Price AtlasInteractive atlas · All states · techysurgeon.comReston Hospital Center: what a joint replacement costs
Reston, VA 20190 · CMS Certification Number 490107. 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 Reston Hospital Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,125 | $118,059 | 7.8× | $12,201 |
| Shoulder replacement | $18,538 | $162,316 | 8.8× | $17,432 |
| Hip replacement after a fracture (DRG 522) | $15,823 | $121,271 | 7.7× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $25,224 | 1.7× | $15,666–$34,120 | 9 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Sentara Optima Health | $34,120 | 2.3× | 1 |
| Aetna | $32,622 | 2.2× | 1 |
| Elevance/Anthem/Empire | $31,901 | 2.1× | 1 |
| CareFirst BCBS | $29,973 | 2.0× | 1 |
| Cigna | $25,224 | 1.7× | 1 |
| Bright Health | $22,255 | 1.5× | 1 |
| Pyramid Life | $17,232 | 1.1× | 1 |
| Virginia Premier Health | $15,979 | 1.1× | 1 |
| UnitedHealthcare | $15,666 | 1.0× | 1 |
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 187 beds
Virginia requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Reston Hospital Center for a knee or hip replacement?
In 2024 the average total payment to Reston Hospital Center for an inpatient hip or knee replacement stay was $15,125 (MS-DRG 470, 47 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,201 per outpatient case (APC 5115, 467 cases).
What is Reston Hospital Center's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $118,059, 7.8× 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 Reston Hospital Center?
Yes for Medicare facility payments. Reston Surgery Center, L.P., an orthopedic surgery center same ZIP away, is paid about $9,158 by Medicare for a knee replacement (CPT 27447), $5,967 less than an inpatient stay at Reston Hospital Center. Not every patient is a surgery-center candidate.
How does Reston Hospital Center compare with other Virginia hospitals?
Reston Hospital Center's average total payment per Medicare stay is higher than 59% of the 34 Virginia hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Reston Hospital Center 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 $25,224 across 9 insurers, ranging from $15,666 to $34,120.