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MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL

WASHINGTON, DC 20007 · Acute Care Hospitals

126 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024

By BillRazor Research · Last updated March 27, 2026 · Methodology

Procedures Analyzed

126

With CMS pricing data

Avg Charge-to-Medicare Ratio

5.9x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Proprietary

Above 90th Percentile

4%

Compared to DC hospitals

Understanding Your Costs

When you receive a bill from MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL lists chargemaster rates that average 5.9x the corresponding Medicare reimbursement amount across 126 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).

The median hospital in DC has a chargemaster-to-Medicare ratio of 5.4x, with ratios across the state ranging from 3.7x to 9.3x. At 5.9x, this facility’s average ratio is above the state median. 6 hospitals in DC report pricing data to CMS (Source: CMS IPPS Provider Summary).

The procedure with the largest gap between the listed price and Medicare reimbursement at MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL is MAJOR CHEST PROCEDURES WITHOUT CC/MCC (DRG 165). The listed chargemaster rate is $147,507, while Medicare reimburses $12,900 for the same procedure — a ratio of 11.4x (Source: CMS IPPS Provider Summary, FY2024).

What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.

5 of 126 procedures (4%) at this facility have listed rates above the 90th percentile compared to other DC hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).

MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL is a proprietary acute care hospitals facility with a CMS quality rating of 3/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.

Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio

Listed Chargemaster Rate Medicare Reimbursement

Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Procedure Pricing Lookup

Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.

ProcedureDRGListed ChargeMedicare Reimb.RatioState Position
MAJOR CHEST PROCEDURES WITHOUT CC/MCC165$147,507$12,90011.4x
1th
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KIDNEY TRANSPLANT652$245,986$22,70710.8x
0th
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PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC543$64,005$6,26710.2x
1th
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RED BLOOD CELL DISORDERS WITHOUT MCC812$57,320$6,4268.9x
1th
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$48,996$5,6238.7x
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MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO809$105,963$12,2158.7x
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RESPIRATORY NEOPLASMS WITH MCC180$137,824$15,9888.6x
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NERVOUS SYSTEM NEOPLASMS WITH MCC054$125,191$14,9398.4x
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DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC442$72,971$9,0238.1x
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COMPLICATIONS OF TREATMENT WITH CC920$68,587$8,4838.1x
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DISORDERS OF THE BILIARY TRACT WITH MCC444$122,351$15,4397.9x
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POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC857$174,711$22,6407.7x
1th
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DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC441$152,413$19,9167.7x
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ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$49,255$6,4847.6x
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OTHER DISORDERS OF NERVOUS SYSTEM WITH CC092$61,228$8,1257.5x
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KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC659$160,488$21,4927.5x
1th
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OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC699$61,344$8,5577.2x
1th
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KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC650$306,123$42,8407.2x
0th
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OTHER O.R. PROCEDURES FOR INJURIES WITH MCC907$204,432$28,7247.1x
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WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE D464$205,301$29,0527.1x
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MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$84,332$11,9997.0x
1th
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CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC432$152,035$21,7057.0x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$60,776$8,7836.9x
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RENAL FAILURE WITH MCC682$127,202$18,3756.9x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$124,126$18,0406.9x
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SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$53,132$7,7606.8x
1th
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POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC862$166,137$24,2846.8x
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CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$141,438$20,8076.8x
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OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC314$125,205$18,4306.8x
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PULMONARY EDEMA AND RESPIRATORY FAILURE189$79,790$11,7516.8x
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DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC056$128,800$19,2726.7x
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DIABETES WITH CC638$54,490$8,1526.7x
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MAJOR CHEST PROCEDURES WITH CC164$138,957$20,8976.7x
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CELLULITIS WITHOUT MCC603$54,297$8,1606.7x
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MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$43,505$6,5786.6x
1th
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RED BLOOD CELL DISORDERS WITH MCC811$85,391$13,0076.6x
1th
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EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC981$329,211$50,3546.5x
1th
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KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$46,654$7,1436.5x
1th
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OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC091$177,072$27,3316.5x
1th
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CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC026$152,176$23,5686.5x
1th
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HEART FAILURE AND SHOCK WITH MCC291$76,606$11,9766.4x
1th
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BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR518$183,444$28,7616.4x
1th
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LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT005$811,803$127,9766.3x
1th
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OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC315$56,862$8,9926.3x
1th
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ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$84,793$13,4826.3x
1th
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SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$84,308$13,4726.3x
1th
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MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC435$117,402$18,8216.2x
1th
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DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC439$47,473$7,6816.2x
1th
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SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS870$350,865$56,9076.2x
1th
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DIABETES WITH MCC637$66,801$10,9566.1x
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Showing 50 of 126 procedures

All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Statewide Context

Charge-to-Medicare ratio range across DC hospitals

3.7x
Median: 5.4x
9.3x
5.9x

6 hospitals in DC report pricing data to CMS. This facility's average ratio of 5.9x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

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Learn how

Check for Common Errors

Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.

How it works

Data: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).

Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.

Read our methodology·Report a data error

Frequently Asked Questions About MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL

How much does MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL charge compared to Medicare?

According to CMS IPPS data, MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL's listed chargemaster rates average 5.9x the Medicare reimbursement amount across 126 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.

What is the most expensive procedure at MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL?

The procedure with the highest chargemaster-to-Medicare ratio at MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL is MAJOR CHEST PROCEDURES WITHOUT CC/MCC (DRG 165), with a listed charge of $147,507 compared to Medicare reimbursement of $12,900 — a ratio of 11.4x. Source: CMS IPPS Provider Summary.

Is MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL expensive compared to other DC hospitals?

MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL's average chargemaster-to-Medicare ratio is 5.9x. Ratios vary significantly across DC hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.

Where does the pricing data for MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL come from?

All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.

How can I check if my bill from MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL is correct?

You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.

Does MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL in WASHINGTON, DC accept Medicare?

MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL directly or check with your insurance provider.

Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.