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Providence St Joseph Hospital: what a joint replacement costs

Eureka, CA 95501 · CMS Certification Number 050006. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$16,148
Medicare allowed amount, 166 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Providence St Joseph Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$16,148
Shoulder replacement———$22,852
Hip replacement after a fracture (DRG 522)$22,784$133,1065.8×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$53,437—$39,662–$61,3013
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Healthnet$61,301—1
UnitedHealthcare$53,437—1
Blue Shield of California$39,662—1

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 140 beds

California has no certificate-of-need law.

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Questions

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

The Medicare allowed amount averaged $16,148 per outpatient hip or knee replacement case (APC 5115, 166 cases) in 2024. Inpatient stays were too few to report.

What do commercial insurers pay Providence St Joseph 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 $53,437 across 3 insurers, ranging from $39,662 to $61,301.