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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,385 | $66,190 | 4.3× | $12,158 |
| Shoulder replacement | — | — | — | $17,178 |
| Hip replacement after a fracture (DRG 522) | $16,176 | $69,164 | 4.3× | — |
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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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).
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.
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.
Medicare paid Inova Mount Vernon Hospital more than 68% of the 34 Virginia hospitals that report inpatient hip or knee replacement.