District of Columbia / Medstar Washington Hospital Center
CMS certification 090011 · Washington, DC · 3 entries in CMS's price-transparency list
Medstar Washington Hospital Center: charges and Medicare payments
Medstar Washington Hospital Center reported 6,782 Medicare inpatient stays across 170 DRGs in 2024. Across them it charged 3.89 times what it was paid — mid-range in District of Columbia, number 3 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: 421 stays at an average charge of $95,122, 5% above the national average. It also billed 6,262 outpatient services, charging 6.63 times what Medicare paid.
- 1Medicare inpatient stays 6,782
- 2Charge ÷ paid, inpatient 3.89×
- 3Rank in DC (highest ratio = 1) 3 of 6
- 4CMS price-transparency actions 3
Inpatient stays
For the 170 DRGs that can be compared with the national average, Medstar Washington Hospital Center charged more than the national average in 100 (59%). 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 | 421 | $95,122 | +5% | $23,936 |
| 291 Heart Failure and Shock with MCC | 321 | $64,703 | +15% | $16,198 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 270 | $209,725 | -5% | $52,262 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 206 | $79,539 | +5% | $20,481 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 142 | $195,968 | -33% | $68,034 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 133 | $67,021 | -57% | $33,640 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 131 | $308,597 | -23% | $94,091 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 121 | $118,060 | +5% | $26,517 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 121 | $70,869 | +18% | $16,593 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 114 | $288,569 | +26% | $68,332 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 100 | $103,728 | +4% | $25,276 |
| 270 Other Major Cardiovascular Procedures with MCC | 97 | $260,491 | +1% | $69,032 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 92 | $285,985 | 0% | $69,621 |
| 377 Gastrointestinal Hemorrhage with MCC | 86 | $95,309 | +12% | $21,042 |
| 378 Gastrointestinal Hemorrhage with CC | 81 | $54,135 | +12% | $12,698 |
| 812 Red Blood Cell Disorders without MCC | 79 | $54,489 | +23% | $11,924 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 77 | $151,769 | -28% | $47,963 |
| 314 Other Circulatory System Diagnoses with MCC | 75 | $107,326 | +13% | $27,658 |
| 252 Other Vascular Procedures with MCC | 73 | $208,037 | +22% | $46,365 |
| 193 Simple Pneumonia and Pleurisy with MCC | 68 | $58,303 | -2% | $16,092 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 64 | $262,139 | -19% | $83,488 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 62 | $119,976 | -27% | $32,946 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 61 | $70,660 | -38% | $22,084 |
| 177 Respiratory Infections and Inflammations with MCC | 60 | $83,738 | +19% | $19,540 |
| 689 Kidney and Urinary Tract Infections with MCC | 60 | $65,909 | +28% | $14,427 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 58 | $263,110 | +14% | $55,169 |
| 189 Pulmonary Edema and Respiratory Failure | 58 | $54,368 | -6% | $14,487 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 58 | $46,537 | -8% | $11,088 |
| 003 ECMO or Tracheostomy with MV >96 Hours or Principal... | 57 | $832,673 | -21% | $248,376 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 56 | $94,589 | +29% | $19,228 |
| 683 Renal Failure with CC | 55 | $53,978 | +33% | $12,031 |
| 811 Red Blood Cell Disorders with MCC | 55 | $80,953 | +19% | $17,942 |
| 481 Hip and Femur Procedures except Major Joint with CC | 54 | $117,413 | +17% | $23,648 |
| 253 Other Vascular Procedures with CC | 53 | $152,084 | +15% | $32,315 |
| 001 Heart Transplant or Implant of Heart Assist System with MCC | 51 | $1,389,796 | -5% | $345,001 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 51 | $66,365 | +17% | $15,261 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 51 | $174,800 | +26% | $35,689 |
| 216 Cardiac Valve and Other Major Cardiothoracic Procedures with... | 50 | $385,275 | -22% | $117,707 |
| 312 Syncope and Collapse | 49 | $45,997 | +1% | $13,198 |
| 682 Renal Failure with MCC | 49 | $69,281 | +5% | $18,449 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 48 | $232,554 | -16% | $63,587 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 47 | $37,218 | +3% | $9,042 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 46 | $59,208 | +6% | $12,651 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 46 | $138,016 | -14% | $39,111 |
| 315 Other Circulatory System Diagnoses with CC | 45 | $58,052 | +21% | $12,367 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 45 | $207,426 | -4% | $50,958 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 43 | $107,318 | -3% | $25,518 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 43 | $53,550 | +9% | $12,543 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 42 | $55,767 | -13% | $13,420 |
| 330 Major Small and Large Bowel Procedures with CC | 42 | $141,025 | +18% | $28,597 |
| 460 Spinal Fusion except Cervical without MCC | 42 | $238,649 | +40% | $42,798 |
| 100 Seizures with MCC | 41 | $94,891 | +1% | $23,015 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 40 | $44,101 | +19% | $9,739 |
| 273 Percutaneous and Other Intracardiac Procedures with MCC | 37 | $167,529 | -22% | $49,413 |
| 329 Major Small and Large Bowel Procedures with MCC | 37 | $299,604 | +39% | $69,743 |
| 164 Major Chest Procedures with CC | 36 | $135,339 | +6% | $27,201 |
| 233 Coronary Bypass with Cardiac Catheterization or Open... | 36 | $288,065 | -25% | $90,515 |
| 269 Aortic and Heart Assist Procedures except Pulsation Balloon... | 36 | $196,294 | +2% | $45,829 |
| 393 Other Digestive System Diagnoses with MCC | 36 | $86,469 | +13% | $20,546 |
| 690 Kidney and Urinary Tract Infections without MCC | 36 | $43,158 | +14% | $9,889 |
Showing the 60 most frequent of 170 DRGs.
Outpatient services
Against the District of Columbia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Medstar Washington Hospital Center charged $95,122 on average, 14% less than the District of Columbia average of $110,527, and was paid $23,936 against a state average of $23,955. For Heart Failure and Shock with MCC (DRG 291), Medstar Washington Hospital Center charged $64,703 on average, 11% less than the District of Columbia average of $72,832, and was paid $16,198 against a state average of $15,583. For Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC (DRG 267), Medstar Washington Hospital Center charged $209,725 on average, 5% less than the District of Columbia average of $220,308, and was paid $52,262 against a state average of $52,527. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Medstar Washington Hospital Center charged $79,539 on average, 7% less than the District of Columbia average of $85,932, and was paid $20,481 against a state average of $20,254. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $29,291 was 1% below the state average of $29,730. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $122,110 was 1% below the state average of $123,458. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $27,409 was 7% above the state average of $25,706. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $4,888 was 19% above the state average of $4,095.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Medstar Washington Hospital Center 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 — 2024-02-08 (CMS case 813)
- Closure Notice — 2024-03-28 (CMS case 813)
- Met Requirements — 2025-03-18 (CMS case 3288)
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.