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Medstar Washington Hospital Center: what a joint replacement costs

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.

Surgery center nearby
$9,158
Medstar Surgery Center at Lafayette Centre, 1.9 mi
Outpatient here
$13,444
69 Medicare cases, APC 5115
Inpatient here
$21,259
25 Medicare stays, MS-DRG 470

Medicare prices at Medstar Washington Hospital Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$21,259$116,6195.5×$13,444
Shoulder replacement———$19,023
Hip replacement after a fracture (DRG 522)$22,856$116,5935.1×—

Quality

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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Questions

How much does Medicare pay Medstar Washington Hospital Center for a knee or hip replacement?

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).

What is Medstar Washington Hospital Center's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Medstar Washington Hospital Center?

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.

How does Medstar Washington Hospital Center compare with other District of Columbia hospitals?

Medicare paid Medstar Washington Hospital Center less than 50% of the 4 District of Columbia hospitals that report inpatient hip or knee replacement.