Washington, DC 20007 · CMS Certification Number 090004. 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 | $23,223 | $90,451 | 3.9× | $13,045 |
| Shoulder replacement | — | — | — | $18,443 |
| Hip replacement after a fracture (DRG 522) | $26,302 | $98,831 | 3.8× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $36,194 | 1.6× | $18,555–$64,356 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $64,356 | 2.8× | 1 |
| Cigna | $55,151 | 2.4× | 1 |
| CareFirst BCBS | $36,194 | 1.6× | 1 |
| UnitedHealthcare | $29,195 | 1.3× | 1 |
| Health Care Service Corporation | $18,555 | 0.8× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 535 beds
District of Columbia requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Medstar Georgetown University Hospital for an inpatient hip or knee replacement stay was $23,223 (MS-DRG 470, 28 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,045 per outpatient case (APC 5115, 241 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $90,451, 3.9× 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 2.7 mi away, is paid about $9,158 by Medicare for a knee replacement (CPT 27447), $14,065 less than an inpatient stay at Medstar Georgetown University Hospital. Not every patient is a surgery-center candidate.
Medstar Georgetown University Hospital's average total payment per Medicare stay is higher than 100% 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 $36,194 across 5 insurers, ranging from $18,555 to $64,356.