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Riverside 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.

Surgery center nearby
$10,120
Riverside Outpatient Surgical Institute, same ZIP
Outpatient here
$16,148
79 Medicare cases, APC 5115
Inpatient here
$23,816
20 Medicare stays, MS-DRG 470

Medicare prices at Riverside Community Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$23,816$228,9919.6×$16,148
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$23,134$261,63611.3×—

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 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).

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× what Medicare paid. 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?

Medicare paid Riverside Community Hospital more than 80% of the 119 California hospitals that report inpatient hip or knee replacement.