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Sibley Memorial Hospital: what a joint replacement costs

Washington, DC 20016 · CMS Certification Number 090005. 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
$8,884
Surgery Center of Chevy Chase,, 3.3 mi
Outpatient here
$13,356
402 Medicare cases, APC 5115
Inpatient here
$14,929
51 Medicare stays, MS-DRG 470

Medicare prices at Sibley Memorial Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,929$66,6164.5×$13,356
Shoulder replacement———$19,023
Hip replacement after a fracture (DRG 522)$17,127$70,3614.1×—

Quality

Complications after hip or knee replacement: 5.7% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 362 beds

District of Columbia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Sibley Memorial Hospital for a knee or hip replacement?

In 2024 Medicare paid Sibley Memorial Hospital an average of $14,929 per inpatient hip or knee replacement stay (MS-DRG 470, 51 stays) and $13,356 per outpatient case (APC 5115, 402 cases).

What is Sibley Memorial Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $66,616, 4.5× 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 Sibley Memorial Hospital?

Yes for Medicare facility payments. Surgery Center of Chevy Chase,, an orthopedic surgery center 3.3 mi away, is paid about $8,884 by Medicare for a knee replacement (CPT 27447), $6,045 less than an inpatient stay at Sibley Memorial Hospital. Not every patient is a surgery-center candidate.

How does Sibley Memorial Hospital compare with other District of Columbia hospitals?

Medicare paid Sibley Memorial Hospital less than 75% of the 4 District of Columbia hospitals that report inpatient hip or knee replacement.