Washington, DC 20037 · CMS Certification Number 090001. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $22,494 | $159,832 | 7.1× | $13,444 |
| Shoulder replacement | — | — | — | $19,023 |
| Hip replacement after a fracture (DRG 522) | $24,850 | $204,196 | 8.2× | — |
Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 4.9%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 371 beds
District of Columbia requires a certificate of need for new surgery centers.
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In 2024 Medicare paid George Washington Univ Hospital an average of $22,494 per inpatient hip or knee replacement stay (MS-DRG 470, 28 stays) and $13,444 per outpatient case (APC 5115, 62 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $159,832, 7.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Medstar Surgery Center at Lafayette Centre, an orthopedic surgery center 1.2 mi away, is paid about $9,158 by Medicare for a knee replacement (CPT 27447), $13,336 less than an inpatient stay at George Washington Univ Hospital. Not every patient is a surgery-center candidate.
Medicare paid George Washington Univ Hospital more than 75% of the 4 District of Columbia hospitals that report inpatient hip or knee replacement.