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District of Columbia: one knee, three prices

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.

Surgery center
$9,158
Median Medicare knee rate, 1 orthopedic surgery centers
Hospital, same day
$13,400
Median outpatient allowed
Hospital, overnight
$21,877
Median inpatient paid, 4 hospitals

District of Columbia requires a certificate of need for new surgery centers.

Zoom into District of Columbia on the mapBuild a District of Columbia report

Lowest Medicare payment

HospitalCityInpatient paidList priceOutpatient
Sibley Memorial HospitalWashington$14,929$66,616$13,356
Medstar Washington Hospital CenterWashington$21,259$116,619$13,444
George Washington Univ HospitalWashington$22,494$159,832$13,444
Medstar Georgetown University HospitalWashington$23,223$90,451$13,045

Highest Medicare payment

HospitalCityInpatient paidList priceOutpatient
Medstar Georgetown University HospitalWashington$23,223$90,451$13,045
George Washington Univ HospitalWashington$22,494$159,832$13,444
Medstar Washington Hospital CenterWashington$21,259$116,619$13,444
Sibley Memorial HospitalWashington$14,929$66,616$13,356

Every District of Columbia hospital (4)

Orthopedic surgery centers (1)

Questions

How much does Medicare pay for a knee replacement in District of Columbia?

In 2024 Medicare paid District of Columbia hospitals a median $21,877 per inpatient hip or knee replacement stay (MS-DRG 470, 4 hospitals) and a median $13,400 per outpatient case. An orthopedic surgery center is paid about $9,158 for a knee.

Which District of Columbia hospitals does Medicare pay least for a joint replacement?

Sibley Memorial Hospital ($14,929), Medstar Washington Hospital Center ($21,259), George Washington Univ Hospital ($22,494).

What do District of Columbia hospitals list for a joint replacement?

The median list (chargemaster) price is $103,535, about 4.7× what Medicare pays.

Does District of Columbia have a certificate-of-need law?

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.