Hayward, CA 94545 · CMS Certification Number 050002. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $22,197 | $127,793 | 5.8× | — |
| Shoulder replacement | — | — | — | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $21,480 | 1.0× | $20,544–$22,031 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Blue Shield of California | $22,031 | 1.0× | 1 |
| Brown & Toland | $22,031 | 1.0× | 1 |
| Centers for Elder Independence | $20,930 | 0.9× | 1 |
| UnitedHealthcare | $20,544 | 0.9× | 1 |
From the hospital's price-transparency file (2026-02-23); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-02-23); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.6% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 1 of 5 stars. Nonprofit · Acute · 129 beds
California has no certificate-of-need law.
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In 2024 the average total payment to St Rose Hospital for an inpatient hip or knee replacement stay was $22,197 (MS-DRG 470, 57 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $127,793, 5.8× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. San Leandro Surgery Center, an orthopedic surgery center 6.5 mi away, is paid about $13,116 by Medicare for a knee replacement (CPT 27447), $9,081 less than an inpatient stay at St Rose Hospital. Not every patient is a surgery-center candidate.
St Rose Hospital's average total payment per Medicare stay is higher than 76% of the 119 California hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $21,480 across 4 insurers, ranging from $20,544 to $22,031.