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Stonesprings Hospital Center: what a joint replacement costs

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.

Surgery center nearby
$9,158
Reston Surgery Center, L.P., 6.6 mi
Outpatient here
$12,044
Medicare allowed amount, 189 cases, APC 5115
Inpatient here
$15,958
Avg total payment (incl. patient share), 35 Medicare stays, MS-DRG 470

Medicare prices at Stonesprings Hospital Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,958$114,9857.2×$12,044
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$27,5981.7×$15,769–$34,1208
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Sentara Optima Health$34,1202.1×1
Aetna$32,6742.0×1
Elevance/Anthem/Empire$32,5812.0×1
CareFirst BCBS$29,9731.9×1
Cigna$25,2241.6×1
Bright Health$22,2551.4×1
Virginia Premier Health$16,0851.0×1
UnitedHealthcare$15,7691.0×1

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.

Quality

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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Questions

How much does Medicare pay Stonesprings Hospital Center for a knee or hip replacement?

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).

What is Stonesprings Hospital Center's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Stonesprings Hospital Center?

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.

How does Stonesprings Hospital Center compare with other Virginia hospitals?

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.

What do commercial insurers pay Stonesprings Hospital Center 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 $27,598 across 8 insurers, ranging from $15,769 to $34,120.