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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $19,448 | $174,611 | 9.0× | $16,148 |
| Shoulder replacement | $25,591 | $158,564 | 6.2× | $22,574 |
| Hip replacement after a fracture (DRG 522) | $21,645 | $187,764 | 8.7× | — |
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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In 2024 Medicare paid Grossmont Hospital an average of $19,448 per inpatient hip or knee replacement stay (MS-DRG 470, 32 stays) and $16,148 per outpatient case (APC 5115, 287 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $174,611, 9.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Grossmont Hospital less than 66% of the 119 California hospitals that report inpatient hip or knee replacement.