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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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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).
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.
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.
Medicare paid Inova Loudoun Hospital less than 65% of the 34 Virginia hospitals that report inpatient hip or knee replacement.