District of Columbia / Medstar Georgetown University Hospital

CMS certification 090004 · Washington, DC · 5 entries in CMS's price-transparency list

Medstar Georgetown University Hospital: charges and Medicare payments

Medstar Georgetown University Hospital reported 3,759 Medicare inpatient stays across 141 DRGs in 2024. Across them it charged 3.77 times what it was paid — mid-range in District of Columbia, number 4 of 6 hospitals with at least 100 stays (state median 3.83×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 263 stays at an average charge of $116,907, 29% above the national average. It also billed 4,078 outpatient services, charging 7.18 times what Medicare paid.

1Medicare inpatient stays 3,759
2Charge ÷ paid, inpatient 3.77×
3Rank in DC (highest ratio = 1) 4 of 6
4CMS price-transparency actions 5

Average charge per stay at Medstar Georgetown University Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 141 DRGs that can be compared with the national average, Medstar Georgetown University Hospital charged more than the national average in 87 (62%). 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	263	$116,907	+29%	$29,324
460 Spinal Fusion except Cervical without MCC	121	$170,712	0%	$43,730
652 Kidney Transplant	98	$272,262	-19%	$50,997
698 Other Kidney and Urinary Tract Diagnoses with MCC	81	$92,145	+25%	$24,796
472 Cervical Spinal Fusion with CC	78	$123,639	-14%	$37,821
699 Other Kidney and Urinary Tract Diagnoses with CC	74	$69,715	+47%	$16,664
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	71	$179,624	-12%	$52,117
025 Craniotomy and Endovascular Intracranial Procedures with MCC	69	$218,782	-5%	$62,657
291 Heart Failure and Shock with MCC	65	$65,929	+17%	$18,615
853 Infectious and Parasitic Diseases with O.R. Procedures with...	59	$332,575	+45%	$98,397
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	58	$153,124	+53%	$34,722
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	58	$91,915	+52%	$20,765
454 Combined Anterior and Posterior Spinal Fusion with CC	52	$252,236	-10%	$75,368
378 Gastrointestinal Hemorrhage with CC	47	$63,896	+32%	$15,787
177 Respiratory Infections and Inflammations with MCC	46	$114,517	+62%	$25,185
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	46	$46,202	+15%	$12,266
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	46	$69,725	+42%	$15,556
377 Gastrointestinal Hemorrhage with MCC	45	$94,686	+11%	$23,056
027 Craniotomy and Endovascular Intracranial Procedures without...	44	$117,811	-16%	$30,036
193 Simple Pneumonia and Pleurisy with MCC	41	$73,490	+23%	$20,279
329 Major Small and Large Bowel Procedures with MCC	40	$229,695	+7%	$70,225
330 Major Small and Large Bowel Procedures with CC	37	$120,643	+1%	$33,936
441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...	37	$102,318	+19%	$27,740
650 Kidney Transplant with Hemodialysis with MCC	37	$364,897	-13%	$90,818
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	36	$92,886	+52%	$20,813
280 Acute Myocardial Infarction, Discharged Alive with MCC	35	$79,220	+4%	$22,517
432 Cirrhosis and Alcoholic Hepatitis with MCC	35	$153,083	+60%	$31,935
683 Renal Failure with CC	35	$51,502	+27%	$13,741
189 Pulmonary Edema and Respiratory Failure	34	$73,901	+28%	$17,859
393 Other Digestive System Diagnoses with MCC	34	$84,153	+10%	$23,204
448 Multiple Level Spinal Fusion except Cervical without MCC	33	$182,877	-9%	$51,289
468 Revision of Hip or Knee Replacement without CC/MCC	32	$104,974	-15%	$32,125
689 Kidney and Urinary Tract Infections with MCC	32	$57,232	+12%	$17,699
164 Major Chest Procedures with CC	31	$129,658	+2%	$30,367
057 Degenerative Nervous System Disorders without MCC	30	$48,149	-15%	$19,270
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	29	$61,100	+10%	$14,707
092 Other Disorders of Nervous System with CC	28	$64,625	+25%	$15,447
405 Pancreas, Liver and Shunt Procedures with MCC	28	$332,476	+15%	$71,533
435 Malignancy of Hepatobiliary System or Pancreas with MCC	28	$115,057	+22%	$27,703
470 Major Hip and Knee Joint Replacement or Reattachment of...	28	$90,451	-3%	$23,223
519 Back and Neck Procedures except Spinal Fusion with CC	28	$80,973	-23%	$25,166
314 Other Circulatory System Diagnoses with MCC	27	$102,212	+8%	$31,405
023 Craniotomy with Major Device Implant or Acute Complex Cns...	26	$272,818	-3%	$87,651
920 Complications of Treatment with CC	26	$86,768	+75%	$21,268
100 Seizures with MCC	25	$121,779	+29%	$28,129
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	25	$51,141	+38%	$12,201
847 Chemotherapy without Acute Leukemia As Secondary Diagnosis...	25	$58,538	-14%	$18,533
026 Craniotomy and Endovascular Intracranial Procedures with CC	24	$140,731	-15%	$37,166
885 Psychoses	24	$26,912	-39%	$16,472
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	23	$77,834	+19%	$21,022
406 Pancreas, Liver and Shunt Procedures with CC	23	$119,472	-26%	$36,844
457 Spinal Fusion except Cervical with Spinal Curvature,...	23	$242,774	-16%	$73,173
101 Seizures without MCC	22	$53,488	+10%	$14,417
163 Major Chest Procedures with MCC	22	$185,691	-12%	$56,183
451 Single Level Spinal Fusion except Cervical without MCC	22	$129,523	-14%	$41,268
180 Respiratory Neoplasms with MCC	21	$155,723	+77%	$31,113
637 Diabetes with MCC	21	$102,290	+54%	$23,096
054 Nervous System Neoplasms with MCC	20	$93,210	+20%	$23,323
682 Renal Failure with MCC	20	$90,898	+38%	$23,285
857 Postoperative or Post-Traumatic Infections with O.R....	20	$154,845	+55%	$31,006

Showing the 60 most frequent of 141 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 2 Upper GI Procedures	575	$8,864	$1,910
Level 2 Excision/ Biopsy/ Incision and Drainage	427	$11,991	$1,619
Comprehensive Observation Services	313	$26,007	$2,729
Level 5 Musculoskeletal Procedures	241	$69,386	$13,045
Level 5 Urology and Related Services	176	$28,806	$5,159
Level 3 Vascular Procedures	159	$21,065	$3,053
Level 3 Excision/ Biopsy/ Incision and Drainage	157	$24,922	$2,850
Complex GI Procedures	144	$18,420	$5,799
Level 4 Musculoskeletal Procedures	128	$43,126	$7,183
Level 5 Airway Endoscopy	127	$65,965	$7,003
Level 1 Laparoscopy and Related Services	113	$36,833	$5,820
Level 6 Urology and Related Services	110	$41,467	$9,208
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	89	$25,588	$3,517
Level 4 Airway Endoscopy	86	$28,671	$3,832
Level 3 Upper GI Procedures	85	$10,407	$3,918
Level 3 Endovascular Procedures	84	$67,789	$11,243
Level 4 Urology and Related Services	83	$20,207	$3,501
Level 3 Lower GI Procedures	79	$14,421	$2,690
Level 2 Laparoscopy and Related Services	79	$60,231	$10,409
Level 3 Musculoskeletal Procedures	78	$25,467	$3,182
Level 4 Vascular Procedures	74	$63,505	$5,562
Level 5 ENT Procedures	72	$43,884	$5,932
Level 2 Vascular Procedures	70	$9,114	$1,548
Level 3 Urology and Related Services	64	$16,139	$2,010
Level 1 Breast/Lymphatic Surgery and Related Procedures	61	$34,939	$3,750

Against the District of Columbia average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Medstar Georgetown University Hospital charged $116,907 on average, 6% more than the District of Columbia average of $110,527, and was paid $29,324 against a state average of $23,955. For Spinal Fusion except Cervical without MCC (DRG 460), Medstar Georgetown University Hospital charged $170,712 on average, 14% less than the District of Columbia average of $199,012, and was paid $43,730 against a state average of $41,037. For Kidney Transplant (DRG 652), Medstar Georgetown University Hospital charged $272,262 on average, 12% less than the District of Columbia average of $308,158, and was paid $50,997 against a state average of $49,706. For Other Kidney and Urinary Tract Diagnoses with MCC (DRG 698), Medstar Georgetown University Hospital charged $92,145 on average, 7% less than the District of Columbia average of $98,809, and was paid $24,796 against a state average of $20,336. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $8,864 was 12% below the state average of $10,129. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,991 was 0% below the state average of $11,963. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $26,007 was 1% above the state average of $25,706. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $69,386 was 13% above the state average of $61,377.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Medstar Georgetown University Hospital in Washington, DC, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2023-03-24 (CMS case 811)
Closure Notice — 2023-07-07 (CMS case 811)
Warning Notice — 2025-03-24 (CMS case 3381)
CAP Request — 2025-06-27 (CMS case 3381)
Closure Notice — 2025-07-09 (CMS case 3381)

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.