District of Columbia / United Medical Center
CMS certification 090008 · Washington, DC · 3 entries in CMS's price-transparency list
United Medical Center: charges and Medicare payments
United Medical Center reported 350 Medicare inpatient stays across 12 DRGs in 2024. Across them it charged 3.34 times what it was paid — among the lower ratios in District of Columbia, number 5 of 6 hospitals with at least 100 stays (state median 3.83×, national 4.15×). Its most frequent stay was DRG 885, Psychoses: 92 stays at an average charge of $19,460, 56% below the national average. It also billed 119 outpatient services, charging 6.62 times what Medicare paid.
- 1Medicare inpatient stays 350
- 2Charge ÷ paid, inpatient 3.34×
- 3Rank in DC (highest ratio = 1) 5 of 6
- 4CMS price-transparency actions 3
Inpatient stays
For the 12 DRGs that can be compared with the national average, United Medical Center charged more than the national average in 4 (33%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 885 Psychoses | 92 | $19,460 | -56% | $12,525 |
| 291 Heart Failure and Shock with MCC | 68 | $49,512 | -12% | $13,018 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 61 | $86,746 | -4% | $21,532 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 20 | $68,068 | +35% | $12,856 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 17 | $126,091 | -45% | $42,249 |
| 603 Cellulitis without MCC | 15 | $38,796 | +4% | $8,289 |
| 682 Renal Failure with MCC | 15 | $49,148 | -25% | $12,945 |
| 690 Kidney and Urinary Tract Infections without MCC | 14 | $89,278 | +136% | $18,958 |
| 189 Pulmonary Edema and Respiratory Failure | 13 | $58,045 | +1% | $14,407 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 13 | $198,623 | -39% | $63,658 |
| 177 Respiratory Infections and Inflammations with MCC | 11 | $46,143 | -35% | $14,932 |
| 812 Red Blood Cell Disorders without MCC | 11 | $23,159 | -48% | $8,492 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 107 | $14,757 | $2,801 |
| Level 2 Upper GI Procedures | 12 | $10,314 | $1,947 |
Against the District of Columbia average
For Psychoses (DRG 885), United Medical Center charged $19,460 on average, 19% less than the District of Columbia average of $24,007, and was paid $12,525 against a state average of $14,746. For Heart Failure and Shock with MCC (DRG 291), United Medical Center charged $49,512 on average, 32% less than the District of Columbia average of $72,832, and was paid $13,018 against a state average of $15,583. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), United Medical Center charged $86,746 on average, 22% less than the District of Columbia average of $110,527, and was paid $21,532 against a state average of $23,955. For Chronic Obstructive Pulmonary Disease with MCC (DRG 190), United Medical Center charged $68,068 on average, 2% more than the District of Columbia average of $66,702, and was paid $12,856 against a state average of $14,080. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,757 was 43% below the state average of $25,706. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $10,314 was 2% above the state average of $10,129.
Price-transparency record
CMS's enforcement list records these actions for a hospital named United Medical 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 — 2023-04-14 (CMS case 814)
- CAP Request — 2023-08-16 (CMS case 814)
- Closure Notice — 2023-10-16 (CMS case 814)
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.