Price AtlasInteractive atlas · All states · techysurgeon.comRiverside Community Hospital: what a joint replacement costs
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.
Medicare prices at Riverside Community Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $26,634 | 1.1× | $21,500–$52,379 | 13 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $52,379 | 2.2× | 1 |
| Elevance/Anthem/Empire | $42,876 | 1.8× | 1 |
| UnitedHealthcare | $39,537 | 1.7× | 1 |
| Heritage Provider Network | $29,540 | 1.2× | 1 |
| Astiva Health | $26,634 | 1.1× | 1 |
| Rios Health | $26,634 | 1.1× | 1 |
| Rios Southwest Medical Group | $26,634 | 1.1× | 1 |
| MedCare Partners | $24,818 | 1.0× | 1 |
| Aetna | $24,213 | 1.0× | 1 |
| Alignment Health Plan | $24,213 | 1.0× | 1 |
| Health Net | $23,276 | 1.0× | 1 |
| Bright Health | $22,204 | 0.9× | 1 |
| Redlands Community | $21,500 | 0.9× | 1 |
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
Quality
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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Questions
How much does Medicare pay Riverside Community Hospital for a knee or hip replacement?
In 2024 the average total payment to Riverside Community Hospital for an inpatient hip or knee replacement stay was $23,816 (MS-DRG 470, 20 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $16,148 per outpatient case (APC 5115, 79 cases).
What is Riverside Community Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $228,991, 9.6× 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 Riverside Community Hospital?
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.
How does Riverside Community Hospital compare with other California hospitals?
Riverside Community Hospital's average total payment per Medicare stay is higher than 80% of the 119 California hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Riverside Community Hospital 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 $26,634 across 13 insurers, ranging from $21,500 to $52,379.