Hip or knee replacement in District of Columbia
MS-DRG 470: Major hip and knee joint replacement or reattachment of lower extremity without mcc
$103,535typical hospital bill
$21,876typical amount paid
$14,929–$23,223range paid across 4 hospitals
District of Columbia hospitals billed Medicare a typical $103,535 for this stay in 2024, about 4.7 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Sibley Memorial Hospital | Washington | 51 | $66,616 | $14,929 | |
| Medstar Washington Hospital Center | Washington | 25 | $116,619 | $21,259 | |
| George Washington Univ Hospital | Washington | 28 | $159,832 | $22,494 | |
| Medstar Georgetown University Hospital | Washington | 28 | $90,451 | $23,223 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.