Johns Hopkins Health System · Washington, DC
30
In-network payers
326
Disclosed rate categories
369
Beds
3
Care quality
Sibley Memorial Hospital is a 369-bed voluntary non-profit - other hospital in Washington, DC, affiliated with Johns Hopkins Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 326 disclosed rate categories.
CCN (Medicare provider number)
090005
NPI
1366492977
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Other
Beds
369
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 Sibley Memorial 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.
Childbirth · Inpatient
MS-DRG 807
$9,778 - $12,849
from 2 insurers · median $11,313
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
$13,137 - $18,272
from 2 insurers · median $15,705
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
CT imaging
CPT 70450
$2,030
negotiated rate
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$358 - $698
from 2 insurers · median $528
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$30,791 - $36,760
from 2 insurers · median $33,776
44 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$2,030
negotiated rate
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$60,651
negotiated rate
47 Medicare discharges for this DRG in CMS hospital data
Gynecology
CPT 58558
$2,407
negotiated rate
96 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Mammography
CPT 77066
$622 - $770
from 2 insurers · median $696
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$9,778 - $12,849
from 2 insurers · median $11,313
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
CT imaging
CPT 74176
$2,030
negotiated rate
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$176 - $421
from 2 insurers · median $299
Common here, based on CMS Medicare volume
Ultrasound
CPT 76642
$437 - $775
from 2 insurers · median $606
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$2,592
negotiated rate
Common here, based on CMS Medicare volume
Mammography
CPT 77065
$547 - $660
from 2 insurers · median $604
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$2,030
negotiated rate
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$492 - $801
from 2 insurers · median $646
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$2,639
negotiated rate
Common here, based on CMS Medicare volume
Ultrasound
CPT 76830
$658 - $955
from 2 insurers · median $806
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$2,639
negotiated rate
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$3,823
negotiated rate
347 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Ultrasound
CPT 76856
$605 - $843
from 2 insurers · median $724
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$2,424
negotiated rate
347 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$2,816
negotiated rate
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* | 12 | 591% | 6 | 3 |
| Insurer B* | 19 | 586% | 16 | 3 |
| Insurer C* | 5 | - | 0 | 2 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 16 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 Sibley Memorial Hospital.
5255 Loughboro Road Nw, Washington, DC 20016
(202) 537-4680
The nearest hospitals of similar type and size. Their rates are compared with Sibley Memorial Hospital for the same insurers and services above.
Medstar Georgetown University Hospital
▼ Rates typically 36% lower than Sibley Memorial Hospital (21 services)
Virginia Hospital Center Arlington
▼ Rates typically 67% lower than Sibley Memorial Hospital (21 services)
George Washington University Hospital
▼ Rates typically 15% lower than Sibley Memorial Hospital (21 services)
Howard University Hospital
▼ Rates typically 48% lower than Sibley Memorial Hospital (21 services)
Holy Cross Hospital
▼ Rates typically 66% lower than Sibley Memorial Hospital (19 services)
Inova Alexandria Hospital
▼ Rates typically 9% lower than Sibley Memorial Hospital (21 services)
Medstar Washington Hospital Center
About Sibley Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Sibley Memorial Hospital range from $2,639 to $2,639 across 1 insurers. Aetna's rate is $2,639. The median at nearby comparable hospitals is $977. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT head or brain without contrast (CPT 70450), published negotiated rates at Sibley Memorial Hospital range from $2,030 to $2,030 across 1 insurers. Aetna's rate is $2,030. The median at nearby comparable hospitals is $264. 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 Sibley Memorial Hospital range from $9,778 to $12,849 across 2 insurers. UnitedHealthcare's rate is $9,778. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Sibley Memorial Hospital range from $358 to $698 across 2 insurers. Aetna's rate is $358. The median at nearby comparable hospitals is $425. 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 Sibley Memorial Hospital range from $30,791 to $36,760 across 2 insurers. UnitedHealthcare's rate is $30,791. The median at nearby comparable hospitals is $35,987. What a patient pays depends on their plan's deductible, coinsurance and network status.
Sibley Memorial Hospital has 369 beds. Facility type: Short Term Acute Care Hospital.
Sibley Memorial Hospital is located at 5255 Loughboro Road Nw, Washington, DC 20016. Its main phone number is (202) 537-4680.
Sibley Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 090005.
The National Provider Identifier (NPI) on file for Sibley Memorial Hospital is 1366492977.
Sibley Memorial Hospital is affiliated with Johns Hopkins Health System.
Sibley Memorial Hospital lists 30 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.
326 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.
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{
"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