MedStar Health · Washington, DC
40
In-network payers
242
Disclosed rate categories
926
Beds
3
Care quality
Medstar Washington Hospital Center is a 926-bed voluntary non-profit - other hospital in Washington, DC, affiliated with MedStar Health. Below you'll find publicly disclosed negotiated rates and facility details, including 40 in-network payers and 242 disclosed rate categories.
CCN (Medicare provider number)
090011
NPI
1548378235
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Other
Beds
926
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 Washington Hospital Center 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.
Childbirth · Inpatient
MS-DRG 807
$15,538 - $21,361
from 3 insurers · median $15,995
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
$21,490 - $32,652
from 3 insurers · median $23,115
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 216
$266,239 - $276,076
from 3 insurers · median $268,352
75 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 460
$92,357 - $94,367
from 2 insurers · median $93,362
49 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$421 - $1,860
from 2 insurers · median $1,140
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$15,538 - $21,361
from 3 insurers · median $15,995
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
Mammography
CPT 77067
$221 - $955
from 2 insurers · median $588
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$702 - $706
from 2 insurers · median $704
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$736 - $2,005
from 2 insurers · median $1,370
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$885 - $992
from 2 insurers · median $938
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$29,720
negotiated rate
122 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Mammography
CPT 77066
$281 - $1,087
from 2 insurers · median $684
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$4,975
negotiated rate
57 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
MRI imaging
CPT 70553
$907 - $2,519
from 2 insurers · median $1,713
Common here, based on CMS Medicare volume
Ultrasound
CPT 76642
$494 - $907
from 2 insurers · median $700
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$50,241 - $78,884
from 3 insurers · median $54,435
13 Medicare discharges for this DRG in CMS hospital data
MRI imaging
CPT 70551
$660 - $1,325
from 2 insurers · median $993
Common here, based on CMS Medicare volume
Mammography
CPT 77065
$72 - $744
from 2 insurers · median $408
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$8,043
negotiated rate
124 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
X-ray and bone density
CPT 71046
$431
negotiated rate
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$23,899
negotiated rate
122 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$3,951
negotiated rate
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93970
$802 - $1,565
from 2 insurers · median $1,183
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$243 - $529
from 2 insurers · median $386
Common here, based on CMS Medicare volume
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* | 17 | 650% | 13 | 0 |
| Insurer B* | 24 | 297% | 13 | 6 |
| Insurer C* | 6 | - | 3 | 0 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 3 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 Washington Hospital Center.
110 Irving Street Nw, Washington, DC 20010
(202) 877-7000
The nearest hospitals of similar type and size. Their rates are compared with Medstar Washington Hospital Center for the same insurers and services above.
Howard University Hospital
▼ Rates typically 37% lower than Medstar Washington Hospital Center (21 services)
Inova Fairfax Hospital
▼ Rates typically 26% lower than Medstar Washington Hospital Center (18 services)
University Of Maryland Med Sys
Rates about the same as Medstar Washington Hospital Center (18 services)
The Johns Hopkins Hospital
Rates about the same as Medstar Washington Hospital Center (18 services)
Winchester Medical Center
▼ Rates typically 11% lower than Medstar Washington Hospital Center (21 services)
Wellspan York Hospital
▼ Rates typically 19% lower than Medstar Washington Hospital Center (17 services)
Medstar Georgetown University Hospital
Sibley Memorial Hospital
George Washington University Hospital
About Medstar Washington Hospital Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Medstar Washington Hospital Center range from $907 to $2,519 across 2 insurers. Cigna's rate is $2,519. The median at nearby comparable hospitals is $1,317. 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 Washington Hospital Center range from $421 to $1,860 across 2 insurers. Cigna's rate is $1,860. The median at nearby comparable hospitals is $1,004. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Medstar Washington Hospital Center range from $3,951 to $3,951 across 1 insurers. Aetna's rate is $3,951. The median at nearby comparable hospitals is $1,313. 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 Washington Hospital Center range from $15,538 to $21,361 across 3 insurers. UnitedHealthcare's rate is $15,538. 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 Washington Hospital Center range from $221 to $955 across 2 insurers. Aetna's rate is $221. The median at nearby comparable hospitals is $367. 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 Washington Hospital Center range from $50,241 to $78,884 across 3 insurers. Aetna's rate is $50,241. The median at nearby comparable hospitals is $38,974. What a patient pays depends on their plan's deductible, coinsurance and network status.
Medstar Washington Hospital Center has 926 beds. Facility type: Short Term Acute Care Hospital.
Medstar Washington Hospital Center is located at 110 Irving Street Nw, Washington, DC 20010. Its main phone number is (202) 877-7000.
Medstar Washington Hospital Center's CMS Certification Number (CCN), also called its Medicare provider number, is 090011.
The National Provider Identifier (NPI) on file for Medstar Washington Hospital Center is 1548378235.
Medstar Washington Hospital Center is affiliated with MedStar Health.
Medstar Washington Hospital Center lists 40 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.
242 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.
For hospital finance and compliance teams
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