Skip to main content
State Price Transparency Index 6 Mapped Hospitals 112 Shoppable Procedures +31% vs. U.S. Median (above the U.S. average)

District of Columbia Hospital Rates

Compare cash discount rates, commercial insurance prices, and fair price benchmarks across all 6 District of Columbia hospitals.

Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Above Fair Market · Negotiate
1.31×vs. U.S. Fair Price Average
Position vs. 1.00× Fair Price+31% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Across 6 District of Columbia hospitals, typical commercial prices average +31% above the U.S. fair price (1.31×) after accounting for local wages.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · District of Columbia Market & Best ValueSummarizes statewide hospital price coverage across District of Columbia, the average commercial markup over federal Medicare rates, and the #1 best-value hospital in the state.6 Hospitals · 112 Procedures
Hospitals Priced6 in DCTotal hospitals in District of Columbia with verified machine-readable price disclosures indexed in the Crystal.
Avg vs. Medicare1.9× MedicareAverage commercial insurance negotiated rate across District of Columbia hospitals compared to what federal Medicare pays for the same procedure.
Best Value in DC0.97× FairLowest confounder-adjusted hospital in District of Columbia: Medstar Health Physical Therapy (Washington) at 0.97× fair market price.

Most affordable District of Columbia hospital: Medstar Health Physical Therapy (Washington) at 0.97× the fair price (3% below benchmark).

Statewide Hospital Pricing Fingerprint6 District of Columbia Hospitals Analyzed

District of Columbia Statewide Hospital Pricing Summary

Across 6 reporting hospitals and 112 shoppable procedures in District of Columbia, typical commercial insurance rates sit at 1.31× the U.S. fair price average (1.9× federal Medicare rates). However, prices vary by 1.7× across the state — from 0.97× fair price at the most affordable hospitals up to 1.69× at high-markup facilities.

State Price Index: 1.31× U.S. Fair AverageAvg Commercial Rate: 1.9× Medicare
Advantage

Best Value in District of Columbia (Lowest-Priced Hospitals & Patient Edge)

  • Best-value hospital in District of Columbia: Medstar Health Physical Therapy (Washington) prices care at 0.97× the fair price benchmark.
  • Additional low-cost leaders include Sibley Memorial Hospital (Washington, 1.25× fair) and Medstar Georgetown University Hospital (1.28× fair).
  • Bottom-quartile District of Columbia hospitals (Q25) charge 1.25× the fair price or less — comparing quotes before scheduling elective care saves 25%–45%.
  • Nonprofit 501(c)(3) hospitals across District of Columbia must provide free or discounted charity care under federal 26 U.S.C. § 501(r) income rules.
Watchout

Where District of Columbia Patients Get Burned (High-Markup Traps)

  • Highest-markup District of Columbia facilities reach 2.9× Medicare (George Washington Univ Hospital in Washington, Bridgepoint Continuing Care Hospital - Capitol Hill).
  • Prices for the exact same procedure swing 1.7× between the lowest-priced (0.97×) and highest-priced (1.69×) hospitals in District of Columbia.
  • Emergency room, lab, and outpatient surgery facility fees carry significantly higher markups than pre-scheduled imaging or freestanding centers.
Most Affordable DC Hospitals (Bottom 25%)Best Value Tier
0.97× – 1.25× Fair

Led by Medstar Health Physical Therapy (Washington) at 0.97× fair price.

Typical District of Columbia Hospital (State Median)1.9× Medicare
1.29× Fair Price

Middle-of-the-pack commercial rate across all 6 District of Columbia hospitals.

Highest-Markup DC Hospitals (Top 25%)1.7× State Spread
1.68× – 1.69× Fair

Highest-priced quarter of District of Columbia hospitals where shopping around saves the most.

District of Columbia County Price & Affordability Heatmap 1 of 1 Counties with MRF Hospital Data

District of Columbia County-Level Hospital Price & Affordability Heatmap

Hospital price index, Medicare markup, and household affordability burden across 1 counties in District of Columbia

<0.94× Affordable 0.94–1.06× Near Avg 1.06–1.20× Elevated >1.20× High-Markup

All Hospitals in District of Columbia (6)

Ranked by how their commercial prices compare to the fair BaseRate — best value first. Select any hospital to inspect its full procedure price list.

Sort:

Compare Prices by Procedure in District of Columbia (112)

High-impact surgeries, scans, and hospital stays are listed first with the typical District of Columbia price. Search any procedure below.

Browse District of Columbia by Metro Area

Local hospital comparison pages for each District of Columbia regional market.

Which Insurers Negotiate Prices in District of Columbia

Across the 6 District of Columbia hospitals that publish negotiated rates, here is how many hospitals each major insurance carrier has an in-network contract with.

Aetna 6 of 6 hospitals
Blue Cross Blue Shield 5 of 6 hospitals
Cigna 5 of 6 hospitals
UnitedHealthcare 5 of 6 hospitals
Humana 4 of 6 hospitals
Kaiser Permanente 3 of 6 hospitals

Also negotiating in District of Columbia: AmeriHealth (2) · Amerigroup (2) · WellCare (1).

Prices are sourced from each hospital's federally-required public price file, most recently published October 2026. The BaseRate is a modeled fair-price estimate — not a bill or quote. How we build these numbers →