Fracture or sprain (not hip or thigh) in District of Columbia
MS-DRG 563: Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
$58,095typical hospital bill
$9,291typical amount paid
$7,035–$11,547range paid across 2 hospitals
District of Columbia hospitals billed Medicare a typical $58,095 for this stay in 2024, about 6.3 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 | |
|---|---|---|---|---|---|
| Sibley Memorial Hospital | Washington | 13 | $33,451 | $7,035 | |
| George Washington Univ Hospital | Washington | 14 | $82,740 | $11,547 |
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.