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Heart failure (hospital stay) in District of Columbia: what insurers pay

Posted commercial rates at 3 District of Columbia hospitals, each next to its own Medicare base rate.

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MS-DRG 291

HospitalMedian across insurers× MedicareInsurersFile date
George Washington Univ Hospital Washington$23,3422.1×32026-09-01
Medstar Washington Hospital Center Washington$27,0322.5×52026-04-01
Medstar Georgetown University Hospital Washington$30,3982.8×42026-04-01

MS-DRG 292

HospitalMedian across insurers× MedicareInsurersFile date
George Washington Univ Hospital Washington$15,4372.1×32026-09-01
Medstar Washington Hospital Center Washington$17,8772.5×52026-04-01
Medstar Georgetown University Hospital Washington$20,1032.8×42026-04-01

MS-DRG 293

HospitalMedian across insurers× MedicareInsurersFile date
George Washington Univ Hospital Washington$10,2912.1×32026-09-01
Medstar Washington Hospital Center Washington$11,9182.5×52026-04-01
Medstar Georgetown University Hospital Washington$13,4022.8×42026-04-01

Questions

How much do insurers pay for heart failure (hospital stay) in District of Columbia?

3 District of Columbia hospitals post usable commercial rates for heart failure (hospital stay) in their federal price-transparency files. For inpatient stay (MS-DRG 291), the median across 3 hospitals is $27,032, 2.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.