Pneumonia, with complications in District of Columbia
MS-DRG 194: Simple pneumonia and pleurisy with cc
$34,582typical hospital bill
$9,349typical amount paid
$7,143–$11,556range paid across 2 hospitals
District of Columbia hospitals billed Medicare a typical $34,582 for this stay in 2024, about 3.7 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 | 28 | $35,371 | $7,143 | |
| Medstar Georgetown University Hospital | Washington | 11 | $33,792 | $11,556 |
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.