Sibley Memorial Hospital
SIBLEY MEMORIAL HOSPITAL in Washington, DC charges 5.3x the Medicare reimbursement rate across 70 analyzed procedures, reflecting the pricing patterns common among nonprofit-private healthcare facilities.
Washington, DC 20016 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
D
High
Avg markup vs Medicare
5.31x
Charge / Medicare rate
Max markup
10.68x
Worst procedure
Procedures analyzed
70
With pricing data
Outlier procedures
0%
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.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $39,055 | $19,528 | — | 10.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $34,487 | $17,243 | — | 9.6x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $48,244 | $24,122 | — | 9.5x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $23,193 | $11,597 | — | 9.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | 195 | $24,956 | $12,478 | — | 8.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $55,129 | $27,564 | — | 8.5x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $36,241 | $18,121 | — | 7.1x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $62,145 | $31,072 | — | 7.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $31,891 | $15,946 | — | 7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $31,733 | $15,867 | — | 7x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $33,567 | $16,784 | — | 7x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $30,858 | $15,429 | — | 6.8x |
| RENAL FAILURE WITHOUT CC/MCC | 684 | $20,751 | $10,375 | — | 6.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $28,742 | $14,371 | — | 6.5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $30,019 | $15,010 | — | 6.5x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $102,326 | $51,163 | — | 6.4x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $33,564 | $16,782 | — | 6.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $49,584 | $24,792 | — | 6.3x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $33,300 | $16,650 | — | 6.2x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $31,188 | $15,594 | — | 6.2x |
| DIGESTIVE MALIGNANCY WITH MCC | 374 | $95,220 | $47,610 | — | 6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $41,146 | $20,573 | — | 5.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $35,005 | $17,503 | — | 5.7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $73,866 | $36,933 | — | 5.7x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $50,109 | $25,054 | — | 5.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $25,255 | $12,627 | — | 5.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $44,441 | $22,220 | — | 5.4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $47,220 | $23,610 | — | 5.4x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $61,394 | $30,697 | — | 5.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $40,298 | $20,149 | — | 5.2x |
| RENAL FAILURE WITH MCC | 682 | $50,493 | $25,246 | — | 5.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $44,563 | $22,281 | — | 5.1x |
| RENAL FAILURE WITH CC | 683 | $28,068 | $14,034 | — | 5.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $29,333 | $14,667 | — | 5.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $52,980 | $26,490 | — | 4.9x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $28,101 | $14,050 | — | 4.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $64,561 | $32,280 | — | 4.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $50,232 | $25,116 | — | 4.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $31,804 | $15,902 | — | 4.8x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $52,167 | $26,084 | — | 4.7x |
| MAJOR CHEST PROCEDURES WITHOUT CC/MCC | 165 | $54,800 | $27,400 | — | 4.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $67,930 | $33,965 | — | 4.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $63,758 | $31,879 | — | 4.7x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $53,556 | $26,778 | — | 4.6x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $63,032 | $31,516 | — | 4.6x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $55,599 | $27,799 | — | 4.6x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $43,982 | $21,991 | — | 4.4x |
| CELLULITIS WITHOUT MCC | 603 | $22,075 | $11,038 | — | 4.4x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $64,827 | $32,414 | — | 4.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $27,879 | $13,939 | — | 4.3x |
Showing 50 of 70 procedures
How SIBLEY MEMORIAL 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.
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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