Riverside, CA 92501 · CMS Certification Number 050022. 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 | $23,816 | $228,991 | 9.6× | $16,148 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $23,134 | $261,636 | 11.3× | — |
Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 6.8%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 517 beds
California has no certificate-of-need law.
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In 2024 Medicare paid Riverside Community Hospital an average of $23,816 per inpatient hip or knee replacement stay (MS-DRG 470, 20 stays) and $16,148 per outpatient case (APC 5115, 79 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $228,991, 9.6× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Riverside Outpatient Surgical Institute, an orthopedic surgery center same ZIP away, is paid about $10,120 by Medicare for a knee replacement (CPT 27447), $13,696 less than an inpatient stay at Riverside Community Hospital. Not every patient is a surgery-center candidate.
Medicare paid Riverside Community Hospital more than 80% of the 119 California hospitals that report inpatient hip or knee replacement.