MedStar Health · Washington, DC
31
In-network payers
233
Disclosed rate categories
609
Beds
3
Care quality
Medstar Georgetown University Hospital is a 609-bed proprietary hospital in Washington, DC, affiliated with MedStar Health. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 233 disclosed rate categories.
CCN (Medicare provider number)
090004
NPI
1427145176
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
609
Care Quality
3
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Medstar Georgetown University Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Medicine & Surgery · Inpatient
MS-DRG 460
$35,878 - $131,068
from 4 insurers · median $93,184
201 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 807
$12,772 - $19,277
from 4 insurers · median $14,726
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$18,131 - $33,956
from 4 insurers · median $21,399
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$37,786 - $64,356
from 4 insurers · median $51,657
59 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$516 - $3,650
from 4 insurers · median $1,721
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$2,856 - $13,359
from 2 insurers · median $8,107
27 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Gynecology
CPT 58571
$4,401 - $43,440
from 2 insurers · median $23,920
79 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$12,772 - $19,277
from 4 insurers · median $14,726
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery
CPT 47562
$3,560 - $24,810
from 2 insurers · median $14,185
113 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 473
$47,444 - $79,084
from 4 insurers · median $62,820
18 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 70450
$218 - $829
from 4 insurers · median $545
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$193,413 - $310,601
from 4 insurers · median $248,317
Hospital reports cardiac thoracic surgery services to CMS
Cardiology and vascular testing
CPT 93306
$475 - $2,894
from 4 insurers · median $1,655
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$2,091 - $24,810
from 2 insurers · median $13,450
113 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 71275
$466 - $2,003
from 4 insurers · median $1,365
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$326 - $2,671
from 4 insurers · median $1,049
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$1,142 - $3,246
from 4 insurers · median $2,018
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$100 - $897
from 4 insurers · median $266
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$9,568 - $24,810
from 2 insurers · median $17,189
113 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
X-ray and bone density
CPT 71046
$55 - $440
from 4 insurers · median $356
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,099 - $4,938
from 2 insurers · median $3,519
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,979 - $4,938
from 2 insurers · median $3,459
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$1,710 - $8,010
from 4 insurers · median $4,796
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$2,398 - $24,810
from 2 insurers · median $13,604
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 16 | 776% | 0 | 0 |
| Insurer B* | 16 | 548% | 5 | 0 |
| Insurer C* | 24 | 404% | 12 | 0 |
| Insurer D* | 24 | 134% | 7 | 12 |
How we chose these services: 8 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Medstar Georgetown University Hospital.
3800 Reservoir Road Nw, Washington, DC 20007
(202) 784-3000
The nearest hospitals of similar type and size. Their rates are compared with Medstar Georgetown University Hospital for the same insurers and services above.
George Washington University Hospital
▲ Rates typically 41% higher than Medstar Georgetown University Hospital (21 services)
Sibley Memorial Hospital
▲ Rates typically 31% higher than Medstar Georgetown University Hospital (20 services)
Howard University Hospital
▼ Rates typically 18% lower than Medstar Georgetown University Hospital (20 services)
Virginia Hospital Center Arlington
▼ Rates typically 52% lower than Medstar Georgetown University Hospital (21 services)
Inova Fairfax Hospital
▼ Rates typically 28% lower than Medstar Georgetown University Hospital (21 services)
Holy Cross Hospital
▼ Rates typically 35% lower than Medstar Georgetown University Hospital (16 services)
Medstar Washington Hospital Center
About Medstar Georgetown University Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Medstar Georgetown University Hospital range from $1,142 to $3,246 across 4 insurers. Cigna's rate is $2,517. The median at nearby comparable hospitals is $1,176. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Medstar Georgetown University Hospital range from $516 to $3,650 across 4 insurers. Blue Cross Blue Shield's rate is $3,650. The median at nearby comparable hospitals is $765. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Medstar Georgetown University Hospital range from $2,099 to $4,938 across 2 insurers. UnitedHealthcare's rate is $4,938. The median at nearby comparable hospitals is $1,947. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Medstar Georgetown University Hospital range from $12,772 to $19,277 across 4 insurers. Cigna's rate is $19,277. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Medstar Georgetown University Hospital range from $100 to $897 across 4 insurers. UnitedHealthcare's rate is $100. The median at nearby comparable hospitals is $398. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Medstar Georgetown University Hospital range from $37,786 to $64,356 across 4 insurers. Aetna's rate is $64,356. The median at nearby comparable hospitals is $34,442. What a patient pays depends on their plan's deductible, coinsurance and network status.
Medstar Georgetown University Hospital has 609 beds. Facility type: Short Term Acute Care Hospital.
Medstar Georgetown University Hospital is located at 3800 Reservoir Road Nw, Washington, DC 20007. Its main phone number is (202) 784-3000.
Medstar Georgetown University Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 090004.
The National Provider Identifier (NPI) on file for Medstar Georgetown University Hospital is 1427145176.
Medstar Georgetown University Hospital is affiliated with MedStar Health.
Medstar Georgetown University Hospital lists 31 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
233 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers