CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Reston Hospital Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$25,652
about 1.8× the $14,044 Medicare rate · typically $16,290–$35,379
modeled estimate · not a bill or quote
What this hospital charges insurers
$23,145
About the fair price
about $2,507 under the fair price · 1.6× Medicare
Medicare pays $14,044 Fair price $25,652 This hospital $23,145

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

Highest price of the 9 VA hospitals we have prices for — worth calling around.

Cheapest $8,878 Priciest $23,145

Black dot = this hospital, among the 9 VA hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $25,652 (about 1.8× the $14,044 Medicare rate). Reston Hospital Center charges insurers about $23,145 — about the fair price. Located in Reston, VA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $4,250 - $42,396 30%
Blue Cross Blue Shieldmajor $3,240 - $34,374 23%
Aetnamajor $16,031 - $47,348 114%
Cignamajor $16,009 - $25,224 114%
Humanamajor $15,696 112%
Bright Health $21,364 - $23,145 152%
Devoted Health $16,009 114%
Sentara $15,696 - $31,395 112%
+ 7 smaller / regional plans $16,009 - $17,265

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Facility Profile & Credentials

  • Address: 1850 Town Center Parkway, Reston, VA 20190
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals