Washington, DC 20010 · CMS Certification Number 090011. 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 paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $21,259 | $116,619 | 5.5× | $13,444 |
| Shoulder replacement | — | — | — | $19,023 |
| Hip replacement after a fracture (DRG 522) | $22,856 | $116,593 | 5.1× | — |
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 818 beds
District of Columbia requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Medstar Washington Hospital Center an average of $21,259 per inpatient hip or knee replacement stay (MS-DRG 470, 25 stays) and $13,444 per outpatient case (APC 5115, 69 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $116,619, 5.5× what Medicare paid. 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 1.9 mi away, is paid about $9,158 by Medicare for a knee replacement (CPT 27447), $12,101 less than an inpatient stay at Medstar Washington Hospital Center. Not every patient is a surgery-center candidate.
Medicare paid Medstar Washington Hospital Center less than 50% of the 4 District of Columbia hospitals that report inpatient hip or knee replacement.