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Alta Bates Summit Medical Center: what a joint replacement costs

Oakland, CA 94609 · CMS Certification Number 050043. 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
$13,116
Bay Surgery Center, same ZIP
Outpatient here
$18,234
15 Medicare cases, APC 5115
Inpatient here
$25,441
68 Medicare stays, MS-DRG 470

Medicare prices at Alta Bates Summit Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$25,441$128,7165.1×$18,234
Shoulder replacement$28,442$115,9534.1×—
Hip replacement after a fracture (DRG 522)$23,583$124,7675.3×—

Quality

Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 4.5%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 569 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Alta Bates Summit Medical Center for a knee or hip replacement?

In 2024 Medicare paid Alta Bates Summit Medical Center an average of $25,441 per inpatient hip or knee replacement stay (MS-DRG 470, 68 stays) and $18,234 per outpatient case (APC 5115, 15 cases).

What is Alta Bates Summit Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $128,716, 5.1× what Medicare paid. 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 Alta Bates Summit Medical Center?

Yes for Medicare facility payments. Bay Surgery Center, an orthopedic surgery center same ZIP away, is paid about $13,116 by Medicare for a knee replacement (CPT 27447), $12,325 less than an inpatient stay at Alta Bates Summit Medical Center. Not every patient is a surgery-center candidate.

How does Alta Bates Summit Medical Center compare with other California hospitals?

Medicare paid Alta Bates Summit Medical Center more than 87% of the 119 California hospitals that report inpatient hip or knee replacement.