How many shoppable procedure prices are published for George Washington Univ Hospital?

George Washington Univ Hospital in Washington, DC currently has 115 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do George Washington Univ Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, George Washington Univ Hospital's median negotiated commercial rate is 1.7× the regionally adjusted fair BaseRate benchmark.

What is George Washington Univ Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns George Washington Univ Hospital an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 339 Beds · urban Updated: 1/1/2026

George Washington Univ Hospital

900 23Rd St Nw, Washington, DC 20037 · 115 Priced Procedures · 61% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

High Markup · Shop Alternatives

1.68×vs. Fair Market Price

Typical commercial prices here are +68% above the fair benchmark (1.68×) even after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 33% of the Time

File Completeness66

Price Logic91

Peer Alignment70

Clean Billing86

Real Cash Discount100

High Price · Lower Safety

2-Star CMS clinical quality rating paired with 1.68× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +54% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

George Washington Univ Hospital prices routine shoppable procedures at 3.5× Medicare (median 1.64× Fair BaseRate) while upper-quartile commercial rates jump +54% to 2.53× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#5 of 6 in DC · 66th State Percentile#2,858 of 3,385 in U.S. · 84th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.31× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 33% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 61% patient recommendation (55/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.8× markup over Medicare rates
Commercial insurance median sits at 1.64× Fair BaseRate (3.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.53×) jump +54% above the median procedure ratio (Q50 1.64×)
Unnegotiated chargemaster list prices average 20.3× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

3.5× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.49× Divergence

1.7× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+54% Upper Tail

Q25 1.31× · Q50 1.64× · Q75 2.53×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

3.5× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

1.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

5.2× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

1.1× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

6.3× MedicareWatchout

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.1× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

33% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 55/100Elevated

Procedure Prices at George Washington Univ Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 115 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$54,827	$30,775	1.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$34,859	$19,087	1.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$33,498	$19,432	1.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$32,143	$17,936	1.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$13,863	$8,223	1.7×
Total hip replacement CPT Code: `27130`	—	$11,365	$13,413	0.8×
Total knee replacement CPT Code: `27447`	—	$11,365	$13,523	0.8×
Cataract surgery with lens implant CPT Code: `66984`	—	$5,585	$2,540	2.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$5,571	$5,571	$511	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,625	$4,625	$303	15.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$4,465	$3,372	1.3×
Inguinal hernia repair CPT Code: `49505`	$6,563	$4,465	$3,629	1.2×
Bunion correction surgery CPT Code: `28296`	—	$3,556	$3,446	1.0×
Vaginal delivery (full package) CPT Code: `59400`	—	$3,507	$2,680	1.3×
C-section delivery (full package) CPT Code: `59510`	—	$3,507	$2,975	1.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,976	$2,976	$448	6.6×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$2,572	$981	2.6×
Upper endoscopy with biopsy CPT Code: `43239`	$3,273	$2,572	$987	2.6×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,478	$2,586	$1,021	2.5×
Colonoscopy with biopsy CPT Code: `45380`	—	$2,572	$1,256	2.0×
MRI, lower back (no contrast) CPT Code: `72148`	$2,745	$2,394	$338	7.1×
MRI, brain (no contrast) CPT Code: `70551`	$2,691	$2,310	$343	6.7×
MRI, knee or other leg joint CPT Code: `73721`	$2,670	$2,288	$369	6.2×
Trauma team activation HCPCS Code: `G0390`	$1,994	$1,994	$1,453	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$1,554	$1,744	$855	2.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,433	$1,576	$258	6.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,084	$1,292	$168	7.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,985	$1,292	$169	7.6×
CT scan, head (with contrast) CPT Code: `70460`	$2,011	$1,282	$242	5.3×
CT scan, chest (no contrast) CPT Code: `71250`	$2,178	$1,292	$167	unverified
CT scan, pelvis CPT Code: `72192`	$1,893	$1,256	$163	7.7×
CT scan, sinuses CPT Code: `70486`	$1,539	$1,208	$166	7.3×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,902	$1,132	$583	1.9×
Blood transfusion CPT Code: `36430`	$658	$1,093	$498	2.2×
CT scan, head (no contrast) CPT Code: `70450`	$1,722	$1,014	$160	6.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,281	$775	$272	2.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$387	$554	$148	3.7×
Screening mammogram (both breasts) CPT Code: `77067`	$296	$458	$123	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$841	$425	$132	3.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,331	$403	$134	3.0×
Speech therapy (language evaluation) CPT Code: `92507`	$398	$398	$86	unverified
Ultrasound, pelvis CPT Code: `76856`	$632	$367	$130	2.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$329	$329	$86	3.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$660	$299	$126	2.4×
Neurobehavioral status check CPT Code: `96116`	$584	$262	$231	1.1×
Rabies immune globulin HCPCS Code: `90375`	$877	$272	$322	0.8×
X-ray, chest (two views) CPT Code: `71046`	$392	$196	$93	2.1×
Speech therapy (group session) CPT Code: `92508`	$170	$170	$27	6.3×
X-ray, hip CPT Code: `73502`	$398	$179	$93	1.9×
X-ray, lower back CPT Code: `72110`	$760	$193	$112	1.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$168	$168	$35	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$102	$119	$34	3.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$436	$143	$93	1.5×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$165	$141	$40	unverified
Physical therapy (gait training) CPT Code: `97116`	$170	$114	$33	3.5×
Diagnostic procedure preparation HCPCS Code: `G0279`	$62	$116	$35	3.3×
X-ray, ankle CPT Code: `73610`	$430	$141	$93	1.5×
X-ray, hand CPT Code: `73130`	$345	$139	$93	1.5×
X-ray, foot CPT Code: `73630`	$452	$131	$92	1.4×
X-ray, shoulder CPT Code: `73030`	$532	$126	$92	1.4×
Hepatitis B immune globulin HCPCS Code: `90371`	$510	$136	$151	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$165	$135	$38	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$148	$141	$38	unverified
X-ray, chest (single view) CPT Code: `71045`	$188	$85	$92	0.9×
X-ray, pelvis CPT Code: `72170`	$391	$98	$110	0.9×
Typhoid vaccine HCPCS Code: `90675`	$566	$319	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$289	$289	$203	1.4×
Drug screening test HCPCS Code: `G0480`	$243	$131	$116	1.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$110	$110	$111	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$155	$126	$140	0.9×
Extended office visit (prolonged) HCPCS Code: `G2212`	$63	$63	$33	1.9×
Blood test, vitamin D CPT Code: `82306`	$266	$50	$31	1.6×
Colorectal cancer screening HCPCS Code: `G0010`	$64	$64	$49	1.3×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$44	$44	$39	1.1×
Flu vaccine injection HCPCS Code: `G0008`	$51	$51	$48	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$213	$65	$64	1.0×
Psychological testing evaluation CPT Code: `96136`	—	$69	$128	0.5×
Psychological testing by technician CPT Code: `96138`	—	$69	$395	0.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$107	$22	$20	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$38	$38	$49	0.8×
Prosthetic fitting and training CPT Code: `97761`	$129	$33	$45	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$227	$39	$201	0.2×
Blood test, calcium CPT Code: `82310`	$86	$9	$5	1.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$116	$9	$5	1.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$89	$7	$4	1.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$81	$7	$4	1.8×
Blood test, lipase CPT Code: `83690`	$161	$12	$7	1.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$63	$5	$3	1.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$89	$10	$6	1.7×
Culture, bacterial CPT Code: `87070`	$236	$15	$9	1.7×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$208	$23	$14	1.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$205	$23	$14	1.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$89	$18	$11	1.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$251	$31	$19	1.6×
Blood test, complete blood count (CBC) CPT Code: `85025`	$72	$13	$8	1.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$144	$16	$10	1.6×
Physical therapy (functional capacity test) CPT Code: `97750`	$154	$37	$38	1.0×
Blood test, potassium CPT Code: `84132`	$58	$8	$5	1.6×
Blood test, sodium CPT Code: `84295`	$86	$8	$5	1.6×
Hepatitis C antibody test CPT Code: `86803`	$120	$24	$15	1.6×
Blood test, amylase CPT Code: `82150`	$119	$11	$7	1.6×
Blood test, magnesium CPT Code: `83735`	$97	$11	$7	1.6×
Blood test, vitamin B12 CPT Code: `82607`	$478	$25	$16	1.6×
Blood test, basic metabolic panel CPT Code: `80048`	$146	$14	$9	1.6×
Blood test, liver function panel CPT Code: `80076`	$233	$14	$9	1.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$193	$28	$18	1.6×
Culture, blood CPT Code: `87040`	$108	$17	$11	1.5×
Electrical stimulation therapy HCPCS Code: `G0283`	$154	$19	$14	1.4×
Orthotic fitting and training CPT Code: `97760`	$148	$33	$51	0.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$156	$36	$56	0.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$67	$7	$5	1.4×
Blood test, hemoglobin CPT Code: `85018`	$43	$4	$3	1.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$28	$28	$25	1.1×
Hepatitis B vaccine HCPCS Code: `90744`	$38	$29	$37	0.8×
Blood antibody screen CPT Code: `86850`	$188	$11	$46	0.2×

Showing top 25 high-impact procedures of 115 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at George Washington Univ Hospital (Zero PHI Required)

CMS CCN: 090001

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $54,827

1. Amount on Your Bill or Quote ($) Pre-filled with George Washington Univ Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask George Washington Univ Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$100,810 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($131,585) is $100,810 above the denoised Fair BaseRate ($30,775) and 5.6× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify George Washington Univ Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite55/100

Would Recommend61%

Rated 9 or 10 (HCAHPS)61%

Median ER Wait380 min

Left ER Before Seen12%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.3%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (583 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for George Washington Univ Hospital.

Price Index: 1.04× regional baseline

Quality: 40/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

UnitedHealthcare

-53.0%

Median Household Income$106,287U.S. Census ACS

Local Uninsured Share3.4%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 82/100 · Corroborated CMS CCN 090001

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 090001) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage1/1/2026

Validated Rate Rows1,490 (CMS v3.0.0)

File Integrity DigestVerified · CCN 090001

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy