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Santa Clara Valley Medical Center: what a joint replacement costs

San Jose, CA 95128 · CMS Certification Number 050038. 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
$13,221
Advanced Surgery Center, same ZIP
Outpatient here
$18,490
Medicare allowed amount, 19 cases, APC 5115
Inpatient here
$28,442
Avg total payment (incl. patient share), 18 Medicare stays, MS-DRG 470

Medicare prices at Santa Clara Valley Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$28,442$91,5043.2×$18,490
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$31,519$133,4384.2×—

Quality

Complications after hip or knee replacement: 5.4% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 2 of 5 stars. Government · Acute · 1337 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Santa Clara Valley Medical Center for a knee or hip replacement?

In 2024 the average total payment to Santa Clara Valley Medical Center for an inpatient hip or knee replacement stay was $28,442 (MS-DRG 470, 18 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $18,490 per outpatient case (APC 5115, 19 cases).

What is Santa Clara Valley Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $91,504, 3.2× 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 Santa Clara Valley Medical Center?

Yes for Medicare facility payments. Advanced Surgery Center, an orthopedic surgery center same ZIP away, is paid about $13,221 by Medicare for a knee replacement (CPT 27447), $15,221 less than an inpatient stay at Santa Clara Valley Medical Center. Not every patient is a surgery-center candidate.

How does Santa Clara Valley Medical Center compare with other California hospitals?

Santa Clara Valley Medical Center's average total payment per Medicare stay is higher than 94% of the 119 California hospitals that report inpatient hip or knee replacement.