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Virginia Hospital Center: what a joint replacement costs

Arlington, VA 22205 · CMS Certification Number 490050. 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
Medstar Surgery Center at Lafayette Centre, 5.5 mi
Outpatient here
$12,159
Medicare allowed amount, 447 cases, APC 5115
Inpatient here
$15,328
Avg total payment (incl. patient share), 26 Medicare stays, MS-DRG 470

Medicare prices at Virginia Hospital Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,328$68,7464.5×$12,159
Shoulder replacement———$17,437
Hip replacement after a fracture (DRG 522)$16,168$66,6664.1×—

Quality

Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 342 beds

Virginia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Virginia Hospital Center for a knee or hip replacement?

In 2024 the average total payment to Virginia Hospital Center for an inpatient hip or knee replacement stay was $15,328 (MS-DRG 470, 26 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,159 per outpatient case (APC 5115, 447 cases).

What is Virginia Hospital Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $68,746, 4.5× 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 Virginia Hospital Center?

Yes for Medicare facility payments. Medstar Surgery Center at Lafayette Centre, an orthopedic surgery center 5.5 mi away, is paid about $9,158 by Medicare for a knee replacement (CPT 27447), $6,170 less than an inpatient stay at Virginia Hospital Center. Not every patient is a surgery-center candidate.

How does Virginia Hospital Center compare with other Virginia hospitals?

Virginia Hospital Center's average total payment per Medicare stay is higher than 65% of the 34 Virginia hospitals that report inpatient hip or knee replacement.