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Inova Mount Vernon Hospital: what a joint replacement costs

Alexandria, VA 22306 · CMS Certification Number 490122. 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
Franconia-Springfield Surgery Center, 2.5 mi
Outpatient here
$12,158
706 Medicare cases, APC 5115
Inpatient here
$15,385
20 Medicare stays, MS-DRG 470

Medicare prices at Inova Mount Vernon Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,385$66,1904.3×$12,158
Shoulder replacement———$17,178
Hip replacement after a fracture (DRG 522)$16,176$69,1644.3×—

Quality

Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 4.9%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 237 beds

Virginia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Inova Mount Vernon Hospital for a knee or hip replacement?

In 2024 Medicare paid Inova Mount Vernon Hospital an average of $15,385 per inpatient hip or knee replacement stay (MS-DRG 470, 20 stays) and $12,158 per outpatient case (APC 5115, 706 cases).

What is Inova Mount Vernon Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $66,190, 4.3× 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 Inova Mount Vernon Hospital?

Yes for Medicare facility payments. Franconia-Springfield Surgery Center, an orthopedic surgery center 2.5 mi away, is paid about $9,158 by Medicare for a knee replacement (CPT 27447), $6,227 less than an inpatient stay at Inova Mount Vernon Hospital. Not every patient is a surgery-center candidate.

How does Inova Mount Vernon Hospital compare with other Virginia hospitals?

Medicare paid Inova Mount Vernon Hospital more than 68% of the 34 Virginia hospitals that report inpatient hip or knee replacement.