Price AtlasInteractive atlas · All states · techysurgeon.comInova Fairfax Hospital: what a joint replacement costs
Falls Church, VA 22042 · CMS Certification Number 490063. 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 Fairfax Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $12,324 |
| Shoulder replacement | — | — | — | $16,792 |
| Hip replacement after a fracture (DRG 522) | $21,453 | $64,525 | 3.0× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $38,291 | — | $34,863–$50,990 | 7 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $50,990 | — | 1 |
| Sentara Health | $42,840 | — | 1 |
| Cigna | $41,581 | — | 1 |
| Elevance/Anthem/Empire | $38,291 | — | 1 |
| Aetna | $38,223 | — | 1 |
| Innovation | $35,836 | — | 1 |
| CareFirst BCBS | $34,863 | — | 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
Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 923 beds
Virginia requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Inova Fairfax Hospital for a knee or hip replacement?
The Medicare allowed amount averaged $12,324 per outpatient hip or knee replacement case (APC 5115, 101 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Inova Fairfax Hospital?
Yes for Medicare facility payments. Pediatric Specialists of Virginia Amb Surgery Ctr, an orthopedic surgery center 3.6 mi away, is paid about $9,158 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Inova Fairfax 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 $38,291 across 7 insurers, ranging from $34,863 to $50,990.