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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $24,669 | $108,909 | 4.4× | $18,769 |
| Shoulder replacement | — | — | — | $26,563 |
| Hip replacement after a fracture (DRG 522) | $23,549 | $109,063 | 4.6× | — |
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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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).
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.
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.
Medicare paid Mills-Peninsula Medical Center more than 84% of the 119 California hospitals that report inpatient hip or knee replacement.