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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $34,482 | 1.5× | $23,566–$57,244 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $57,244 | 2.5× | 1 |
| Aetna | $39,614 | 1.8× | 1 |
| Elevance/Anthem/Empire | $35,071 | 1.6× | 1 |
| Mdipa | $33,893 | 1.5× | 1 |
| Cigna | $33,559 | 1.5× | 1 |
| Medstar | $23,566 | 1.0× | 1 |
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
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 the average total payment to George Washington Univ Hospital for an inpatient hip or knee replacement stay was $22,494 (MS-DRG 470, 28 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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.
George Washington Univ Hospital's average total payment per Medicare stay is higher than 75% of the 4 District of Columbia hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $34,482 across 6 insurers, ranging from $23,566 to $57,244.