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Inova 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.

Surgery center nearby
$9,158
Inova Loudoun Ambulatory Surgery Center, same ZIP
Outpatient here
$12,136
114 Medicare cases, APC 5115
Inpatient here
$14,019
13 Medicare stays, MS-DRG 470

Medicare prices at Inova Loudoun Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,019$53,6993.8×$12,136
Shoulder replacement———$17,437
Hip replacement after a fracture (DRG 522)$16,187$65,3434.0×—

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 Medicare paid Inova Loudoun Hospital an average of $14,019 per inpatient hip or knee replacement stay (MS-DRG 470, 13 stays) and $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× 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 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?

Medicare paid Inova Loudoun Hospital less than 65% of the 34 Virginia hospitals that report inpatient hip or knee replacement.