Revision of Hip or Knee Replacement Without Cc/Mcc in District of Columbia
MS-DRG 468: Revision of hip or knee replacement without cc/mcc
$89,119typical hospital bill
$26,634typical amount paid
$21,143–$32,125range paid across 2 hospitals
District of Columbia hospitals billed Medicare a typical $89,119 for this stay in 2024, about 3.3 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 | 44 | $73,264 | $21,143 | |
| Medstar Georgetown University Hospital | Washington | 32 | $104,974 | $32,125 |
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.