CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Inova Mount Vernon Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$25,896
about 1.8× the $14,044 Medicare rate · typically $16,250–$34,712
modeled estimate · not a bill or quote
What this hospital charges insurers
$34,728
Above the fair price
about $8,832 over the fair price · 2.5× Medicare
Medicare pays $14,044 Fair price $25,896 This hospital $34,728

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 $34,728

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 $25,896 (about 1.8× the $14,044 Medicare rate). Inova Mount Vernon Hospital charges insurers about $34,728 — above the fair price. Located in Alexandria, VA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $25,896. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

6 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 $16,450 - $50,367 117%
Blue Cross Blue Shieldmajor $16,450 - $39,016 117%
Aetnamajor $16,450 - $36,967 117%
Cignamajor $17,108 - $40,978 122%
Humanamajor $18,096 129%
Kaiser Permanentemajor $17,108 122%
Sentara $16,779 - $39,413 119%
+ 1 smaller / regional plan $31,333 - $37,795

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 2501 Parkers Lane, Alexandria, VA 22306
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals