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Inova Fair Oaks Hospital: what a joint replacement costs

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.

Surgery center nearby
$9,158
Northern Virginia Surgery Center, LLC, same ZIP
Outpatient here
$12,116
Medicare allowed amount, 309 cases, APC 5115
Inpatient here
$14,251
Avg total payment (incl. patient share), 17 Medicare stays, MS-DRG 470

Medicare prices at Inova Fair Oaks Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,251$52,5413.7×$12,116
Shoulder replacement$18,586$70,2473.8×$17,288
Hip replacement after a fracture (DRG 522)$16,432$57,1143.5×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$38,6342.7×$32,488–$50,3677
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$50,3673.5×1
Cigna$40,9782.9×1
Sentara Health$39,4132.8×1
Elevance/Anthem/Empire$38,6342.7×1
Aetna$36,9672.6×1
Innovation$34,5642.4×1
CareFirst BCBS$32,4882.3×1

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

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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Questions

How much does Medicare pay Inova Fair Oaks Hospital for a knee or hip replacement?

In 2024 the average total payment to Inova Fair Oaks Hospital for an inpatient hip or knee replacement stay was $14,251 (MS-DRG 470, 17 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,116 per outpatient case (APC 5115, 309 cases).

What is Inova Fair Oaks Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $52,541, 3.7× 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 Inova Fair Oaks Hospital?

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.

How does Inova Fair Oaks Hospital compare with other Virginia hospitals?

Inova Fair Oaks Hospital's average total payment per Medicare stay is lower than 53% of the 34 Virginia hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Inova Fair Oaks 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 $38,634 across 7 insurers, ranging from $32,488 to $50,367.