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St Rose Hospital: what a joint replacement costs

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.

Surgery center nearby
$13,116
San Leandro Surgery Center, 6.5 mi
Outpatient here
—
Under 11 cases
Inpatient here
$22,197
Avg total payment (incl. patient share), 57 Medicare stays, MS-DRG 470

Medicare prices at St Rose Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$22,197$127,7935.8×—
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$21,4801.0×$20,544–$22,0314
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Blue Shield of California$22,0311.0×1
Brown & Toland$22,0311.0×1
Centers for Elder Independence$20,9300.9×1
UnitedHealthcare$20,5440.9×1

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.

Quality

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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Questions

How much does Medicare pay St Rose Hospital for a knee or hip replacement?

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).

What is St Rose Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near St Rose Hospital?

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.

How does St Rose Hospital compare with other California hospitals?

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.

What do commercial insurers pay St Rose Hospital for a 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.