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Mercy General Hospital: what a joint replacement costs

Sacramento, CA 95819 · CMS Certification Number 050017. 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
$12,209
Sutter Alhambra Surgery Center, LP, 1.5 mi
Outpatient here
$16,396
Medicare allowed amount, 120 cases, APC 5115
Inpatient here
$19,901
Avg total payment (incl. patient share), 45 Medicare stays, MS-DRG 470

Medicare prices at Mercy General Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$19,901$157,2977.9×$16,396
Shoulder replacement———$23,737
Hip replacement after a fracture (DRG 522)$19,550$156,5498.0×—

Quality

Complications after hip or knee replacement: 3.3% (no different from the national rate). Readmissions: 6.7%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 419 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Mercy General Hospital for a knee or hip replacement?

In 2024 the average total payment to Mercy General Hospital for an inpatient hip or knee replacement stay was $19,901 (MS-DRG 470, 45 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $16,396 per outpatient case (APC 5115, 120 cases).

What is Mercy General Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $157,297, 7.9× 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 Mercy General Hospital?

Yes for Medicare facility payments. Sutter Alhambra Surgery Center, LP, an orthopedic surgery center 1.5 mi away, is paid about $12,209 by Medicare for a knee replacement (CPT 27447), $7,692 less than an inpatient stay at Mercy General Hospital. Not every patient is a surgery-center candidate.

How does Mercy General Hospital compare with other California hospitals?

Mercy General Hospital's average total payment per Medicare stay is lower than 59% of the 119 California hospitals that report inpatient hip or knee replacement.