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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $19,901 | $157,297 | 7.9× | $16,396 |
| Shoulder replacement | — | — | — | $23,737 |
| Hip replacement after a fracture (DRG 522) | $19,550 | $156,549 | 8.0× | — |
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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In 2024 Medicare paid Mercy General Hospital an average of $19,901 per inpatient hip or knee replacement stay (MS-DRG 470, 45 stays) and $16,396 per outpatient case (APC 5115, 120 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $157,297, 7.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Mercy General Hospital less than 59% of the 119 California hospitals that report inpatient hip or knee replacement.