Pneumonia, with major complications in District of Columbia
MS-DRG 193: Simple pneumonia and pleurisy with mcc
$58,303typical hospital bill
$17,756typical amount paid
$10,926–$20,279range paid across 5 hospitals
District of Columbia hospitals billed Medicare a typical $58,303 for this stay in 2024, about 3.3 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 | 72 | $47,749 | $10,926 | |
| Medstar Washington Hospital Center | Washington | 68 | $58,303 | $16,092 | |
| George Washington Univ Hospital | Washington | 29 | $148,700 | $17,756 | |
| Howard University Hospital Corp | Washington | 13 | $44,210 | $20,175 | |
| Medstar Georgetown University Hospital | Washington | 41 | $73,490 | $20,279 |
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.