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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
Medicare allowed amount, 62 cases, APC 5115
Inpatient here
$22,494
Avg total payment (incl. patient share), 28 Medicare stays, MS-DRG 470

Medicare prices at George Washington Univ Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare 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×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$34,4821.5×$23,566–$57,2446
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$57,2442.5×1
Aetna$39,6141.8×1
Elevance/Anthem/Empire$35,0711.6×1
Mdipa$33,8931.5×1
Cigna$33,5591.5×1
Medstar$23,5661.0×1

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.

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 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).

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× the average total payment for a Medicare stay. 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?

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.

What do commercial insurers pay George Washington Univ Hospital for a 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.