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Medstar Montgomery Medical Center: what a joint replacement costs

Olney, MD 20832 · CMS Certification Number 210018. 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
Gaithersburg Ambulatory Surgery Center, 4.7 mi
Outpatient here
—
Under 11 cases
Inpatient here
$20,602
Avg total payment (incl. patient share), 17 Medicare stays, MS-DRG 470

Medicare prices at Medstar Montgomery Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$20,602$23,2391.1×—
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$20,445$23,0661.1×—

Quality

Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 165 beds

Maryland requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Medstar Montgomery Medical Center for a knee or hip replacement?

In 2024 the average total payment to Medstar Montgomery Medical Center for an inpatient hip or knee replacement stay was $20,602 (MS-DRG 470, 17 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance).

What is Medstar Montgomery Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $23,239, 1.1× the average total payment for a Medicare stay. 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 Montgomery Medical Center?

Yes for Medicare facility payments. Gaithersburg Ambulatory Surgery Center, an orthopedic surgery center 4.7 mi away, is paid about $8,884 by Medicare for a knee replacement (CPT 27447), $11,718 less than an inpatient stay at Medstar Montgomery Medical Center. Not every patient is a surgery-center candidate.

How does Medstar Montgomery Medical Center compare with other Maryland hospitals?

Medstar Montgomery Medical Center's average total payment per Medicare stay is lower than 84% of the 25 Maryland hospitals that report inpatient hip or knee replacement.