Dulles, VA 20166 · CMS Certification Number 490145. 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 | $15,958 | $114,985 | 7.2× | $12,044 |
| Shoulder replacement | — | — | — | — |
Complications after hip or knee replacement: 3.1% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 124 beds
Virginia requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Stonesprings Hospital Center an average of $15,958 per inpatient hip or knee replacement stay (MS-DRG 470, 35 stays) and $12,044 per outpatient case (APC 5115, 189 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $114,985, 7.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Reston Surgery Center, L.P., an orthopedic surgery center 6.6 mi away, is paid about $9,158 by Medicare for a knee replacement (CPT 27447), $6,800 less than an inpatient stay at Stonesprings Hospital Center. Not every patient is a surgery-center candidate.
Medicare paid Stonesprings Hospital Center more than 79% of the 34 Virginia hospitals that report inpatient hip or knee replacement.