Techy SurgeonPrice AtlasInteractive atlas · All states · techysurgeon.com

Reston 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.

Surgery center nearby
$9,158
Reston Surgery Center, L.P., same ZIP
Outpatient here
$12,201
467 Medicare cases, APC 5115
Inpatient here
$15,125
47 Medicare stays, MS-DRG 470

Medicare prices at Reston Hospital Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,125$118,0597.8×$12,201
Shoulder replacement$18,538$162,3168.8×$17,432
Hip replacement after a fracture (DRG 522)$15,823$121,2717.7×—

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.

Open the interactive price tagBuild a reportAll Virginia hospitals

Questions

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

In 2024 Medicare paid Reston Hospital Center an average of $15,125 per inpatient hip or knee replacement stay (MS-DRG 470, 47 stays) and $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× what Medicare paid. 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?

Medicare paid Reston Hospital Center more than 59% of the 34 Virginia hospitals that report inpatient hip or knee replacement.