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Heart valve surgery (open) in District of Columbia: what insurers pay

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

Open in the explorerAll statesEvery bill for the whole procedure

MS-DRG 220

HospitalMedian across insurers× MedicareInsurersFile date
George Washington Univ Hospital Washington$96,9612.1×32026-09-01
Medstar Washington Hospital Center Washington$112,2872.5×52026-04-01
Medstar Georgetown University Hospital Washington$126,2702.8×42026-04-01

MS-DRG 219

HospitalMedian across insurers× MedicareInsurersFile date
George Washington Univ Hospital Washington$139,6072.1×32026-09-01
Medstar Washington Hospital Center Washington$161,6742.5×52026-04-01
Medstar Georgetown University Hospital Washington$181,8072.8×42026-04-01

MS-DRG 216

HospitalMedian across insurers× MedicareInsurersFile date
George Washington Univ Hospital Washington$177,8712.1×32026-09-01
Medstar Washington Hospital Center Washington$205,9872.5×52026-04-01
Medstar Georgetown University Hospital Washington$231,6372.8×42026-04-01

MS-DRG 217

HospitalMedian across insurers× MedicareInsurersFile date
George Washington Univ Hospital Washington$119,5522.1×32026-09-01
Medstar Washington Hospital Center Washington$138,4502.5×52026-04-01
Medstar Georgetown University Hospital Washington$155,6902.8×42026-04-01

Questions

How much do insurers pay for heart valve surgery (open) in District of Columbia?

3 District of Columbia hospitals post usable commercial rates for heart valve surgery (open) in their federal price-transparency files. For inpatient stay (MS-DRG 220), the median across 3 hospitals is $112,287, 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.