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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $20,602 | $23,239 | 1.1× | — |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $20,445 | $23,066 | 1.1× | — |
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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In 2024 Medicare paid Medstar Montgomery Medical Center an average of $20,602 per inpatient hip or knee replacement stay (MS-DRG 470, 17 stays).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $23,239, 1.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Medstar Montgomery Medical Center less than 84% of the 25 Maryland hospitals that report inpatient hip or knee replacement.