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Mills-Peninsula Medical Center: what a joint replacement costs

Burlingame, CA 94010 · CMS Certification Number 050007. 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
$13,132
Soar Surgery Center, LLC, same ZIP
Outpatient here
$18,769
149 Medicare cases, APC 5115
Inpatient here
$24,669
49 Medicare stays, MS-DRG 470

Medicare prices at Mills-Peninsula Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$24,669$108,9094.4×$18,769
Shoulder replacement———$26,563
Hip replacement after a fracture (DRG 522)$23,549$109,0634.6×—

Quality

Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 301 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Mills-Peninsula Medical Center for a knee or hip replacement?

In 2024 Medicare paid Mills-Peninsula Medical Center an average of $24,669 per inpatient hip or knee replacement stay (MS-DRG 470, 49 stays) and $18,769 per outpatient case (APC 5115, 149 cases).

What is Mills-Peninsula Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $108,909, 4.4× what Medicare paid. 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 Mills-Peninsula Medical Center?

Yes for Medicare facility payments. Soar Surgery Center, LLC, an orthopedic surgery center same ZIP away, is paid about $13,132 by Medicare for a knee replacement (CPT 27447), $11,537 less than an inpatient stay at Mills-Peninsula Medical Center. Not every patient is a surgery-center candidate.

How does Mills-Peninsula Medical Center compare with other California hospitals?

Medicare paid Mills-Peninsula Medical Center more than 84% of the 119 California hospitals that report inpatient hip or knee replacement.