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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,958 | $114,985 | 7.2× | $12,044 |
| Shoulder replacement | — | — | — | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $27,598 | 1.7× | $15,769–$34,120 | 8 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Sentara Optima Health | $34,120 | 2.1× | 1 |
| Aetna | $32,674 | 2.0× | 1 |
| Elevance/Anthem/Empire | $32,581 | 2.0× | 1 |
| CareFirst BCBS | $29,973 | 1.9× | 1 |
| Cigna | $25,224 | 1.6× | 1 |
| Bright Health | $22,255 | 1.4× | 1 |
| Virginia Premier Health | $16,085 | 1.0× | 1 |
| UnitedHealthcare | $15,769 | 1.0× | 1 |
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
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 the average total payment to Stonesprings Hospital Center for an inpatient hip or knee replacement stay was $15,958 (MS-DRG 470, 35 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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.
Stonesprings Hospital Center's average total payment per Medicare stay is higher than 79% of the 34 Virginia hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $27,598 across 8 insurers, ranging from $15,769 to $34,120.