Price AtlasInteractive atlas · All states · techysurgeon.comProvidence St. Joseph Hospital: what a joint replacement costs
Orange, CA 92868 · CMS Certification Number 050069. 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.
Medicare prices at Providence St. Joseph Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $23,965 | $85,475 | 3.6× | $16,148 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $22,412 | $90,457 | 4.0× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $33,638 | 1.4× | $22,931–$48,770 | 7 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Healthnet | $48,770 | 2.0× | 1 |
| UnitedHealthcare | $44,055 | 1.8× | 1 |
| Blue Shield of California | $37,622 | 1.6× | 1 |
| Cigna | $33,638 | 1.4× | 1 |
| Monarch Health Plan | $29,791 | 1.2× | 1 |
| Elevance/Anthem/Empire | $24,290 | 1.0× | 1 |
| Oscar | $22,931 | 1.0× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 4.8% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 462 beds
California has no certificate-of-need law.
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Questions
How much does Medicare pay Providence St. Joseph Hospital for a knee or hip replacement?
In 2024 the average total payment to Providence St. Joseph Hospital for an inpatient hip or knee replacement stay was $23,965 (MS-DRG 470, 25 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $16,148 per outpatient case (APC 5115, 129 cases).
What is Providence St. Joseph Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $85,475, 3.6× 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 Providence St. Joseph Hospital?
Yes for Medicare facility payments. La Veta Surgical Center, an orthopedic surgery center same ZIP away, is paid about $10,036 by Medicare for a knee replacement (CPT 27447), $13,929 less than an inpatient stay at Providence St. Joseph Hospital. Not every patient is a surgery-center candidate.
How does Providence St. Joseph Hospital compare with other California hospitals?
Providence St. Joseph Hospital's average total payment per Medicare stay is higher than 81% of the 119 California hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Providence St. Joseph Hospital for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $33,638 across 7 insurers, ranging from $22,931 to $48,770.