Major Chest Procedures Without Cc/Mcc in District of Columbia
MS-DRG 165: Major chest procedures without cc/mcc
$91,175typical hospital bill
$20,213typical amount paid
$15,512–$25,001range paid across 3 hospitals
District of Columbia hospitals billed Medicare a typical $91,175 for this stay in 2024, about 4.5 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | Cash price | Insurers (median) | |
|---|---|---|---|---|---|---|---|
| Sibley Memorial Hospital | Washington | 21 | $58,255 | $15,512 | – | – | |
| Medstar Washington Hospital Center | Washington | 12 | $91,175 | $20,213 | – | $50,030$20,292–$68,123 · 12 plans | |
| Medstar Georgetown University Hospital | Washington | 15 | $108,460 | $25,001 | – | – |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.