Infection needing surgery, with major complications in District of Columbia
MS-DRG 853: Infectious and parasitic diseases with o.r. procedures with mcc
$235,809typical hospital bill
$66,875typical amount paid
$42,249–$98,397range paid across 6 hospitals
District of Columbia hospitals billed Medicare a typical $235,809 for this stay in 2024, about 3.5 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 | |
|---|---|---|---|---|---|
| United Medical Center | Washington | 17 | $126,091 | $42,249 | |
| Sibley Memorial Hospital | Washington | 41 | $172,866 | $47,326 | |
| George Washington Univ Hospital | Washington | 65 | $505,805 | $65,417 | |
| Medstar Washington Hospital Center | Washington | 114 | $288,569 | $68,332 | |
| Howard University Hospital Corp | Washington | 20 | $183,049 | $72,695 | |
| Medstar Georgetown University Hospital | Washington | 59 | $332,575 | $98,397 |
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.