District of Columbia procedure costs
10 hospitals · 310 Medicare providers · 2,317 procedure codes with District of Columbia locality adjustments.
The short answer
District of Columbia has 10 hospitals and 310 Medicare-billing providers across 2,317 procedure codes. The average Medicare payment per procedure is $235.89; the average submitted (billed) charge is $1,136.72.
- Procedure codes
- 2,317
- Providers per hospital
- 31.0
- Billed-to-Medicare ratio
- 4.8x
- Markup rank
- #49 of 56
Source: CMS Medicare Physician & Other Practitioners, 2023.
About this dataset, nationwide
According to the Centers for Medicare & Medicaid Services (CMS), the 2023 Medicare Physician & Other Practitioners dataset records payments for 9,297 procedure codes billed across 5,426 hospitals in 56 states and territories; see our methodology for how each figure is sourced and computed.
District of Columbia against every US state
Where the state's average Medicare payment per procedure falls, all 56 tracked jurisdictions
$236 higher than 54% of 56 states
Each bar is a $25-wide band; taller bars hold more states. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Physician & Other Practitioners, 2023
The priciest procedures in District of Columbia
Highest average Medicare payment per procedure billed in District of Columbia. Hover any bar for the exact figure; even these top procedures are billed well above what Medicare reimburses.
Top procedures by Medicare payment - District of Columbia
The cost spread in District of Columbia
The highest- and lowest-paying procedures Medicare reimbursed in District of Columbia, side by side.
Most expensive
Least expensive
Top Procedures by Volume
District of Columbia Healthcare Cost Landscape
CMS lists 10 hospitals in District of Columbia across 1 cities. WASHINGTON holds 10 (100%). The three densest cities together hold 100% of the state roster. Statewide that is 310 Medicare-billing providers, 31.0 per listed hospital.
7 hospitals carry a CMS overall star rating (0 five-star, 0 four-star, 4 three-star, 1 two-star, 2 one-star) ; five-star share among rated facilities is 0%. 3 hospitals in this extract have no published overall rating.
Facility-type mix: Acute Care Hospitals 6 (60%); Psychiatric 2 (20%); Acute Care - Veterans Administration 1 (10%); Childrens 1 (10%).
Among the 30 highest-volume procedure codes billed in District of Columbia, Drugs (Administered) leads with 1.1M services (33% of this top-volume slice) across 10 codes. Next is Medical Supplies at 16%.
Submitted charges average $1,136.72 against $235.89 Medicare payment (4.8x billed-to-Medicare). That ratio ranks #49 of 56 jurisdictions with both figures in this extract. Average Medicare payment itself is #26 of 56.
Volume leaders are not the high-payment codes. Injection, Gadoterate Meglumine, 0.1 Ml is in the top volume slice but not the highest Medicare payments; Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel is in the high-payment set without matching volume rank.
These are CMS roster and claims aggregates for District of Columbia, not a quote for any patient, plan, or visit. See the methodology and CMS Medicare Provider Charge Data.
Where District of Columbia hospitals sit
City of the CMS hospital roster, not a travel or care recommendation. 1 distinct cities appear on 10 listed facilities.
| City | Hospitals | Share of state roster |
|---|---|---|
| WASHINGTON | 10 | 100% |
Nationwide states with similar hospital scale or Medicare payment
Two CMS-extract-derived peer sets for District of Columbia: nearest hospital inventory and nearest statewide average Medicare payment. Not clinical substitutes: registry-scale and payment neighborhoods only.
Similar CMS hospital count
Nearest states with ≥5 hospitals (10 here).
Similar average Medicare payment
Nearest states with published averages ($235.89 here).
Hospitals in District of Columbia
How District of Columbia Compares Nationally
District of Columbia's average Medicare payment is #26 of 56 in this extract. Submitted-over-Medicare markup ranks #49 of 56 (4.8x). Hospital-count peers (nearest CMS roster size to 10): Delaware 13, Rhode Island 13, Vermont 17, Hawaii 24. Payment peers (nearest average Medicare payment to $235.89): Nevada $236.73, Connecticut $238.53, Oregon $239.06, Louisiana $232.37.
Those peer sets are registry neighborhoods, not clinical substitutes. Markup rank and payment rank can diverge: a jurisdiction can sit high on billed-to-Medicare while sitting mid-pack on payment, or the reverse. Figures remain CMS averages for District of Columbia, not an out-of-pocket quote.
Related registry pages
District of Columbia averages sit on two maps: Medicare payment and submitted-over-Medicare markup.
- Procedure codes billed in this extract, in national volume order. Browse procedures
- State payment rank versus markup rank on the rankings hub. Rankings
- How these figures are sourced. Methodology
Figures here are District of Columbia CMS averages, not a quote for any patient, plan, or visit.
Read our methodology - how this data is sourced, computed, and verified.
Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.