CostGrade
A

84/100

#207 nationally

Adventist Healthcare Shady Grove Medical Center

9901 Medical Center Drive, Rockville, MD 20850 · (240) 826-6517

Charges close to what care is actually paid for

For every $1 of care Medicare actually paid for here, Adventist Healthcare Shady Grove Medical Center billed $1.13 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.

Charge-to-payment
1.1x
volume-weighted across all its priced work
Procedures priced
98
inpatient and outpatient combined
Rank in MD
#2
lower markup ranks higher
CMS quality stars
2/5
shown for context, not in the grade

How this grade was reached

Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.

Inpatient charge markup 33.3/35

Better than 95% of U.S. hospitals.

Outpatient charge markup 12.5/25

Not published for this hospital — scored at 50% of the component rather than zero, because an absent figure is not a bad one.

Price level vs national median 28.5/30

Better than 95% of U.S. hospitals.

Price consistency 9.5/10

Better than 95% of U.S. hospitals.

What this hospital treats most

The ten procedures it billed Medicare for most often, with its charge beside the national middle.

Procedure Patients Charged Actually paid vs national
Sepsis (severe)

MS-DRG 871 · Inpatient stay

504 $29,528 $26,080 -55%
Psychoses

MS-DRG 885 · Inpatient stay

294 $16,682 $14,674 -54%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

197 $18,065 $15,918 -58%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

163 $16,387 $14,473 -58%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

91 $22,741 $20,019 -59%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

88 $15,503 $13,658 -66%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

88 $13,098 $11,566 -56%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

84 $12,912 $11,456 -58%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

69 $10,804 $9,581 -65%
Stroke (severe)

MS-DRG 064 · Inpatient stay

68 $27,715 $24,338 -64%

Where its charges run furthest above the national middle

Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.

Procedure Charged Actually paid vs national
Degenerative Nervous System Disorders with Major Complications

MS-DRG 056 · Inpatient stay

$56,918 $50,041 -34%
Cranial and Peripheral Nerve Disorders without Major Complications

MS-DRG 074 · Inpatient stay

$30,442 $26,762 -36%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

$17,961 $15,935 -46%
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with

MS-DRG 516 · Inpatient stay

$46,531 $40,904 -47%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

$26,207 $22,923 -49%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

$26,724 $23,487 -50%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

$28,408 $26,038 -50%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

$24,297 $21,501 -50%

Where it charges least relative to everyone else

Procedure Charged Actually paid vs national
Laparoscopic Cholecystectomy without C.d.e. without Complications/mcc

MS-DRG 419 · Inpatient stay

$14,736 $13,075 -79%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

$18,523 $16,363 -78%
Acute Adjustment Reaction and Psychosocial Dysfunction

MS-DRG 880 · Inpatient stay

$9,399 $8,306 -77%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

$41,888 $36,790 -77%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

$26,744 $23,624 -74%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

$27,379 $24,246 -73%
Peripheral Vascular Disorders with Major Complications

MS-DRG 299 · Inpatient stay

$18,460 $16,751 -73%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

$12,225 $10,752 -72%

What this page cannot tell you

  • It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
  • It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
  • A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
  • Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.