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Inova Alexandria Hospital: what a joint replacement costs

Alexandria, VA 22304 · CMS Certification Number 490040. 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
Franconia-Springfield Surgery Center, 2.0 mi
Outpatient here
$12,001
265 Medicare cases, APC 5115
Inpatient here
$15,691
34 Medicare stays, MS-DRG 470

Medicare prices at Inova Alexandria Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,691$52,1813.3×$12,001
Shoulder replacement$18,988$77,1784.1×$17,437
Hip replacement after a fracture (DRG 522)$16,492$59,0833.6×—

Quality

Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 318 beds

Virginia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Inova Alexandria Hospital for a knee or hip replacement?

In 2024 Medicare paid Inova Alexandria Hospital an average of $15,691 per inpatient hip or knee replacement stay (MS-DRG 470, 34 stays) and $12,001 per outpatient case (APC 5115, 265 cases).

What is Inova Alexandria Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $52,181, 3.3× 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 Inova Alexandria Hospital?

Yes for Medicare facility payments. Franconia-Springfield Surgery Center, an orthopedic surgery center 2.0 mi away, is paid about $9,158 by Medicare for a knee replacement (CPT 27447), $6,533 less than an inpatient stay at Inova Alexandria Hospital. Not every patient is a surgery-center candidate.

How does Inova Alexandria Hospital compare with other Virginia hospitals?

Medicare paid Inova Alexandria Hospital more than 71% of the 34 Virginia hospitals that report inpatient hip or knee replacement.