What Medicare pays District of Columbia hospitals and surgery centers for knee, hip and shoulder replacement, what hospitals list, and which cost the most and the least.
District of Columbia requires a certificate of need for new surgery centers.
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| Hospital | City | Inpatient avg total payment | List price | Outpatient allowed |
|---|---|---|---|---|
| Sibley Memorial Hospital | Washington | $14,929 | $66,616 | $13,356 |
| Medstar Washington Hospital Center | Washington | $21,259 | $116,619 | $13,444 |
| George Washington Univ Hospital | Washington | $22,494 | $159,832 | $13,444 |
| Medstar Georgetown University Hospital | Washington | $23,223 | $90,451 | $13,045 |
| Hospital | City | Inpatient avg total payment | List price | Outpatient allowed |
|---|---|---|---|---|
| Medstar Georgetown University Hospital | Washington | $23,223 | $90,451 | $13,045 |
| George Washington Univ Hospital | Washington | $22,494 | $159,832 | $13,444 |
| Medstar Washington Hospital Center | Washington | $21,259 | $116,619 | $13,444 |
| Sibley Memorial Hospital | Washington | $14,929 | $66,616 | $13,356 |
In 2024 the median average total payment to District of Columbia hospitals was $21,877 per Medicare inpatient hip or knee replacement stay (MS-DRG 470, 4 hospitals; Medicare's payment plus the patient's share), and the median Medicare allowed amount was $13,400 per outpatient case. An orthopedic surgery center is paid about $9,158 for a knee.
Sibley Memorial Hospital ($14,929), Medstar Washington Hospital Center ($21,259), George Washington Univ Hospital ($22,494) (average total payment per inpatient stay, patient share included).
The median list (chargemaster) price is $103,535, about 4.7× the median average total payment for a Medicare stay.
District of Columbia requires a certificate of need for new surgery centers. CON is required for new institutional health services and health care facilities, which include ambulatory surgical facilities.