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George Washington Univ Hospital: what a joint replacement costs

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.

Surgery center nearby
$9,158
Medstar Surgery Center at Lafayette Centre, 1.2 mi
Outpatient here
$13,444
62 Medicare cases, APC 5115
Inpatient here
$22,494
28 Medicare stays, MS-DRG 470

Medicare prices at George Washington Univ Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$22,494$159,8327.1×$13,444
Shoulder replacement———$19,023
Hip replacement after a fracture (DRG 522)$24,850$204,1968.2×—

Quality

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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Questions

How much does Medicare pay George Washington Univ Hospital for a knee or hip replacement?

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).

What is George Washington Univ Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near George Washington Univ Hospital?

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.

How does George Washington Univ Hospital compare with other District of Columbia hospitals?

Medicare paid George Washington Univ Hospital more than 75% of the 4 District of Columbia hospitals that report inpatient hip or knee replacement.