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Grossmont Hospital: what a joint replacement costs

La Mesa, CA 91942 · CMS Certification Number 050026. 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
Grossmont Surgery Center, same ZIP
Outpatient here
$16,148
Medicare allowed amount, 287 cases, APC 5115
Inpatient here
$19,448
Avg total payment (incl. patient share), 32 Medicare stays, MS-DRG 470

Medicare prices at Grossmont Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$19,448$174,6119.0×$16,148
Shoulder replacement$25,591$158,5646.2×$22,574
Hip replacement after a fracture (DRG 522)$21,645$187,7648.7×—

Quality

Complications after hip or knee replacement: 3.1% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 4 of 5 stars. Government · Acute · 536 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Grossmont Hospital for a knee or hip replacement?

In 2024 the average total payment to Grossmont Hospital for an inpatient hip or knee replacement stay was $19,448 (MS-DRG 470, 32 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, 287 cases).

What is Grossmont Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $174,611, 9.0× 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 Grossmont Hospital?

Yes for Medicare facility payments. Grossmont Surgery Center, an orthopedic surgery center same ZIP away, is paid about $10,395 by Medicare for a knee replacement (CPT 27447), $9,053 less than an inpatient stay at Grossmont Hospital. Not every patient is a surgery-center candidate.

How does Grossmont Hospital compare with other California hospitals?

Grossmont Hospital's average total payment per Medicare stay is lower than 66% of the 119 California hospitals that report inpatient hip or knee replacement.