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California Pacific Medical Center - Mission Bernal: what a joint replacement costs

San Francisco, CA 94110 · CMS Certification Number 050055. 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
$13,132
Hayes Valley Surgery Center, 2.1 mi
Outpatient here
$18,769
Medicare allowed amount, 23 cases, APC 5115
Inpatient here
$26,622
Avg total payment (incl. patient share), 107 Medicare stays, MS-DRG 470

Medicare prices at California Pacific Medical Center - Mission Bernal

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$26,622$97,4913.7×$18,769
Shoulder replacement$35,948$148,6514.1×$26,563
Hip replacement after a fracture (DRG 522)$25,887$121,0054.7×—

Quality

Complications after hip or knee replacement: 2.4% (no different from the national rate). Readmissions: 4.9%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 120 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay California Pacific Medical Center - Mission Bernal for a knee or hip replacement?

In 2024 the average total payment to California Pacific Medical Center - Mission Bernal for an inpatient hip or knee replacement stay was $26,622 (MS-DRG 470, 107 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $18,769 per outpatient case (APC 5115, 23 cases).

What is California Pacific Medical Center - Mission Bernal's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $97,491, 3.7× 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 California Pacific Medical Center - Mission Bernal?

Yes for Medicare facility payments. Hayes Valley Surgery Center, an orthopedic surgery center 2.1 mi away, is paid about $13,132 by Medicare for a knee replacement (CPT 27447), $13,490 less than an inpatient stay at California Pacific Medical Center - Mission Bernal. Not every patient is a surgery-center candidate.

How does California Pacific Medical Center - Mission Bernal compare with other California hospitals?

California Pacific Medical Center - Mission Bernal's average total payment per Medicare stay is higher than 91% of the 119 California hospitals that report inpatient hip or knee replacement.