60/100
#968 nationally
Sibley Memorial Hospital
5255 Loughboro Rd Nw, Washington, DC 20016 · (202) 537-4680
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Sibley Memorial Hospital billed $4.24 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 4.2x
- volume-weighted across all its priced work
- Procedures priced
- 113
- inpatient and outpatient combined
- Rank in DC
- #2
- lower markup ranks higher
- CMS quality stars
- 5/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 46% of U.S. hospitals.
Better than 79% of U.S. hospitals.
Better than 57% of U.S. hospitals.
Better than 72% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
577 | $3,190 | $697 | about average |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
413 | $19,003 | $2,779 | about average |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
402 | $43,170 | $13,356 | -31% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
384 | $67,471 | $15,885 | +3% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
373 | $10,925 | $1,647 | +8% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
347 | $22,035 | $5,863 | -37% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
309 | $8,390 | $1,942 | -29% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
227 | $15,162 | $2,069 | +17% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
220 | $24,336 | $5,256 | -11% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
153 | $38,699 | $10,349 | -35% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
$19,037 | $2,296 | +32% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
$50,146 | $7,454 | +29% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$62,074 | $10,440 | +28% |
|
Endocrine Disorders with Complications
MS-DRG 644 · Inpatient stay |
$48,843 | $8,383 | +27% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
$39,479 | $6,279 | +22% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$15,162 | $2,069 | +17% |
|
Stroke (uncomplicated)
MS-DRG 066 · Inpatient stay |
$41,704 | $5,768 | +16% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$34,902 | $6,095 | +14% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$18,420 | $10,914 | -64% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$4,468 | $1,639 | -48% |
|
Revision of Hip or Knee Replacement with Major Complications
MS-DRG 466 · Inpatient stay |
$121,084 | $38,924 | -44% |
|
Chemotherapy without Acute Leukemia as Secondary Diagnosis with Complications
MS-DRG 847 · Inpatient stay |
$30,232 | $10,681 | -44% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
$13,354 | $3,871 | -39% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$22,035 | $5,863 | -37% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
$32,512 | $11,237 | -37% |
|
Kidney and Ureter Procedures for Neoplasm with Complications
MS-DRG 657 · Inpatient stay |
$57,119 | $16,742 | -36% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.