Fairfax, VA 22033 · CMS Certification Number 490101. 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 | $14,251 | $52,541 | 3.7× | $12,116 |
| Shoulder replacement | $18,586 | $70,247 | 3.8× | $17,288 |
| Hip replacement after a fracture (DRG 522) | $16,432 | $57,114 | 3.5× | — |
Complications after hip or knee replacement: 4.9% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 182 beds
Virginia requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Inova Fair Oaks Hospital an average of $14,251 per inpatient hip or knee replacement stay (MS-DRG 470, 17 stays) and $12,116 per outpatient case (APC 5115, 309 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $52,541, 3.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Northern Virginia Surgery Center, LLC, an orthopedic surgery center same ZIP away, is paid about $9,158 by Medicare for a knee replacement (CPT 27447), $5,093 less than an inpatient stay at Inova Fair Oaks Hospital. Not every patient is a surgery-center candidate.
Medicare paid Inova Fair Oaks Hospital less than 53% of the 34 Virginia hospitals that report inpatient hip or knee replacement.