Price AtlasInteractive atlas · All states · techysurgeon.comInova Loudoun Hospital: what a joint replacement costs
Leesburg, VA 20176 · CMS Certification Number 490043. 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.
Medicare prices at Inova Loudoun Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,019 | $53,699 | 3.8× | $12,136 |
| Shoulder replacement | — | — | — | $17,437 |
| Hip replacement after a fracture (DRG 522) | $16,187 | $65,343 | 4.0× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $37,921 | 2.7× | $32,488–$50,367 | 7 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $50,367 | 3.6× | 1 |
| Cigna | $40,978 | 2.9× | 1 |
| Sentara Health | $39,413 | 2.8× | 1 |
| Elevance/Anthem/Empire | $37,921 | 2.7× | 1 |
| Aetna | $36,967 | 2.6× | 1 |
| Innovation | $34,564 | 2.5× | 1 |
| CareFirst BCBS | $32,488 | 2.3× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 167 beds
Virginia requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Inova Loudoun Hospital for a knee or hip replacement?
In 2024 the average total payment to Inova Loudoun Hospital for an inpatient hip or knee replacement stay was $14,019 (MS-DRG 470, 13 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,136 per outpatient case (APC 5115, 114 cases).
What is Inova Loudoun Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $53,699, 3.8× 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 Inova Loudoun Hospital?
Yes for Medicare facility payments. Inova Loudoun Ambulatory Surgery Center, an orthopedic surgery center same ZIP away, is paid about $9,158 by Medicare for a knee replacement (CPT 27447), $4,861 less than an inpatient stay at Inova Loudoun Hospital. Not every patient is a surgery-center candidate.
How does Inova Loudoun Hospital compare with other Virginia hospitals?
Inova Loudoun Hospital's average total payment per Medicare stay is lower than 65% of the 34 Virginia hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Inova Loudoun Hospital for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $37,921 across 7 insurers, ranging from $32,488 to $50,367.