CostGrade
A

84/100

#219 nationally

Holy Cross Germantown Hospital

19801 Observation Drive, Germantown, MD 20876 · (301) 557-6020

Charges close to what care is actually paid for

For every $1 of care Medicare actually paid for here, Holy Cross Germantown Hospital billed $1.11 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
43
inpatient and outpatient combined
Rank in MD
#10
lower markup ranks higher
CMS quality stars
1/5
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

219 $24,652 $22,379 -62%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

70 $16,569 $14,851 -62%
Respiratory Failure

MS-DRG 189 · Inpatient stay

67 $16,883 $15,171 -65%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

65 $14,754 $13,291 -62%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

60 $9,282 $8,296 -69%
Psychoses

MS-DRG 885 · Inpatient stay

49 $13,564 $12,062 -62%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

48 $22,975 $20,491 -58%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

48 $16,432 $15,076 -65%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

41 $15,627 $13,884 -62%
COPD (severe)

MS-DRG 190 · Inpatient stay

32 $12,946 $11,738 -69%

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
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

$26,328 $23,584 -49%
Revision of Hip or Knee Replacement with Complications

MS-DRG 467 · Inpatient stay

$61,874 $54,647 -52%
Revision of Hip or Knee Replacement without Complications/mcc

MS-DRG 468 · Inpatient stay

$49,072 $43,677 -55%
Other Cerebrovascular Disorders with Major Complications

MS-DRG 070 · Inpatient stay

$29,696 $26,329 -55%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

$22,975 $20,491 -58%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

$12,110 $10,845 -61%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

$15,627 $13,884 -62%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

$16,569 $14,851 -62%

Where it charges least relative to everyone else

Procedure Charged Actually paid vs national
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

$9,652 $8,587 -77%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

$11,279 $10,391 -76%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

$14,727 $13,237 -76%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

$43,134 $38,650 -76%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

$7,783 $7,137 -75%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

$11,375 $10,256 -75%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

$9,870 $8,779 -75%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

$25,776 $22,878 -74%

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.