How many shoppable procedure prices are published for Medstar Washington Hospital Center?

Medstar Washington Hospital Center in Washington, DC currently has 103 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Medstar Washington Hospital Center's commercial prices compare to the fair BaseRate?

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

What is Medstar Washington Hospital Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Medstar Washington Hospital Center 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 Voluntary non-profit - Other 719 Beds · urban Updated: 2026-04-01

Medstar Washington Hospital Center

110 Irving Street Nw, Washington, DC 20010 · 103 Priced Procedures · 60% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.29×vs. Fair Market Price

Typical commercial prices here are +29% above the fair benchmark (1.29×) even after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 31% of the Time

File Completeness51

Price Logic91

Peer Alignment82

Clean Billing89

Real Cash Discount100

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 1.29× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Medstar Washington Hospital Center prices shoppable and inpatient services (1.7× to 1.6× Medicare, divergence 0.94×) in alignment with regional hospital peers (1.29× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#4 of 6 in DC · 50th State Percentile#2,212 of 3,385 in U.S. · 65th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.15× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 31% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 60% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (34.2% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.29× 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 1.35× Fair BaseRate (1.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.3× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 11.3× 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+10% Upper Tail

Q25 1.15× · Q50 1.35× · Q75 1.49×

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

2.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.3× MedicareElevated

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

1.3× MedicareGood

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

31% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Medstar Washington Hospital Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 103 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`	—	$40,901	$19,087	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$40,615	$19,432	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$37,122	$17,936	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$16,415	$8,223	2.0×
Trauma team activation HCPCS Code: `G0390`	$6,969	$6,969	$1,453	unverified
Breast lump removal CPT Code: `19120`	$5,335	$4,718	$3,875	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	$1,908	$1,903	$987	1.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,525	$871	$511	1.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,866	$889	$583	1.5×
Blood transfusion CPT Code: `36430`	$1,099	$823	$498	1.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,527	$693	$258	2.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,699	$693	$303	2.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,224	$693	$448	1.5×
CT scan, head (with contrast) CPT Code: `70460`	$1,257	$693	$242	unverified
MRI, knee or other leg joint CPT Code: `73721`	$2,377	$622	$369	1.7×
Rabies immune globulin HCPCS Code: `90375`	$784	$578	$322	1.8×
Psychiatric evaluation (first visit) CPT Code: `90791`	$585	$585	$185	unverified
CT scan, head (no contrast) CPT Code: `70450`	$1,372	$556	$160	unverified
Psychological testing by technician CPT Code: `96138`	$1,094	$508	$395	1.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$714	$357	$272	1.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$752	$357	$134	unverified
Ultrasound, pelvis CPT Code: `76856`	$631	$357	$130	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$853	$284	$151	1.9×
MRI, lower back (no contrast) CPT Code: `72148`	$2,397	$296	$338	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$1,770	$296	$343	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$320	$266	$201	1.3×
Neurobehavioral status check CPT Code: `96116`	$1,094	$268	$231	1.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$367	$236	$126	1.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$466	$236	$132	1.8×
CT scan, pelvis CPT Code: `72192`	$1,514	$230	$163	1.4×
CT scan, sinuses CPT Code: `70486`	$1,323	$230	$166	1.4×
CT scan, chest (no contrast) CPT Code: `71250`	$1,466	$230	$167	1.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,778	$230	$168	1.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,712	$230	$169	1.4×
Psychotherapy session (45 minutes) CPT Code: `90834`	$386	$220	$166	1.3×
Family therapy session CPT Code: `90847`	$241	$220	$173	1.3×
Psychotherapy session (60 minutes) CPT Code: `90837`	$354	$220	$181	1.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$244	$244	$86	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$209	$209	$110	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$223	$223	$123	unverified
Psychological testing evaluation CPT Code: `96136`	$1,094	$165	$128	1.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$183	$183	$87	unverified
X-ray, hand CPT Code: `73130`	$492	$138	$93	1.5×
X-ray, ankle CPT Code: `73610`	$452	$138	$93	1.5×
X-ray, shoulder CPT Code: `73030`	$345	$134	$92	1.5×
Diagnostic procedure preparation HCPCS Code: `G0279`	$222	$101	$35	2.9×
X-ray, chest (single view) CPT Code: `71045`	$413	$120	$92	1.3×
X-ray, chest (two views) CPT Code: `71046`	$438	$120	$93	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$340	$120	$93	1.3×
X-ray, hip CPT Code: `73502`	$134	$120	$93	1.3×
Group therapy session CPT Code: `90853`	$258	$126	$100	1.3×
X-ray, lower back CPT Code: `72110`	$716	$130	$112	1.2×
X-ray, pelvis CPT Code: `72170`	$279	$126	$110	1.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$536	$130	$148	0.9×
X-ray, foot CPT Code: `73630`	$364	$137	$92	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$343	$89	$86	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$447	$100	$123	0.8×
Typhoid vaccine HCPCS Code: `90675`	$925	$326	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$504	$266	$203	1.3×
Pneumococcal vaccine HCPCS Code: `90732`	$240	$113	$140	0.8×
Blood antibody screen CPT Code: `86850`	$129	$65	$46	1.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$90	$55	$39	1.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$295	$72	$64	1.1×
Flu vaccine (high dose) HCPCS Code: `90656`	$51	$35	$25	1.4×
Blood test, vitamin D CPT Code: `82306`	$229	$43	$31	1.4×
Orthotic fitting and training CPT Code: `97760`	$171	$55	$51	1.1×
Prosthetic fitting and training CPT Code: `97761`	$128	$48	$45	1.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$134	$41	$40	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$80	$37	$37	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$124	$38	$38	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$242	$55	$56	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$311	$55	$111	0.5×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$34	$5	$3	1.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$45	$6	$4	1.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$32	$6	$4	1.5×
Blood test, ferritin (iron stores) CPT Code: `82728`	$159	$20	$14	1.4×
Blood test, lipase CPT Code: `83690`	$77	$10	$7	1.4×
Blood test, magnesium CPT Code: `83735`	$95	$10	$7	1.4×
Blood test, calcium CPT Code: `82310`	$49	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$40	$7	$5	1.4×
Blood test, potassium CPT Code: `84132`	$68	$7	$5	1.4×
Blood test, sodium CPT Code: `84295`	$47	$7	$5	1.4×
Blood test, vitamin B12 CPT Code: `82607`	$129	$22	$16	1.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$92	$11	$8	1.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$202	$15	$11	1.4×
Culture, blood CPT Code: `87040`	$96	$15	$11	1.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$189	$24	$18	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$93	$8	$6	1.3×
Hepatitis C antibody test CPT Code: `86803`	$100	$20	$15	1.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$99	$40	$38	1.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$124	$38	$38	1.0×
Blood test, basic metabolic panel CPT Code: `80048`	$181	$12	$9	1.3×
Blood test, liver function panel CPT Code: `80076`	$244	$12	$9	1.3×
Culture, bacterial CPT Code: `87070`	$88	$12	$9	1.3×
Blood test, amylase CPT Code: `82150`	$74	$9	$7	1.3×
Physical therapy (manual therapy) CPT Code: `97140`	$140	$32	$34	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$63	$6	$5	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$104	$16	$14	1.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$256	$21	$19	1.1×
Physical therapy (gait training) CPT Code: `97116`	$114	$34	$33	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$167	$10	$10	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$130	$34	$35	1.0×
Blood test, hemoglobin CPT Code: `85018`	$22	$3	$3	1.0×

Showing top 25 high-impact procedures of 103 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 34.2%

Audit a Bill or Quote at Medstar Washington Hospital Center (Zero PHI Required)

CMS CCN: 090011

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash Request Quote

Insurer Median $40,901

1. Amount on Your Bill or Quote ($) Pre-filled with Medstar Washington Hospital Center’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 501(r) AGB Cap: $33,601 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $33,601

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (34.2% of gross = $33,601).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Medstar Washington Hospital Center'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 +$79,075 Above Fair BaseRate

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

Your bill ($98,162) is $79,075 above the denoised Fair BaseRate ($19,087) and 7.0× 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) 501(c)(3) Nonprofit Hospital

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

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (34.2% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

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 Composite54/100

Would Recommend60%

Rated 9 or 10 (HCAHPS)61%

Median ER Wait400 min

Left ER Before Seen5%

30-Day Mortality vs U.S.better

Unplanned Readmissionsame

Hip/Knee Complication Rate4.4%

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 Washington Hospital Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-03-18·administrative_or_closure
Met Requirements
Recorded
2024-03-28·administrative_or_closure
Closure Notice
Recorded
2024-02-08·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (2,300 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 Washington Hospital Center.

Price Index: 1.07× regional baseline

Quality: 51/100 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 090011

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 090011) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows3,520 (CMS v3.0.0)

File Integrity DigestVerified · CCN 090011

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