Hip replacement after a hip fracture in District of Columbia
MS-DRG 522: Hip replacement with principal diagnosis of hip fracture without mcc
$107,712typical hospital bill
$23,853typical amount paid
$17,127–$26,302range paid across 4 hospitals
District of Columbia hospitals billed Medicare a typical $107,712 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 | |
|---|---|---|---|---|---|
| Sibley Memorial Hospital | Washington | 27 | $70,361 | $17,127 | |
| Medstar Washington Hospital Center | Washington | 15 | $116,593 | $22,856 | |
| George Washington Univ Hospital | Washington | 15 | $204,196 | $24,850 | |
| Medstar Georgetown University Hospital | Washington | 14 | $98,831 | $26,302 |
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.