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Medstar Georgetown University Hospital: what a joint replacement costs

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.

Surgery center nearby
$9,158
Medstar Surgery Center at Lafayette Centre, 2.7 mi
Outpatient here
$13,045
241 Medicare cases, APC 5115
Inpatient here
$23,223
28 Medicare stays, MS-DRG 470

Medicare prices at Medstar Georgetown University Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$23,223$90,4513.9×$13,045
Shoulder replacement———$18,443
Hip replacement after a fracture (DRG 522)$26,302$98,8313.8×—

Quality

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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Questions

How much does Medicare pay Medstar Georgetown University Hospital for a knee or hip replacement?

In 2024 Medicare paid Medstar Georgetown University Hospital an average of $23,223 per inpatient hip or knee replacement stay (MS-DRG 470, 28 stays) and $13,045 per outpatient case (APC 5115, 241 cases).

What is Medstar Georgetown University Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $90,451, 3.9× 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 Medstar Georgetown University Hospital?

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.

How does Medstar Georgetown University Hospital compare with other District of Columbia hospitals?

Medicare paid Medstar Georgetown University Hospital more than 100% of the 4 District of Columbia hospitals that report inpatient hip or knee replacement.