How many shoppable procedure prices are published for Medstar Georgetown University Hospital?

Medstar Georgetown University Hospital in Washington, DC currently has 98 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Medstar Georgetown University Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Medstar Georgetown University Hospital's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

What is Medstar Georgetown University Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Medstar Georgetown University Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 453 Beds · urban Updated: 2026-04-01

Medstar Georgetown University Hospital

3800 Reservoir Rd, Washington, DC 20007 · 98 Priced Procedures · 71% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.28×vs. Fair Market Price

Typical commercial prices here are +28% above the fair benchmark (1.28×) even after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 32% of the Time

File Completeness51

Price Logic91

Peer Alignment83

Clean Billing91

Real Cash Discount100

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 1.28× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Medstar Georgetown University Hospital prices shoppable and inpatient services (1.7× to 1.6× Medicare, divergence 0.94×) in alignment with regional hospital peers (1.28× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#3 of 6 in DC · 33rd State Percentile#2,200 of 3,385 in U.S. · 64th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.13× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 32% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (60/100 safety score) with 71% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.28× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.32× Fair BaseRate (1.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (1.28× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Unnegotiated chargemaster list prices average 13.7× Medicare (15¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.7× Medicare

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

Back-Door Captive & ER0.94× Divergence

1.6× Medicare

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

Quantile Tail Spread+7% Upper Tail

Q25 1.13× · Q50 1.32× · Q75 1.41×

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

1.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.4× MedicareElevated

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

0.8× MedicareGood

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

32% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 60/100Elevated

Procedure Prices at Medstar Georgetown University Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 98 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$38,638	$19,087	2.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$38,368	$19,432	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$35,068	$17,936	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$15,507	$8,223	1.9×
Breast lump removal CPT Code: `19120`	$5,600	$4,625	$3,875	1.2×
Trauma team activation HCPCS Code: `G0390`	$3,190	$3,190	$1,453	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$1,636	$1,599	$987	1.6×
Hospital observation (per hour) HCPCS Code: `G0378`	$1,322	$1,322	$86	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,912	$747	$583	1.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,769	$693	$303	2.3×
Rabies immune globulin HCPCS Code: `90375`	$738	$701	$322	2.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$5,171	$693	$448	1.5×
Blood transfusion CPT Code: `36430`	$1,223	$691	$498	1.4×
CT scan, head (with contrast) CPT Code: `70460`	$2,186	$693	$242	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$2,621	$693	$258	unverified
MRI, knee or other leg joint CPT Code: `73721`	$2,950	$582	$369	1.6×
CT scan, head (no contrast) CPT Code: `70450`	$1,644	$515	$160	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$3,578	$436	$511	0.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$462	$344	$151	2.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,594	$357	$272	1.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$646	$357	$134	unverified
Ultrasound, pelvis CPT Code: `76856`	$782	$357	$130	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$225	$343	$123	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$1,796	$296	$338	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$2,109	$296	$343	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$623	$236	$126	1.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$623	$236	$132	1.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$381	$261	$201	unverified
CT scan, pelvis CPT Code: `72192`	$1,565	$230	$163	1.4×
CT scan, sinuses CPT Code: `70486`	$1,699	$230	$166	1.4×
CT scan, chest (no contrast) CPT Code: `71250`	$2,061	$230	$167	1.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,788	$230	$168	1.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,712	$230	$169	1.4×
Family therapy session CPT Code: `90847`	$523	$220	$173	1.3×
New patient office visit (30-44 min) CPT Code: `99203`	$201	$201	$110	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$185	$185	$87	unverified
X-ray, chest (single view) CPT Code: `71045`	$443	$120	$92	1.3×
X-ray, shoulder CPT Code: `73030`	$478	$120	$92	1.3×
X-ray, foot CPT Code: `73630`	$848	$120	$92	1.3×
X-ray, chest (two views) CPT Code: `71046`	$443	$120	$93	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$342	$120	$93	1.3×
X-ray, hand CPT Code: `73130`	$701	$120	$93	1.3×
X-ray, hip CPT Code: `73502`	$181	$120	$93	1.3×
X-ray, ankle CPT Code: `73610`	$630	$120	$93	1.3×
Group therapy session CPT Code: `90853`	$527	$126	$100	1.3×
X-ray, lower back CPT Code: `72110`	$629	$130	$112	1.2×
X-ray, pelvis CPT Code: `72170`	$336	$124	$110	1.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$527	$130	$148	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$338	$89	$86	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$490	$100	$123	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$210	$101	$35	unverified
Typhoid vaccine HCPCS Code: `90675`	$796	$323	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$449	$266	$203	1.3×
Pneumococcal vaccine HCPCS Code: `90732`	$262	$100	$140	0.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$135	$55	$39	1.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$225	$70	$64	1.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$163	$40	$38	1.1×
Physical therapy (gait training) CPT Code: `97116`	$142	$34	$33	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$179	$41	$40	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$133	$55	$56	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$300	$55	$111	0.5×
Blood antibody screen CPT Code: `86850`	$102	$63	$46	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$61	$35	$25	1.4×
Blood test, vitamin D CPT Code: `82306`	$241	$43	$31	1.4×
Orthotic fitting and training CPT Code: `97760`	$163	$55	$51	1.1×
Prosthetic fitting and training CPT Code: `97761`	$163	$48	$45	1.1×
Occupational therapy (self-care training) CPT Code: `97535`	$189	$38	$38	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$34	$5	$3	1.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$51	$6	$4	1.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$48	$6	$4	1.5×
Blood test, ferritin (iron stores) CPT Code: `82728`	$212	$20	$14	1.4×
Blood test, lipase CPT Code: `83690`	$75	$10	$7	1.4×
Blood test, magnesium CPT Code: `83735`	$73	$10	$7	1.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$142	$34	$35	1.0×
Blood test, calcium CPT Code: `82310`	$63	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$88	$7	$5	1.4×
Blood test, potassium CPT Code: `84132`	$69	$7	$5	1.4×
Blood test, sodium CPT Code: `84295`	$69	$7	$5	1.4×
Blood test, vitamin B12 CPT Code: `82607`	$123	$22	$16	1.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$150	$11	$8	1.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$294	$15	$11	1.4×
Culture, blood CPT Code: `87040`	$86	$15	$11	1.4×
Blood test, basic metabolic panel CPT Code: `80048`	$220	$12	$9	1.3×
Blood test, liver function panel CPT Code: `80076`	$232	$12	$9	1.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$183	$24	$18	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$72	$8	$6	1.3×
Hepatitis C antibody test CPT Code: `86803`	$176	$20	$15	1.3×
Culture, bacterial CPT Code: `87070`	$90	$12	$9	1.3×
Blood test, amylase CPT Code: `82150`	$104	$9	$7	1.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$39	$6	$5	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$95	$16	$14	1.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$149	$21	$19	1.1×
Speech therapy (group session) CPT Code: `92508`	$172	$28	$27	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$171	$38	$38	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$124	$10	$10	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	$156	$32	$34	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$80	$31	$37	0.8×
Blood test, hemoglobin CPT Code: `85018`	$60	$3	$3	1.0×

Showing top 25 high-impact procedures of 98 total

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

Audit a Bill or Quote at Medstar Georgetown University Hospital (Zero PHI Required)

CMS CCN: 090004

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash Request Quote

Insurer Median $38,638

1. Amount on Your Bill or Quote ($) Pre-filled with Medstar Georgetown University 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 Medstar Georgetown University 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 +$73,644 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($92,731) is $73,644 above the denoised Fair BaseRate ($19,087) and 6.6× the $14,117 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 Medstar Georgetown University 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 Overall3/5 Stars (3/5)

Safety Composite60/100

Would Recommend71%

Rated 9 or 10 (HCAHPS)70%

Median ER Wait371 min

Left ER Before Seen10%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate4.2%

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

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Medstar Georgetown University Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-09·administrative_or_closure
Closure Notice
Recorded
2025-06-27·cap_corrective_action
CAP Request
Recorded
2025-03-24·warning_notice
Warning Notice
Recorded
2023-07-07·administrative_or_closure
Closure Notice
Recorded
2023-03-24·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (1,748 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 Medstar Georgetown University Hospital.

Price Index: 1.18× regional baseline

Quality: 52/100 CMS composite

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 090004

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 090004) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows9,216 (CMS v3.0.0)

File Integrity DigestVerified · CCN 090004

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