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Uc San Diego Health Hillcrest - Hillcrest Med Ctr: what a joint replacement costs

San Diego, CA 92103 · CMS Certification Number 050025. 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
$10,395
Scripps Mercy Surgery Pavilion, same ZIP
Outpatient here
$16,094
Medicare allowed amount, 534 cases, APC 5115
Inpatient here
$28,202
Avg total payment (incl. patient share), 52 Medicare stays, MS-DRG 470

Medicare prices at Uc San Diego Health Hillcrest - Hillcrest Med Ctr

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$28,202$122,0764.3×$16,094
Shoulder replacement———$22,852
Hip replacement after a fracture (DRG 522)$36,702$145,6074.0×—

Quality

Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 7.1%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 600 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Uc San Diego Health Hillcrest - Hillcrest Med Ctr for a knee or hip replacement?

In 2024 the average total payment to Uc San Diego Health Hillcrest - Hillcrest Med Ctr for an inpatient hip or knee replacement stay was $28,202 (MS-DRG 470, 52 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $16,094 per outpatient case (APC 5115, 534 cases).

What is Uc San Diego Health Hillcrest - Hillcrest Med Ctr's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $122,076, 4.3× 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 Uc San Diego Health Hillcrest - Hillcrest Med Ctr?

Yes for Medicare facility payments. Scripps Mercy Surgery Pavilion, an orthopedic surgery center same ZIP away, is paid about $10,395 by Medicare for a knee replacement (CPT 27447), $17,807 less than an inpatient stay at Uc San Diego Health Hillcrest - Hillcrest Med Ctr. Not every patient is a surgery-center candidate.

How does Uc San Diego Health Hillcrest - Hillcrest Med Ctr compare with other California hospitals?

Uc San Diego Health Hillcrest - Hillcrest Med Ctr's average total payment per Medicare stay is higher than 93% of the 119 California hospitals that report inpatient hip or knee replacement.