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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $26,622 | $97,491 | 3.7× | $18,769 |
| Shoulder replacement | $35,948 | $148,651 | 4.1× | $26,563 |
| Hip replacement after a fracture (DRG 522) | $25,887 | $121,005 | 4.7× | — |
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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In 2024 Medicare paid California Pacific Medical Center - Mission Bernal an average of $26,622 per inpatient hip or knee replacement stay (MS-DRG 470, 107 stays) and $18,769 per outpatient case (APC 5115, 23 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $97,491, 3.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid California Pacific Medical Center - Mission Bernal more than 91% of the 119 California hospitals that report inpatient hip or knee replacement.