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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $28,202 | $122,076 | 4.3× | $16,094 |
| Shoulder replacement | — | — | — | $22,852 |
| Hip replacement after a fracture (DRG 522) | $36,702 | $145,607 | 4.0× | — |
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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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).
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.
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.
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.