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Medstar Georgetown University Hospital

MedStar Georgetown University Hospital in Washington, DC charges 5.9x the Medicare reimbursement rate across 126 analyzed procedures at this for-profit medical facility.

Washington, DC 20007 · Acute Care Hospitals · CMS Rating: 3/5

By Priya Iyengar , Senior Billing Analyst · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.

126 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 4.1x2.4x15.0x
5.9x
Medicare markup ratio
DC lowestMedstar Georgetown Uni...DC highest
5.9x
Avg markup ratio
5.6x
Median markup
126
Procedures
4%
Outlier procedures
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Billing patterns — for-profit

For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.

Pricing grade

D

High

Avg markup vs Medicare

5.88x

Charge / Medicare rate

Max markup

11.43x

Worst procedure

Procedures analyzed

126

With pricing data

Outlier procedures

4%

Above 90th percentile

Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.

ProcedureCodeGross chargeCash priceMedicareMarkup
MAJOR CHEST PROCEDURES WITHOUT CC/MCC165$147,507$73,75411.4x
KIDNEY TRANSPLANT652$245,986$122,99310.8x
PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC543$64,005$32,00210.2x
RED BLOOD CELL DISORDERS WITHOUT MCC812$57,320$28,6608.9x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$48,996$24,4988.7x
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO809$105,963$52,9818.7x
RESPIRATORY NEOPLASMS WITH MCC180$137,824$68,9128.6x
NERVOUS SYSTEM NEOPLASMS WITH MCC054$125,191$62,5958.4x
COMPLICATIONS OF TREATMENT WITH CC920$68,587$34,2948.1x
DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC442$72,971$36,4868.1x
DISORDERS OF THE BILIARY TRACT WITH MCC444$122,351$61,1767.9x
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC857$174,711$87,3567.7x
DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC441$152,413$76,2067.7x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$49,255$24,6277.6x
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC092$61,228$30,6147.5x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC659$160,488$80,2447.5x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC699$61,344$30,6727.2x
KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC650$306,123$153,0627.2x
OTHER O.R. PROCEDURES FOR INJURIES WITH MCC907$204,432$102,2167.1x
WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE D464$205,301$102,6517.1x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$84,332$42,1667x
CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC432$152,035$76,0177x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$60,776$30,3886.9x
RENAL FAILURE WITH MCC682$127,202$63,6016.9x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$124,126$62,0636.9x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$53,132$26,5666.9x
POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC862$166,137$83,0686.8x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$141,438$70,7196.8x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$79,790$39,8956.8x
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC314$125,205$62,6026.8x
DIABETES WITH CC638$54,490$27,2456.7x
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC056$128,800$64,4006.7x
MAJOR CHEST PROCEDURES WITH CC164$138,957$69,4796.7x
CELLULITIS WITHOUT MCC603$54,297$27,1496.7x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$43,505$21,7536.6x
RED BLOOD CELL DISORDERS WITH MCC811$85,391$42,6966.6x
EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC981$329,211$164,6066.5x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$46,654$23,3276.5x
OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC091$177,072$88,5366.5x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC026$152,176$76,0886.5x
HEART FAILURE AND SHOCK WITH MCC291$76,606$38,3036.4x
BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR518$183,444$91,7226.4x
LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT005$811,803$405,9026.3x
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC315$56,862$28,4316.3x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$84,793$42,3966.3x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$84,308$42,1546.3x
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC435$117,402$58,7016.2x
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC439$47,473$23,7376.2x
SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS870$350,865$175,4336.2x
DIABETES WITH MCC637$66,801$33,4016.1x

Showing 50 of 126 procedures

How MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL compares to nearby hospitals

Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.

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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — for-profit hospital billing

How much do for-profit hospitals typically charge compared to Medicare rates?
Based on data from 628 for-profit hospitals, the average markup is 7.8 times Medicare rates. This means charges are typically set at nearly 8 times what Medicare would pay for the same services.
Why do for-profit hospitals charge more than Medicare rates?
For-profit hospitals operate as businesses with shareholders and must generate revenue to cover operational costs and profit margins. Their pricing structure differs from Medicare's standardized payment rates, which are set by government formula rather than market conditions.
Does insurance typically pay the full hospital charge amount?
Most insurance companies negotiate contracted rates with hospitals that are lower than the posted charges. However, patients may still face significant out-of-pocket costs depending on their insurance coverage and deductible amounts.
What should I know about billing differences between hospital types?
For-profit hospitals generally have different pricing structures than non-profit or government-owned facilities due to their business model. Understanding your hospital's ownership type can provide context for potential billing differences when reviewing medical bills.

Related pricing data

Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.

Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use

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