Healthcare spending, insurance rates, and estimated procedure costs in District of Columbia (DC). Per-capita spending is 41% above the national average.
Estimates based on District of Columbia's cost index of 1.42x applied to national average procedure prices. Insured costs assume typical in-network copay/coinsurance at roughly 35% of the full price. Actual costs depend on provider, facility type, and insurance plan.
| Procedure | Estimated Cost | With Insurance | National Avg |
|---|---|---|---|
| Doctor Office Visit | $355 | $124 | $250 |
| Emergency Room Visit | $3,124 | $1,093 | $2,200 |
| MRI Scan | $1,882 | $659 | $1,325 |
| CT Scan | $1,172 | $410 | $825 |
| Childbirth (Vaginal) | $19,170 | $6,710 | $13,500 |
| Childbirth (C-Section) | $31,950 | $11,183 | $22,500 |
| Knee Replacement | $49,700 | $17,395 | $35,000 |
| Hip Replacement | $53,960 | $18,886 | $38,000 |
| Appendectomy | $22,720 | $7,952 | $16,000 |
| Colonoscopy | $3,905 | $1,367 | $2,750 |
| Dental Cleaning | $178 | $62 | $125 |
| Root Canal | $1,562 | $547 | $1,100 |
District of Columbia residents spend an average of $13,245 per person per year on healthcare, which is 41% higher than the national average of $9,421. The state's cost index of 1.42 means that a procedure costing $1,000 nationally would cost approximately $1,420 in District of Columbia.
District of Columbia has expanded Medicaid under the ACA, helping to reduce the uninsured rate to 3.3%. Residents with incomes up to 138% of the federal poverty level may qualify for Medicaid coverage.
For the best price on a planned procedure, compare quotes from at least three facilities. Hospital outpatient departments typically charge 2-3x more than ambulatory surgery centers for the same procedure. Under the CMS Hospital Price Transparency rule, all District of Columbia hospitals must publish their negotiated rates — use those files to comparison shop.
Data sources: CMS Hospital Price Transparency, Kaiser Family Foundation, Census Bureau ACS, Healthcare.gov marketplace data. Figures are estimates and may differ from actual billed amounts.
The average per-capita healthcare spending in District of Columbia is $13,245 per year. The cost index is 1.42x the national average, meaning medical procedures cost approximately 42% more than the US average.
District of Columbia has an uninsured rate of 3.3%, compared to the national average of approximately 8%. District of Columbia has expanded Medicaid under the ACA, which helps cover more low-income residents.
Top-rated hospitals in District of Columbia include MedStar Washington Hospital Center, George Washington University Hospital, Georgetown University Hospital. Rankings are based on CMS Hospital Compare quality ratings, patient outcomes, and specialty accreditations.
The average monthly marketplace health insurance premium in District of Columbia is approximately $578. Actual costs vary based on plan tier (Bronze/Silver/Gold/Platinum), age, household size, and income-based subsidies available through Healthcare.gov.
Yes, District of Columbia has expanded Medicaid under the Affordable Care Act, extending coverage to adults with incomes up to 138% of the federal poverty level.
Data verified · Source: CMS, KFF, Census Bureau & Healthcare.gov data
Our healthcare economists track procedure costs, insurance coverage, and medical pricing across 40+ countries and major US insurance networks. Data sourced from CMS, FAIR Health, and international health ministry databases.
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