Price AtlasInteractive atlas · All states · techysurgeon.comInova 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.
Medicare prices at Inova Mount Vernon Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $36,980 | 2.4× | $32,488–$50,367 | 7 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $50,367 | 3.3× | 1 |
| Cigna | $40,978 | 2.7× | 1 |
| Sentara Health | $39,413 | 2.6× | 1 |
| Elevance/Anthem/Empire | $36,980 | 2.4× | 1 |
| Aetna | $36,967 | 2.4× | 1 |
| Innovation | $34,564 | 2.2× | 1 |
| CareFirst BCBS | $32,488 | 2.1× | 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: 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 the average total payment to Inova Mount Vernon Hospital for an inpatient hip or knee replacement stay was $15,385 (MS-DRG 470, 20 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?
Inova Mount Vernon Hospital's average total payment per Medicare stay is higher than 68% of the 34 Virginia hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Inova Mount Vernon 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 $36,980 across 7 insurers, ranging from $32,488 to $50,367.