with CC/MCC | 29 | $29,986 | -46% | $27,877 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 27 | $21,012 | -79% | $19,500 |
| 176 Pulmonary Embolism without MCC | 26 | $9,736 | -77% | $9,007 |
| 536 Fractures of Hip and Pelvis without MCC | 25 | $8,763 | -77% | $8,068 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 24 | $10,982 | -83% | $10,165 |
| 180 Respiratory Neoplasms with MCC | 23 | $18,306 | -79% | $16,953 |
| 637 Diabetes with MCC | 23 | $19,728 | -70% | $19,328 |
| 252 Other Vascular Procedures with MCC | 22 | $39,617 | -77% | $36,520 |
| 394 Other Digestive System Diagnoses with CC | 22 | $10,486 | -78% | $9,660 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 22 | $20,260 | -78% | $18,663 |
Showing the 60 most frequent of 129 DRGs.
Against the Maryland average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Meritus Medical Center charged $21,012 on average, 22% less than the Maryland average of $26,908, and was paid $19,542 against a state average of $24,452. For Heart Failure and Shock with MCC (DRG 291), Meritus Medical Center charged $12,834 on average, 31% less than the Maryland average of $18,481, and was paid $11,844 against a state average of $16,664. For Pulmonary Edema and Respiratory Failure (DRG 189), Meritus Medical Center charged $16,668 on average, 28% less than the Maryland average of $23,291, and was paid $15,411 against a state average of $20,993. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Meritus Medical Center charged $11,239 on average, 23% less than the Maryland average of $14,613, and was paid $10,432 against a state average of $13,259.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Meritus Medical Center in Hagerstown, MD, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-08-25 (CMS case 6323)
- CAP Request — 2025-11-25 (CMS case 6323)
- Closure Notice — 2026-01-12 (CMS case 6323)
- Warning Notice — 2026-06-09 (CMS case 7997)
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.