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Pneumonia (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 194

HospitalMedian across insurers× MedicareInsurersFile date
George Washington Univ Hospital Washington$14,6532.1×32026-09-01
Medstar Washington Hospital Center Washington$16,9692.5×52026-04-01
Medstar Georgetown University Hospital Washington$19,0822.8×42026-04-01

MS-DRG 193

HospitalMedian across insurers× MedicareInsurersFile date
George Washington Univ Hospital Washington$23,8982.1×32026-09-01
Medstar Washington Hospital Center Washington$27,6762.5×52026-04-01
Medstar Georgetown University Hospital Washington$31,1222.8×42026-04-01

MS-DRG 195

HospitalMedian across insurers× MedicareInsurersFile date
George Washington Univ Hospital Washington$11,4272.1×32026-09-01
Medstar Washington Hospital Center Washington$13,2342.5×52026-04-01
Medstar Georgetown University Hospital Washington$14,8822.8×42026-04-01

Questions

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

3 District of Columbia hospitals post usable commercial rates for pneumonia (hospital stay) in their federal price-transparency files. For inpatient stay (MS-DRG 194), the median across 3 hospitals is $16,969, 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.