Price AtlasInteractive atlas · All states · techysurgeon.comProvidence Queen of the Valley Medical Center: what a joint replacement costs
Napa, CA 94558 · CMS Certification Number 050009. 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.
Medicare prices at Providence Queen of the Valley Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $18,390 |
| Shoulder replacement | — | — | — | $25,913 |
| Hip replacement after a fracture (DRG 522) | $23,907 | $164,279 | 6.9× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $44,199 | — | $18,779–$85,449 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $85,449 | — | 1 |
| UnitedHealthcare | $54,176 | — | 1 |
| Blue Shield of California | $44,199 | — | 1 |
| Healthnet | $38,146 | — | 1 |
| Cigna | $18,779 | — | 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 · 171 beds
California has no certificate-of-need law.
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Questions
How much does Medicare pay Providence Queen of the Valley Medical Center for a knee or hip replacement?
The Medicare allowed amount averaged $18,390 per outpatient hip or knee replacement case (APC 5115, 85 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Providence Queen of the Valley Medical Center?
Yes for Medicare facility payments. Napa Ambulatory Surgery Center, Inc, an orthopedic surgery center same ZIP away, is paid about $11,266 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Providence Queen of the Valley Medical Center 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 $44,199 across 5 insurers, ranging from $18,779 to $85,449.